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A
B
F
A
Moser,
I
am
here
in
the
room,
wonderful,
okay,
we
have
a
quorum
established
to
do
business
and
I
just
want
to
once
again
thank
everyone
for
being
here.
We
have
some
important
business
to
take
care
of,
and
first
I
would
like
to
review
the
block
grants
that
have
been
presented
to
the
committee.
Everyone
should
have
received
those
ahead
of
time.
Are
there
any
questions?
A
A
It
is
the
essential
visitor
program
regulation
and
a
brief
explanation
is
that
this
emergency
administrative
reg
was
filed
on
october
1st
of
2021,
and
it
was
it
was
set
to
expire
on
january,
31st,
2022
and
so
concurrently.
When,
when
we
came
into
session,
we
passed
senate
bill
25
and
that
was
signed
into
law
on
january
14
2022
and
it
also
extended
several
emergency
rags
administrative
regs
related
to
the
covet
19
pandemic
until
june
28
2022,
and
this
regulation
was
part
of
that.
A
A
A
E
E
House
bill
282
provides
for
greater
transparency
on
the
costs
charged
by
staff
agencies
working
in
long-term
care.
It
requires
staff
agencies
to
register
with
chfs
and
disclose
ownership
and
other
relevant
information.
It
sets
standards
for
direct
care
staff
contracted
with
or
employed
by,
the
health
care
services
agency.
E
It
does
not
prohibit
agencies
from
operating
in
kentucky
and
does
not
set
the
price
that
state
agencies
staff
agencies
can
charge
for
their
services
or
how
much
they
can
pay
their
contract
or
employer
direct
care
staff,
and
so
at
this
time
I'll
let
betsy
describe
more
of
the
bill
and
then
we'll
take
any
questions
after
that.
Thank.
G
I
want
to
thank
representative
riley
for
introducing
house
bill
282
and
for
listening
to
the
issues
that
we
are
facing
in
long-term
care
today,
throughout
the
pandemic,
we
heard
from
our
members
about
what
I
would
consider
large
bucket
issues
that
ebbed
and
flowed
throughout
the
past
two
years.
In
the
beginning,
it
was
no
ppe,
no
testing
and
the
issues
moved
to
reduce
census
and
financial
strains,
and
then
my
phone
started
ringing
with
members
alleging
that
they
were
being
price
gouged
by
staff
agencies.
G
I
received
a
call
from
the
ag's
office,
letting
me
know
that
they
had
reviewed
my
complaint,
but
unfortunately,
staff
agencies
were
not
included
under
the
price
gouging
statute
found
in
krs
367
374
and
therefore
they
did
not
have
jurisdiction
over
the
matter.
The
price
gouging
statute
does
cover
medical
supplies,
but
not
health
care
services.
Agencies
house
bill
282
would
put
health
care
services
agencies
under
the
price
gouging
statute,
enforced
by
the
kentucky
attorney
general.
G
D
Yeah,
I
felt
like
I
needed
to
say
something:
yeah
yeah,
I'm
back.
D
G
Full-Time
employee
kind
of
thing
exactly
so
you
know
again:
we've
used
healthcare,
healthcare
services
agency
or
staff
agencies
pre-pandemic,
but
just
like
I'm
sure
you
all
were
hearing,
ppe
costs
were
going
up
and
and
clearly
the
attorney
general's
office
was
hearing
that
too,
because
they
did
create
that
kova
19
online
complaint
form
for
price
gouging
during
the
pandemic,
and
so
what
I'd
learned.
Even
though
I
filed
a
complaint,
we
don't
really
know
how
much
their
pocketing
is
profit
and
how
much
you're
paying
the
direct
care
worker
so
say
pre-pandemic.
G
They
would
hire
a
cna
and
pay
her
or
him
12
an
hour,
maybe
they're,
paying
them
a
little
bit
more.
But
the
prices
have
really
gone
up
and
so
again
we're
calling
this
a
transparency
and
accountability
bill,
because
that
will
that
will
highlight
those
issues
and
then
it'll
be
up
to
the
attorney
general
to
determine
whether
it's
price,
gouging
or
not.
H
Thank
you,
chairman
chairwoman,
just
and
representative
riley.
You
always
bring
us
good,
reasonable
legislation,
and
so
I'm
predisposed
already
to
support
this.
But
I
just
wanted
to
check
to
see
if
there
was
if
there
were
any
concerns
from
any
of
the
provider
groups
about
this
bill.
And
if
that's,
if
those
are
conversations
that
you've
had
no.
E
G
You
and
representative
wilner,
just
let
you
know,
staff
agencies
are
vendor
partners
of
ours,
so
they
pay
us
dues,
and
so
we
are
willing
to
take
this
issue
on
even
though
they're
officially
members
of
ours
as
well
and
and
they
understand-
and
this
is
happening
across
the
country-
there's,
I
think,
there's
16
states
considering
similar
legislation.
So
it's
it's
a
national
problem.
A
C
D
H
H
I
C
C
C
B
A
A
I
Thank
you,
madam
chair,
thank
you
to
the
current
madam
chair
who's,
my
beloved
seat,
mate,
and
thank
you
to
this,
madam
chair,
and
just
introduce
yourself
for
the
record
and
you
may
proceed
and
introduce
your
guests.
Thank
you.
My
name
is
mackenzie
cantrell,
I'm
your
colleague
from
kentucky
house
district
38,
and
I
will
let
everyone
else
introduce
themselves
I'll,
introduce
the
bill
and
take
any
questions.
I
Thank
you
and
members
of
the
committee.
It's
my
honor
and
pleasure
to
present
to
you
house
bill
174
for
your
consideration.
It
is
a
a
seven
word
bill.
It
is
a
short
bill
which
I
think
a
lot
of
you
will
appreciate,
but
I
think
it's
going
to
have
a
big
impact
for
mothers
across
the
state
of
kentucky.
It's
a
very
sim,
fairly
simple
concept.
It
is
extending
medicaid
coverage
to
postpartum
mothers
up
to
12
months
after
they
give
birth.
Of
course,
they
have
to
otherwise
be
eligible
for
medicaid.
I
J
Hi,
thank
you,
madam
chairs.
I'm
christina
libby,
I'm
here
from
here
in
frankfurt,
I'm
the
health
outreach
navigator
for
the
homeless
and
housing
coalition
of
kentucky,
I'm
a
community
health
worker
and
a
connector
and
the
mother
of
two
currently
encanto
obsessed
children,
but
in
2019
I
was
a
small
business
owner
on
medicaid.
When
I
found
out
that
I
was
pregnant
with
my
second
child,
I
gradually
closed
my
business
and
finagled
myself
a
job
as
a
server
at
bourbon
on
maine
here
in
frankfort,
where
I
worked
all
that
summer.
J
J
Doctor's
appointments
therapy
is
ideally
an
ongoing
event,
and
the
decision
to
go
off
of
mental
health
medication
should
not
be
dictated
by
a
time
limited
policy
or
regulation,
and
I
realize
that,
with
this
particular
topic,
there
will
be
a
time
limit
regardless,
but
my
ability
to
navigate
the
bureaucratic
logistics
of
copays
and
deductibles
and
delightful
hold
music
was
exponentially
greater
with
a
one-year-old
than
when
I
was
two
months
postpartum
when
I
still
had
a
wattle
in
my
step,
a
baby
in
my
arms
and
a
voice
in
my
head
saying
what
have
you
done
so
while
I
understand
that
this
isn't
a
large
number
of
mothers,
necessarily
that
this
would
affect
the
the
effect
on
the
children
raised
by
healthy
and
functioning
mothers
would
have
a
ripple
effect
throughout
the
commonwealth.
D
I'd
just
like
to
thank
you
for
bringing
your
testimony
to
us
today.
I
can
attest
to
the
fact
of
the
severity
of
postpartum
depression,
as
my
oldest
daughter
after
her
second
child,
went
into
severe
postpartum
depression
and
got
to
the
point
she
didn't
want
to
live
anymore,
so
you
know
I
just
want
you
to
know.
I
appreciate
your
strength
for
coming
and
sharing
with
us
today
and
you
have
our
full
support.
Thank
you.
A
Any
other
members,
madam
chair,
if
I
may
just
quickly
just
for
background
sake,
I
I
I
want
to
thank
everyone.
First
of
all,
for
consideration
of
this
bill.
It's
it's
very
important.
Kentucky
has
a
very
high
maternal
mortality
rate,
and
this
really
should
not
be
happening
in
such
a
a
you
know
the
only
real
industrialized
nation
in
in
the
world.
We
continue
to
have
high
maternal
mortality
rates.
A
Kentucky
is
one
of
the
highest
and
there
are
a
lot
of
factors,
but
this
will
really
help
a
a
population
who
often
sees
healthcare
disparities,
get
the
care
that
they
need.
So
it's
it's
very
important.
Everyone
has
a
letter
from
acog
in
your
packet
in
support
of
this
so
happy
to
entertain.
Any
questions
represent
fleming.
H
Thank
you
managing
a
mental
health
center.
We
see
quite
a
few
folks
come
through
and
just
part
of
the
depression
and
going
through
postmortem.
I
just
want
to
say
thank
you
very
much
for
stepping
out
into
the
light
and
showing
a
little
more
perspective
on
what's
going
on
with
with
the
all
women
to
go
through
this
process,
but,
like
I
said,
stepping
up
and
demonstrating
which
I'll
go
through
and
so
forth,
it's
really
much
of
a
role
model
and
I'll
say.
Thank
you
very
much.
Thank
you.
E
C
C
I
A
Okay,
thank
you.
We
will
move
on
in
our
agenda.
We
do
have
house
bill
349
listed
on
the
agenda.
We
had
quite
a
few
questions
and
we'll
possibly
be
working
on
a
committee
sub,
and
so
we
are
going
to
table
this
for
today
you
will
see
it
again
so
not
to
worry.
I
apologize
to
folks
who
came
in
to
to
talk
about
this
bill
today.
A
We
are
happy
to
continue
all
of
the
discussions
about
this,
so
we
will
move
on
to
for
discussion
only.
We
have
house
bill
142
and
I'd
like
to
invite
representative
callaway
to
the
table
and
and
any
guests,
if
you
could
introduce
yourself
for
the
record
and
introduce
any
guests
that
you
have
and
please
proceed.
K
Thank
you,
ma'am,
I'm
josh
callaway
state
representative
for
the
10th
district
of
kentucky,
and
I
also
have
miss
julie
rice
as
well.
That
is
remotely
joining
us
today,
and
I
appreciate
her
being
willing
to
be
a
part
of
this,
and
so
I
kind
of
want
to
hit
some
highlights
about
what
the
bill
is,
what
the
bill
does
and
then
let
miss
julie
get
more
into
specifics
about
the
product
and
why
we're
trying
to
do
what
we're
doing
house
bill.
K
142
really
is
a
straightforward
bill
that
simply
adds
a
substance
called
kratom
to
a
list
of
drugs
that
are
currently
illegal
in
the
state
of
kentucky
already
alabama
arkansas,
indiana,
rhode,
island,
vermont
and
wisconsin
have
banned
this
product.
That's
called
kratom.
K
Basically,
it
is
defined
as
a
psychoactive
substance
that
is
technically
legal
in
the
united
states
and
it
is
in
the
same
family
as
the
coffee
tree.
Kratom
can
be
abused
in
many
different
ways.
It
can
be
abused
in
the
chewing
of
the
leaves
that
come
from
the
plant
brewing
them
in
tea,
mixing
it
in
other
drinks
can
be
taken
in
powder
form.
It
can
be
taken
in
tablet
form
a
lot
of
times.
K
It's
extracted
down
into
a
shop
form
and
taken
that
way,
and
from
a
lot
of
the
studies
that
have
been
done
on
this
particular
product.
It
has
a
stimulant
effect
in
low
doses.
So
if
you
took
low
doses
of
the
product,
it
could
increase
energy,
talkativeness,
less
need
for
sleep
and
then
higher
doses
of
cradle
are
said
to
have
an
effect
similar
to
morphine.
K
It
works
on
opioid
receptors
and
some
of
the
brain's
chemical
messengers
related
to
emotional
regulation
and
pleasure,
cradle
abuse
is
on
the
rise
in
the
united
states
and
I'll.
Let
miss
julie
talk
a
little
bit
more
to
that
in
just
a
minute,
but
I
do
know
that
it
is
under
review
with
the
who
the
fda.
K
Has
it
right
now
under
review
and
the
dea
has
it
listed
as
a
drug
of
concern
on
their
list
and
so
kind
of
gives
a
little
bit
about
what
it
is
and
miss
julie,
I'll.
Let
you
go
into
some
more
detail
and
let
the
guests
know
today
or
let
you
let
them
know
today
exactly
what
this
product
is
and
what
it
does
and
kind
of
what
you're.
Seeing
from
your
side.
L
Okay,
my
name
is
julie,
rice
and
I'm
an
aprn,
and
I
am
medically
trained
and
I
am
psychiatry
trained.
So
I
have
an
fnp
and
a
mental
health
degree.
So
if
you
haven't
heard
of
kratom
it's
a
tree
and
it's
from
southeast
asia-
and
it
has
these
psychoactive,
you
know
properties
that
people
are
using
as
far
as
a
stimulant
goes
and
then
some
people
are
using
it
for
pain.
And
what
I'm
seeing
is
that
the
rise
in
the
abuse
of
this
is
like
tripled.
L
And
you
know
when
people
take
this,
they
get
that
stimulant
and
then
they
get
that
sedative
type
factor.
L
And
when
you
talk
about
like
the
heart,
so
medically,
I'm
seeing
issues
with
heart
rhythm,
with
liver
with
kidney,
so
much
so
that,
like
liver
damage
and
liver,
your
kidney
failure,
and
because
at
the
very
basis
of
like
how
we
prescribe
it's
just
kind
of
a
known
thing,
that
you
don't
prescribe
a
stimulant
with
a
benzo
and
that's
kind
of
the
same
thing
we're
seeing
when
we
with
kratom
it's
kind
of
a
mixture.
L
A
lot
of
people
like
to
compare
this,
I
guess
to
marijuana
the
leaves
have
these
veins
and
they're
different
colors,
and
so,
when
you
go
to
pick
from
this
tree
and
make
the
kratom
you
can't
be
for
sure
on
what
you're
getting
from
these
leaves,
because
there's
so
many
different
types,
and
so
I
would
say
this
with
the
as
far
as
in
comparison
to
marijuana,
because
I
get
a
lot
of
people
saying
that
the
withdrawal
is
like
a
huge
concern.
L
I
do
not
really
ever
have
patience
in
my
addiction
because
I
treat
addiction.
I
don't
really
see
a
whole
lot
of
the
withdrawal
causing
you
know
having
to
be
hospitalized.
I'm
seeing
a
lot
of
increased
blood
pressure,
sweats
vomiting!
I
have
patients,
tell
me
it's
worse
than
fentanyl
to
come
off
of,
and
these
people
are
spending.
L
You
know
mortgages
to
get
this
stuff.
I
have
went
in
all
different
gas
stations
to
talk
to
these
people
that
sell
it,
and
I
have
had
people
tell
me
that
they
just
quit
their
job
over
the
whole
thing,
because
they
have
seen
kids
with
fake
ids.
L
They
just
seen
so
many
addicted
people
come
into
these
gas
stations
and
they
feel
so
bad
selling
it
to
them,
and
so
I
feel
like
in
the
true
botanical
form
of
kratom
you're,
getting
one
thing,
but
when
you
start
not
knowing
what
strands
you're
getting
and
you're
mixing
them
and
to
sell
them
in
gas
station
form
you're
getting
a
whole,
you
don't
know
what
you're
getting,
and
so
I
do
not
see
that
much.
L
You
know
withdrawal
effect
with
the
marijuana.
I
do
see
you
know
anorexic,
depression,
suicidal
ideation,
all
these
things
in
my
psych
world.
So
it's
not
even
coming
at
me
just
medically
or
it's
coming
at
me
from
the
mental
health
aspect
and
the
medical
aspect.
I
see
it.
You
know
I
bet
I
see
50
people
that
I've
had
to
send
a
treatment
for
kratom
alone
and
then
I'll
just
go
out
and
just
it's
it's
not
just
professional.
For
me,
it's
personal,
I
am
divorced
and
my
husband,
my
ex-husband.
L
He
was
he
spent
30
grand
of
our
money
on
kratom
and
he
he's
a
professional
and
he
got
addicted.
He's
now
getting
clean
and
he's
doing
well.
But
I
just
want
to
say
that
this
has
no
stops
like
it.
It
can
affect
it
and
it
just
starts
out
with
somebody
saying
you
know:
I
want
a
little
bit
more
energy
in
the
morning
or
whatever
and
they
go
and
they
stop
and
get
it
and
then
their
families.
They
are.
You
know
it's
just
wreaking
havoc
on
families
in
kentucky
and
we're
considered
to
be
such
a.
A
Thank
you
very
much
for
your
testimony.
I
I
really
appreciate
that.
I
think
I
think
it's
you
know
a
very
interesting
kind
of
look
at
something
that
we
don't
know
a
whole
lot
about,
and
I
I
know
that
kratom
has
been
around
for
a
while.
I
I
know
that
there
are
probably
advocates
out
there
who
would
say
that
they're
using
this
to
wean
themselves
off
of
opioids
and
that
it's
helping
them
keep
stay
clean
and
then
I
you
know,
I
hear
from
treatment
providers
who
say
that
this
is
increasing
the
relapse
rate.
A
So
you
know
I.
I
think
that
there
are
still
a
lot
of
questions
out
there.
The
fda
hasn't
really
officially
weighed
in
on
it,
and
I
just
wanted
to
be
able
to
share
some
information
about
this
topic
today
before
we
take
a
vote
on
it
and
before
we
make
a
decision
as
a
state
about
how
to
handle
this,
I
know
that
we
do
have
some
questions
I'll,
go
ahead
and
and
call
in
our
members,
and
maybe
we'll
we'll
have
some
more
for
you,
representative,
sharp.
C
Thank
you,
madam
chair.
My
question
is:
how
prevalent
is
this
in
kentucky
at
the
moment.
L
Okay,
it
is
off
it
is
they
can't
keep
it
on
the
shelf.
L
So
I
mean
it
is
just
I
mean
one
in
two
patients
of
mine
and
in
the
industry
I'm
having
so
in
hancock
county.
Where
I
live,
we
are
known
for
our
industry,
we
have
century,
we
have
south,
you
know
we
have
southwire,
we
have
domtar,
we
have
hilarious,
we
have
all
these
I
have
had
you
know,
managers
call
me
and
say:
hey
I
hear
about
you
in
this
kratom.
It's
a
problem
here,
it's
all
over
the
place
in
our
kids,
walking
parks,
there's
crate
and
bottles
all
over
the
trails.
L
There
is
kratom
all
throughout
you
know
school
yards
I
mean
so
it's
somehow
getting
in
the
hands
of
our
children.
It's
somehow
getting
you
know
into
every
single
business.
There's
people
that
have
you
know
wrecked,
like
the
cranes
and
they
didn't
have
anything
in
their
system.
But
yet
when
further
investigated
they
had
been
taking
the
kratom.
So
so
there
is
no
way
to
you
know:
get
these
people
help
because
technically
in
kentucky
it's
not
illegal.
C
Oh,
that's,
okay!
So
in
kentucky
it's
not
illegal,
has
it
been
illegal
in
other
states?
You
may
have
said
that
I
missed
it
earlier.
Yeah.
K
It
is
indiana
alabama,
arkansas,
rhode,
island,
vermont,
wisconsin
have
all
banned,
it
made
it
illegal.
There.
C
Okay,
well,
I
appreciate
you
bringing
this
to
to
the
committee
here.
I
think
it's
very
important
and
to
get
ahead
of
any
substances
abuse
that
we
can.
We
saw
what
happened
with
the
methamphetamines
in
the
early
2000s,
where
we
got,
we
were
behind
the
power
curve
and
it
sounds
like
we're
a
little
bit
behind
a
power
curve
on
this
one
too.
C
E
Thank
you,
madam
chair.
If
you
don't
mind,
I'd
like
to
have
two
quick
questions,
question
number
one
is
a
lot
of
drugs,
have
slang
names
or
nicknames?
Are
there
any
of
those
for
kratom.
L
E
L
L
I
just
assumed
that
this
was
okay
until
they've
lost
everything
they
got
and
then
they
come
to
me
and
say
I
can't
stop
this
because
when
they
do
they
get
the
vomiting,
the
sweats,
the
you
know
the
blood
pressure
raisin
and
they
have
to
keep
going
to
their
job.
So
they
can't
even
get
help
to
get
off
this
because
it's
not
considered
illegal.
A
I
You,
madam
chair,
thank
you
for
your
testimony.
I,
when
I
served
on
the
severe
mental
illness
task
force,
I
had
some
of
my
law
enforcement
folks
and
reach
out
to
me
and
they
were
part
of
the
discussion.
So
I
went
to
the
jail
one
saturday
and
to
observe
a
young
lady
who
was
being
detained
and
they
said
they
told
me
in
the
conversation
there
that
they
see
a
lot
of
frequent
flyers
in
the
jail
that
some
of
them,
like
their
personality,
has
completely
changed
after
they
use
kratom.
L
Yes,
yes,
because
it
has
that
synthetic
here's,
the
thing
about
the
gas
stations
you
know
and
it's
true,
because
I'm
a
holistic,
I
would
consider
myself
a
very
holistic
person.
Both
of
my
parents
are
pharmacists,
I'm
very
educated
with
pharmaceuticals,
and
I
am
actually
to
be
a
you
know:
family
member.
I
was
a
pharmacy
tech
for
years
and
for
my
parents
to
be
pharmacists
and
me
to
be
in
that
world
we
actually
none
of
us
are
pro.
L
We
are
all
about
changing
lifestyles
versus
chemicals
as
much
as
we
can,
and
so
in
its
true
botanical
form
straight
off
the
tree.
Could
it
have
some
benefits?
Absolutely
absolutely,
but
as
americans
we
all
know,
we
fail
with
containing
how
we
what
we
eat,
we
overdo
everything
and
when
you
put
the
synthetic
chemicals
in
whatever
they're
selling-
and
you
add
it
to
that-
you
have
no
idea
what
you're
going
to
get,
what
receptors
that's
going
to
hit
your
brain
and
it
will
cause
schizophrenia.
I've
seen
people
have
present
like
a
schizophrenic.
D
Thank
you,
representative
callaway,
for
bringing
this
to
us
today
because
I
feel,
like
I've
lived
in
a
bubble
here,
because
I've
never
heard
of
it
before
until
today,
but
I
have
a
couple
quick
questions.
Thank
you,
madam
chair,
but
you
said
it
come
from
southeast
asia.
A
tree
from
southeast
asia.
So
is
product
made
in
asia
and
shipped
here,
or
is
it
shipped
here
in
its
raw
form
to
be
able
to
be
made
into
synthetic
product.
L
G
L
You
know
these
farmers,
you
know
they
grow
their
own,
they
get
their
own
and
but
then
they
tweak
it,
and
so
that's
the
same
with
here
they
can,
you
know
you
get
you
can
buy
just
like
we
can
get
pharmaceuticals
from
other
countries,
but
how
safe
is
it?
How
safe
are
do
you
know
what
you're
buying
like?
Do
you
know
what
you're
going
to
get
each
time
like,
I
said
each
little
vein
and
these
leaves
present
to
you
another,
like
a
stimulant.
So
let's
say
we
have
a
leaf
that
has
three
of
the
same
color.
L
C
L
Real
quick,
and
so
you
know
and
like
you
said
you
never
heard
of
it.
My
you
know.
The
person
in
my
life
that
was
affected
was
a
professional
and
in
fact,
had
a
client
tell
him
about
it,
just
in
passing
that
he
just
took
it
as
a
vitamin
and
that's
how
it
started,
and
this
person
had
no
iss.
You
know
never
heard
of
it.
So
that's
what's
happening,
it's
done!
G
K
A
lot
of
places
is
not
labeled
it'll
to
have
a
k
and
then
shot
or
something
like
that
beside
it.
You
have
to
really
look
to
see
what
the
product
is.
There's
not
hardly
any
labeling
on
it
at
all,
but
once
you
hear
about
it
and
you
know
about
it,
you'll
start
seeing
it
in
places
as
you
go
in.
H
Thank
you,
madam
chair.
This
is
a
topic
I
know
very
little
about
I've,
never
heard
of
kratom
until
a
year
ago,
and
just
this
week
a
couple
days
ago,
I
noticed
a
big
kratom
shop
had
opened
right
down
the
street
from
me,
big
neon
letters
kratom,
and
I'm
really
interested
to
know.
If
you
guys
can
point
us
to
any
objective
studies
are,
are
there
any?
Has
that
you
know?
I
know
that
it
sounds
like
the.
The
fda
has
not
really
addressed
this
yet,
but
there
must
be
some
objective
studies
out
there
somewhere.
L
Yeah,
if
you
can,
if
I
can
present
them,
I
have
a
whole
file
of
you
know:
studies
I
have
other
people's
testimonies,
but
as
far
as
evidence-based
I
can
submit
that
to
callaway.
I.
A
Sure,
thank
you,
representative
wilner,
and
I
I
would
just
add
that
the
nih
and
and
dea
and
various
national
organizations
do
have
some
information
on
this.
You
can
google
kratom
and
all
sorts
of
things
will
come
up.
There
is
the
american
kratom
association
there.
It's
it's
a
it's
an
interesting
topic.
To
be
sure.
A
I
wanted
to
be
able
to
talk
about
this
today
because
so
few
people
really
know
about
it
and
yet
it's
being
sold
far
and
wide
across
our
state
in
gas
stations,
there's
a
bit
of
a
push
to
put
in
some
consumer
protection
laws
around
this.
But
I'd
also
really
like
the
fda
to
weigh
in
on
this
and
tell
us
really
what
it
is
and
how
dangerous
it
is.
I've
had
conversations
with
our
kentucky
office
of
drug
control
policy
about
this
and
I've.
A
I've
seen
it
kind
of
creep
into
the
market,
so
just
wanted
to
have
kind
of
an
educational
forum
on
this
today.
So
we
do
have
representative
elliott.
You
have
a
question.
Thank.
M
You,
madam
chairman,
and
I
wasn't
going
to
say
anything
but
I've
co-sponsored
this
with
you,
representative
callaway,
and
I
had
never
heard
of
it
either
until
I
had
a
family
in
my
district
who
reached
out
to
me,
their
son
was
actually
a
client
of
mine
and
he
went
from
a
six-figure
job
as
a
software
engineer
to
living
with
them
under
an
adult
guardianship
because
of
what
they
they
didn't
know.
M
M
But
I
appreciate
your
efforts
moving
this
forward
because
it's
quite
extraordinary
what
and
not
in
a
good
way
where
someone
can
be
use
this
substance
and
abuse
this
and
then
they're
at
a
point
of
where
they
can't
even
manage
their
daily
life
medications
finances
had
multiple
wrecks
accidents.
I
mean
just
just
a
really
sad
case,
yes,
and
so
hopefully
he's
able
to
return
back
to
normal,
but
it
really
opened
my
eyes
to
something
I
had
knew
nothing
about.
So
thank.
K
K
K
We've
got
to
get
in
front
of
this
as
much
as
we
can
it's
already
out
there,
and
we
have
to
make
sure
that
we
address
it,
and
the
most
important
thing
is
is
that
most
of
these
places
do
not
card
anybody's
that
some
stores
have
their
own
policy
that
they
will
take
your
date
of
birth.
Most
of
them
do
not,
and
so
children,
teenagers,
even
adolescents,
are
buying
this
stuff
off
of
the
shelf,
and
we
have
an
issue
that
we
need
to
address.
A
Thank
you
very
much,
representative
bentley.
Do
you
have
a
question.
L
C
C
The
reason
I
ask
most
products
come
from
southeast
asia
had
the
potential
having
salmonella
on
them
and
cause
severe
problems
in
the
united
states.
So
that
was
the
reason
I
was
wondering.
I
think
that
would
be
a
concern
of
mine
would
be
salmonella
poisoning.
My
other
question
is:
do
we
know
exactly
the
toxic
level
for
it
to
be
toxic
in
blood
level?.
L
I
have
not
had
so
like
when
you
go
to
test,
so
it's
a
new
test,
in
fact,
so
I've
added
it
now
to
my
drug
panel
because,
honestly
I
you
know
this
is
over
the
past
couple
years.
I
didn't
I'm
just
like
you
all.
I
didn't
know
it
had
existed
until
I
started
addiction,
medicine
and
I
it
is
insane
what
I'm
seeing,
but
now
I've
just
added
it
to
the
panel,
and
so
they
just
give
you
what
different
levels.
L
So
as
far
as
like,
like
a
blood
alcohol
level
or
anything
like
that,
the
data
hasn't
come
back
to
give
you,
because
I
kind
of
have
wondered
that
myself
like
if,
if
it's
gonna
be
out
there
like
at
what
levels
are
dangerous
I've
kind
of
wondered
that
myself.
But
no
I
don't.
I
don't
have
that
data
yet.
A
A
We
we
don't
know
what
sorts
of
products
are,
or
this
is
being
adulterated
with
so
how
to
handle.
This
is
still
really
up
in
the
air.
It's
it's
not
looking
great
for
kratom.
In
my
opinion,
I'm
not
seeing
that
that
there
are
a
lot
of
benefits
to
this,
and
you
know
I
just
I
hate
the
fact
that
our
children
can
go
in
and
purchase
this
without
any
sort
of
check
or
balance.
So
I
wanted
to
make
sure
that
we
start
talking
about
this.
A
This
topic
that
we
get
folks
educated
about
this,
and
I
this
is
not
going
away.
I
think
we'll
I'm
not
sure
what
exactly
happens
to
this
bill.
If
it
turns
into
a
consumer
consumer
protection,
I
hesitate
to
even
do
that
to
legitimize
something
that
we
know
so
little
about
that's
my
problem
with
with
putting
a
conservative
consumer
protection
in
place,
you
know,
is:
is
there
any
value
at
all,
but
you
know,
of
course,
the
minute
we
say
that
we
have
people
who
swear
by
it.
A
So
you
know
I'd
like
to
know
what
those
what
those
safety
levels
are.
If
there
are
some
some
it,
it
just
doesn't
seem
like
something
that's
great
for
kentucky
right
now
we
have
a
question
from
representative
fleming.
H
Thank
you,
ma'am
chair.
I
I'm
interpreting
your
comment
earlier
that
this
plant
can
be
grown
here
in
kentucky
or
in
the
states.
L
Well,
I
mean
any
plan
I
mean
yes,
I
mean
it
can
be,
however,
how
like
sometimes
people
will
get
the
leaves
themselves
and
then
bring
them
over
is
what
I
was
in
my
reports
that
I
was
told
that
you
know
as
far
as
like
growing
the
tree.
I
you
know
I
I
was
told
more
that
it
was
the
leaves
that
they
get
the
leaves
because
you
get
different
types
of
kratom
with
every
single
different
leaf.
L
So
depending
on
leaf
you
get.
You
could
tweak
it
to
where,
however,
in
these
laboratories
they're
tweaking
it
to
whatever
they're
trying
to
make,
because
if
you
go
into
gas
stations,
you
can
buy
different
kinds,
and
so,
but
the
problem
is,
is
the
benefit?
The
only
benefits
that
it
has.
We
have
safer
options
in
kentucky,
so
it's
not
like
there's
not
a
benefit.
It's
just.
F
K
I
think
that's
what
we're
trying
to
determine
is
if,
if
we
need
to
say
that
they
haven't,
they
haven't
completed
the
studies
yet
and
they
have
it
on
a
couple
of
the
groups
have
of
groups,
have
it
on
a
watch
list.
Some
of
them
have
it
listed
as
a
drug
of
concern,
but
they
have
not
done
the
studies
yet
to
look
at
benefits
versus
risk,
and
because
of
that,
we're
saying
that
we
need
to
be
in
front
of
that.
F
F
Now
I
just
don't
know
if,
if
we're
doing
the
same
thing
with
marijuana,
then
we
make
it
illegal
and
it
starts
being
imported
and
it
becomes
another
business
for
the
cartel.
Now,
how
do
how
do
we
do
that?
I
mean
we
just
we
may
be
creating
another,
I'm
not
saying
I'm
against
this
bill
because,
but
the
same
token,
it
seems
to
me
that
it's
going
to
be
hard
to
the
way
it's
set
up.
We.
F
K
L
I
think
we
have
to
stand
by
our
convictions
and
like
as
a
medical
provider
and
a
psychiatry
provider
when
I
have
these
kids
and
these
families
day.
In
hundreds
hundred,
I
mean
just
crying
to
me
about
not
being
able
to
get
recess,
resources
or
being
able
to
get
off
this
stuff,
and-
and
we
aren't
doing
everything
we
can
at
least
as
a
state
of
kentucky.
We
can
say
we
don't
support
this
and
as
far
as
what
happens
after
that,
you
know.
L
As
far
as
you
know
going
you
know,
federal
and
you
know
all
these,
but
it
is
on
every
single
list
as
watch
this
drug,
it's
dangerous,
there's
just
a
matter
of
time
before
you
know
there
is
it's
on
there.
It's
I
mean,
because
the
amount
of
people
I'm
seeing
in
dangerous
situations,
whether
it
be
liver,
failure,
kidney
failure.
L
You
know
suicidal
hearing
voices
all
these
things,
it's
just
a
matter
of
time
before
we
have
to
do
something,
and
as
far
as
the
drug
cartel
and
stuff
like
that,
we
can
still
battle
those
things.
But
we
can.
I
just
don't
feel
right
as
a
person
in
my
health
field
to
say
this
is
okay,
because
it's
not.
A
Well,
I
want
to
thank
you
very
much,
miss
rice
for
being
with
us
today
and
giving
us
your
perspective.
I
think
it's
really
helpful
to
get
this
out
there.
I
think
that
you
know
we've
made
a
lot
of
strong
arguments
for
the
fda
to
weigh
in
and
and
help
us
here
I
mean
they
are,
who
help
us
determine
whether
something
is
helpful,
medicinally
or
not,
and
without
their
guidance.
It's
really
difficult
as
a
state
to
know
how
to
handle
this.
A
So
I
appreciate
all
the
great
questions
I
I
know
that
we
have
now
stimulated
some
some
you
know,
information
gathering,
perhaps
and
and
that
this
will
continue.
Oh
representative
bowling.
Oh,
would
you
like
to
register
a
vote?
First
of
all,
yes,
I'd.
C
A
C
A
Much
all
right,
thank
you.
Thank
you
very
much
representative
callaway
for
being
here
and
bringing
this
important
topic
to
us
and
seeing
no
further
business.
We
are
adjourned
until
next
week.
Thank
you.