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A
A
I
am
here
in
the
room:
okay,
we
have
a
quorum
and
our
duly
established
to
carry
on
with
our
business
here.
So
I
just
want
to
make
a
quick
announcement.
We
do
have
an
overflow
room
in
171.
It
looks
like
some
folks
are
taking
advantage
of
that.
I
just
want
everyone
to
be
comfortable
because
we're
going
to
be
here
a
while
also
silence
your
phones-
and
you
know
just
be
courteous
to
your
neighbors.
A
E
Hi,
I'm
julie,
rocky
adams,
senate
state
senator
from
district
36,
and
I
do
have
a
couple
of
people
with
me
here,
but
they
said
we
don't
need
to
go
to
the
table
we'll
help.
E
So,
as
we
all
know,
kentucky
has
led
the
nation
in
child
abuse
and
neglect
for
three
consecutive
years,
and
the
general
assembly
has
made
great
strides
in
legislating,
foster
care,
adoption
and
prevention
over
the
last
several
years.
But
really
our
approach
has
been
piecemeal
in
a
lot
of
these
areas.
So
what
this
bill
is
designed
to
do
it's
designed
to
take
a
comprehensive
look
at
our
child
welfare,
our
structure,
our
statutes
and
our
regulations.
E
So
we
all
are
familiar
with
the
pressures
on
dcbs
and
our
social
workers
senate
bill.
8
has
been
crafted
as
a
policy
document
to
primarily
address
child
welfare
policies
and
practices
that
will
also
complement
the
much
needed
financial
investments
in
our
social
workers
and
our
prevention
services,
so
senate
bill
8
has
been
designed
in
a
manner
that
should
unite
all
of
us.
We've
gotten
input
from
the
attorney
general,
the
cabinet
for
health
and
family
services,
the
administrative
office
of
the
courts,
child
welfare
providers
and
our
foster
youth
advocates.
E
F
A
E
A
C
Definition,
I'm
just
curious
about
the
expansion
of
the
fictive
can
definition
why
that
was
added.
E
H
E
C
E
Yeah,
it's
individual
who
has
an
emotionally
significant
relationship
with
the
biological
parent
sibling,
half
sibling
and
in
the
case
of
a
child,
from
birth
to
one
year
of
age.
So
it's
a
little
bit
of
an
expansion.
A
Okay,
all
right.
Well,
thank
you
very
much
for
bringing
this
bill.
We
always
appreciate
good
updates
to
our
child
welfare
system,
and
certainly
this
is
a
huge
concern
for
all
of
us.
So
thank
you
for
your
work.
I
know
that
this
is
a
big
undertaking
and
I
appreciate
all
of
the
stakeholders
input
as
well
see
no
further
questions.
Madam
secretary,
please
take
the
role.
I
Quick
comment
been
on
voting.
Yes,
I
just
wanted
to
express
appreciation
to
the
to
the
sponsor.
I
know
you've
been
an
advocate
for
child
child
care,
pregnancy
of
women
in
in
the
prisons,
and
I
think
this
is
a
very,
very
good
needed
project.
I
look
forward
to
helping
those
folks
who
are
or
go
under
horrible
situations
to
make
sure
they're
they're
better
prepared.
So
thank
you
very
much.
Senator
adams.
C
I
A
Yes,
ma'am
awesome:
okay
senate
bill
8
passes
with
favorable
expression.
It
was
actually
unanimous.
I
wish
we
had
consent,
we
do
not,
but
we
will
take
good
care
of
it
on
the
house
floor.
Thank
you
very
much.
Okay.
Next
we
have
senate
bill.
56
senator
donald
douglas
is
with
us,
and
I
think
that
this
is
a
very
needed
and
quick
fix.
So
please
introduce
yourself
for
the
record.
I
don't
see
any
guests,
but
if
you
have
any
introduce
them
and
proceed.
D
Thank
you,
madam
chair.
My
name
is
senator
don
douglas.
I
represent
district
22,
which
includes
fayette,
county
jasmine,
county
and
garrett
counties.
I
do
have
with
me
today
via
zoom,
dr
phil
skolnick.
He
is
the
chief
scientific
officer
of
a
piant
pharmaceuticals
and,
if
necessary,
he'll,
be
here
to
help
answer.
Any
questions
that
you
all
may
have
this
bill
is
is
very
limited
in
its
scope.
I'm
simply
changing
some
of
the
language
in
an
existing
statute.
D
This
is
cinnabil.
56
is
what
I
call
the
the
opiate
antagonist
bill.
An
opioid
antagonist
is
a
pharmacoactive
preparation
that
is
designed
to
reverse
the
effects
of
a
drug
overdose,
even
the
deadly
effects
of
an
opiate
overdose,
whether
you're
in
the
hospital
or
whether
you're
in
the
community.
D
This
particular
bill
is
designed
to
expand
the
language
of
an
opiate
antagonist
to
allow
the
inclusion
of
more
newer
reversal
agents
that
are
coming
onto
the
market.
This
adjustment
is
really
really
needed
because
we
need
to
include
these
drugs
in
our
pool
that
we
can
use
on
our
patients,
as
as
they
have
these
issues
now,.
A
Okay,
thank
you.
We
have
a
motion
in
a
second.
Do
we
have
any
questions
representative
marzion?
Thank
you.
G
Thank
you,
madam
chair,
can
you
tell
me
what
a
few
of
the
antagonists
are,
what
the
names
of
them
are
and
would
that
also
then
require
our
ems
or
whoever
to
be
carrying
a
whole,
a
whole
array
of
medications
we're
not.
D
Talking
about
a
lot
currently
currently
in
our
statutes,
it
actually
names
naloxone,
as
as
the
drug
there
are.
There
are
other
drugs
now
coming
onto
the
market
and
when
they
are
approved
for
use
by
the
fda,
I
wanted
to
be
able
to
make
sure
that
these
drugs
are
able
to
be
used.
D
This
is
really
a
niche
area.
There
are
not
a
lot
of
companies
that
are
working
on
a
wide
variety
of
opiate
antagonist
drugs,
but,
given
that
the
issues
that
we've
had
with
opiate
overdoses,
especially
in
the
state
of
kentucky
and
being
a
physician,
I
wanted
to
be
ahead
of
the
curve.
G
What
can
I
have?
One
follow-up?
Please!
Yes,
thank
you,
madam
chair.
Thank
you
for
that,
and
do
you
happen
to
know
the
cost
of
these
medications
and
what
it
would
cost
our
ems
is
to
carry
them.
D
No,
madam
representative,
I
do
not
at
this
time
again
they're
not
on
the
market.
A
Thank
you
very
much
for
that
explanation,
and
I
would
just
you
know
it
for
purposes
of
clarification.
We
don't
typically
name
medications
in
statute,
and
I
think
this
is
a
clarification
to
broaden
the
the
definition
of
naloxone,
which
is
an
opioid
antagonist
to
anything
that
might
come
on
the
market
in
the
future.
Is
that
correct.
A
D
D
D
But
what
we
found
over
the
years-
and
I
say
we
not
as
in
pharmacists
and
not
as
in
practitioners,
but
I'm
talking
about
people
who've
used
it
on
the
street-
have
found
that
there
are
other
drugs
that
actually
slow
the
metabolism
of
the
opiate
medication
and
by
doing
that,
it
actually
prolongs
the
it
actually
prolongs
the
half-life
of
that
particular
drug
and
allows
that
drug
to
have
a
high
to
seek
a
higher
level
in
the
bloodstream
and
therefore
it
has
more
more
psychoactive
effects.
A
C
I
A
A
A
A
We
hear
consistently
that
this
is
an
ongoing
issue
and
we
would
like
to
and-
and
we
do
have
a
committee
sub
so.
J
A
Thank
you
all
in
favor
of
adopting
the
sub
okay.
Thank
you.
A
A
G
You,
madam
chair,
I
think
this
is
a
great
idea
and
it
seems
like
there
can
be
a
task
force
or
the
issues
can
be
assigned
to
an
interim
committee
as
well.
Is
that
correct?
Thank
you
manager?
Yes,
of
course,.
K
A
A
I
think
we're
going
to
go
ahead
and
and
call
up
house
bill
7,
and
I
know
that
representative
reed
pro
tem,
reid
and
speaker
osborne
are
here
to
discuss
this
important
legislation
and
if
you
have
any
guests,
please
introduce
them
otherwise,
introduce
yourselves
for
the
record
and
and
please
proceed.
We
do
have
a
committee
sub.
L
I
A
L
Well.
Thank
you,
madam
chair
members
of
the
committee.
This
is
a
fairly
lengthy
bill,
but
it
is
not
difficult
to
understand
now,
as
as
we
have
made
some
changes
in
it
in
this
second
committee
substitute,
but
I
will
go
through
it
section
by
section
as
quickly
as
possible,
section.
One
is
simply
the
definitions
that
are
outlined
for
the
next
few
sections
of
the
bill.
Section
two
requires
the
cabinet
to
do
yearly.
Analysis
of
tanf,
temporary
assistance
of
needy
families
block
grants
to
determine
if
there
are
unobligated
funds.
L
If
it
is
determined
that
there
are
unobligated
funds,
those
funds
will
be
used
to
assist
in
funding
a
new
job
placement
program
which
will
be
established
in
section
18
of
this
bill
and
additional
work
supports
through
k-tap.
The
kentucky
transitional
assistance
program,
section
three
codifies
federal
law
that
restricts
cash
assistance
from
being
spent
in
bars,
adult
entertainment
facilities,
casinos
on
alcohol,
tobacco
and
lottery
tickets.
In
order
to
create
penalties
for
violations
of
this
section,
the
first
violation
would
be
for
misuse
of
cash
assistance
one
month,
suspension
of
the
assistance.
L
It
also
uses
surplus
snap
education
funds
to
expand
access
to
farmers
markets
and
enhancing
the
double
dollars
program
and
helping
both
those
on
assistance
and
our
farmers.
Section.
Five
establish
the
snap
transitional
benefit
alternative
to
ensure
families
transitioning
off
tanf
and
ktap
can
receive
that
extra
five
additional
months
of
snap
benefits.
L
Reactivate
snap
work
requirements
for
able-bodied
adults
with
no
dependents
require
snap
households
to
comply
with
change
reporting
requirements,
meaning
changes
in
income
must
be
reported
within
10
days
of
the
date
that
the
change
becomes
known
to
the
household.
Currently,
households
only
have
to
report
income
changes
every
six
months
to
one
year.
L
Section
six
creates
a
community
engagement
requirement
using
currently
established
snap
work
requirements
for
able-bodied
adults
without
dependents,
requiring
them
to
participate
in
at
least
80
hours
of
qualifying
activity
each
month,
and
that
is
in
transitioning
that
over
to
medicaid
prohibits
the
cabinet.
The
sex
section
prohibits
the
cabinet
for
health
and
family
services
from
establishing
a
basic
health
program
without
first
obtaining
an
authorization
from
the
general
assembly
to
do
so
and
section
8
requires
the
cabinet
to
conduct
eligibility
redeterminations
in
a
normal
course
of
business
to
compile
a
list
of
ineligible
medicaid
recipients.
L
Section
9
prohibits
the
cabinet
and
department
of
medicaid
services
from
making
presumptive
eligibility.
Determinations
section
10
establish
the
responsibilities
of
hospitals
when
making
presumptive
eligibility
determinations.
This
is
language
that
was
given
to
us
by
the
kentucky
hospital
association.
L
L
Section
14
requires
the
cabinet
to
update
the
public
assistance
oversight
advisory
committee
on
implement
implementation
of
this
act.
Section
15
authorizes
the
attorney
in
general
to
enforce
this
law
when
it
is
not
followed
by
the
cabinet.
Section.
16
creates
a
job
placement
assistance
program
in
the
education
and
workforce
development
cabinet
for
able-bodied
individuals
enrolled
in
medicaid.
What
this
program
will
do
will
be
working
one-on-one
for
those
able
bodies.
The
cabinet
will
give
those
names
to
workforce
development.
L
They
will
work
one-on-one
with
them
to
place
them
in
job
positions
where
they
will
partner
the
that
cabinet
will
partner,
with
with
businesses
across
this
state,
to
put
those
folks
in
a
job
placement.
They
will
also
put
an
emphasis
on
those
employers
who
are
offering
health
care
benefits.
At
the
time
section,
17
re-establishes
the
medicaid
oversight
advisory
committee
as
the
public
assistance
oversight
oversight
advisory
committee.
That
will
provide
oversight
of
the
implementation
of
all
matters
relating
to
public
assistance.
L
This
language
may
change
in
the
senate
depending
on
what
happens
in
the
house
with
a
bill
that
we
have.
That
will
be
reorganized.
Some
of
those
those
committees
section
18,
requires
the
enrollment
and
benefit
tracking
agencies
for
medicaid
to
snap
to
receive
and
review
data
from
various
sources
that
might
indicate
a
change
in
eligibility
for
benefits.
Those
sources
of
department
of
revenue,
administrative
office
of
the
courts,
kentucky
lottery
corporation
office
of
unemployment
insurance
prohibits
the
cabinet
from
applying
for
or
renewing
any
waiver
of
snap
work
requirements
unless
the
unemployment
rate
meets
or
exceeds
10
percent.
L
20
allows
for
an
appeals
process
for
individuals
disqualified
from
receiving
benefits.
Due
to
this
act,
section
21
provide
the
public
assistance
oversight
advisory
committee
with
a
copy
of
any
waiver
applica
application
submitted
to
the
federal
government
reapply
for
any
waiver
waiver
amendment
or
state
plan.
Amendment
associated
with
this
act
every
12
months,
if
it
is
denied
by
the
federal
government
section
22,
require
the
cabinet
for
health
and
family
services
to
take
appropriate
action,
including
enforcement
of
relevant
fellow
relevant
federal
regulations.
L
To
assure
that,
the
responsible
parent
appearance
of
a
needy
dependent
child
provides
support
for
that
child.
Permit
the
cabinet
to
waive
such
requirements
in
the
case
of
child
abuse,
domestic
abuse
or
if
the
cabinet
determines
such
actions
would
not
be
in
the
best
interest
of
the
child,
then
permit
the
cabinet
to
disqualify
any
individual
for
public
assistance
benefits
during
any
month
in
which
the
individual
is
delinquent
in
any
court
ordered
child
support.
L
L
Section
24
requires
the
cabinet
to
apply
for
any
waivers
that
might
be
necessary
in
implementing
this
act.
Section
25
requires
the
educational
workforce
development
cabinet
to
develop
a
website
where
private
employers
throughout
the
commonwealth
can
post
available
job
openings,
section
26
directs
the
legislative
oversight
and
investigations
committee
to
conduct
an
in-depth
analysis
of
tanf
k-tap
spending
and
identify
alternative
sources
of
child
welfare
funding.
L
Sections
27-29
simply
directs
the
lrc
to
establish
a
benefits,
cliff
task
force
to
study
and
make
recommendations
regarding
strategy
strategies
to
assist
public
assistance,
beneficiaries
in
bridging
the
benefit
cliff
as
income
increases,
and
then
sections
30
and
31
directs
lrc
to
establish
a
benefits,
cliff
task
force
to
study
and
make
the
recommendations
pretty
much
the
same
thing
it's
continuing
on
there
section
32
provides
the
severability
of
this
act,
and
that
is
what
the
bill
does.
Madam
chairman,.
A
A
I
know
that
significant
changes
have
been
made
in
the
current
committee
sub,
and
so
thank
you
for
thank
you
for
that.
Thank
you
for
your
work
on
this.
We
do
have
representative
bray
yeah.
He.
C
I
I
C
Out
so
the
document
id
is
8269
and
I
believe
it's
in
your
packets.
A
So
so
that
is
the
amendment.
Is
there
any
discussion
from
the
committee?
I
think
that
this
is
something
that
the
advocates
have
asked
for.
We
just
it's
simply
a
clarification.
We
did
have
some
questions
about
this
and
I
believe
that
this
is
a
very
friendly
amendment.
A
Is
there
any
question
any
concerns
representative
rayburn.
M
So
I
have
a
question
regarding
section
five:
it
would
be
on
page
five
line.
Four
representative
rayburn.
A
Limit
your
comments
to
the
amendment.
We
need
to
adopt
this
and
then
we'll
get
to
your
question
representative,
elliot.
A
Okay,
we
have
a
motion
and
a
second
and
as
we've
stated,
if
you
take
a
look
at
the
bill
in
section
19,
this
simply
eliminates
subsection
10
beginning
with
category
categorical
eligibility
through
line
20.
It
strikes
that
section
in
its
entirety,
so
we
do
have
a
motion
and
a
second
any
further
discussion,
all
right.
I
A
Opposed
okay,
thank
you
all
right.
So
the
the
amendment
is
adopted
and
now
we
can
move
on
to
questions
about
the
bill
as
presented
so
representative
ray
rayburn.
Did
you
have
a
question?
Yes,
I
did.
M
On
page
5
lines,
14
and
15,
it
talks
about
the
ability
to
re
recertify
snap
eligibility
online.
So
it's
my
understanding
that
dcbs
currently
allows
that
process
and
with
the
research
online,
but
it
also
they
have
to
follow
up.
A
caseworker
will
follow
up
either
by
phoning
the
client
or
doing
an
in-person
interview.
Will
this
language
change
that
process
at
all.
L
H
Wilner.
Thank
you,
madam
chair.
I
have
a
number
of
questions
and
some
of
them
are
high
level
and
some
of
them
are
in
the
weeds
and
to
kind
of
just
start
with
a
high
level
question.
H
L
We
can
start
with.
I
have
quite
a
few
statistics
here
that
we
can.
We
can
talk
about.
One
of
the
issues
is
the
amount
of
ineligible
folks
who
are
estimated
to
be
on
medicaid
at
this
time
and
making
sure
that
we,
whenever
the
maintenance
of
effort
is
lifted,
that
those
roles
are
are
accurate
after
that
is
done.
That
is
probably
the
primary
piece
of
this
other
pieces
of
it
with
putting
benefits
on
one
card
is
to
eliminate
any
possibility
of
selling
an
ebt
card
that
was
part
of
a
bipartisan.
L
That
was
one
of
their
suggestions
and
then
the
other,
the
biggest
other
piece
of
this
is
to
create
that
task
force
so
that
we
can
develop
a
program
that
truly
helps
with
bridge
insurance.
For
those
who
are
on
medicaid
but
reach
that
limit
and
have
to
come
off,
we
want
to
develop
a
bridge
program
that
will
assist
them
in
making
co-payments
and
those
type
things
once
they
come
off
medicaid,
but
also
we
want
to
work
on
bridging
that
child
care
gap.
That
is
another
hindrance
to
folks.
Being
able
to
participate
in
the
workforce.
H
H
Medicaid
services-
and
I
know
that
those
are
all
enormously
complicated
programs
and
that
they
have
an
effect
on
child
care
assistance
that
they
have
an
effect
on
school
nutrition
services,
summer
nutrition
services
for
students
really
quite
a
long
list
of
services
that
could
be
affected
by
this
bill.
If
we
don't
get
it
right,
and
so
I'm
curious
to
know
what
conversations
and
and
working
on
this
bill
that
you've
had
with
folks
at
the
federal
level
to
make
sure
that
we're
in
compliance
and
that
we're
not
going
to
cut
off.
L
The
programs
that
you're
talking
about
and
pro
the
primary
concerns
relating
to
your
question
would
have
been
in
the
section
that
was
removed
from
the
bill
by
representative
bray's
amendment.
It
also
any
other
additional
areas
where
it
may
affect
those
programs.
The
cabinet
will
have
to
request
their
waivers
as
it
is
stated
in
the
in
the
in
the
bill.
H
H
A
A
I
don't
know
if,
if
at
this
point
you
want
to
respond
to
some
of
these
questions,
I
know
that
we
have
had
numerous
conversations
with
the
cabinet
about
the
effects
of
this
legislation
on
any
of
the
federal
provisions
where
we're
really
trying
to
streamline
and
make
sure
that
this
is
creating
efficiencies
and
not
creating
barriers,
and
so
we've
we've
had
several
conversations
even
about
updating
technology,
and
I
think
that
that's
something
that
might
really
help
here.
So
I
know
that
representative
fleming
has
a
question.
I
Thank
you,
ma'am,
chair
speaker,
pro
tem
speaker.
Thank
you
very
much
for
your
diligence
over
quite
a
few
months.
As
the
chairwoman
mentioned,
I'm
just
going
to
come
from
more
of
a
verification
standpoint
and
since
under
26
section
26,
you
have
legislative
oversight
investigation.
Since
I'm
a
member
of
that
I'm
going
back
and
looking
at
section,
3,
3
and
looking
at
verification
of
purpose
and
then
there's
other
verification
on
how
to
verify
on
section
41..
I
I
That's
historic,
I'm
sorry
can
you
hear,
can
y'all
hear
me
now?
Okay,
sorry
about
that,
I'm
just
like
I
said,
I'm
trying
to
go
back
and
verify
that
the
items
being
purchased
is
is
being
purchased
correctly
or
for
the
purpose
intended,
because
I
think
it
goes
back
to
what
you're
trying
to
accomplish
in
terms
of
if
there's
any
any
fraud
or
anything
like
that
going
on.
Could
you
help
me
out
so
I
can
be
mindful
on
the
legislative
oversight
committee
when
this
comes
through.
C
All
those
all
those
individual
purchases
like
that
are
coded,
and
I
think
that,
as
as
they
develop
the
algorithm
to
to
to
basically
track
your
spending
and
it's
it,
it
will
throw
up
flags
when
there's
anomalies
that
throw
up
that
show
up
at
particular
locations,
perhaps
or
particular
types
of
purchases.
I
G
Thank
you,
madam
chair,
you
went
through
that
so
quick,
it
was
hard
to
catch
it.
You
said
you
had
several
statistics
on
this.
Where
did
you
get
those.
L
G
Okay,
is
there
a
fiscal
note
on
this
bill.
L
There
is
not
a
fiscal
note
on
this
bill
right
now.
It
was
requested
a
while
back.
It
has
not
been
received,
but
I
pulled
the
fiscal
note
from
the
2020
bill,
which
had
actually
had
more
in
it
than
this
bill,
and
that
was
a
an
estimated
20
million
dollars
that
the
bill
would
initially
initially
cost,
with
15
million
of
that
coming
from
federal
dollars
and
5
million
of
that
coming
from
state
dollars,
we
will
see
much
more
of
a
return
due
to
some
of
the
items
that
will
be
implemented
in
this
bill.
G
C
Even
close
to
accurate
representative
and
you.
C
Very
you're,
very
aware
of
the
algorithms
that
exist
within
the
cabinet
right
now
to
throw
up
flags.
So
I.
C
That
that
there
is
surrendering
of
privacy
is,
is
not
genuine.
G
Well,
I'm
glad
to
hear
that
I
just
on
this
piece
of
legislation.
G
It
really
seems
like
we're
going
after
or
we're
trying
to
punish
people
for
being
poor
when
we
really
should
be
going
after
providers
of
health
care
or
labs
ambulance,
which
cost
way
more
than
a
mom
with
three
or
four
kids
that
might
have
gotten
a
month
of
food
that
she
shouldn't
have.
I
have
several
articles
here:
kentucky
businesswoman
faces
jail
time
for
defrauding
indiana
medicaid
of
1.8
million
dollars.
G
G
I
doubt
many
of
our
snap
recipients
have
that
saint,
joseph
and
wentley
county
had
to
pay
the
government
16.5
million
by
defrauding
kentucky
medicaid
and
medicare
with
stents
cardiac
casts
that
were
totally
unnecessary.
That's
a
lot
of
money.
G
Up
to
seven
billion
dollars,
lab
owner
must
pay
a
hundred
and
forty
thousand
dollars
for
medicaid
fraud.
Representative
marzion.
Do
you
have
a
question?
My
question
is:
what
are
we
doing
to
go
after
these
huge
amounts
when
we're
trying
to
keep
somebody
from
getting
a
month's
supply
of
food
that
might
feed
three
kids.
L
Well,
you're
exactly
right:
it's
called
fraud
because
it's
illegal
to
begin
with,
so
there
are
laws
in
place
to
to
combat
that.
Also
in
this
bill
we're
we're
dealing
with
presumptive
eligibility,
which
some
of
our
hospitals
are
misusing
it
as
well,
and
the
hospital
association
was
very
kind
to
help
us
with
that
language
to
make
sure
that
they
held
themselves
accountable
but
did
not
hurt
rural
hospitals.
So
I
think
that
there
are
several
pieces
in
here
that
will
be
holding
those
providers
accountable
as
well.
C
Just
a
quick
question:
is
there
anything
in
this
bill
that
would
stop
any
person
that
it
was
in
real
need
somebody
that
qualified
for
the
benefits,
whether
it
be
any
type
of
benefit,
snap
or
otherwise,
in
this
bill
that
would
cause
them
not
to
get
it
as
long
as
they
weren't
fraudulently
obtaining
them.
L
C
One
more
question
paul
and
then
the
presumptive
eligibility
you
mentioned
it's
still,
the
hospital
still
get
30
days.
There
was
a
little
change
in
that.
I
thought
that
was
a
good
change.
Can
you
remind
me
what
that
was?
I
know
it
was
one
and
then
it
changed
just
a
little
bit
recently
or
did
it.
L
L
Like
the
mic's
on,
but
there
we
go,
the
folks
making
those
determinations
have
the
proper
training.
N
Thank
you.
I
have
several
genuine
questions.
First
up,
I
wanted
to
ask
about
the
work
requirement
for
medicaid
recipients.
Under
the
previous
governor's
administration,
a
federal
judge
struck
that
down
in
2019
a
u.s
appeals
court
upheld
that
decision
in
2020.
How
is
that
different
in
this
bill.
L
This
bill
is
just
saying
that
the
cabinet
now
has
to
request
that
waiver
to
make
sure
that
we
have
federal
permission
to
do
that.
We
have.
L
We
have
talked
to
some
folks
at
the
federal
level
who
feel
that
at
some
point,
whether
it's
in
this
administration
or
maybe
the
next
administration,
that
they
are
going
to
start
moving
towards
allowing
work
requirements
and
that's
why
we're
saying
that
you
will
apply
if
the
waiver
is
denied,
you
will
apply
every
12
months
until
it
is
approved,
but
the
arkansas
is
the
probably
the
best
example
of
this
that
was
struck
down.
L
N
Okay,
another
question
I
have
is
about
change
reporting.
I
believe
it's
in
the
this
committee
sub
2
that
it's
still
10
days,
that
recipients
of
benefits
have
to
update
any
changes
in
income.
I'm
concerned
about
people
who
may
work
overtime,
occasionally
or
tips
each
week
and
by
the
time
that
they
report
that
and
it's
processed
and
there's
that
burden
for
the
recipient
and
for
the
worker
that
it's
already
a
new
dollar
amount.
So.
N
I'm
concerned
about
the
change
required
the
change
reporting,
the
new
requirement
that
recipients
have
to
report
changes
in
income
every
10
days
that
by
the
time
it's
reported,
it
will
have
changed
again
and
it
could.
It
could
discourage
folks
from
seeking
overtime
or
reporting
tips.
L
It's
not
every
10
days.
It's
it's
once
there's
a
change.
They
have
to
report
that
within
10
days
it's
quarterly
reporting,
but
they
have
to
change
it
with
report
that
within
10
days
and
what
that
that
will.
Actually,
there
is
a
potential
for
that
to
actually
benefit
someone.
If
those
to
report
it
more
frequently
because
if
they
change,
they
will
be
eligible
for
more
benefits
or
less
benefits
as
they
move
through
that
process.
N
Let
me
ask
you
about
the
the
public
assistance
oversight
and
advisory
committee,
the
medicaid
committee
that's
going
to
transform
into
the
public
assistance
oversight
and
advisory
committee.
It
says:
it'll
promote
workforce
participation
by
public
assistance
beneficiaries.
Great,
do
we
know
what
the
workforce
participation
rate
is
among
public
assistance
beneficiaries
right
now,.
L
The
we
can
give
you
some
numbers
of
of
that
came
from
the
gatton
college
of
business
and
economics
from
their
studies
that
they
have
done
and
how
many
they
believe
may
possibly
be
on
this
in
an
email
that
I
received
yesterday.
They
said
that
out
of
the
two
2.423
million
working
age,
adults
in
state
of
kentucky
about
they
estimate
11.9
percent
of
those
are
qualified
for
medicaid
with
income
too
high.
So
that
would
make
if
they
are
able-bodied
and
not
working,
that
that
estimate
would
be
about
11.9
percent
from
their
figures.
L
N
Right
right-
and
I
think
that's
going
to
be
something
important
for
the
for
the
oversight
committee
to
look
at
what's
the
workforce,
participation
among
public
assistance,
beneficiaries
versus
people
who
are
not
receiving
assistance
at
this
moment,
we
do
know
that
65
of
adults
who
receive
medicaid
right
now
are
working
which
is
actually
higher
than
the
state
average
for
workforce
participation.
So
we
might
have
it
backwards.
Public
assistance
beneficiaries
might
be
able
to
help
some
other
folks
get
into
the
workforce.
N
I'm
concerned
about
language.
I
know
it
may
not
shall
language
that
the
cabinet
could
institute
lifetime
bans
on
public
assistance
for
kentuckians
who
sell
their
ebt
cards
two
times
that
may
language
it
doesn't
make
me
feel
much
better
because
there's
that
discretionary
piece
of
it,
what
protections
can
we
put
in
place
to
make
sure
that
that
is
applied
equitably?
L
As
you
said,
it
is
in
may,
and
I
think
the
cabinet
will
have
far
more
information
that
that
is
why
it
is
made
because
they
will
have
far
more
information
than
we
have
right
now
to
make
those
determinations
and
we're
not
we're
not
comfortable
with
putting
anything
in
the
bill.
That's
going
to
require
the
cabinet
on
that
situation,
because
or
in
that
situation
each
situation
will
vary
and
I'm
sure
circumstances
will
vary
for
each
person
and
the
cabinet
will
make
that
determination.
N
Okay,
one
more
question:
please
this
says
that
recipients
can
only
use
cash.
They
withdraw
with
their
ebd
card
on
things
that
are
necessary
for
the
welfare
of
the
family
right
things
that
are
necessary
for
the
wealth
of
your
family
are
different
than
things
that
are
necessary
for
the
welfare,
my
family
again,
this
goes
to
the
cabinet,
but
it's
so
subjective.
How
do
we
track
that
cash
spending
who's
determining
what's
necessary?.
L
K
Yes,
real
quickly,
those
who
legitimately
qualify
for
these
programs
are
going
to
get
them,
but
I
think
this
commonwealth
is
long
overdue,
with
welfare
reform
and
purging
those
out
of
the
system.
That
really
doesn't
need
to
be
there
again.
We
are
48th
in
the
nation
and
workforce
participation
and
we're
going
to
find
out
over
the
long
haul
that
some
people
are
hiding
out
in
the
system,
and
so
I
think
this
is
a
great
first
step
for
for
kentucky.
It's
not
gonna
answer
all
the
problems.
K
There
may
be
things
we
may
have
to
come
back
and
face
in
the
future,
but
I
do
believe
this
is
a
good
first
step,
and
I
do
appreciate
you,
gentlemen,
working
on
it.
A
Okay,
thank
you
so
much.
I
would
just
like
to
re
reiterate
that
some
of
the
unobligated
tana
funds
that
are
are
being
identified
in
this
language
will
go
to
the
job
placement
assistance
program,
and
so
we,
you
know
we
we
are
not
imposing
something
that
we're
not
willing
to
actually
put
supports
in
place
for
individuals.
A
The
other
piece
of
this
that,
I
think
is
really
important
is
the
public
assistance
oversight.
This
will
allow
us
to
have
ongoing
conversations
about.
What's
working,
what
isn't?
What
do
we
need
to
change
and
really
make
recommendations?
So
this
is
not
the
last
conversation
we're
having
about
this
this
issue.
I
think
that
this
is
well
thought
out.
So
I
don't
oh
representative
elliott.
Do
you
have
a
question?
I.
C
Do
thank
you,
madam
chairman,
thank
you,
mr
speaker
and
mr
speaker,
pro
tem,
for
your
work
on
really,
I
think,
a
difficult
issue,
section
six
deals
with
the
community
engagement
portion,
which
we've
heard
a
lot
of
back
and
forth
on.
There
are
some
exemptions
and
exceptions
to
that,
and
would
you
all
go
through
those,
because
I
think
those
are
fairly
important
to
note
that
this
isn't
a
blanket
approach
to
the
community
engagement
portion,
and
I
think
those
are
important
to
point
out
for
the
committee.
L
You're
exactly
right,
there
are
several
exemptions
to
those
work
requirements
for
those
who
are
16
16
to
59.
They
are
exempt
if
they
work
at
least
30
hours
per
per
week.
Meet
work
requirements
for
another
program,
such
as
tanf
are
unable
to
work
due
to
physical
or
mental
limitations
or
a
caregiver
of
a
child
under
the
age
of
six
or
an
incapacitated
person
or
participating
in
alcohol
or
drug
treatment
programs
or
enrolled
in
school
or
a
training
program
at
least
half
time.
N
N
What
this
would
do
as
we're
talking
about
workforce
education
and
training,
is
require
the
development
and
implementation
of
an
online
employment
and
training
program
for
people
who
are
required
to
complete
the
work
requirements
to
maintain
their
benefits.
There
are
only
1,
000,
in-person
snap
education
and
training
slots
right
now
in
kentucky
for
the
500
000
kentuckians,
who
receive
snap
and
those
the
number
of
slots
varies
by
county
and,
of
course,
there
are
transportation
concerns.
N
This
amendment
actually
reminds
me
of
the
chairwoman's
house
bill
565,
which
we
passed
last
week
on
the
floor,
which
would
offer
some
criminal
justice
training
online.
I
believe
that
this
amendment
will
give
folks
the
best
chance
to
re-enter
the
workforce.
I'm
seeking
a
section.
L
A
Okay,
thank
you
very
much.
I
had
the
same
reaction.
I
like
moving
to
online
training
and
I
think
this
is
a
good
amendment,
so
I
will
entertain
emotion
and
on
the
amendment
we
have
emotion.
We
have
a
motion.
Second,
do
we
have
any
discussion?
C
When
it
says
online
employment
and
training
program-
and
I
guess
this
is
for
representative
raymond-
what
kind
of
employment
and
training
are
we
talking
about
like
learning
how
to
get
your
cdl
or
just
general
broad
training.
N
So
I
believe
that
we
could
put
online
a
program
that
would
mirror
or
complement
the
snap
education
and
training
program
that
currently
exists
in
five
locations
with
a
thousand
slots
across
the
state.
C
I
just
just
got
a
couple
questions.
One
is
about
this
80
hours
work
for
a
month
representative,.
A
A
I
Thank
you.
I
just
want
to
ask
the
representative
in
terms
of
online:
what's
the
accessibility
for
these
recipients
to
access
online
capabilities
and
then
yeah.
N
I
hope
that,
through
our
other
work
here
in
the
legislature,
everyone's
going
to
have
access
to
get
online,
this
is
to
complement
and
to
to
break
down
barriers
right.
We
know
that
some
people
have
barriers
to
getting
online.
We
know
that
some
people
have
barriers
to
transportation,
so
we're
just
trying
to
offer
another
avenue
to
see
what
will
work
for
you.
I
I
I
appreciate
the
answer,
but
we
need
to
be
very
mindful
and
conscious
of
when
we
say
online
playing
because
I
hear
constantly,
particularly
in
certain
parts
of
louisville,
that
there's
no
access
to
broadband
and
no
access
to
online.
So
I
think
we
need
to
be
very
cautious
of
what
we're
trying
to
say
here.
If
we're
going
to
alienate
certain
a
certain
group
of
people
not
having
access.
A
An
option:
okay,
thank
you,
and
thank
you
for
that
representative
fleming.
I
do
think
that
this
is
an
optional
provision,
and
certainly
you
know
we
are
implementing
broadband
throughout
our
state.
So
I
think
that
this
will
be
more
of
an
an
option
for
folks,
okay,
representative
bowling.
N
So,
to
the
extent
permitted
by
federal
law,
we
are
asking
for
the
development
of
an
online
program
that
will
be
optional
for
for
public
assistance
recipients
as
they
as
they
look
at
that
menu
of
options
to
fulfill
their
work
requirement.
Okay,.
N
C
A
Okay,
thank
you.
Yes,
thank
you.
Okay,
all
right
see
no
further
questions.
We
will
take
a
voice
vote
on
this
amendment
document
8246
all
in
favor,
please
say:
aye.
C
A
Opposed
okay,
so
the
amendment
passes
and
will
be
either
rolled
into
we
can
discuss
if
you
want
to
roll
this
into
the
committee
sub
at
the
end.
Okay,
all
right,
so
we
do
have
a
few
folks
who
have
signed
up
to
speak,
and
at
this
point
I
would
like
to
well
actually
before
we
go
there,
I
think,
representative
burch
did
you
want
to
finish
your
your
thoughts.
C
C
The
the
80
hours,
how
how
do
you
what's
your
thoughts
about
that
80
yards
in
some
areas
of
this
state?
Where
are
they
going
to
get
80
yards
in
or
how
they
going
to
get
to
the
place
to
put
in
the
adrs
or
who's
going
to
watch
the
kids?
You
know
how
do
you,
how
did
they
do
that.
C
L
Are
in
place
right
now,
secretary
freelander
can
correct
me
if
I'm
wrong,
but
right
now,
there's
the
federal
government
has
a
a
stop
on
those
snap
work
requirements
once
they
lift
that
we
will
go
back
to
the
way
that
we
were
prior
to
that
stop
and
they
will
continue
on
with
those
80
hours.
If
you
have
a
child
at
home,
you
are
exempted
from
that.
L
It
is
also
not
just
about
work.
It
is
also
about
the
training
programs
and
community
engagement
as
well.
So
the
the
80
hours
would
be
a
combination
of
all
those
or
or
one
of
those.
C
And
and
the
cabinet
would
be
totaling
this
up
or
tracking
this
right.
I
C
L
A
Okay,
now
I'm
going
to
allow
a
few
minutes
to
the
folks
who
have
signed
up
to
speak.
I
would
just
please
implore
folks
to
speak
to
the
committee
sub.
I
know
that
you
are
just
now
seeing
the
language,
but
many
many
changes
have
been
made.
A
So
if
you
have
something
that
you'd
like
to
speak
about
pertaining
to
the
committee
sub,
I
would
like
that
to
be
in
order,
and
please
keep
your
comments
to
two
to
three
minutes
and
if
you
have
duplicate
comments
or
if
we
can
have
one
spokesperson
per
organization,
that
would
be
helpful
as
well.
Okay,
so
we
have
mike
nguyen
with
grace
health
and
celine
or
carissa
with
the
louisville
urban
league
and
then
reverend
gilbert
with
council
of
churches.
A
Q
Q
Q
John
was
in
a
very,
very
fragile
state,
and
so
we're
not
only
helping
access
access,
healthcare,
we're
accessing
hope
and
courage
and
trying
to
to
meet
people
where
they're
at
I'm
here
to
testify.
Today,
on
behalf
or
on
this
bill
house,
bill
7,
it
is
what
I've
heard
it's
in
it.
Q
It's
got
some
very
exciting
opportunities,
but
I
am
against
anything
that
would
require
stricter
reporting
work
requirements,
more
verification,
because,
in
my
experience,
in
my
opinion,
the
outside
of
the
state
of
emergency,
the
verification
process,
requirements
processes
that
we
have
currently
are
sufficient
to
qualify
somebody
or
disqualify
somebody
for
those
benefits.
So
I'm
here
to
ask
that
we
don't
punish
kentucky's,
hard-working
people
who
are
in
transition
or
or
travel,
don't
punish
them
for
the
few
bad
actors
that
have
used
the
system.
A
Thank
you,
sir,
and
and
before
you
get
started.
I
I
just
want
to
let
everyone
know
who
hasn't
maybe
heard
this.
We,
we
have
worked
hard
to
pass
the
community
health
workers
bill
this
year
and
much
like
connectors,
we're
very
concerned
about
connecting
folks
and
helping
them
navigate
what
is
often
a
complicated
system.
So
I
appreciate
your
comments.
The
the
intent
is
certainly
not
to
make
this
more
difficult,
but
to
hopefully
streamline
the
process.
A
F
Hi
everyone,
my
name,
is
celine
moutya
maria
and
I
am
a
community
policy
strategist
at
the
louisville
urban
league.
Prior
to
this
I
was
a
community
health
worker
at
shawnee,
christian
healthcare
center
and
prior
to
that,
I
was
a
graduate
student
who
relied
on
social
safety
net
programs
like
snap
to
get
me
through
long
days
and
long
nights
of
studying.
When
I
finished
school
I
was
in
search
of
a
job
and
I
relied
on
medicaid
benefits
to
update
my
eyeglass
prescription
and
access
to
other
vital
health
services.
F
Despite
these
many
privileges,
it
still
took
me
several
weeks
going
on
months
and
many
appointments
with
caseworkers
to
get
through
all
the
red
tape,
documentation
and
verification
processes
required
to
apply
for
snap
and
medicaid.
This
experience
was
very
dehumanizing
because
I
essentially
had
to
prove
that
I
was
suffering
enough
and
worthy
enough
to
deserve
these
critical
basic
needs.
When
I
became
a
community
health
worker,
I
witnessed
how
much
more
difficult
it
was
for
people
who
didn't
have
the
same
privileges
as
me
to
access
these
benefits.
F
Parents,
children,
seniors
those
with
disabilities,
working
adults
and
many
people
experiencing
poverty,
go
without
basic
needs
because
of
the
cumbersome
process
of
applying
for
benefits.
Those
in
rural
areas
who
struggle
with
reliable
transportation
and
internet
literally
have
to
jump
through
hoops
and
hurdles
and
make
miracles
happen
simply
to
access
benefits
that
are
critical
for
healthy
communities.
This
bill
would
make
a
very
complex
process
even
harder
and
nearly
impossible
for
some,
and
I
struggle
to
understand
why
this
bill
is
being
brought
up.
F
F
From
and
I'd
like
to
close
by
saying
that
I
was
a
connector
when
our
last
governor
attempted
to
implement
the
1115
medicaid
waiver
requiring
work
requirements
for
people
and
the
undue
burden
that
I
faced
as
a
connector
to
relearn
the
entire
system
and
relearn
all
the
new
requirements
that
I
would
have
to
have
my
clients
accountable
to
made
me
want
to
quit
my
job,
and
the
only
reason
I
didn't
quit
is
because
that
waiver
didn't
go
through.
F
A
O
Madam
chair
was
there
someone
before
me?
I
didn't
want
to
jump
my
turn.
A
No
you're
perfectly
fine,
you
go
right
ahead
and
it
it
looks
like
we
have
someone
else
who
would
like
to
speak,
and
I
would
just
ask
that
you
don't
duplicate
comments
if
something's
already
been
discussed
so
reverend,
please
proceed.
Introduce
yourself
for
the
record.
My.
O
Name
is
kent
gilbert,
I'm
the
chair
and
advocacy
director,
chair
of
the
commission,
for
the
kentucky
council
of
churches,
which
is,
and
I'm
here
at
the
behest
of
the
bishops
conference
ministers
and
regional
leadership
of
the
11
denominations
and
16
judicatories
that
you
can
find
out
all
about,
and
you
probably
already
know
many
of
your
own
traditions
are
been
a
part
of
the
75-year
tradition
of
the
church
and
the
churches
coming
together
to
gather
our
collective
wisdom
and
to
discern
together
how
what
is
right,
what
is
good
and
what
we
might
do
in
our
common
work
to
make
whole
those
persons
who
are
poor,
ill,
imprisoned
and
hungry.
O
Now
we've
got
about
2,
000
years
of
tradition,
doing
that
as
a
as
congregations.
We
have
a
275
year,
tradition
of
doing
that
in
kentucky,
which
predates
even
the
legislature's
ability
to
care
for
those,
and
we
have
grave
concerns
about
this
legislation
and
about
several
other
bills
that
you
are
considering
that
do
in
fact
create
a
negative
climate.
O
You
heard
previous
speakers
talk
very
antiseptically
about
how
we
could
save
300
million
dollars
if
we
could
just
starve
500
000
children.
This
is
not
an
acceptable
way.
The
enemy
here
is
not
snap
benefits.
It's
not
workforce
participation.
The
enemy
here
is
that
1.4
million
of
our
citizens,
our
sisters
and
brothers,
are
living
below
the
poverty
line.
O
It
is
not
something
that
any
individual
of
them
is
somehow
defrauding
us
all,
but
conditions
pandemics.
All
of
these
things
have
called
forth
from
us,
not
the
lifeboat
that
is
needed
to
get
to
shore,
but
it
seems
like
it's
called
forth,
a
bunch
of
carpenters
with
drills
looking
to
dismantle
the
boat
while
we're
still
at
sea.
O
O
All
of
you
have
been
in
a
bad
spot,
and
so
I
ask
you
that
instead
of
taking
pot
shots
from
the
shore
at
the
things
that
are
keeping
people
afloat,
that
you
might
look
deep
in
your
faith
and
you
might
see
in
this
bill
and
in
other
bills,
ways
that
we
could
in
fact
lift
people
out
of
poverty.
We
know
for
a
fact
that
folks,
who
are
on
snap
benefits,
for
example,
are
primarily
working
folk
and
they
don't
always
stay
on
snap
if
they
can
get
to
jobs.
O
I
applaud
those
measures
in
this
substitution
that
will
provide
greater
access
to
greater
opportunities.
I
deplore
the
aspects
of
this
bill
that
are
weaving
a
nest,
a
web
of
red
tape
and
coating
it
with
the
sticky
eye
core
of
some
sanctimonious
outside
group,
like
the
fga
that
wants
to
waltz
in
here
with
millionaire
salaries
and
tell
you
that
somehow
they're
gonna
do
it
right,
even
though
it
failed
in
arkansas
and
nine
other
states
we're
going
to
do
it
right
for
kentucky
just
trust
us
the
outsiders.
O
A
Thank
you
all
right,
ma'am,
please
introduce
yourself
for
the
record.
M
Thank
you,
madam
chairwoman.
My
name
is
carissa
arnold
and
I
am
a
kentucky
farmer
in
woodford
county,
as
you
directed,
I
will
not
repeat
anything
that
has
been
stated
before,
and
I
think
everyone
has
done
a
good
job
of
of
outlining
the
challenges
that
our
poor
face
and
this
bill
would
would
greatly
encumber
those
even
further.
So
I
would
just
add
that
one
in
six
kentucky
children
will
go
to
bed
hungry
tonight,
one
in
six.
M
A
Sorry
I'll
turn
my
microphone
on.
Thank
you
very
much.
I
appreciate
your
work
as
a
farmer
and
your
concern
for
the
hungry.
Certainly
we
all
share
those
concerns,
and
our
goal
here
is
to
ensure
that
this
safety
net
remains
in
place
for
those
who
need
it.
We
I
I
know
that
secretary
friedlander
did
you
want
to
say
a
few
words,
and
I
would
like
to
to
wrap
this
up
shortly.
R
Thank
you,
representative
moser,
I'm
eric
friedlander
secretary
of
the
cabinet
for
health
and
family
services.
I
will
I
will
be
brief.
First,
I
would
like
to
thank
speaker,
osborne
and
speaker
pro
tem
mead,
for
meeting
with
me
on
this
bill
and
and
is
your
microphone.
Oh.
A
R
It
looks
like
it's
on,
so
I'm
not
used
to
this
in
person
thing.
I'm
sorry
I'd
like
to
thank
speaker,
osborne
and
speaker
pro
tem
mead
for
meeting
with
me
on
this
legislation
and
and
going
over
the
places
where,
where
we
agree
also
from
what
I've
heard
today,
it
sounds
like
there
have
been
some
improvements
made
in
this
bill.
R
R
The
original
version
of
house
bill
7
would
make
it
harder
for
kentuckians
in
need
to
get
assistance
for
food
and
health
care,
hurting
families,
seniors
children
and
those
with
disabilities
and
and
especially
those
in
need
of
behavioral
and
substance
use
treatment.
It
will
also
hurt
grocers
and
health
care
providers
who
will
and
will
increase
the
regions
in
the
commonwealth
that
lack
access
to
health
care,
food,
child
care
and
other
assistance.
Kentuckians
depend
on
specifically
many
parts
of
the
bill
will
cut
benefits
to
our
lowest
income
kentucky
families.
R
This
will
further
burden
parents,
caregivers
abilities
to
support
their
children
and
household.
As
you
know,
people
who
lose
medicaid
coverage
would
more
likely
rely
on
expensive
emergency
department
visits
or
delay
seeking
care
or
not
seek
care
at
all
house.
Bill.
7
also
adds
recertification
requirements
that
would
hamper
kentuckians
seeking
treatment
for
behavioral
health
and
substance.
Use
needs
two
areas
that
are
already
in
crisis
in
kentucky.
I
believe
the
rate
of
the
uninsured
kentuckians
could
increase
by
10
percent
house
bill.
R
7
also
places
several
deadlines
on
chfs
again,
certainly
the
original,
without
providing
the
funds
for
additional
resources
for
staff
with
limited
staff
that
is
already
stretched
to
the
limit
for
current
snap
and
medicaid
eligibility
decisions.
Chfs
would
not
be
able
to
meet
the
unfunded
mandates
in
house
bill.
7.
The
workload
increase
would
cause
a
major
backlot
of
cases
in
many
areas,
including
child
care,
snap
and
medicaid,
and
cause
disruptions
for
individuals
attempting
to
access
services.
R
Although
medicaid
recertification
would
medicaid
recertifications
would
impact
the
cabinet
in
two
ways
heard
some
changes
for
the
first.
The
end
of
the
federal
covid
public
health
emergency
declaration
would
would
have
required
the
cabinet
to
within
60
days
reprocess
about
180
000
applications
that
would
have
been
impossible.
In
addition,
new
recertification
requirements
could
add,
at
least
at
least
another
hundred
thousand
calls
per
month.
This
requirement
for
applying
and
redis
certifying
for
snap
would
also
significantly
increase
administrative
workload.
Simply
put
this
would
overwhelm
our
workers
and
systems.
R
There
would
also
be
a
significant
cost
to
medicaid
providers
and
all
health
care
providers
would
lose
revenue
because
of
the
increased
unavailable
unavailability
of
medicaid
reimbursements
for
individuals
who
do
not
have
health
care
coverage.
I
appreciate
the
opportunity
to
express
the
cabinet's
concerns
and
again
I
appreciate
the
willingness
to
work
with
us
and
appreciate
your
the
opportunity
to
speak
here.
A
Absolutely
thank
you
secretary.
I
appreciate
your
comments
very
much.
I
know
that
we've
had
some
comments
or
conversations
rather
prior
to
this
meeting
about
really
your
workforce
limitations,
and
I
am
looking
for
ways
to
to
help
you
help
the
cabinet
make
some
of
those
improvements
that
might
help
streamline
what
you're
facing
right
now
so
representative
wilner,
do
you
have
a
question.
H
I
do
thank
you,
madam
chair,
and
thank
you
secretary
friedlander
for
for
commenting
on
this
and
we're
all
aware
of
how
overextended
the
cabinet
is,
and
the
employees
and
I'm
hearing
in
the
presentation
of
this
bill
and
some
of
the
comments
about
a
lot
of
additional
requirements
and,
frankly,
burdens
on
the
cabinet.
Do
you
have
an
estimate
of
what
that
would
cost
kentucky
taxpayers
for
the
cabinet
to
pick
up
this
extra
work.
R
We
do
I'm
sorry,
a
fiscal
note
was
filed,
I
think
late
last
night,
so
it
was
late
and
and
we
think,
as
we
look
at
the
workers,
the
the
addition
just
there,
we
think
we
need
to
probably
double
our
current
workforce.
You're
talking,
500
new
employees,
that's
a
significant,
that's
tens
of
millions
of
dollars
in
order
to
be
able
to
answer
the
phones.
We-
and
I
that's
one
of
the
reasons
I'm
here
I
want
to.
R
I
want
to
make
sure
you
all
know
if
I
don't
think
it's
possible
and
that
there
could
be
a
significant
backlog
on
phone
lines.
We
already
have
20
minute
waits
and
I,
if
this
doubled
that
number
I
I
just
think
we'd
have
the
potential
for
a
real
real
disaster
situation.
A
You
actually
representative
bray,
first
and
then
representative
rayburn.
C
Yeah
I
just
got
a
quick
comment:
secretary
free
lender,
I'm
glad
to
see
you
all
allowed
to
testify
in
person
again.
I've
only
been
here
two
years,
but
this
is
the
first
time
I've
seen
somebody
from
the
administration
over
here.
It
is
much
more
effective
in
person.
Thank
you.
B
M
It
has
the
ability
to
check
eligibility
through
the
state
and
federal
hub
to
determine
eligibility
with
that
current
process.
Wouldn't
that
help
expedite
things
if,
in
the
event,
this
does
you
know,
guidelines
change
within
the
federal
government
and
that's
my
first
question
for
you.
R
Yes,
the
it
was
called
benafine
back
then,
but
it's
called
connect
benefits
now
does
have
the
ability,
particularly
to
to
check
against
federal
information
and
even
some
state
information
for
eligibility
pieces.
The
way
that
we
were
reading
the
original
was
that
there
would
be
additional,
really
paper
work
requirements
on
some
medicaid
pieces
that
that
really
we
haven't
been
doing,
probably
since
the
90s.
So
that's
where
our
concern
comes
in.
R
Oh
no,
we
had
when
I
came
when
we
when
I
came
in
as
secretary
in
the
beginning
for
the
cabinet,
that
was
the
process
that
we
used,
the
the
counties
were
actually
responsible
for
both
snap
and
medicaid.
At
that
point,
in
time
we
were
really
struggling
to
answer.
R
4
000
calls
a
day
we're
up
to
being
able
to
handle
around
15
000
calls
a
day
we
get
about
20.,
but
that
shift,
I
think,
really
helped
us
pretty
quickly
double
the
amount
of
calls
that
we
were
able
to
take
to
move
to
a
statewide
system.
I
I
do
know
that
dcbs
workers
prefer
to
work
with
folks
in
their
local
counties.
It's
just
the
difference
in
the
volume
we
were
able
to
handle
was
was
so
significant
that
that's,
why
we're
doing
it?
The
way
we're
currently
currently
doing
it.
M
One
more
follow-up,
please
I
I
worked
for
dcbs
for
two
years
and
processed
a
lot
of
the
cases
at
the
statewide
level,
and
there
were
certainly
challenges
when
it
came
to
too
many
hands
in
one
case
load
that
would
cause
a
recipient
to
receive
either
too
many
benefits
or
too
little
benefits.
So
I'd
like
to
see
the
cabinet
maybe
address
some
of
that
policy.
A
You
thank
you,
represent
rape
raven
for
those
comments
and-
and
I
too
we've
had
these
comment
or
conversations
about
updating
the
technology
in
2022.
I
think
that
you
know
if
you
can
use
turbotax
to
populate
your
your
tax
information,
that
we
should
be
able
to
find
some
technology
that
helps
with
some
of
the
manpower
issues
that
you're
having
also
creating
partnerships.
A
You
know
across
the
state
we
have
career
centers.
We
have
community
health
workers.
Now
we
have
connectors.
It
seems
to
me
that
maybe
representative
rayburn's
right
and
we
address
the
policies
internally
and
it's
complicated.
I
don't
want
to
diminish
that,
but
we
are
looking
to
to
assist
with
this
and
just
really
modernize
our
public
assistance.
A
That's
really
what
what
this
is
getting
at.
So
we
do
have
a
motion
in
a
second
on
the
bill.
I
have
a
couple
of
people.
I
don't
know
if
there's
something
that
folks
who
have
signed
up
to
speak
have
to
offer
something
different.
That
hasn't
been
stated
yet.
I
know
that
ms
curry
you're
online,
if
you
can
take
just
one
or
two
minutes
and
then
we'll
go
ahead
and
vote.
S
Thank
you.
I'm
a
proud
resident
of
the
paducah
kentucky
I'm
currently
employed
as
a
regional,
behavior
health
consultant
for
signature,
healthcare,
I'm
also
the
proud
parent
to
adult
sons,
but
my
journey
hasn't
come
without
his
thumbs
and
thoughts.
There's
been
times
when
I
found
myself
unemployed
with
little
to
no
income,
there
have
been
countless
times.
I
didn't
know
where
my
next
meal
was
coming
from.
What
you
see
before
you
is
a
product
of
public
assistance.
S
I'm
a
story.
My
story
is
a
story
of
success
and
evidence
that
the
system
does
work,
and
I
wouldn't
trade
my
journey,
because
it's
allowed
me
to
be
truly
appreciative
of
the
struggle
and
has
given
me
the
desire
to
pave
the
way
forward
for
others.
Years
ago.
I
made
a
decision
for
my
sake
and
for
my
small
family
to
pay
to
play
the
hand
I
was
dealt
to
the
best
of
my
ability.
S
Perhaps
there
are
some
kentuckians
who
take
advantage
of
public
resources.
However,
there
are
thousands
of
hard
work
in
kentucky's
like
me
who
fight
to
build
a
better
life
for
their
families,
and
I'm
reminded
of
a
parable
in
matthew.
13
of
the
weakness
tears
in
this
particular
paragraph.
The
enemy
came
to
sew
tears,
which
were
weeds
that
resemble
wheat,
the
wheat
and
the
terror
had
begun
to
grow
together,
meaning
they
became
intertwined
at
the
roots
and
the
servants
eagerness
to
pull
up
to
pull
up
the
tears.
S
They
were
warned
that
by
doing
so,
they
would
surely
uproot
the
wheat
then
and
out
the
crop
in
the
process
house.
Bill
7
will
surely
upload
the
wheat
by
taking
away
the
safety
net
for
thousands
of
kentucky
families
and
low-wage
workers
who
strive
for
better
lives
for
their
families.
At
a
time
when
food
prices
have
risen
without
public
assistance,
I
would
have
not
had
the
opportunities
to
graduate
with
a
bachelor's
in
social
work.
If
it
had
not
been
for
public
assistance.
S
S
S
I've
been
told
by
a
caseworker
to
sell
my
only
vehicle.
I
had
to
put
food
on
the
table
as
my
family
for
my
family,
as
opposed
to
receiving
public
assistance
living
in
a
rural
area.
This
was
not
an
option.
I
needed
transportation
to
seek
employment
and
resources
in
the
conclusion
of
the
parable,
we
have
to
trust
our
legislatures
to
be
as
wise
as
the
farm
owner
was.
He
was
instructed.
He
instructed
his
servants
to
wait
until
the
week
was
mature
and
then
they
could
take
out
the
tears
and
harvest
the
wheat.
S
A
A
We
are
not
unsympathetic
to
your
situation
and
absolutely
we
are
attempting
to
ensure
that
the
safety
net
remain
in
place
for
folks,
like
you,
you
are
a
success
story
and
I
think
that
that
is
what
we
all
want,
and
so
I
you
know
you're
you're
talking
to
to
folks
here
in
this
committee,
who
have
worked
on
things
like
bridge
insurance
and
the
benefit
cliff,
which
creates
a
perverse
incentive
for
people
staying
on
the
system,
and
the
these
are
are
all
issues
that
we're
working
on.
A
So
I
would
just
implore
you
to
keep
talking
to
us.
We
we
do
hear
you
so
two
more
speakers.
I
have
joined
us
at
the
table.
If
you
can
keep
your
remarks
to
one
or
two
minutes,
I
really
would
appreciate
it.
We
are
limited
on
time.
Thank
you.
P
I
appreciate
your
time
very,
very
much.
My
name
is
christina
libby,
I'm
a
resident
here
in
frankfurt,
and
I
am
a
community
health.
A
certified
community
health
worker
and
a
connector,
and
the
thing
that
I
want
to
do
is
try
and
dispel
what
seems
to
be
a
persistent
and
dangerous
myth
and
that's
the
great
discrepancy
between
the
intent
and
the
reality
of
those
who
qualify
for
benefits
are
going
to
get
them.
P
That
is
a
myth
right
now,
as
the
homeless
and
housing
coalition
of
kentucky
health
outreach
navigator,
there's
very
little
doubt
that
almost
everyone
that
I
interact
with
is
not
only
eligible
for
assistance
with
food
and
health
care,
but
they're
exactly
why
we
have
these
supports
in
place
and
a
huge
part
of
my
job
is
trying
to
help
people
get
help.
I'm
a
go-to
person
and
I
find
it
hard
it's
infuriating
and
unnecessarily
complicated.
P
P
It's
a
demoralizing
and
discouraging
process.
Many
people
that
I
work
with
would
be
doing
better
if
they
had
this
help.
I'm
trying
to
skip
over
the
things
that
other
people
have
already
said.
So
one
of
the
things
that
has
not
been
said
are
the
specific
examples
of
people
who
this
is
affecting
my
clients,
the
people
that
I
work
with
every
day.
P
I
have
had
people
turn
down
for
benefits
who
should
be
getting
them
because
they
weren't
able
to
show
proof
that
they
didn't
have
unearned
income
by
way
of
a
savings
account
that
earned
approximately
23
cents
over
the
course
of
a
year.
They
didn't
have
a
printer,
they
don't
have
online
banking.
They
couldn't
provide
this
proof.
They
didn't
know
how
to
do
it,
so
they
didn't
get
it.
P
A
client
didn't
realize
that
the
shelter
was
sending
their
mail
back
because
they
had
been.
They
had
exceeded
their
time
limit,
so
they
missed
the
request
for
information,
clients
with
substance
use,
disorder,
miss
notifications,
all
the
time-
and
I
know
that
we
have
said
in
writing-
that
we're
making
exceptions
for
these
people,
but
to
make
an
exception.
P
You
have
to
have
proof
and
verifications
and
that's
very
hard
when
you're,
currently
in
recovery
or
in
a
treatment
center,
and
I
could
fill
pages
upon
pages
of
why
all
of
these
restrictions
basically
make
it
impossible
for
someone
with
severe
mental
illness
to
get
the
help
that
they
need
to
do
and
get
better.
And
again
you
have
to
prove
that
you
have
a
disability.
That
is
a
hard
thing
to
do.
It
is
very
hard
to
prove
you
have
a
disability.
P
People
are
asking
for
help
and
if
we
want
people
to
do
better,
if
we
want
people
to
work,
if
we
want
to
stop,
we
have
to
stop
making
it
harder
to
get
food
and
health
care.
And
I
just
don't
understand
why
we're
willing
to
sacrifice
a
large
number
of
people
who
currently
are
eligible
for
benefits
and
can't
get
through
the
system
for
a
very,
very
small
number
of
people
who
might
be
getting
benefits
that
aren't
eligible.
And
it's
not.
A
Even
defrauding
I
understand,
and
we
just
we
just
need
to
move
on.
We
have
heard
all
of
you,
I
I
don't
know
if
your
comments
are
going
to
be
different,
but
certainly
you
know
we.
We
need
to
modernize
our
system
at
the
same
time
as
we're
dealing
with
smi
waivers
and
talking
about
how
we
support
populations
that
are
underserved
can.
A
K
Yourself,
thank
you.
My
name
is
chuck
eddy,
I'm
of
lexington,
I'm
just
an
ordinary
person,
I'm
not
part
of
any
group
or
anything
good
morning,
chairman
moser
and
committee
members,
I'm
firmly
opposed
to
hb7
as
a
christian
as
a
follower
of
christ.
I
believe
that
hb
7
represents
a
serious
reduction
in
the
needed
services
to
more
than
half
a
million
of
the
poorest
kentuckians,
and
it's
going
to
place
new
barriers
to
the
application
recertification
process.
K
As
the
lady
mentioned,
there's
enough
problems
already,
as
the
secretary
mentioned,
there
will
be
a
massive
increase
in
what
is
needed
here.
This
is
a
draconian
disregard
for
the
needs
of
poor
children
and
their
families,
and
it's
going
to
needlessly
complicate
and
make
more
expense
of
the
state's
oversight.
K
A
K
We're
going
to
go
ahead,
this
will
be
quickly
and
I
know
she
needs
to
speak
the
the
the
situation
with
committee
subs
when
we
come
here
to
testify
about
an
original
bill
and
then
the
committee
sub
is
put
in
and
then
we're
asked
to
speak,
just
the
committee
sub
it
it's
untenable.
I
I
I
don't
like
that
process.
I'm
sorry!
I.
A
Understand,
thank
you.
One
minute
you
got.
T
It
I'll
give
you
30
seconds:
brenda
rose
executive
director
at
the
nationals.
Thank
you,
brenda
rosen,
executive
director,
national
association
of
social
workers,
kentucky
chapter
four
decades
of
social
work,
nightmares
and
inspiration.
At
the
same
time,
I
just
want
everyone
to
see
what
thousands
and
thousands
of
children
go
home
with
on
a
friday.
Their
last
hot
meal
is
noon.
They
don't
come
back
to
a
hot
meal
until
monday
morning
in
school.
This
is
what
many
children
across
kentucky
survive
on
over
the
weekend.
T
A
C
C
One,
I
don't
know
if
the
sponsor
or
these
sponsors
ever
went
without
a
meal.
I
doubt
if
anybody
on
the
panel
here
has
because
they
were
poor.
I
have
I've
been
there,
and
I
know
what
it's
like
to
wonder
when
your
next
meal
is
coming
from.
This
is
an
evil
bill.
It's
not
a
bill
to
streamline
our
system,
it's
an
evil
bill.
C
T
G
C
Yes,
I'm
voting
yesterday
because
I
worked
as
a
christian.
I
went
into
homes
worked
home
health
physical
therapy
for
10
years.
I
saw
that
we
were
handing
out
fish,
not
teaching
people
how
to
fish,
and
I
believe
this
bill
will
help
empower
people.
C
J
H
A
B
A
A
J
My
name
is
josh
callaway.
A
J
All
right,
my
name
is
josh
callaway
state
representative
from
district
10..
I
was
here
before
you
not
too
long
ago
with
a
different
house
bill
and
I
bring
for
you
house
bill
569
after
a
lot
of
research,
a
lot
of
work
with
a
lot
of
people
on
this
committee,
as
well
as
with
the
gentleman
that
I
have
online
with
me
today.
J
His
name
is
mr
mack
haddow
and
he'll
be
joining
us
here
to
give
any
information,
I
just
want
to
cover
very
quickly
what
the
bill
does
in
front
of
you
in
regard
to
the
product
of
kratom.
First
of
all,
section
one
just
lays
out
definitions
inside
of
the
bill,
and
you
can
look
those
over.
The
primary
thing
that
we
were
trying
to
do
was
define
what
a
kratom
retailer
was.
The
second
part
lays
out
licensing
fees.
J
The
third
part
deals
with
the
substance
of
the
bill
that
deals
with
age
limits:
adulteration,
contamination,
extraction
limits
as
well
as
label,
t
labeling,
section,
four
deals
with
penalties
of
the
bill
and
then
section
five
is
kind
of
a
default.
That
says:
should
the
fda
or
dea
come
out
and
make
a
decision
on
this
we
would
automatically
default
to
whatever
their
regulation
was
as
a
state,
and
so
that's
basically.
A
What
this
does?
Okay,
we
have
a
motion
in
a
second
and
I
would
just
like
to
quickly
comment
and
commend
the
bill's
sponsor
on
this
legislation.
We
all
had
some
misgivings
about.
You
know:
where
do
we
go
with
this?
We
we
don't
know
a
lot
about
kratom,
but
I
think
in
the
meantime,
because
it
is
on
our
store
shelves,
we
are
seeing
it
everywhere.
A
Can
buy
this
and
we
need
to
just
ensure
the
safety
of
kids.
And
so
I
appreciate
your
work,
and
that
is.
J
C
Sorry
I
was
looking
at
you.
I
spoke
with
them
and
I
asked
them
if
they
were
overdosing
on
kratom
and
they
went
to
mayo
clinic,
would
they
use
narcan
on
them
and
they
told
me
no
they're
wrong
these
same
receptors
as
an
opioid,
so
if
they
don't
know
their
product
any
better
than
that
man,
we
need
to
do
something
yeah.
Thank
you.
J
And
to
your
point,
I
think
there's
also
consum
some
consideration
where
testing
has
been
done,
that
people
that
narcan
responded
on
that
the
product
was
also
adulterated,
so
there
was
a
with
fentanyl
or
something
of
that
sort
that
caused
it
to
work.
So
I
think
there's
some
opinions
about
that.
A
A
Okay,
madam
secretary,
please
take
the
role.
A
A
Hopefully
we
we
discussed
this.
I
we
we've
had
conversations
prior
to
this,
so
I
don't
want
you
to
feel
completely
shortchanged.
Is
there
anything
that
you'd
like
to
add
just
quickly
that
we
didn't
really
cover.
T
Moser,
thank
you.
Just
one
thing,
there
was
a
letter
released
by
secretary
becerra
department
of
health
and
human
services
yesterday
that
I
will
forward
to
you
and
to
the
committee
that
identifies
the
fact
that
hhs
now
recognizes
that
current
science
shows.
This
is
not
schedulable
that,
in
fact
it
has
health
benefits
and
fda
is
now
going
to
embark
on
looking
at
new
drug
applications,
but
in
the
interim
they
do
recognize
that
adulterated
products
are
causing
problems
and
deaths
and
we've.
We
appreciate
the
committee's
action
on
this
and
we
hope
the
legislature
will
move
quickly.
J
A
A
And
next
we
have
house
bill
157.
We
do
have
some
some
guests
here
to
discuss
this
provision.
A
C
You,
madam
chair
and
and
committee,
thank
you
for
having
us
today.
This
bill
amendments.
A
Please
introduce
yourself
for
the
record.
C
I'm
sorry
no
you're
fine.
My
name
is
bill
wesley
from
district
91
estore
county,
and
this
is.
C
First,
I'd
like
to
thank
all
of
our
representatives
and
our
speaker
pro
tem,
for
helping
us
get
this
bill
together
and
what
what
this
is
is
house
bill
157.
It
amends
krs,
4
521
to
clarify
the
grandparent
visitation
rights
and
which
is
affected
by
any
investigation
related
to
abuse,
neglect,
dependency
of
a
child
or
termination
of
parental
rights
of
the
grandparent's
son
or
daughter,
who
is
the
father
or
mother
of
the
child
visited
by
the
grandparent.
Unless
the
circuit
court
determines
that
it
is
best
interest
for
the
child.
C
Do
so
so,
in
other
words,
we're
trying
to
keep
the
relationship
with
with
the
war
that
we
have
on
on
drugs.
We're
trying
to
keep
a
relationship
with
the
grandparents
and
the
child,
and
so
this
this
amendment
and
this
house
bill
is
to
keep
the
visitation
rights
unless
the
circuit
judge
or
the
circuit
court
sees
that
there's
something
else
that
should
be
done.
A
Yes,
I.
C
C
A
Yes,
okay,
we
have
a
title
amendment
that
we
need
to
adopt
a
second
motion
in
a
second
all
in
favor
aye.
Okay,
thank
you
so
house
bill
157,
as
amended
by
committee,
sub
2,
and
I
want
to
thank
representative
elliott
for
his
work
on
his
piece
passes
with
favorable
expressions
same
should
pass
on
the
house.
Thank
you
so
much
for
your
work
and
your
help
with
this.
Thank
you.
A
Representatives
bowling
and
tate,
I
believe,
have
some
votes
to
record.
I
would.
G
A
Representative
bowling,
do
you
would
you
like
to
record
some
votes?
No?
Okay,
my
apologies.
All
right
see
no
further
business.
We
are.