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From YouTube: House Standing Committee on Health Services (3-14-23)
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C
A
A
I
am
here:
okay,
we
have
a
quorum
established
to
do
business,
and
so
we
will
go
ahead
and
get
started.
I
see
that
Senator
Meredith
is
with
us,
so
we
will
start
with
Senate
Bill
43,
please
and
representative
dots
Dawson.
If
you
want
to
join
him,
just
introduce
yourselves
for
the
record
and
please
proceed.
D
Always
a
pleasure
to
come
before
this
committee
I
appreciate
our
agendas
always
to
improve
the
quality
of
life
of
those
we
serve.
Senate
Bill
43
is
kind
of
extension
of
Senate
Bill
100,
which
we
passed
last
session,
and
you
folks
may
remember
that
we
wanted
to
recognize
the
role
of
essential
caregivers
in
the
health
care
delivery
process.
D
That
time
we
extended
privileges
them
to
hospitals,
nursing
homes
and
statemental,
hospitals,
which
I
think
was
quite
appropriate
and
we
all
recognize
what
a
central
role
they
play
in
the
overall
delivery
of
Health
to
our
constituents,
and
particularly
these
have
been
used,
but
we
didn't
think
we
made
it
broad
enough
in
its
scope
that
it's
very
limited
with
those
three
different
sections.
So
this
bill
does
two
things:
one.
The
first
bills
in
Bill
100
was
focused
just
on
the
pandemic
itself.
D
Well,
there's
other
issues
so
with
the
communicable
diseases
that
could
arise
in
the
future
that
we
want
to
make
sure
that
this
would
be
acceptable
under
those
terms
as
well,
but
also
extend
this
to
any
licensed
Health
Care
Facility
in
in
Kentucky
and
speaking
with
representative
Dawson.
He
had
a
specific
situation
that
he
wanted
to
deal
with
and
thought
it
was
quite
inappropriate
to
include
his
provisions
of
his
bill
into
this
bill
and
I'll.
Let
him
speak
to
that.
E
Very
briefly
to
our
near
members,
I
believe
in
the
wise
words
of
an
Osage
Mick
Jagger
You
Can't
Always
Get
What,
You
Want,
but
sometimes
you
get
just
what
you
need:
House
Bill
156
we
sent
to
the
Senate
and
I,
don't
think
we
have
enough
time
to
move
it
through,
but
by
attaching
this
and
I
want
to
thank
the
senator
for
allowing
me
to
have
this
attached.
This
just
means
for
a
psychiatric
facilities
that
have
patients
that
are
four
years
four
years
old
to
21
year
olds.
A
Me
my
name,
thank
you.
So
much
I
appreciate
your
bringing
this.
This
was
a
provision
that
I
worked
on
during
covid
to
ensure
that
essential
caregivers
were
able
to
visit
their
loved
ones
still
following
the
rules
of
the
long-term
term
care
facility.
At
that
point,
now
we've
expanded
it
to
other
health
care
facilities,
I
think
it's
appropriate
and
it's
there
are
some
good
guard
rails
for
the
facilities
so
I.
Thank
you.
D
F
Burke,
thank
you.
Chairman
may
I
ask
a
question.
F
I'm
sorry,
may
I
ask
a
question.
Of
course.
Thank
you
I'd,
like
to
begin
by
saying:
I'm
I
am
favorable.
I
think
this
is
a
great
Bill.
My
only
question
relates
to
the
ability
of
the
facility
to
have
a
document
that
must
be
signed
by
the
essential
caregiver.
Is
it
correct
in
my
understanding
that
the
person
could
be
required
if
the
facility
so
requires
to
either
wear
a
mask
or
be
vaccinated
in
order
to
attend.
D
Yes,
you
still
have
to
abide
by
the
conditions
of
each
facilities.
Of
course
we
have
oversight
from
the
county,
health
and
service
on
that
as
well.
They
promulgated
regulations,
but
yes,
they
have
to
comply
with
those
okay.
D
A
C
D
D
Delineated
is
too
broad
in
terms
of
what
we're
trying
to
cover
for
communal
disease
outbreaks,
because
we
don't
know
what
that
is
in
the
future
or
whether
it's
too
broad
in
the
application
of
all
licensed
Health,
Care,
Facilities,
plus
the
addendum
we're
making
here
so
in
either
case.
I
still
think
this
bill
is
appropriate
because
we
have
learned
through
this
pandemic,
that
essential
caregivers
are
a
vital
part
of
the
recovery
of
these
patients.
So
that
was
the
objection
that
I
understand.
Thank.
A
You
thank
you
for
that.
Question
representative
willner
I
had
kind
of
the
same
question
when
I
read
this
the
first
time
and
then
realized
that,
because
individuals
have
to
follow
all
the
rules
of
the
facility,
it
gave
me
comfort
in
that
the
facilities
can
can
really
adjust
according
to
a
communicable
disease
outbreak
or
other
situation.
So,
okay,
okay,
see
no
further
questions.
I'll
entertain
a
motion
on
the
bill.
F
G
H
I
C
C
A
Okay,
Senate
Bill
43,
as
amended
by
the
committee
sub,
passes
with
favorable
expression
unanimously
eighteen
to
zero.
The
same
should
pass
on
the
house.
Congratulations!
Thank
you
very
much.
A
I
Good
all
right,
Senate
Bill
111,
allows
Kentucky's
large
Independent
Health
Department's
flexibility
in
hiring
a
health
commissioner
by
changing
the
current
requirement
that
the
health
commissioner
be
a
physician.
This
legislation
allows
other
highly
qualified
public
health
professionals
who
have
earned
a
minimum
of
a
master's
degree
in
public
health
or
related
field
and
who
at
least
five
years
of
managerial
experience
in
the
health
department
to
serve
in
that
role
like
the
Chief
Executive
Officer
of
a
hospital.
I
The
health
Commissioners,
the
chief
administrator
officer
responsible
for
the
functions
of
the
health
department
and
licensed
medical
professionals
are
engaged
to
provide
the
Clinical
Services.
Currently
Northern
Kentucky
District
health
department
has
its
flexibility
but
Lexington
Health,
Department
and
Louisville
Metro,
Health
and
Wellness.
Do
not
these
large
Health
departments
have
experienced
difficulties
in
hiring
a
physician
and
they
would
like
to
have
a
better
way
to
serve
their
communities.
J
And
I'm
here
to
express
support,
Kentucky,
Health,
Department
Association
represents
all
61
local
Health
departments
across
the
120
counties
of
the
Commonwealth,
and
we
are
in
agreement
and
support
of
this
bill.
It
basically
just
adds
a
little
flexibility
in
the
recruitment
process
for
two
of
our
our
larger
Health
departments
and
creates
consistency
among
all
three
of
our
Independent
Health
departments.
F
You
chair,
my
question
is
fairly
simple:
I
think
in
counties
like
Jefferson
and
Fayette,
where
there
are
more
doctors
than
any
other
counties
in
the
state.
Why
is
the
health
department
having
trouble
recruiting
an
MD
to
those
positions.
J
I
am
not
sure
specifically
why
there
is
an
issue
in
the
recruitment
process,
and
this
would
still
allow
the
flexibility
of
Louisville,
Metro
and
Lexington
Fayette
did
want
to
hire
a
physician.
They
still
could
but
would
allow
them
a
little
bit
more
flexibility
and
to
be
able
to
hire
a
non-md
position,
but
I'm
not
sure
as
to
the
exact
reasons
behind
those
recruitment
difficulties.
I
can
say
that,
overall
in
public
health,
we're
not
different
than
than
a
lot
of
the
the
healthcare
entities,
we've
had
recruitment
issues
on
all
levels
of
hiring
staff.
I
Okay,
I'll
just
chip
in
and
mention,
there's
a
competitive
problem.
So
when
you
have
this,
you
have
a
non-complete
elsewhere
and
so
you're.
You
have
a
lot
of
options
to
make
to
do
medical
work
in
Fayette,
County
right,
and
so,
if
you're
doing
that,
you
can't
do
other
things.
It's
a
limiting
factor.
It's
just
pay!
Okay,
the
combination
of
pay
is
not
going
to
be.
H
Thank
you
chair.
Thank
you
for
your
time
on
this
I
think
it's
important
I
just
have
a
quick
question
about
the
language
that
we
took
out
the
devotee's
entire
time
to
the
duties
of
his
office,
which
shall
include,
and
then
the
teaching
Research
Services
there
a
reason
that
was
removed
specifically
or
on.
K
The
reason
that
some
of
that
language
was
taken
out
is
that
a
lot
of
these
people
say
the
recruits
would
certainly
like
to
also
say
work
at
University
of
Kentucky
I'm
on
an
adjunct
basis,
but
also
could
still
fulfill
the
role
as
the
public
health
commissioner.
So
prohibiting
that
to
her
Point
not
being
able
to
do
any
other
things
outside
of
this
role,
it
can
seem
to
be
a
benefit
to
be
able
to
be
Tethered
to
something
else,
and
so
that
was
why
that
language
was
eliminated.
H
So,
by
lowering
a
standard
to
a
degree
and
then
removing
some
of
the
requirements,
I
have
a
fear
that
that's
gonna
affect
the
process
somewhat.
Can
you
can
you
help
me
with
that?
With
that
fear,
a
little
bit
it
just
sounds
like
in
any
other
industry.
I
would
just
say
sure
sure
it
seems
like
we're
we're
lowering
some
requirements
that
seem
to
have
been
in
effect
for
a
purpose,
so
I,
just
I.
J
Can
speak
to
that
a
little
bit,
the
role
of
the
health
department
has
changed
dramatically
over
the
past
several
years.
We
do
very
few
Clinical
Services.
J
That
would
require
a
medical
director,
but
we
do
contract
with
medical
directors,
so
even
in
this
role
out
of
the
61
local
Health
departments,
all
of
them,
but
two
can
hire
non-physician
leader
leadership,
so
we're
doing
things
like
Finance,
Personnel,
Staffing
things
like
that
in
our
roles
day
to
day
looking
at
prioritization
policies,
things
like
that
that
doesn't
really
typically
require
a
medical
degree,
but
the
rest
of
the
health
departments
operate
like
this.
A
Okay,
thank
you.
Thank
you
for
that
clarification.
I
too,
had
questions
about
this
when
we
first
started
talking
about
it
back
in
the
summer
and
I
recognize
that
oftentimes,
the
local
Health
Department
board
members
consist
of
many
Physicians
as
well,
and
so
this
is
really
an
administrative
role.
More
than
clinical.
K
G
Just
want
to
make
a
statement:
I
was
on
the
board
of
directors
at
my
health
department
and
I
would
agree.
The
role
for
the
person
in
the
administration
is
so
much
more
than
just
clinical,
so
we
there's
there's
budgets,
there's
policy,
there's
there's
just
so
much
more,
so
this
makes
total
sense
and
the
people
on
the
board
of
directors
are
made
up
of
all
types
of
practitioners
as
well.
A
F
I
explain
my
vote
I'm,
a
no,
the
reason
I'm
a
no
today
is
that
if
the
qualification
was
a
master's
degree
and
five
years
of
experience,
that
would
be
one
thing,
but
allowing
someone
with
a
bachelor's
degree
and
five
years
experience
to
me
is
just
simply
inadequate
and
counties
like
Fayette
and
Jefferson,
where
the
population
of
Highly
Educated
people
is
simply
quite
High.
A
H
I
A
A
You,
okay,
senate
senate
Bill
111
passes
with
17
yeses,
two
no
votes
and
no
passes.
The
same
should
pass
on
the
house
floor
and
just
for
a
point
of
clarification.
This
bill
does
require
a
minimum
of
a
master's
degree
and
at
least
five
years
of
experience,
so
just
to
make
sure
that
everyone's
clear
on
that.
A
Okay.
Thank
you.
Yes,
thank
you.
Okay.
Next,
we
will
take
up
Senate
Bill
110.
We
have
Senator
Lindsay
tishner
with
us
and
I'd
like
to
welcome
you
and
any
guest.
If
you
could
just
introduce
yourself
for
the
record
and
proceed
and
welcome
to
the
Health
Services
committee
as
well,
we
have
not
met
you
yet
so
we're
glad
to.
L
Have
you
thank
you,
I
appreciate
it.
I'm
Lindsey,
tichner
Senator,
representing
District
Six,
so
sb110
is
a
simple
cleanup
bill
of
sb10
from
last
session.
It's
an
act
relating
to
nursing
and
gives
the
Kentucky
Board
of
Nursing
grounds
to
take
action.
If
a
nurse
is
either
on
the
adult,
caregiver
misconduct
registry
or
has
a
substantiated
finding
or
judicial
finding
of
abuse
or
neglect
of
a
child
motion
on
the
bill.
A
C
A
Sub
we
have
a
motion
on
the
sub.
Second,
all
in
favor,
please
indicate
by
saying
I
any
opposed.
Okay,
the
committee
sub
is
adopted
so
continue.
If
you
have
anything
else
that
you'd
like
to
say
or
okay,
do
we,
yes,
representative
willner.
L
So
the
committee
sub
just
opens
having
trouble
getting
nurse
Educators
on
the
board.
They
do
it
regionally
and
they
were
just
having
trouble
getting
the
number
six
was
the
number,
so
they
have
made
it
less
than
no
less
than
three,
no
more
than
six
nurse
Educators
on
the
Kentucky
Board
of
Nursing.
So
that
was
the.
A
Committee
sub
and
then
representative
willner
I,
can
speak
to
the
rest
of
the
committee
sub.
What
we
we
worked
with-
and
this
is
really
two
two
cleanup
bills
representative
tichner
discussed
the
Senate
Bill
10
from
last
year
cleanup
and
the
the
last
section,
starting
with
section.
Four
is
Senate
Bill
11
cleanup,
and
that
was
our
long-term
care
bill
last
year
and
as
we
discovered,
we
have
a
shortage
of
medication
AIDS
and
the
Kentucky
Board
of
Nursing
would
like
to
take
on
the
and
be
authorized
to
develop
a
curriculum
educational
requirements.
A
All
the
standards
for
training,
and
these
are
to
provide
medication,
distribution
in
long-term
care
facilities,
which
is
they
have
a
a
real
dearth
of
those
staff.
Members
and
all
of
these
individuals
would
operate
under
the
supervision
and
the
authority
of
an
available
licensed
practice,
practical
nurse
registered
nurse
or
APRN.
A
And
then
we
have
agreed
upon
language
in
section
six
that
allows
the
long-term
care
facilities
to
establish
three
categories
of
licensure
versus
the
two
that
were
laid
out
in
Senate
Bill
11.
It
was
discovered
that,
during
the
promulgation
of
regs
that
it,
this
situation
was
really
better
suited
to
three
categories
of
licensure
for
clarity,
so
that
patient
patients
and
their
families
really
understand
the
expectations
of
the
care
that
they'll
receive
so
I'm
happy
to
answer
any
questions
and
I
see
that
our
esteemed
oig
is
with
us
as
well.
A
E
F
A
A
H
I
B
A
F
Thank
you.
Chairwoman
I
appreciate
your
clarification
on
Senate
Bill
111,
the
four
ORS
in
that
sentence
through
me,
and
so
I
would
like
to
change
my
vote
please
to
a
yes
thank
you.