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A
A
President,
we
are
duly
constituted
to
do
business.
Welcome
to
the
second
l
o
meeting
of
the
session,
we
have
several
very
important
bills
on
the
agenda
today
that
have
been
worked
on
for
a
long
time.
So
I'm
excited
about
that.
Do
we
have
the
Randall
Cooper
FAA
with
us
this
morning,
I
was
told
they
would
be
here.
A
C
A
Time
and
is
up
at
the
Children's
Hospital
still
at
Children's
Hospital
in
Cincinnati
Bryce
and
his
wife
are
staying
at
the
Ronald
McDonald
House
in
Cincinnati.
If
you've
ever
given
to
the
Ronald
McDonald
House,
you
can
thank
they're
doing
their
good
work.
That's
where
Bryce
and
his
family
has
been
staying
for
about
the
last
month,
I'm
going
to
ask
at
this
time.
If
Senator
Higdon
would
offer
up
a
prayer
for
that
family.
D
D
We
come
to
you
this
morning
to
ask
for
you
to
watch
over
and
and
put
a
hedge
protection
around
the
Bryce
ambergee
family
just
bless
him
Lord
and
his
family
and
bless
his
son
Luke
who's
in
the
hospital,
and
you
know
all
about
him
and
we
just
ask
you
to
touch
him
and
he'll,
heal
him
and
bless
his
doctors
in
Jesus
name.
We
pray,
amen.
A
Very
well
we'll
go
ahead
and
go
in
the
order
of
the
agenda.
The
first
thing
on
the
agenda
is
Senate
Bill
67.
This
is
a
bill.
That's
been
worked
on
for
a
long
time
by
several
different
members
of
this
committee
and
we're
really
glad
that
we're
going
to
be
able
to
hear
it
this
morning,
Senator
welcome
to
the
committee,
introduce
yourselves
and
your
guests
and
proceed
with
your
testimony.
You
have
15
minutes
and
there's
no
requirement
that
you
take
the
whole
time.
E
E
Consumers
want
birthing
centers
and
before
I
jump
in
my
name
is
Shelly
funky
frommeyer
I'm
senator
from
District
24,
which
is
Campbell
Pendleton
Bracken
and
a
sliver
of
Kenton
and
I
also
have
advocates
for
this
Wellness
Revolution
with
me.
Today,
Mary
Catherine
will
testify
she's
the
director
of
Kentucky
birth
Coalition,
and
we
will
have
Christy,
who
is
an
advanced
practice
nurse
practitioner
as
well
as
a
nationally
certified
nurse
Midwife,
and
then
you'll
also
hear
from
Meredith
strayhorn,
who
is
a
senior
student
midwife.
E
With
the
opportunity,
it's
so
important
to
have
hospitals
that
have
great
options
for
giving
birth,
but
consumers
are
asking
for
more.
Consumers
are
asking
for
freestanding
birthing
centers
right
now.
Families
travel
out
of
the
state
of
Kentucky
and
utilize
birthing
centers
in
Indiana,
West,
Virginia
and
Tennessee.
E
Kentucky
is
only
one
of
eight
states
that
do
not
offer
freestanding
birthing,
centers
I'm,
so
inspired
with
more
of
a
Wellness
Revolution.
Yet
Kentucky
scored
an
F
on
the
2022
March
of
Dimes
report
card
that
is
down
from
a
D
in
2019.,
freestanding
birthing.
Centers
are
staffed
by
nationally
certified
midwives,
offering
a
healthy,
healthy
women
with
a
healthy
pregnancy.
Another
option:
a
small
home-like
health
care
facility
for
childbirth,
using
a
Midwifery
Wellness
model
and
I
wanted
to
also
share
a
little
personally
I'm,
the
sixth
of
12
children.
My
mom
is
the
third
of
17..
E
Yet
my
daughter
had
the
third
of
her
three
children
in
a
home
birth
setting,
but
following
the
Midwifery
model,
absolutely
extraordinary,
but
we
knew
that
she's
one
of
49
grandchildren
that
is
also
capable
of
giving
birth.
It
is
such
a
beautiful
natural
process
that
oftentimes
over
85
percent
of
the
pregnancies
can
deliver
healthy
and
safely.
You
often
know
that,
but
part
of
it
is
a
mindset
as
well,
and
the
Midwifery
model
helps
with
that
mindset.
F
Testimony
thank
you.
Senator
schickel,
I'm
Mary
Catherine
de
Lauder
I'm,
the
director
of
the
Kentucky
birth
Coalition,
we're
an
organization
of
families
that
care
about
safe
birth
options
freestanding
birth.
Centers
are
not
A
New
Concept
for
Kentucky.
We
already
have
administrative
regulations
for
licensing
freestanding
birth
centers.
We
already
have
Medicaid
regulations
for
the
reimbursement
of
freestanding
birth
centers,
but
although
we
have
regulations
for
licensing,
we
haven't
had
any
of
these
facilities
in
Kentucky
open
since
the
late
1980s.
F
So
it
seems
like
it's
something
new
that
we're
talking
about
because
we
haven't
had
them
in
so
long.
Senate,
Bill
67
would
support
A
Renewed
evolution
of
freestanding
birth
centers
in
Kentucky
by
clarifying
that
these
facilities
are
not
subject
to
the
certificate
of
need
requirements.
This
bill
does
not
alter
the
certificate
of
need
program
in
any
other
way.
Other
than
this
certificate
of
need
was
sometimes
called
the
competitor's
veto.
It's
a
process
where
Healthcare
facilities
such
as
hospitals,
must
receive
state
approval.
F
Before
opening
in
this
process,
entities
such
as
hospitals
are
also
able
to
raise
objections
to
the
con
applications
for
other
entities,
such
as
small
businesses
like
freestanding
birth
centers.
Hence
the
moniker
competitors
veto.
It
is
not
about
safety,
but
it's
about
market
share.
The
second
objective
of
Senate
Bill
67,
is
to
require
that
the
Cabinet
for
Health
and
Family
Services
would
update
and
modernize
those
regulations
that
I
mentioned
we
already
have.
Since
they
haven't
been
used
in
several
decades.
They
would
need
to
be
updated
and
modernized
before
any
facilities
would
open.
F
It's
considered
the
gold
standard
for
birth
centers,
and
it
is
what
is
recommended
by
the
American
College
of
Obstetricians
and
gynecologists
or
Acog
in
the
process
of
updating
the
existing
regulations
for
licensure.
The
cabinet
would
also
have
the
opportunity
to
review
all
other
requirements
for
birth
centers
and
adjust
those
as
necessary
sections
three
through
eight
of
the
bill
update
language
that
is
in
various
other
parts
of
KRS,
so
that
all
the
language
whenever
birth
centers
are
mentioned
is
consistent.
G
Thank
you,
I'm
Christy,
Peterson
I
am
a
Kentucky
licensed
nurse
Midwife
and
advanced
practice.
Provider
I
am
currently
offering
home
birth
services
on
the
Kentucky
Tennessee
border.
I
am
also
involved
nationally,
with
the
American
Association
of
birth
centers
and
the
commission
for
the
accreditation
of
birth,
centers
I
currently
chair
their
standards
committee
for
aabc,
which
is
a
committee
that
sets
the
national
standards
for
safety
and
freestanding
birth
centers.
So
this
is
a
something
that
I'm
really
passionate
about.
I
just
want
to
share
a
little
bit
about
what
a
birth
center
is
in
case.
G
Any
of
you
aren't
familiar
with
that.
A
freestanding
birth
center
is
a
healthcare
facility.
It
offers
home-like
setting
where
families
can
receive
maternity
care
and
give
birth
with
appropriate
levels
of
intervention.
These
facilities
are
not
hospitals
and
they
do
not
perform
C-sections
or
anesthesia.
They
provide
evidence-based
care
using
the
Midwifery
model
of
care
and
use,
informed
consent
and
shared
decision
making.
One
of
the
key
components
of
birth
center
care
is
continuous
risk
screening,
as
Senator
frommeyer
said.
G
Not.
Everyone
is
a
candidate
for
birthing,
a
freestanding
birth
center.
There
are
mothers
who
should
be
in
the
hospital
setting
and
so
birth
centers,
don't
just
take
on
anybody,
so
women
are
screened
for
risk
status
throughout
their
pregnancy
during
labor
and
also
while
giving
birth
to
ensure
that
they're
appropriate
for
the
birth
center
setting.
There
are
many
studies
that
show
that
Birth
Center
Care
is
safe,
cost
effective
and
leads
to
excellent
outcomes
when
the
care
is
provided.
According
to
those
aabc
standards
that
I
had
mentioned.
G
We
know
that
the
care
provided
in
birth
centers
meets
the
triple
aim
Vision
in
health
care,
so
it
improves
the
experience
for
the
patient,
improves,
Health
Care
populations,
improves
health
and
also
reduces
costs.
Akog
is
supportive
of
freestanding
birth,
centers
that
are
using
the
CABC
and
aabc
guidelines
for
accreditation.
G
We
do
know
that
Kentucky
currently
has
poor
maternal
mortality
outcomes
and
most
of
which
are
preventable,
and
that
that
is
something
that
we
should
be
working
on
as
a
state
to
improve
those
outcomes.
And
so
when
we
look
at
the
research
for
freestanding
birth
centers,
we
see
that
it
is
a
safe.
A
Cost-Effective
method,
and
just
before
the
next
speaker
I
know,
we
have
some
questions
and
comments
which
we
have
to
include
in
that
15
minutes
so,
but
introduce
yourself
for
the
record
and
proceed
with
your
testimony.
H
I
am
Meredith
strayhorn
I
am
a
constituent
in
Campbell
County
I'm,
a
senior
student
midwife,
I'll
graduate
in
May
and
plan
to
continue
practicing
in
Kentucky
after
graduation.
So
my
concern
today
is
about
the
lack
of
access
to
choices
and
high
quality
models
of
maternity
care.
Maternal
mortality
is
a
big
problem
and
many
of
our
Midwifery
clients
choose
Midwifery
specifically
because
they
know
that
they
are
two
to
four
times
more
likely
to
have
to
die
in
childbirth
or
childbirth.
Related
causes.
H
Then,
when
giving
birth
in
hospitals
and
having
to
navigate
the
medical
industrial,
complex
High
rates
of
maternal
mortality
in
Kentucky
are
direct
results
of
structural
and
systemic
factors
like
racism,
implicit
bias
and
access
lack
of
access
to
Quality,
Health,
Care
and
also
poverty.
In
2022,
we
ranked
in
the
top
10
among
all
States
versus
Syrian
rates,
with
34
percent
of
births
in
Kentucky,
resulting
in
cesarean
and
they've.
That's
been
associated
with
maternal
mortality
and
severe
maternal
morbidities
like
excess
bleeding
during
childbirth
and
our
vaginal
birth
after
cesarean
rates.
H
The
V
back
rate
in
Kentucky
is
only
10,
which
means
there
are
lots
of
repeat
caesareans
happening.
Research
shows
that
when
low-risk
women
give
birth
within
the
Midwifery
model
of
care,
there
are
lower
rates
of
cesarean,
thus
also
decreasing.
Those
rates
of
repeat,
cesareans
and
and
the
various
complications
that
follow.
This
will
also
save
thousands
and
thousands
of
dollars
for
the
state.
H
A
I
A
J
Chairman
and
I'll
be
very
quick.
First
of
all,
guys
I
believe
we've
previously
have
approved
him
and
you
guys
testified
to
you
can
accept
Medicaid
for
Midwifery
Services,
correct.
J
F
There's
no
limitations
right,
they
can
perform.
J
A
You
Mr
chairman,
thank
you
for
clearing
that
up:
Senator
Senator,
Dr,
Senator,
Dr,
Donald,
Douglas.
K
Thank
you,
Mr
chairman
in
any
of
those
things
will
will
work
I.
Just
don't
don't
just
don't
call
me
late
for
dinner.
K
I
I
do
have
a
question.
First
of
all,
I
want
to
back
up
a
little
bit
because
we
are
continually
talking
about
poor
maternal
outcomes
with
respect
to
pregnancy
and
one
of
the
things
I
want
to
correct,
or
at
least
I
want
corrected
in
the
records,
and
it
has
been
established
that
over
90
percent
of
our
maternal
deaths
in
in
this
area,
our
secondary
substance,
use
disorder
and
not
secondary
to
complications.
Just
simple
I
apologize
I
can't
believe
that
then,
and
and
not
just
spurious
outcomes.
K
The
data
the
data
is
pretty
clear,
so
I
want
to
make
sure
that
that's
out
there,
I
I
really
cringe
when
we,
when
we
blame
our
Healthcare
Providers
and
our
Health
Care
system
for
our
poor
outcomes,
when
we
have
one
of
the
best
Health
Care
Systems,
and
we
actually
have
some
of
the
best
healthcare
providers
across
the
globe.
I'm
no
longer
I
am
no
longer
going
to
sit
and
and
have
our
health
care.
System
beat
up
not
from
my
chair.
G
G
One
of
them
would
be
the
birth
center
safety
study
to
that
national
birth
center
study
did
show
that
birth,
centers
had
good
outcomes
and
was
a
viable
option
for
reducing
maternal
mortality,
reducing
C-sections
and
the
other
things
that
we're
talking
about
the
center
for
Medicaid
and
Medicare
also
did
a
study
as
well
that
showed
similar
safety
outcomes
in
improving
maternity
care.
Mr
chair
may.
K
I,
you
may
very
quickly
you
may,
when
we
talk
about
reducing
C-sections
yeah,
it's
going
to
reduce
C-sections.
There's
no
physician
there
to
to
perform
the
C-section
I
just
want
to
make
sure
that
we're
all
dealing
from
the
same
Baseline
and
that's
not
me.
K
G
Correct
so
there
are
statistical
databases
that
are
specific
to
home
birth
as
well
or
Midwifery
in
general.
In
all
settings,
the
the
aabc
database
does
have
all
three
settings,
and
if
someone
was
intending
to
birth
in
the
birth
center,
it's
counted
in
their
statistics
for
outcomes,
even
if
they
birth
in
the
hospital.
Instead,
okay,.
A
You
and
let
the
record
reflect
the
doctor's
comments.
We
don't
have
anyone
signed
up
to
speak
against
the
legislation
in
the
abundance
of
caution.
Is
there
anyone
here
that
wishes
to
speak
against
legislation
very
well
entertain
a
motion
at
this
time
have
a
motion
and
I.
We
have
a
motion
who
okay
and
then
let
the
record
reflect
Senator
Thomas
seconded.
We
have
a
motion
and
a
second
any
further
discussion
before
we
vote.
A
I
would
like
the
record
to
reflect
that
I
find
that
you
know
that
that
stated
that
racism
is
is
one
of
the
reasons
for
infant
mortality
I
want
to
as
chairman.
Let
the
record
reflect
that
I
I
object
to
that.
Is
there
any
more
discussion,
Madam
Secretary,
caldero.
K
No,
but
may
I
explain
my
vote
very
quickly.
Yes,
you
may
I
mean
most
everybody
here
and
I
know.
Certainly
everybody
up
here
knows
that
as
a
physician
being
in
a
Health
Care
system
for
for
41
years
or
so
I
I,
don't
see
it
as
a
competition
issue,
I
see
it
as
a
patient
care
issue.
My
whole.
K
My
whole
career
has
been
based
on
patient
outcomes
in
health
care
and
providing
top-notch
Health
Care
to
every
person
that
I've
seen
I'm,
not
I'm,
not
convinced
that
this
is
going
to
this
is
going
to
do
that
for
the
for
for
the
patient
population.
Thank
you,
Mr,
chair.
L
M
Try
to
explain
why
I
vote
as
well
vote
and
proceed
I
I'm
a
definite
yes.
What
I
like
about
this
bill-
and
it
wasn't
mentioned
at
the
testimony
today
but
Midwifery
and
his
birthing
centers,
really
encourage
breastfeeding
I've
passed
legislation
in
that
area.
Studies
show
that
that
does
wonders
in
terms
of
proving
a
house
a
child's
health
outcomes
and
their
life
outcomes.
I'm
a
big
believer
in
breastfeeding.
You
guys
do
that
very
well.
These
birthing
students
do
that
very
well
and
for
that
reason,
I'm
all
behind
you,
I
vote
I.
N
A
A
A
The
next
item
on
the
agenda
is
a
Senate
Bill
94
Senator.
Do
you
want
to
go
to
the
table
or
okay?
Go
ahead,
I'm
excited
about
this
bill
because
I've
been
involved
in
it
for
a
long
time,
Dr
Don
schweiker
come
on
up
and
sit
down
doctor
who
is
from
Boone
County
and
has
been
one
of
my
advisors
from
day
one
on
medical
issues
in
the
Kentucky
State,
Senate
and
I.
A
This
goes
back
a
long
way
and
when
you
came
in
my
office
the
other
day
and
said
that
there
had
been
agreement
reached,
you
could
have
knocked
me
over
with
a
feather,
but
there
wasn't
anybody
that
was
happier
than
me
because
anytime
we
can
get
an
agreement
between
Health
Care
Professionals.
A
That's
a
great
thing,
so
I
want
to
congratulate
you
Senator
and
congratulate
the
people
are
about
to
testify,
because
we've
been
dealing
with
this
for
a
long
time
and
I'm,
not
so
naive
to
think
that
we'll
never
deal
with
it
again,
but
it
is.
It
is
nice
to
have
it
settled
for
this
session,
introduce
yourself
for
the
record
and
proceed
with
your
testimony.
Thank.
O
All
right,
I
know
that
the
chairman
is
always
interested
in
brevity,
so
I'll
try
to
be
quick
in
my
comments,
but
you
kind
of
stole
my
thunder.
This
is
a
really
historic
day
to
have
the
nurse
practitioners
come
together
with
Kentucky
Medical
Association
and
come
to
an
agreement
on
the
parameters
arounding
the
removal
of
the
Kappa
CS.
So
let
me
tell
you
a
little
bit
about
what
94
does
and
then
I'll,
let
my
guests
finish
it
up.
O
So
94
accomplishes
significant
improvements
in
the
structure
and
communication
between
the
APRN
and
the
physician
who
enter
into
a
Kappa
CS
by
mandating
meetings
where
the
aprn's
reverse
Casper
will
be
reviewed.
Further.
Enhancing
the
structure
will
be
a
standardized
Kappa
CS
form
developed
by
a
committee
of
aprns
and
Physicians
that
will
be
adopted
into
regulation
by
the
Kentucky
Board
of
Nursing
and
will
be
used
by
every
party
to
a
Kappa
CS.
O
The
bill
also
allows
an
APRN
who
has
prescribed
Controlled
Substances
with
a
Kappa
CS
for
at
least
four
years
to
request
the
requirement
to
maintain
a
Kappa
csb
removed
prescribing
Controlled
Substances
without
a
Kappa
CS
will
not
be
granted
until
the
aprn's
license
is
reviewed
by
the
Kentucky
Board
of
Nursing.
To
assure
that
that
license
is
in
good
standing.
O
The
controlled
substances
that
any
aprm
May
prescribe
were
limited
in
2006
under
statute
and
when
the
general
assembly
first
granted
prescriptive
authority
to
those
medications.
Those
limitations
which
include
a
72-hour
limit
for
scheduled
2
drugs,
like
oxycodone,
are
not
changed
in
any
way
by
Senate
Bill
94.
They
continue
today
and
then
I
think
one
of
the
most
exciting
things
about
94
it's.
It
strengthens
the
transparency
and
accountability
of
the
prescribing
and
dispensing
of
controlled
substances
by
all
providers
authorized
to
prescribe
or
to
dispense
Controlled
Substances.
O
So
this
is
initiated
with
the
formation
of
a
controlled
substance
prescribing
Council
described
in
section
two
of
the
bill
and
chaired
by
the
oig,
and
it
will
include
the
executive
director
of
The
Office
of
drug
control
policy,
and
this
Council
will
have
representation
from
medicine,
nursing,
Dentistry,
Optometry,
Podiatry
and
Pharmacy.
So
it's
a
really
inclusive
board
about
overlooking
all
of
the
prescribing
habits,
so
I'm
just
thrilled
to
be
bringing
this
today.
P
Good
morning
my
name
is
Dr
Beth
partner
and
I
practice
in
a
rural
underserved
area
in
Kentucky,
where
I
own
a
rural
health
clinic,
and
this
bill
in
particular,
will
be
very
helpful
for
nurse
practitioners
who
own
a
practice
I'm.
Also
the
current
president
of
the
Kentucky
Association
of
nurse
practitioners
and
nurse
midwives
and
I
come
bearing
good
news,
as
Senator
Adams
has
already
said.
P
After
five
months
of
Frank,
honest,
respectful
and
thoughtful
discussions,
the
Kentucky
Association
of
nurse
practitioners
and
nurse
midwives
in
the
Kentucky
Medical
Association
have
come
to
an
agreement
on
the
bill
language
and
Senate
bill
94..
Thank
you
to
Dr
swikert,
Corey,
Meadows
and
John
Cooper
for
your
participation
in
the
negotiation
team.
P
As
a
member
of
the
negotiation
team,
I
can
say
that
the
tenor
of
the
meetings
over
the
past
months
have
been
reflective
of
the
everyday
good
relationships
that
Physicians
and
nurse
practitioners
enjoy
every
day
and
I
hope
that
we
can
move
forward
in
that
spirit
in
the
future.
These
are
the
provisions
of
Senate
bill.
94.
P
Aprns,
who
wish
to
prescribe
without
a
Kappa
CS
must
send
a
request
to
the
Board
of
Nursing,
and
the
board
will
check
to
make
sure
that
the
aprn's
license
is
in
good
standing
and
then
notify
the
APR
and
in
writing
that
they
are
no
longer
required
to
maintain
a
Kappa.
Cs
aprons,
who
have
had
a
Kappa
CS
for
four
or
more
years,
may
send
a
request
to
the
board
after
the
bill
has
gone
into
effect.
P
The
bill
also
creates
the
controlled
substance
prescribing
Council
that
is
chaired
by
the
oig
and
whose
members
include
representatives
from
the
office
of
drug
policy
positions,
aprons,
dentists
and
optometrists,
podiatrists
and
pharmacists.
The
function
of
the
council
is
to
discuss
and
make
recommendations
on
matters
relating
to
safe
and
appropriate,
prescribing
and
dispensing
of
controlled
drugs.
The
council
will
help
to
shine
a
light
on
problem
areas
in
the
state,
so
they
may
be
addressed
as
well
as
identify
new
ways.
We
may
improve
policies
related
to
prescribing
and
dispensing
Controlled
Substances.
P
A
A
You
back
in
those
meetings
seven
eight
years
ago
when
I
was
dealing
with
it.
So
it's
good
to
see
you
all
here
together,
I'm
Dr
schweiker
before
his
testimony
I
just
want
to
say
a
few
words
of
thanks
to
him
because
you
know
Dr
schweiker
is
one
of
these
guys
that
could
be
in
Florida
retired,
but
he's
still
he's
still
hard
at
it.
I
don't
think
he
has
any
plans
of
retirement
him
and
his
wonderful
wife,
Nancy
who's,
also
a
physician.
A
They
have
done
so
much
for
our
Northern
Kentucky
community
and,
like
I
say
he
doesn't
have
to
be
here.
He
is
here
it's
great
to
see
you
here,
Dr
Don,
and
proceed
with
your
testimony.
Q
Well,
good
morning,
Mr
chairman
and
all
you
members
now
I'll
tell
you
I,
wasn't
nervous
speaking
in
front
of
the
Senators,
but
you
invited
people
from
my
backyard
and
now
I'm
nervous.
Q
Q
Q
Q
A
K
Tough
day
for
me,
things
get
reviewed
by
the
Kentucky
Board
of
Nursing,
not
by
the
Kentucky
Medical
Association,
and
not
by
the
Kentucky
Board
of
medical
licensure.
I
I,
must
admit.
I
have
some
concerns
that
the
group
that
includes
certified
nurse
practitioners,
certified
nursing
midwives,
clinical
nurse
specialist
and
certified
registered
nurse
anesthetist
can
all
opt
out
after
four
years.
K
I'm
a
pain,
management
guy,
some
people
know
don't
know
much
only
only
about
25
years.
In
that
particular
area.
Non-Narcotic
I
watched
many
of
my
colleagues
in
this
area
who
wanted
to
have
a
similar
practice,
but
over
the
years
what
they
found
were
the
economic
pressures
drove
them.
The
economic
pressures
drove
them
to
start
writing
for
opiates
and
start
writing
for
more
opiates,
especially
as
reimbursement
went
down.
K
I
have
concerns
in
this
area
of
what
I
call
clinical
creep,
that
is,
people
go
to
medical
school
to
to
foreign,
to
practice
in
medicine,
and
then
those
who
are
on
the
periphery
wanting
to
do
the
same
thing.
I
just
want
to
express
my
concern.
I
don't
want
to
kill
anything,
but
I
just
want
to
explain
my
concern.
Mr
chairman
well.
I
J
Guess
my
vote
and
explain,
vote
and
explain.
I
cast
an
eye
vote
and
I
look
forward
to
seeing
Senator
Harper
angel
in
the
office
with
a
voter
registration
form.
R
I'm
going
to
vote
I
but
I'm,
very
Leary,
of
giving
prescriptive
Authority
and
the
the
slope
that
Dr
Douglas
was
talking
about
I'm
concerned
about,
but
I
understand
the
access
to
Medical
Services
and
if
you
all
can
get
together
and
agree,
then
I
have
to
vote
higher.
Today
in
committee.
L
M
I
was
doing
my
I
vote,
we're
going
to
embrace
at
a
rap
Center
Harbor
Angel
within
our
party.
M
We're
very
proud
of
her,
but
I
just
want
a
second
what
she
said.
If
it's
a
good
bill
to
her,
it's
a
good
build
for
me.
I
vote,
I.
N
A
D
Thank
you,
Mr
chairman
and
members
of
the
committee.
I
will
be
brief.
This
is
a
study
requested
request
in
the
ABC
to
look
at
their
fee
structure,
and
this
is
not
nothing
negative
toward
ABC.
Commissioner
Taylor
does
a
great
job.
A
A
I
want
to
add
that,
as
chairman
of
this
committee,
one
of
the
things
I
get
a
lot
of
questions
about
is
ABC
fees
and
registration
fees
and,
as
the
resolution
sponsor
said,
no
reflection
on
ABC.
This
has
been
going
on
under
multiple
administrations,
but
I
I'm
really
glad
that
you're
offering
this,
because
I
do
think
that
we
do
need
to
study
them
in
a
thoughtful
way
over
the
interim
and
come
back
with
maybe
a
thoughtful
proposal.
So
thank.