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From YouTube: Senate Standing Committee on Health & Welfare (3-9-22)
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A
A
Present
all
right,
we
have
a
quorum,
we're
established
to
do
business.
The
first
thing
we're
going
to
take
up
is
the
consideration
of
the
referred
administrative
regulations
have
a
chance
to
review
these.
I
wasn't
sure
if
anyone
has
any
questions
regarding
all
the
proposed
regulations
that
are
there.
A
If
there
are
no
questions,
we'll
have
shown
that
we've
done
our
due
diligence
in
reviewing
those
regulations
here
in
committee,
all
right,
very
good.
You've
got
several
bills,
we'll
get
started
on
the
first
one.
We're
going
to
start
on
is
going
to
be
senate
bill
203,
which
is
an
act
relating
to
health
care.
The
sponsor
is
senator
julie
adams,
but
I
think
senator
jimmy
higdon
is
here
to
present
on
this
bill.
There
is
a
sub
before
us.
A
D
Thank
you,
mr
chairman.
It's
good
to
be
in
front
of
the
health
and
welfare
committee,
a
committee
I
used
to
serve
on
and
good
to
be
here.
I
I'd
like
this
morning
to
you
this.
This
is
senator
adam's
bill,
but
has
graciously.
Let
me
do
a
committee
sub
to
it.
So
I'd
like
to
use
her
influence
to
pass
the
bill
and
use
my
content
please,
but
anyway,
this
is.
This
is
somewhat
a
an
issue
that
in
rural
kentucky
we
have
from
time
to
time.
D
You
know,
well
I
say
great
distance
25
30
miles
and
and
when
you
have
to
do
that
quite
often
that
it's
very
inconvenient,
so
every
county
in
kentucky
has
a
health
department.
The
health
department
is
perfectly
capable
of
doing
these
drug
tests.
So
what
this
bill
simply
does
is
says
that
if,
if,
if
needed,
they
shall
provide
a
drug
test,
sample
collection
service
for
any
individual
ordered
by
the
court
to
complete
a
drug
test.
D
I
do
not
have
a
fiscal
note
or
local
impact
statement
yet
because
this
is
a
committee
sub,
it
wasn't
available
so
that
should
be
coming
across
coming
shortly.
Hopefully
before
we,
we
pass
it
out
off
the
senate
floor.
So
we
know
what
this
this
will
cost.
But
that's
that's
the
bill
and
there
is
a
good
reason
for
the
bill.
C
Thank
you,
sir,
and,
and
I
don't
know
that
you'll
know
the
answer
to
this.
These
ques
this
question,
but
currently,
when
you
have
court
ordered
drug
testing,
usually
it's
it's
urine
testing
and
it
has
to
be
monitored.
It
has
to
be
observed.
It
will.
The
county
health
departments
have
the
ability
to
do
that
to
actually
administer
these
tests
and
then
the
second
question
is
part
of
the
same
question.
C
Normally
now
under
court
order,
the
person
who's
court
ordered
pays
for
these
50,
sometimes
more
a
pop,
and
you
know
when
you're
getting
randomly
tested
several
times
a
month
that
could
be
very
expensive
for
people.
Would
this
cost
still
be
transferred
to
the
person
who's
being
court
ordered,
or
is
there
a
way
to
mitigate
these
costs
or
where
who's
paying?
For
this.
D
And
those
are
all
very
good
questions
and
you're
correct.
I
I
don't
have
the
answer
for
those
I'm
sure,
as
this
bill
makes
it
out
of
committee,
we'll
start
hearing
some
of
those
concerns
and
you
know,
would
have
an
opportunity
to
do
floor
amendments
or
any
any
corrections.
We
need
to
do
this
bill
because
again
I
apologize,
but
I
cannot
answer
those
questions
I
could
defer
to
the
bill
sponsor
center
adams.
E
But
that's
that
that
would
not
be
necessary.
Senator
adams,
I'm
just
being
facetious
here.
A
Very
good,
any
other
questions
from
members
of
the
committee
senator
I
I
know
that
we're
getting
kind
of
late
in
session,
so
I
know
these
are.
These
are
real
issues
that
people,
particularly
in
rural
communities,
that
often
don't
have
a
private
provider
to
be
able
to
do
this,
it's
going
to
give
them
at
least
an
opportunity
or
requirement
to
be
able
to
go
somewhere
to
get
this
test
done,
and
so
I
know
there's
more
information
coming
on
this
bill.
We
are
getting
kind
of
late
in
session.
A
G
Like
to
vote
hi
and
explain
my
vote,
please
proceed
mr
chairman
and
senator
higdon,
and
I
appreciate
what
you're
doing
should
this
cost
end
up
falling
on
the
taxpayer's
shoulders.
I
will
not
be
able
to
support
this
bill
but
to
move
it
through
the
committee.
Now
I
will
vote.
I
thank
you.
H
My
vote,
please
proceed
I'll
vote,
I'm
and
thank
you
for
doing
this.
I
work
with
this
quite
often
in
my
practice.
It's
something
that
we
really
need,
but
I
do
think
we
need
to
explore
this
a
little
further
and
I've
talked
to
the
bill
sponsor
and
I'll
talk
to
you
too
about
some
thoughts.
I
have
on
how
to
work
through
some
of
that.
Thank
you.
I
Explain
my
vote.
Please
proceed.
I'm
I,
but
I
share
the
same
concerns
that
senator
carroll
does
I'd
just
like
to
see
the
the
fiscal
impact
I'm
sure
it's
probably
going
to
be
all
right.
But
again
I
don't
want
to
commit
our
county
health
department
to
something
that
could
really
be
financially
disadvantaged
into
and
so
I'll
reserve
the
right
when
we
get
to
senate
floor
to
vote
no,
but
today
I
vote.
I.
J
My
vote,
please
receive
it
vote,
but
also
senator
higdon,
just
like
my
other
colleagues,
have
some
concerns,
but
look
forward
to
working
with
you
on
the
process
with
the
bill
sponsor.
Thank
you.
A
Also
vote
I,
which
passes
ten
to
zero,
we're
going
to
defer
on
consent
right
now.
I
think,
because
we
need
to
wait
for
that
fiscal
note
and
then
also,
if
there's
anything,
that
needs
to
be
amended
potentially
that
at
least
make
sure
that
if
there
is
any
cost
that
the
cost
would
be
placed
on
the
individual
having
to
take
the
test
would
probably
be
welcome
moving
forward
as
well.
Thank
you
very
much
senator
here.
Can
we
appreciate
it?
Congratulations.
D
A
Good,
thank
you.
There's
also
a
title
amendment
on
this
bill,
we'll
entertain
a
motion
on
that.
There's
a
motion
a
second
all,
those
in
favor,
please
signify
by
saying
aye
aye.
Anybody
opposed
all
right,
very
good.
Thank
you.
Senator
appreciate
it.
Next
on
the
agenda,
we
have
senate
bill
95
and
act
relating
to
postpartum
depression
care.
The
sponsor
is
also
senator
julie,
rocky
adams,
senator
adams.
If
you'd
like
to
come
to
the
table
and
introduce
yourself
or
any
guests
that
you
might
have
and
the
floor
is
yours.
F
Thank
you,
mr
chairman,
and
I
appreciate
you
hearing
the
bill
again:
I'm
julie,
rocky
adams,
state
senator
from
district
36
and
I'll.
Let
my
guest
introduce
herself
hi.
F
F
Well,
surprisingly,
I
didn't
get
any
feedback
until
it
actually
landed
on
the
agenda,
and
so
what
I'm
going
to
present
to
you
today
is
prefaced
on
the
fact
that
I
think
that
in
in
full
disclosure,
I
think
that
a
sub
is
a
pr
is
appropriate,
but
in
the
interest
of
time
I
would
like
to
go
ahead
and
move
the
bill
out
and
then
maybe
work
on
some
of
these
changes
that
have
been
suggested
on
the
house
side.
K
Thank
you
very
much
here
so,
like
I
said,
my
name
is
christina
libby,
I'm
the
health
outreach
navigator
with
the
homeless
and
housing
coalition
here
in
frankfurt,
and
when
I
was
trying
to
put
my
thoughts
down
on
paper
on
why
I
feel
like
this
legislation
is
important.
I
wrote
multiple
pages
about
decreasing
stigma.
K
Excuse
me
impossible
societal
standards
and
the
power
of
coming
forward
and
sharing
stories,
excuse
me
and
putting
faces
on
statistics,
but
I
went
back
and
narrowed
it
down
to
just
one
page
and
tried
to
pick
out
the
thing
that
I
thought
was
most
pertinent
to
this
legislation,
and
that
is
that
perinatal
mood
disorders
are
sneaky.
K
As
someone
who
has
had
lifelong
struggles
with
depression,
which
already
confuses
most
people,
because
in
generally
in
general,
I
am
annoyingly
chipper,
I
all
but
expected
to
be
hit
with
postpartum
depression
extra
hard
and
with
my
first
pregnancy
I
did
have
some
issues
early
on
specifically
with
what's
referred
to
as
intrusive
thoughts,
which
is
where
you
cannot
help
but
think
bad
things
are
going
to
happen
specifically
to
the
baby.
K
But
after
I
was
a
mom
for
several
years
and
I
had
more
conversations
with
other
parents
and
I
became
a
doula
and
talked
to
more
people
about
perinatal
mood
disorders.
I
realized
that
I
actually
kind
of
was
lucky
in
my
very
limited
experience,
so
when
I
decided
to
have
a
second
child.
I
really
didn't
think
much
about
that
aspect
but,
like
I
said,
perinatal
mood
disorders
are
sneaky.
K
We
hear
so
much
about
postpartum
depression
that
I
wasn't
expecting
suicidal
ideations.
When
I
was
in
my
second
trimester
of
pregnancy
in
the
course
of
a
day,
I
would
be
talking
to
a
new
mother
about
how
the
most
important
thing
was
for
her
to
take
care
of
her
own
mental
and
physical
health
before
she
could
take
care
of
the
baby,
which
is
something
that
I
can
tell
you.
K
No
new
mother
wants
to
hear
and
will
fight
you
very
hard
on
and
then
I
would
go
home
and
I
would
still
have
the
thoughts
to
myself
that
I
can't
tell
anyone
what
I'm
thinking
they're
going
to
think.
I'm
a
horrible
mother.
I
am
a
horrible
mother
and
then
is
it
better
for
a
baby
to
have
a
horrible
mother
or
no
mother.
K
Having
a
negative
birth
experience
is
one
of
the
things
that
can
greatly
increase
your
chances
of
having
a
perinatal
mood
disorder,
especially
when
we
live
in
a
culture
that
wraps
up
experiencing
birth
trauma
with
the
nice
bow
of,
but
the
baby
is
healthy
and
then
the
unspoken
and
you
didn't
die.
So
why
are
you
complaining?
K
K
I
was
very
fortunate
to
have
health
coverage
and
I'm
also
beyond
blessed
with
people
in
my
life,
who,
I
truly
believe
saved
my
life
with
their
attention
and
support,
and
I,
oddly
enough,
was
also
saved
by
the
pandemic
a
little
bit
because
with
schools
going
virtual,
we
moved
in
with
my
parents
so
that
so
that
we
could
still
work
and
we
live
in
such
an
individualistic
society
that
we
aren't
usually
afforded
the
opportunities
to
have
help,
and
even
if
we
are
we're
taught
that
we
shouldn't
accept
it
or
we
shouldn't
seek
it
out
and
while
living
with
one's
parents
has
inevitable
cons,
the
pros
outweighed
them
outweighed
them
greatly,
the
biggest
being
the
added
support,
because
perinatal
mood
disorders
are
sneaky
and
the
best
way
to
minimize
the
damage
of
something
that's
sneaky
is
to
bring
it
into
the
light
and
look
at
it
with
as
many
eyes
as
possible,
and
this
legislation
does
just
that.
K
K
You
to
where
you
need
to
go,
and
while
we
still
have
barriers
with
the
lack
of
providers
to
refer
people
to
and
access
to
the
few
that
we
do
have
that's
another
thing
that
we
have
to
bring
into
the
light,
and
I
look
forward
to
continuing
working
with
this
legislative
body
to
continually
support
kentucky
mothers
as
we
grow
birth
and
raise
the
next
generation
of
our
commonwealth.
Thank
you.
F
Thank
you
and
this
bill
is
pretty
simple.
You
know
it
talks
about
requiring
the
cabinet
to
make
information
on
postpartum
depression
and
a
postpartum
assessment
tool
available
on
its
websites.
It
requires
birthing,
centers
and
hospitals
to
provide
postpartum
information
to
women,
fathers
and
family
members,
and
I
think
that's
a
piece.
F
That's
always
left
out
is
fathers
need
to
know
about
maybe
what's
going
on
with
their
wives
and
and
have
a
better
understanding,
and
then
it
requires
health
care
providers,
providing
postnatal
care
to
women
and
pediatric
providers
to
invite
women
to
complete
a
postpartum
assessment
tool,
some
of
the
ideas-
and
so
I
think
the
bill
is
really
solid,
but
we
did
receive
some
feedback.
F
Like
I
said
last
minute,
and
some
of
those
ideas
were
that
you
know,
research
has
shown
that
the
average
woman
does
not
seek
help
for
a
perinatal
mood
disorder
until
about
eight
months
postpartum.
So
we
want
to
maybe
work
on
the
timeline
on
that.
The
other
thing,
too,
is
this:
bill
outlines
six
months
to
have
kind
of
an
assessment,
but
having
that
eight
month,
research
base
we're
going
to
go
ahead
and
probably
expand
it
to
12
months,
and
those
are
the
big
things
that
that
kind
of
popped
up
and
so
anyways.
A
Thank
you.
Senator.
We
have
a
motion
on
the
bill.
There's
a
second
before
we
take
the
vote.
I
just
want
to
say
thanks
for
this.
I
know
I
think
you've
made
a
proper
assessment
we
this
was
filed.
I
was
willing
to
hear
it
early.
You
said
no,
no,
let's
wait
and
draw
some
feedback
and
didn't
hear
any
until
it
was
put
on
the
agenda.
I
did
hear.
A
But
the
american
college
of
ob
gyn
has
reached
out
with
some
recommended
changes.
I
think
pediatricians
have
had
some
recommended
changes.
I've
reached
out
to
those
groups,
they
said
well
we're
compiling
those
recommendations,
so
they
were
more
than
willing
to
have
this
bill
move
forward
in
hopes
of
making
those
amendments,
and
I
think
you're
committed
to
doing
that
so
looking
forward
to
making
this
bill
better.
It's
part
of
really
our
perinatal
mortality,
which
we
know
in
the
state
of
kentucky,
is
we're
really
poor.
This
is
going
to
help
with
that.
A
I
think,
if
you've
never
seen
someone
I'll
tell
you,
I
had
a
I'll,
never
forget.
I
had
a
patient
who
so
profoundly
depressed
afterwards,
really
severe
cases
of
women
who
are
very
vulnerable
in
those
moments
as
well
and
at
risk
to
themselves
and
to
the
children.
Obviously,
when
they
go
through
this
and
a
lot
of
times,
people
don't
recognize
the
signs
of
depression
of
that
they're
going
through
that
and
again,
I
think
it's
education
is
always
a
good
idea.
Any
other
questions.
Discussion
on
the
bill.
A
Aye,
our
vote
is
nine
to
zero.
Do
we
wanna
have
this
long
consent.
A
A
M
You,
chairman,
alvarado
and
members
of
the
senate
panel
senate
bill
276
relating
to
sickle
cell
disease,
aims
to
help
individuals
living
with
scd
to
help
communities,
health
care
providers,
policy
makers,
researchers,
state
and
local
health
agencies
better
understand
who
has
scd
and
their
health
care
needs
are
and
identify
potential
areas
to
improve
in
treatment
and
services
for
patients.
M
I
Thank
you
senator
neil,
for
for
this
bill.
I'm
always
amazed
that
we
have
to
take
these
actions.
I
think
that
there's
other
folks
that
probably
should
have
ownership
for
this,
that
that
would
want
to
address
this.
I
One
of
the
concerns
I
have-
and
it's
not
with
the
substance
of
the
bill,
is
how
you're
going
to
get
the
data
his
situation,
some
medicaid
oversight,
where
I
requested
some
information
about
addiction
recovery
and
we
have
a
statute
that
says
the
cabinet
has
to
provide
us
with
an
annual
report
on
the
efficiency
and
efficacy
of
those
programs,
and
they
said
we
can't
do
it.
We
don't
have
the
information.
I
Well,
we
really
don't
have
that
so
just
concerns
what
may
be
missing
from
this
bill
as
it
places
no
burden
on
the
demands
care
organizations
to
participate
in
this
process,
and
without
that,
I'm
not
sure
we're
going
to
have
all
the
information
that
you
would
want
to
make
this
a
comprehensive,
detailed
analysis
of
what
we're
trying
to
do.
Certainly
this
goes
to
improving
the
health
of
our
population
in
the
mcos.
I
I
think
should
take
the
initiative
to
do
these
sort
of
things,
but
if
we
have
to
mandate
it
then
we
probably
have
to
also
have
to
mandate.
You've
got
to
participate
in
this,
so
yeah,
that's
a
concern
I
have
with
this.
Possibly
we
could
go
ahead
and
pass
a
bill
and
you
know
talk
about
it,
maybe
a
floor
member
or
something,
but
I
think
there
needs
to
be
something
that
has
some
kind
of
requirement
from
mcos
to
participate
in
this
process.
Well,.
M
M
A
The
committee
senator
I
want
to
thank
you.
I
mean
sickle
cell's.
Anybody
who's
never
seen
somebody
who
goes
through
this
very
it
can
be
tragic
disorder.
Very
painful
disorder
for
a
lot
of
folks
forms
clots
obstructions
in
our
tur
on
arteries,
and,
if
you
don't
get
blood
flow,
any
part
of
the
body,
it
hurts
pretty
bad
people
go
through
crisis
with
this
and
a
lot
of
hospitalization.
So
I
think
it's
important
and
it
draws
attention
to
a
disorder.
That's
been
out
there
for
a
long
time.
A
M
No
all
right
very
much.
I
do
want
to
point
out
that
this
bill
in
it
has
a
name
for
it.
Terrence's
bill,
however,
are
probably
amended
on
the
floor.
There
was
a
person
that
passed
in
tennessee
that
was
named
after
and
one
of
the
individuals
that
was
a
one
of
my
pages,
had
sickle
cell
and
passed,
and
I
think
that
it
might
be
appropriate
to
name
this
bill
after
her.
Hopefully,
we
get
this
passed.
A
We
welcome
that
amendment
and
that
change
to
it
senator
we
appreciate
you
bringing
this
forward
all
right.
A
Next
on
the
agenda,
we're
going
to
cover
senate
concurrent
resolution
142.,
it's
a
concurrent
resolution
establishing
the
early
childhood
education
task
force,
the
sponsor
of
senator
danny
carroll,
senator
carol.
If
you'd
like
to
come
forward,
introduce
yourself
and
any
guests
that
you
have
then
begin
your
testimony.
G
Mr
chairman,
members
of
the
committee,
during
the
covid
pandemic,
one
particular
topic
has
really
gained
a
lot
of
attention
and
it
was
evident
last
night
for
those
who
attended
the
chamber
dinner
two
words
that
were
said
more
than
any
two
words
during
the
entire
night,
and
that
was
child
care
and
we
have
seen
even
before
the
pandemic.
There
were
struggles
throughout
the
commonwealth
and
senator
gibbons
can
speak
to
this
very
eloquently.
G
As
a
result
of
what's
happened,
is
our
system
simply
does
not
sustain
itself
and
the
goal
of
this?
This
concurrent
resolution
is
to
establish
the
early
childhood
education
task
force
and
this
this
resolution
establishes
all
the
facets
of
the
task
force,
what
the
goals
are,
the
membership
and
all
the
basic
components
of
the
task
force.
But,
mr
chairman,
the
goal
is
to
study
every
facet
of
early
childhood
education.
G
There
are
many
levels
of
this
dealing
with
staffing
tuition
rates,
the
models
that
we
have
throughout
the
state,
whether
that
be
private,
public
centers
within
business
and
industry,
family
care
homes
and
models
that
we
simply
don't
even
have
in
our
commonwealth,
and
we
have
to
look
at
quality.
We
have
to
look
at
basic
care.
We
have
to
look
at
24-hour
care
all
the
things
that
we
need
to
meet.
Our
parents
demands.
G
We
have
worked
hard
over
recent
years
and
we've
come
a
long
way
in
the
commonwealth
through
the
kentucky
all-stars
program
to
ensure
quality
throughout
the
state.
But
the
reality
of
it
is
you've,
got
to
have
a
center
to
have
a
quality
center,
and
so
we
have
many
areas
to
cover,
and
it
is
my
belief
that,
through
a
task
force,
we
can
identify
all
the
areas
that
we
need
to
address.
G
We
can
look
at
models
throughout
the
country
to
see
what
works
in
other
states,
and
we
can
consider
each
facet
that
early
childhood
education
touches
to
make
sure
that
the
system
that
we
decide
on
is
a
system
that
will
sustain
itself
over
the
long
haul.
That
will
provide
all
the
needs
that
we
have
as
a
commonwealth.
G
It
is
critical
that
all
of
our
children
have
access
to
early
childhood
education.
We
know
how
quickly
the
brain
develops
in
young
children
and
those
those
years
are
critical,
and
so
we
must
invest
the
time
and
without
question
the
finances
to
ensure
that
these
centers
throughout
the
commonwealth
can
sustain,
and
I
will
ask
my
guest
if
she
would
like
to
say
a
couple
words.
L
Yes,
my
name
is
debbie
link
and
I'm
with
the
child
care
council
of
kentucky,
and
these
issues
have
been
long
coming
and
we
finally
have
an
opportunity
to
really
make
a
difference
and
to
be
proactive
and
kind
of
flip
things
on
the
on
a
dime
kind
of
thing
and
it's
time
for
us
to
make
a
change
to
our
systems
and
really
support
early
childhood
education.
So
thank
you
for
having
me
today.
G
C
Thank
you
senator,
and
I
really
appreciate
this
resolution.
I
appreciate
the
thought
behind
it.
I
have
one
question
you
know
when
I
think
of
early
childhood
education
versus
child
care,
I
think
of
sort
of
two
different
pots.
This
is
we're
talking
about
starting
basically
at
birth
here,
so
that
moms
can
get
back
to
work
and
we're
not
just
talking
about
two
three
four
year
olds
correct.
C
G
You
know
when
I
look
at
it
and
from
being
in
the
business
to
me:
it's
all
early
childhood
education,
because
our
kids
start
learning
the
day
they
walk
in
the
door
and
that's
something
that
we've
really
we've
gotten
away
from
the
term
child
care
within
the
industry.
It
is
early
childhood,
education
and
and
my
center,
it's
not
a
child
care
center.
It's
it's
not
an
early
childhood
edu.
G
A
N
Proud
to
vote,
I
danny
carroll,
senator
carol.
Thank
you
for
your
leadership
on
this.
It's
vitally
important
that.
I
A
The
matter
passes
with
a
vote
of
nine
to
zero.
Would
you
like
it
on
consent?
No,
all
right,
very
good.
We
appreciate
it.
Congratulations.
The
matter
will
be
reported.
Favorably
to
the
senate
floor.
All
right.
Next,
we're
gonna,
take
up
house
joint
resolution,
five,
it's
a
joint
resolution
requiring
mental
health,
professional
licensure
boards
to
either
enter
into
an
interstate
compact
or
to
ease
or
establish
reciprocity
procedures
so
as
to
increase
the
mental
health
workforce
in
kentucky
and
declaring
an
emergency
sponsors
representative.
Ken
fleming,
I
do
believe
we
have
a
proposed
senate
substitute.
A
J
You,
mr
chairman,
I'm
ken
fleming
state
representative,
48th
district,
northeast
part
of
jefferson
county
and
with
the
chairman
laid
out.
That's
basically
what
it
is.
It
came
out
of
the
house
in
terms
of
putting
some,
I
guess
requirement
and
talking
to
the
chairman
and
other
folks.
We
changed
one
word
in
the
title
as
well,
and
the
resolution
to
strongly
encourage
these
boards
to
go
through
that
process
and
that's
what
it
is.
A
Very
good,
thank
you
so
for
those
who
are
wondering
the
change,
if
you
look
at
the
bottom
of
page
one
on
the
sub
and
section
one,
it
says
the
general
assembly
hereby
directs
the
following
board
to
strongly
consider
and
I
think
the
original
language
it
effectively
said
that
it
requires
the
boards
to
either
enter
into
so
we've
changed
it
to
allow
a
little
bit
of
flexibility.
There
appreciate
your
willingness
to
be
flexible
and
change
the
language.
A
A
A
J
Thank
you,
mr
chairman,
and
thank
you
for
the
committee.
Thank.
A
You
all
right
last
on
the
agenda.
We
have
house
bill
282,
which
is
an
act
relating
to
health
care
services
agencies.
The
sponsor
is
representative,
steve,
reilly,
representative
reilly.
Would
you
like
to
we
have
a
sub
on
this
before
us
as
well?
Would
you
like
action
on
that
now?
Yes,
sir,
all
right,
so
we
have
pss-2
before
the
members
of
the
committee.
This
is
a
sub
that's
been
worked
on.
A
I
think,
from
the
original
language
by
several
groups
is
I'm
sure,
that'll
be
discussed
a
bit
in
the
testimony
at
this
time,
I'll
entertain
a
motion
on
the
sub.
The
motion
is
here,
a
second
give
a
second
all,
those
in
favor,
please
signify
by
saying
aye
aye.
Anyone
opposed
all
right.
The
sub
is
before
us
representative.
Please
proceed.
A
O
You
senator
alvarado
and
and
committee.
I
have
a
guest
also
with
me
today.
I
am
steve
riley
house
district
23
and
I
also
have
betsy
johnson
and
I'll.
Let
betsy
introduce
herself
for
the
record.
P
Yes,
thank
you
representative,
riley
good
afternoon.
My
name
is
betsy
johnson,
I'm
the
president
of
the
kentucky
association
of
healthcare
facilities
and
the
kentucky
center
for
assisted
living.
Thank
you,
chair,
alvarado
and
members
of
committee
for
for
letting
me
be
here
virtually
today.
I
wish
I
could
be
in
person,
but
thank
you.
O
Obviously,
the
coven
19
pandemic
has
negatively
impacted
long-term
care
and
other
health
care
providers.
They
have
created
a
cover,
19
created
unprecedented
staffing
shortages,
and
they
have
continued
to
get
worse.
O
It
sets
basic
standards
for
the
direct
care
staff
contracted
with
or
employed
by,
the
health
care
service
agencies.
It
requires
health
care
service
agencies
to
maintain
professional,
general
insurance
coverage,
employee
dishonesty
bond
and
workers
comp
for
all
contracted
direct
care
service.
It
requires
the
cabinet
to
maintain
a
reporting
system
for
complaints
against
health
care,
service
agencies
and
direct
care
staff.
O
What
it
does
not
do
it
does
not
prohibit
staff
agencies
from
operating
in
kentucky.
It
does
not
set
the
price
that
state
staff
agencies
can
charge
for
their
services
and
it
does
not
set
the
price
that
staff
agencies
can
pay
their
contract
or
employ
direct
service.
Basically,
this
bill
recognizes
the
need
for
staff
agencies
and
the
importance
it
is.
It
has
in
the
healthcare
delivery
service,
but
it
also
puts
a
transparency
model
over
that,
so
we
can
be
aware
of
what
is
is
going
on.
O
That's
the
basic
premise
of
the
bill
as
it
passed
the
house
since
then,
there
has
been
some
work
on
house
committee
substitute.
Basically,
long-term
care
and
assisted
living
facilities
have
worked
with
staffing
agencies
to
to
make
this
bill
even
better
one.
It
clarifies
the
definition
of
health
care
services
agency
would
like
to
thank
senator
givens
for
discovering
this
issue
and
working
on
that.
O
O
Some
other
parts
of
the
committee
substitute
it
prohibits
the
health
care
service
agency
from
soliciting
or
recruiting
the
current
staff
of
an
assisted
living
long-term
care
facility
or
hospital,
but
it
also
changes
the
bill
that
it
requires
to
disclose
certain
financial
information
only
if
the
attorney
general
is
investigating
a
price
gouging
complaint
and
that
information
will
not
be
subject
to
open
records.
That
was
a
request
of
staffing
agencies
and
an
understandable
request
that
they
that
they
not
be
required
to
reveal
that
information
unless
it
was
necessary.
O
A
You
representative,
I
know
that
a
lot
of
work
on
section
four
in
particular
there
was
worry
and
just
to
make
sure
that
we
understand
the
need
for
this.
That
there's
been
a
situation
during
the
pandemic
when
there
was
a
nursing
shortage-
and
I
know
I've
worked
at
those
facilities
where
we
would
have
a
nurse
that
had
been
employed
for
a
very
long
time.
A
It
would
be
a
staffing
agency
would
come
in
poach
that
nurse
and
say
come
and
work
for
me.
They'd
sign
them
and
then
come
back
to
the
very
facility
that
had
employed
that
nurse
for
a
very
long
time
and
said
I'll.
Have
this
nurse
work
for
you,
but
at
a
much
higher
amount
and
they
were
taking
a
chunk
of
change
out
of
that
for
themselves.
That
was
going
on
around
the
state
around
the
country.
A
Several
states
have
taken
action
after
this
pandemic
in
order
to
stop
that
behavior
and
a
lot
of
people
view
that,
as
particularly
during
a
medical
emergency
as
gouging.
Just
because
we
don't
like
to
see
people
ramp
up
gas
prices
just
because
they
can
or
any
kind
of
other
commodity
just
because
they
can.
A
This
became
a
focus
of
something
to
fix
during
the
interim,
it's
part
of,
hopefully
to
help
us
better,
our
staffing
situations
in
our
long-term
care
facilities
in
hospitals.
So
I
appreciate
your
work
on
this.
I
appreciate
the
kentucky
staffing
association,
american
staffing
association
coming
forward
and
working
on
some
of
the
language.
From
what
I
understand
everybody
was
in
agreement
on
this
language.
Coming
forward
very
good.
We
have
any
questions
from
members
of
the
committee
senator
gibbons.
N
Chairman
alvarado,
thank
you
for
the
opportunity
to
ask
a
question
and
thank
you,
representative
riley,
for
your
work
on
this
bill.
I
especially
want
to
thank
all
those
that
were
involved
in
the
work
around
section.
Four.
Those
changes
make
it
something
that
certainly
moves
in
a
direction
that
I
think
I
can
support.
I
had
real
concerns
about
government
entering
into
the
contract
space,
so
I
applaud
everyone
involved
in
those
discussions
and
trying
to
find
some
middle
ground
around
section
four,
because
that
was
very
concerning
to
me
chairman
alvarado.
N
A
Don't
I'm
not
sure
if
anyone
you
do
have
one
person
that's
signed
up
to
speak
against
this
bill,
so
we're
going
to
have
hear
from
them
here
in
a
moment.
Is
there
anyone
from
the
cabinet
here
or
online.
N
I'm
confident
chairman
that
they
are
likely
monitoring
the
the
committee
meeting.
The
only
ask
I
would
make
is
that
if
the
language
does
not
provide
them,
some
authority
to
charge
fees
for
the
registration
and
investigation
required
in
the
legislation
that
they
would
reach
out
to
you,
chairman
for
the
purpose
of
a
floor
amendment
to
give
them
the
authority
to
promulgate
reg
specific
for
fees
within
bounds
for
purposes
of
administering
this,
this
registration
process.
Thank
you.
A
Certainly-
and
I
know
the
bill
has
been
on
the
agenda
for
a
few
days
so
they're-
I
have
not
heard
from
them
to
this
point,
so
senator
carol,
you
have
a
question.
G
Thank
you,
mr
chairman
and
representative
riley.
Thank
you
for
bringing
this
bill.
This
particular
subject
has
gained
a
lot
of
attention
and
you
know
I
have
to
admit
I.
I
have
felt
a
level
level
of
anger
over
the
stories
that
I
have
heard
and,
and
it's
really
sad
because
I
I
have
no
doubts-
that
there
are
many
legitimate
agencies
out
there
who
provide
a
valuable
service,
but
unfortunately,
throughout
the
pandemic,
not
just
in
the
commonwealth
but
throughout
the
united
states.
P
Yes,
thank
you
senator.
So
you
know.
During
the
last
two
years
my
members
were
calling
me
about
various
different
issues
and
then
I
started
getting
calls
about.
You
know
what
they
were
alleging
was
price
gouging,
and
if
you
don't
mind,
I
would
like
to
give
you
a
little
history
of
that.
So,
with
my
executive
committee's
approval,
I
actually
filed
a
complaint
with
the
kentucky
attorney
general's
office,
alleging
price
gouging
by
the
staff
agencies,
and
I
received
a
call
from
the
attorney
general's
office.
P
They
received
my
complaint,
but
unfortunately,
staff
agencies
are
not
included
currently
in
the
price
gouging
statute,
and
so
they,
the
kentucky
attorney
general's
office,
did
not
have
the
authority
to
investigate
it.
P
This
bill
will
fix
that,
so
costs
were
being
seen
up
to
400
percent
increases,
and
you
know
the
thing
we
don't
know
is
how
much
is
being
paid
to
the
direct
care
worker
and
how
much
is
being
pocketed
and
again
we
value
our
staff
agency
partners,
but
we
believe
there
should
be
some
transparency,
and
so,
when
I
started
looking
into
this,
I
realized
that
they're
not
required
to
even
register
in
kentucky-
and
you
alluded
to
this
but
you're
right.
There's
some.
P
You
know
fly-by-night
companies,
the
quality
of
the
staff
that
they
might
be
sending
I'm
hearing,
complaints
about
the
quality
of
the
staff,
and
so
I
believe
this
bill
will
not
only
shine
some
light
on
the
costs
that's
being
charged,
but
also
improve
the
quality
of
the
direct
care
workers
are
coming
into
long-term
care
facilities
and
now
hospitals.
So
it's
a
very
important
bill
and
I
appreciate
the
support.