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From YouTube: Senate Standing Committee on Health & Welfare (3-23-22)
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A
A
Here
all
right,
we
have
a
quorum
and
we're
established
to
do
business.
We
have
a
very
busy
agenda,
so
we're
going
to
ask
all
of
our
folks
who
are
speaking
today.
Please
keep
the
remarks
very
tight
and
we've
got
quite
a
few
people
on
the
agenda
to
speak.
So
first
thing
we're
gonna.
Take
up
is
the
legislative
hearing
on
the
2022
social
services
block
grant?
A
This
is
a
requirement
that
we
have
to
hear
this.
Also
for
a
public
hearing
setting.
I
think
we've
got
some
folks
from
the
cabinet
here:
laura
bake,
bigen
and
then
tracy
simone
is
here
hopefully
they're
online.
A
D
Dcbs
administers
five
block
grants.
These
are
programs
that
receive
federal
funding
topics
such
as
child
care,
low-income
home
energy
assistance.
This
specific
block
grant
is
for
social
services,
so
this
funding
goes
towards
adult
protection
services,
child
protection
services,
juvenile
justice,
approximately
a
third
of
this
federal
funding
is
just
passed
through
for
the
department
of
juvenile
justice
and
we
are
required.
D
This
meeting
this
public
hearing
is
statutorily
required
before
submitting
that
that
plan
to
the
federal
government
so
I'll
be
happy
to
take
any
questions
that
you
have
about
this,
and
I
appreciate
your
willingness
to
hear
this.
Thank.
F
Thank
you,
miss
chairman.
It's
not
a
question
as
much
as
the
comment
you
know
this
is
really
the
first
time
we've
talked
about
this
and
it
I
think
it
reinforces
my
senate
current
concurrent
resolution
20,
which
I
filed
earlier
in
the
session
to
really
take
a
a
deep
dive
in
into
the
operations
of
this
cabinet.
You
know,
I
can't
remember
the
last
time
we
talked
about
adult
protection
services
in
the
committee
meeting
and
it's
not
to
criticize
them.
F
Everyone
is
just
to
talk
about
the
the
breadth
of
topics
that
we
have
to
cover
during
the
interim,
both
with
health
and
family
services
and
with
medicaid
oversight
and
and
child
advisory.
Again.
I
think
this
just
lends
support
to
that
concurrent
resolution
that
I
have
filed
again.
This
looks
like
it's
a
good
grant.
F
It
will
serve
a
good
purpose,
but
I
really
would
like
to
have
more
information
about
it
going
into
this
meeting
today
and
obviously
we
just
didn't
have
time
to
do
it,
but
again
just
want
to
comment
on
that,
and
you
know,
as
part
of
I
think,
house
bill
174.
Today
we
made
an
amendment
at
that
include
my
senate
bill
43,
which
changed
the
reporting
requirement
for
medicaid
oversight
in
our
child
welfare
advisory
council.
Again,
it's
not
to
eliminate
those
at
all,
but
in
anticipation
that
maybe
we
can
restructure
the
cabinet,
maybe
our
committee
structure.
E
Sherman,
thank
you
and
I'll.
Be
brief.
I
want
to
echo
what
senator
meredith
has
just
said,
and
I
I
did
dig
deep
in
the
packet
staff
always
does
a
great
job,
putting
things
in
there.
I
would
encourage
all
members
on
the
committee
to
reinforce
what
senator
meredith
has
just
said.
It
is
22
million
of
federal
funds,
it's
260
million
of
non-federal
funds
for
a
total
of
283
million
dollars
that,
as
senator
meredith,
indicates
we're
going
to
take
about
five
minutes
and
sign
off
on.
Thank
you,
mr
chairman.
A
A
Questions
so
we
do
have
a
motion,
a
second
all,
those
favor
signify
by
saying
aye
aye.
Anyone
opposed
all
right,
we'll
show
that
the
grant
has
been
reviewed.
Thank
you
very
much
for
coming
and
presenting.
A
A
We
provided
a
deadline
for
those
who
were
present
they,
fortunately,
through
the
help
of
the
sponsor
representative
fleming
and
through
senator
gibbons,
were
able
to
come
to
an
agreement.
We
have
a
new
substitute
before
the
committee,
which
is
a
proposed
senate
substitute
number
four
I'll
entertain
a
motion
on
its
adoption.
A
G
Yes,
sir,
I
will
thank
you,
mr
chairman.
I
want
to
first
of
all
thank
you
for
your
leadership
and
your
help
and
guidance
through
this,
but
I
also
want
to
point
out
senator
gibbons
for
his
involvement
and
making
sure
this
comes
to
fruition
without
him
this,
I
don't
think
this
materialized.
So
I
want
to
personally
thank
senator
gibbons
the
things
that
we
came
to
conclusion,
which
everybody
is
supporting,
that
including
caico
is
under
section
9,
9
b.
G
Basically,
it
provides
the
cabinet
to
send
out
notices
to
all
parties
in
terms
of
cities
and
counties
about
a
certificate
of
need.
Proposal
has
been
submitted
and
that
they
need
to,
or
they
have
the
opportunity
to
provide
a
a
letter,
either
support
or
not
support
of
this
pro
of
this
process.
If
they
do
not
provide
anything
within
30
days,
it
automatically
goes
into
basically
whose
approval
that's
the
first
thing.
The
second
thing
is,
basically
it
sunsets
the
this
set
all
of
section.
Nine.
G
A
certificate
need,
basically
to
july
one
of
2026..
G
Senator
gibbons
had
good
insight
that
basically
pushes
more
emphasis
on
task
force
to
make
sure
we
go
through
a
very
diligent,
thorough
process
to
look
at
certificate
need
to
see
its
its
pros
and
its
cause
in
doing
that,
and
the
last
thing
mr
chairman,
is
basically
just
so.
G
I
want
to
follow
what
we
just
said
under
section
23,
a
it
basically
states
that
the
need
or
the
lack
of
a
certificate
of
need
process
for
the
ambulance
services
are
needed
so,
and
I
think
I've
covered
the
other
things
that
came
out
at
the
last
meeting
that
we
had
with
you.
So
that's
what
the
changes
are.
A
E
Very
brief
comment,
mr
chairman.
First
of
all,
mr
chairman,
thank
you
for
the
challenge
you
gave
us
and
the
latitude
to
go
to
work
without
you
giving
a
space
to
go
and
try
and
do
we
could
not
have
done
this.
Representative
fleming
you
and
your
colleagues
in
the
house
did
a
masterful
job
of
getting
this
document
in
the
shape
it
was
in
getting
it
to
us
and
then
causing
all
of
those
engaged
and
wanting
to
engage
to
come
together,
and
I
appreciate
all
of
the
parties
gathering
and
working
and
trying.
E
I
want
to
delicately
amend
your
statement
just
a
moment
ago
in
a
positive
way.
Thank
you
for
your
kind
words
regarding
my
small
involvement
in
it.
The
folks
from
caico
very
willingly
came
and
engaged,
and
I
appreciate
them
doing
that
led
by
jim
henderson
and-
and
it
was
a
it-
was
a
challenge
for
all
of
those
to
gather
around
the
table.
They
did
so
with
a
desire
to
get
to
good
policy.
E
I
think
caicos
place
is
not
a
place
of
support,
but
I
sense
that
their
opposition
has
now
been
moved
to
a
place
of
neutrality
as
it
relates
to
the
legislation,
and
I
appreciate
their
willingness
to
make
that
move
in
light
of
some
of
the
changes
that
that
you
were
willing
to
make
in
in
the
sub.
So
thank
you,
mr
chairman,.
H
Thank
you,
mr
chairman.
I
also
want
to
echo
the
words
of
senator
gibbons.
I
appreciate
the
work
that
was
put
into
this,
thank
you,
representative,
fleming,
for
for
coming
together
and
bringing
the
parties
together
with
work
from
where
we
were
the
last
time
in
this
meeting.
My
question
is
on
page
28
that
is
section
eight
b
2
right
there.
I
think
it
starts
with
line
18..
H
G
G
H
A
A
I
G
Senator
carroll
vote
I
and
a
great
job
to
all
who
managed
to
get
this
settled.
Thank
you.
Thank
you.
A
A
A
K
Thank
you,
mr
chairman,
members
of
the
committee,
I'll,
be
very
brief
as
brief
as
possible
anyway,
house.
Bill
512
is
an
act
relating
to
heart,
attack,
response
and
treatment.
What
we're
doing
is
requiring
the
department
for
public
health
to
designate
licensed
hospitals
as
level
1,
comprehensive,
cardiac,
centers
level,
2
primary
heart
attack,
centers
or
level
3
acute
heart
attack,
ready
hospitals
and
to
expand
the
protocols
of
emergency
medical
services
providers
to
include
trauma,
cardiac
arrest
and
heart
attack
of
the
three
most
time.
Sensitive
emergencies
trauma,
stroke
and
heart
attack,
treated
and
transported
by
our
ems.
K
Only
heart
attack
does
not
have
designated
legislation
in
our
state
and
there
are
currently
27
certified
and
accredited
heart
attack
centers
in
kentucky
and
by
the
passage
of
this
legislation
we
we
know
that
that
will
that
will
increase
and
that
outcomes
will
improve
for
our
patients.
As
you
know,
in
2010
we
passed
stroke
legislation
in
this
body,
and
that
is
what
this
legislation
is
sort
of
tailored.
After
in
2008,
there
were
six
certified
stroke
centers
in
kentucky,
and
since
we
passed
that
legislation
in
2010,
the
number
of
certified
centers
has
grown
to
41..
K
This
legislation
comes
from
the
kentucky
heart
disease,
stroke
prevention
task
force.
It
has
been
on
a
recommendation
of
theirs
for
the
past
six
years
and
this
bill
with
kentucky
being
one
of
the
states
leading
the
nation
in
heart,
attack
and
heart
disease.
This
bill
is
strictly
designed
to
improve
the
quality
of
care
and
save
lives.
And,
mr
chairman,
that's
what
the
bill
does.
A
You
have
a
motion
on
the
bill
in
a
second
first
before
you
take
a
vote.
I
want
to
thank
you
for
this.
I
know
you've
worked
with
the
hospital
association.
I
know
the
original
draft,
a
lot
of
changes
done
in
the
sub.
For
those
who
are
curious
on
section
two
subsection
three,
we
use
the
word
any
for
certifying
bodies
and
then
also
there
was
a
request
for
a
bit
more
time
for
the
department
to
be
able
to
establish
regulations
on
this.
A
We
went
from
60
to
120
days
on
page
three
again,
thank
you
for
your
work.
This
is
going
to
be
very
similar
to
what
we
did
with
stroke
certified,
which
has
worked
really
well
for
the
state.
Any
other
questions,
madam
clerk.
Please
call
the
roll.
A
A
Thank
you
very
much.
Thank
you
very
much.
Next,
we're
going
to
take
up
house
bill
362,
which
is
an
act
relating
to
substance,
abuse
intervention
and
declaring
an
emergency
sponsor.
Is
chairwoman
kimberly,
moser
chairman,
if
you'd
like
to
introduce
yourself
and
any
guests
that
you
have
for
the
record
and
begin
your
testimony.
L
Thank
you,
mr
chairman,
and
thank
you
committee
for
giving
us
some
time
to
discuss
this
matter.
I
do
have
a
guest
from
the
attorney
general's
office,
blake
christopher,
is
he
out
in
the
hallway
yeah,
so
I'll
go
ahead
and
get
started,
though
I
am
representative
kim
mosher.
I
represent
the
64th
district
and
this
is
not
a
new
matter.
This
is
regarding
a
bill.
Thank
you,
which
was
actually
passed
in
2004.
L
It's
casey's
law
is
court,
ordered
involuntary
treatment
upon
the
petition
of
the
court
by
a
loved
one
to
help
individuals
suffering
with
substance
use
disorders,
get
the
treatment
that
they
need,
and
I
will
allow
my
guests
to
introduce
themselves
and
then
I'll
I'll
say
a
few
more
things
about
the
bill.
But
it's
it's
a
pretty
simple
fix
today.
H
Good
morning,
blake
christopher
with
the
attorney
general's
office,
real
briefly
I'll,
go
through
the
two
changes
and
happy
to
take
questions
from
anyone
who
may
have
them.
This
bill
proposes
two
changes
to
casey's
law
that
we
think
are
really
clarifications
to
what
is
either
existing
law
or
what
is
already
operational
law.
That's
going
on
in
these
hearings.
The
two
changes
are
these:
the
first
is
establishes
a
beyond
reasonable
doubt
standard
that
an
individual
has
to
meet
before
he
or
she
can
be
committed
to
to
treatment.
H
We
think
there
are
some
who
think
that,
as
of
right
now
that
a
preponderance
of
evidence
standard
is
what's
being
used
in
casey's
law
and
it's
what
is
being
required
before
someone
can
be
committed.
We
disagree
with
that,
but
we
think
it's
worth
clarifying
that
this
is
the
standard
that
should
be
used.
We
think
beyond
reasonable
doubt
standard
is
the
right
one,
given
the
civil
liberties
that
are
at
stake
and
we
don't
necessarily
think
it's
going
to
have
a
chilling
effect
on
the
folks
who
can
get
the
treatment
that
they
need.
H
Nor
do
we
think
it's
going
to
have
a
negative
impact
on
the
number
of
people
who
submit
cases
all
petitions,
because
in
reality
our
experience
has
been
a
lot
of
judges
are
using
this
standard
already
and
we
don't.
We
haven't,
run
into
a
number
of
families
who
are
thinking
about
burdens
of
proof
and
standards
of
proof
when,
when
trying
to
submit
a
case,
he's
all
petitioned
so
we're
we're
hopeful
that
this
will
not
have
a
negative
impact
on
folks
getting
the
treatment
that
they
need.
H
The
second
change
is
regarding
the
cross-examination
of
the
medical
professionals,
who
testify
casey's
law
hearings.
We
believe
that
it's
existing
law
that
those
individuals
who
submit
medical
testimony
saying
this
this
person
needs
to
go
to
treatment.
We
think
it's
existing
law
that
they
can
be
subpoenaed
and
required
to
testify
is
available
for
cross-examination.
H
H
A
We
have
a
motion
on
the
bill.
Is
there
a
second?
It
was
second,
unless
I'm
cherry,
that's
anything
else
to
say,
if
not
we'll.
L
I
I
don't
I
if
you
would
indulge
mrs
wethington
for
one
or
two
minutes.
I
think
that
it's
it's
really
valuable
to
hear
from
her
her
perspective.
It's.
A
D
There
was
no
law
when
casey
died,
we
had
nothing
and
but
for
the
past,
18
years
because
of
casey's
life
and
death,
we
have
had
a
law
that
has
enabled
families
to
intervene
on
their
loved
ones
before
incarceration
or
or
death,
and
so
we
know
from
reports
from
the
aoc
it
is
being
used
and
we
know
from
anecdotal
records
that
it
is
being
successful,
and
we
have
never
heard
of
anybody
that
has
talked
with
us
or
written
us
that
they
have
felt
that
their
rights
were
violated.
D
In
fact,
they
are
extremely,
and
I
can't
stress
that
enough
extremely
grateful
that
someone
did
for
them
what
they
were
not
able
to
do
for
themselves
because
of
the
damage
that
addiction
had
done
to
their
brain.
So
this,
if,
if
we
ever
needed,
excuse
me
casey's
law
and
to
strengthen
and
be
able
to
make
it
more
effective
for
families.
We
need
it
now.
So
thank
you.
Thank.
A
D
L
I
A
A
A
There
is
a
sub
on
this
bill.
You
have
a
motion
on
the
sub.
Is
there
a
second?
Second
all,
those
in
favor,
please
signify
by
saying
aye
aye.
Anyone
opposed
right.
The
sub
is
before
us
representative,
timoney,
welcome
to
our
committee.
Please
introduce
yourself
and
your
guests
and
begin
your
testimony
when
you're
ready.
Thank
you.
J
Chairman,
thank
you
committee.
It's
an
honor
to
be
before
you
today.
Being
short-winded
is
a
specialty
of
mine,
especially
with.
If
you
ask
me
to
go
up
any
stairs
or
have
me
tie
my
shoes,
so
we
will
be
on
point
today.
My
name
is
killian
timmy,
I'm
the
state
representative
from
the
45th
district
and
I'm
going
to
let
my
guests
introduce
themselves.
D
E
D
J
Committee,
I'm
gonna
basically
kind
of
describe
what
the
bill
does
and
then
I'm
gonna
give
my
guest
an
opportunity
to
explain
why
it's
necessary
this
bill
mandates
a
timeline
that
medical
provider
has
to
contact
a
patient
to
go
over
lab
results
in
a
narrow
set
of
circumstances.
J
F
A
All
right
all
right,
you
have
a
motion
in
a
second
before
we
take
that
vote.
I
want
to
say
doctor:
it's
been
a
while.
So
thank
you
good
to
see
you
it's
the
days
of
training.
So
it's
been
a
long
time
and
I
appreciate
you
helped
educate
me
as
a
physician
as
well
we're
in
the
era
of
electronic
medical
records,
and
I
think
it's
important
for
everybody
to
know
that
we've
created
an
access
portal
for
people
to
be
able
to
see
their
own
results,
see
their
own
electronic
medical
records.
A
It
used
to
be
a
chart
was
a
doctor's
own
notes
for
to
remind
them
of
what
to
do
for
their
patients,
but
somehow
that's
become
now
a
legal
document
for
attorneys
for
insurance
companies
for
government
and
now
patients
have
access
and
often
don't
know
when
they
see
something
of
bad
news.
It's
better
to
have
that.
That
communication,
I
think,
is
a
great
bill
that
needs
to
happen.
So
I
commend
you
for
it.
Senator
berg.
I
I
just
wanted
to
really
really
thank
you
from
the
bottom
of
my
heart
as
a
health
care
provider
for
bringing
this
bill
and
for
both
of
you
for
being
up
here
to
speak
to
it,
because
I
mean
this
can
be
a
horrible
horrible
situation
for
patients.
I
mean
imagine
honestly,
opening
up
your
telephone
and
seeing
a
report
that
says
advanced
metastatic
cancer
and
you
don't
even
it's
5
30
on
on
a
friday
night.
You
don't
even
have
anybody
to
call
that's
unethical.
I
I
think
that
is
truly
unethical.
Doctors
are
required
to
have
a
plan
for
a
patient.
You
don't
just
tell
somebody
you're,
sick
and
you're
alone,
and
and
this
takes
takes
that
ability
away,
and
I
can't
tell
you
how
many
phone
calls
I've
had
from
friends
and
families
and
neighbors
explain
this
to
me.
Explain
this
to
me
and
I'm
not
their
doctor.
This
is
not.
I
am
not
in
a
position
to
do
this,
so
I
just
really
really
thank
you
from
the
bottom
of
my
heart.
I
encourage
every
member
on
this
committee
to
vote.
A
A
Thank
you
committee
appreciate
you
all
right.
Next,
we're
going
to
take
up
house
bill
502,
which
is
an
act
relating
to
genetic
information.
The
sponsor
is
representative
danny
bentley,
representative
bentley.
We
have
a
couple
of
bills
for
you,
so
we'll
have
you
be
at
the
table
for
a
little
while,
if
you'd
like
to
introduce
yourself
and
any
of
your
guests-
and
please
begin
your
testimony.
N
Those
can
cost
up
to
a
hundred
to
three
hundred
dollars,
but
we
need
to
put
guard
rails
on
that
current
fatal
genetic
privacy
protection
protections
currently
in
place
stem
from
excuse
me
several
laws,
including
hipaa
genetic
information,
nondiscrimination
act
of
2008
and
the
federal
trade
commission
at
the
federal
level,
neither
the
federal
trade
commission
nor
the
food
fda
and
the
vast
majority
of
laboratories.
They
don't
provide
that
protection.
N
Dna
theft
can
result
in
exposure,
medical
information
such
as
a.d
or
predisposition
to
cancer.
Like
we
were
talking
a
minute
ago,
dna
theft
can
reveal
information
about
your
family
relations
and,
whatever
the
nature
of
that
day
in
a
thief
seeks,
it
may
be
for
blackmail,
paper
records,
cyberspace
or
physical,
so
we
need
to
protect
that
of
all
kentuckians.
J
Excellent,
thank
you
chairman
alvarado
members
of
the
committee.
I
know
you
got
a
bitty
agenda,
so
I'm
going
to
scrap
my
longer
prepared
testimony
and
just
make
three
main
points.
One
this
bill
will
put
consumers
in
control
of
their
genetic
data
completely
from
start
to
finish
when
they
engage
with
direct
consumer
genetic
testing
services.
J
Two
this
bill
has
had
broad
stakeholder
and
bipartisan
support
in
the
states
where
it's
already
passed,
that
includes
arizona,
california,
utah
and
wyoming,
and
three.
This
was
taken
up
at
the
council
of
state
governments
meeting
back
in
the
fall
and
adopted
into
their
model
state
bill
book.
So
we
strongly
encourage
a
favorable
report
by
the
committee
and
I'm
happy
to
answer
any
questions.
A
A
The
matter
passes
with
a
vote
of
ten
to
zero.
Is
there
a
motion
for
consent?
You
have
a
motion
in
a
second
all,
those
in
favor,
please
signify
by
saying
aye.
Anyone
opposed
all
right.
The
matter
is
on
consent.
Thank
you
very
much.
I
commend
you
on
that.
That's
actually
really
good
legislation
with
obviously
an
up
and
coming
technology.
We
have
to
make
sure
we
protect
the
folks
in
the
commonwealth.
A
N
M
I'd
like
to
start
by
thanking
dr
bentley
for
his
commitment
to
rural
health
care,
and
this
is
really
a
both
a
bill
that
will
improve
access
for
those
who
are
suffering
from
opioid
addiction,
but
it's
also
a
great
economic
development
piece,
because
it
allows
hospitals
that
have
been
closed
to
be
reopened,
and
we
all
know
that
no
community
thrives
economically
unless
it
has
a
hospital
in
it.
They
are
economic
engines,
and
this
bill
will
be
a
great
benefit
to
all
of
our
people,
but
particularly
for
rural
health
care.
K
Senator
alvarado
I
work
with
representative
bentley
on
the
senate
committee,
substitute
you
have
before
you.
I
want
to
thank
senator
givens
and
senator
meredith
for
their
input
on
this.
We've
worked
with
senator
bentley
to
tighten
up
some
of
the
guidelines
here.
Addiction
recovery
care
is
one
of
the
largest
employers
in
my
district,
and
I
think
that
the
project
that
senator
bentley
talked
about
is
especially
important,
since
they
intend
to
go
for
a
broader
mental
health
care
wing
so
that
they
can
take
patients
who
are
in
distress.
K
That's
something
that's
sorely
lacking
in
eastern
kentucky.
So
not
only
will
this
be
a
great
economic
development
tool
for
rural
areas
that
have
suffered
during
the
pandemic.
This
will
allow
people
that
are
in
need,
in
the
31st
district
and
throughout
eastern
kentucky,
to
really
get
the
kind
of
care
they
need.
So
I
want
to
commend
representative
bentley
for
his
bill
and
for
working
with
us
to
get.
I
think
what
is
an
improved
version?
N
D
I
just
want
to
add
that
I
thank
all
of
you
for
working
on
this
bill.
It
will
benefit
addiction,
recovery
care,
but
this
will
also
benefit
a
lot
of
other
rural
hospitals.
So
what
this
does
is
tighten
up
and
say
that
if
a
hospital
has
closed,
they
can
access
these
long
funds
to
reopen
or
be
repurposed,
whereas
before
this
long
phone
was
not
available
for
those
purposes.
A
Thank
you,
mr
chairman
and
committee.
Thank
you
so
much.
I
want
to
commend
you
as
a
sponsor.
Also
senator
wheeler,
senator
meredith
senator
givens.
You've
worked
on
the
sub,
which
I
think
brings
a
lot
of
ease
to
a
lot
of
folks
and
the
changes
that
you've
made
into
it.
I
know
there's
another
bill
that
you've
got
another
loan
fund,
also
that
you
may
want
to
consider
similar
changes
to
that
bill
for
us
to
be
able
to
consider
that
moving
forward
as
well.
But
we
do
have
one
question
from
senator
meredith.
M
F
Yeah,
in
particular
with
health
care,
it's
like
wish,
comes
versus
chicken
or
the
egg,
and
we
forget
that
60,
70
percent
of
health,
social
determinants
and
the
biggest
I
think
challenge
is
poverty
and
rural
communities.
And
how
do
we
ever
address
that
if
we
don't
have
a
foundation
to
build
upon
it?
To
me?
That's
healthcare
and
education,
and
it's
particularly
healthcare,
is
very,
very
fragile.
F
Right
now
very
appreciate
the
legislation
we
passed
last
year
that
helped
improve
reimbursement
for
hospitals,
but
I
don't
want
to
leave
a
false
insecurity
that
that's
going
to
solve
the
problem,
because
it's
not,
I
think
it
gets
us
to
a
a
we're
trading
water,
but
it's
not
getting
this
out
of
the
water.
So
that's
something
we
need
to
monitor
closely
and
look
forward
to
working
with
representative
bentley
in
the
future
and
see
what
else
we
can
do
to
help
protect
the
very
fragile
rural
healthcare
delivery
system.
But
I
appreciate
the
bill
appreciate
the
information.
E
E
A
A
A
Thank
you
much
next
item
on
the
agenda
will
be
house
bill,
174
and
act
relating
to
postpartum
medicaid
coverage.
The
sponsor
is
representative
mackenzie
cantrell.
We
do
have
a
substitute
on
this
bill
and
I'll
entertain
a
motion
on
if
a
motion
on
the
sub
is
there
a
second.
We
have
a
second
all,
those
in
favor,
please
signify
by
saying
aye
aye
and
the
opposed
all
right.
The
sub
is
before
us
and
just
to
clarify
the
sub
representative.
Welcome
I
just
want
to
the
underlying
bill.
A
Is
un
untouched
representative
moser
is
going
to
speak
to
a
amendment
she
has.
We
also
have
senate
bill
43,
which
is
a
bill
that
was
passed
by
this
committee
and
by
the
senate,
that
I
know
that
senator
meredith
can
speak
on
as
well
so
represent.
If
you'd
like
to
introduce
yourself.
Please
begin
your
testimony
when
you're
ready.
D
Thank
you,
mr
chair
and
members
of
the
committee.
My
name
is
mackenzie
cantrell,
I'm
the
house,
member
for
kentucky
house
district
38..
This
is
my
first
time
presenting
before
a
senate
committee,
and
I'm
so
grateful
to
you,
mr
chair
and
the
members
for
hearing
house
bill
174.
D
As
you
alluded
to
mr
chair
house,
bill
174
as
it
passed
originally
in
the
house,
was
a
a
very
simple
language
change,
but
a
very
important
one
in
terms
of
keeping
moms
healthy
in
the
commonwealth.
It's
a
seven
word
change.
It's
there
on
the
stuff
on
page
one,
it
makes
mothers
who
are
on
medicaid
eligible
for
medicaid
for
up
to
one
year
after
delivery
of
the
child.
So
I
think
about
my
own
mother
who's.
D
The
most
selfless
person
I've
ever
met,
sometimes
moms
when
they
become
moms,
do
not
take
care
of
themselves
as
they
should
and
they
ignore
health
problems,
and
we
we
need
moms
to
especially
low-income
mothers,
who
might
be
choosing
between
taking
care
of
themselves
and
taking
care
of
their
children
to
prioritize
their
own
health,
because
that's
getting
those
problems
addressed
early
is
going
to
lower
our
health
care
costs
and
be
good
for
society
going
forward,
and
you
also
alluded
to
that.
There
are
some
other
language
changes
in
the
bill
and
chairwoman.
D
L
L
Why
can't
I
speak?
It
rivals
third
world
country
numbers
which
is
unacceptable,
and
we
know
that
this
is
a
huge
issue
and
this
change
really
targets
medicaid
dollars
to
programs
that
we
know
work.
L
Now
the
changes
in
the
committee
sub
the
first
change
that
I'll
talk
about
is
something
that
was
brought
to
me
by
volunteers
of
america
and
some
other
treatment
providers
that
really
it
was
a
problem
that
resulted
from
some
changes
made
to
our
welfare
reform
situation
a
couple
of
years
ago.
L
What
it
talked
about
is
the
moms
whose
babies
were
born
with
neonatal
abstinence
syndrome.
If
they
were
already
on
medication
for
addiction
treatment,
then
their
parental
rights,
their
their
their
parental
rights
termination,
were
not
affected.
L
And
so
this
change
just
says
that
if
a
mom
presents
an
act
of
addiction
that
she
will
be
offered
if
she
agrees
upon
or
agrees
to
this
a
court-ordered
assessment
and
by
a
drug
treatment
provider
and
then
assignment
to
a
certified
peer
support
specialist-
and
this
all
needs
to
happen
before
she's
discharged
from
the
hospital-
and
she
still
has
to
enroll
in
treatment
within
90
days.
But
we
just
didn't
want
to
give
dcbs
that
kind
of
power
to
come
in
and
remove
the
child
if
the
mom
was
willing
to
get
help.
L
A
F
F
So
in
anticipation
that
seneca
and
current
resolution
20
would
pass
again
creating
this
task
force
that
if
we
do
take
steps
to
maybe
elevate
the
committees
of
medicaid
oversight
and
child
advisory,
that
we
have
some
reporting
responsibilities
that
currently
called
go
to
those
committees.
So
what
the
language
does
in
this
bill
is
change
that
reporting
relationship
on
temporary
basis
to
lrc,
who
will
then
be
responsible
for
distributing
information
to
the
appropriate
parties
as
need
be.
F
A
Thank
you
very
good.
Thank
you.
We've
got
a
couple
more
folks
who
want
to
speak
to
this
bill.
I'm
going
to
ask
you
to
come
forward
just
one.
I
mean
one
minute,
because
I
think
we
have
the
support
for
this
bill.
We've
got
under
a
time
crunch.
I
think
holly,
hudnall
and
christina
libby
are
here
if
you'd
like
to
come
forward.
Just
very
briefly
introduce
yourselves
and
please
just
one
minute
of
testimony.
I
understand
you
want
to
speak
in
support
of
the
bill.
O
Thank
you
for
allowing
me
one
minute
to
speak.
My
name
is
holly
hudnall.
I
am
currently
the
story.
Banking
coordinator
with
kentucky
voices
for
health,
but
back
in
2012
I
was
getting
ready
to
start
my
first
year
of
graduate
school
at
western
kentucky
university
and
was
shocked
to
find
out
that
I
was
pregnant.
I
had
student
health
insurance
that
did
not
offer
maternity
benefits
so
eventually
I
applied
for
and
received
medicaid.
O
My
beautiful
and
healthy
10
pound
10
ounce
daughter
was
born
in
march
of
2013
three
weeks.
Three
weeks
later,
I
took
final
exams
two
weeks
after
that,
five
weeks
after
she
was
born,
I
graduated,
which
ended
my
student
medical
coverage
and
then
three
weeks
after
that
my
medicaid
ended.
I
had
a
lingering
issue
with
my
c-section.
O
I
had
hypertension,
I
had
gestational
diabetes.
It
would
have
cost
me
out
of
pocket
to
follow
up
for
those.
So
I
did
not
follow
up.
Four
years
later,
I
would
have
to
have
surgery
to
repair
that
issue
with
my
c-section
incision,
I'm
still
on
medication.
Now
for
my
blood,
sugar
and
hypertension.
O
So
I
know
that
not
following
up
has
consequences,
not
just
for
me
but
for
my
family
as
well,
so
I
really
am
quite
grateful
for
the
support
for
this
bill.
I
think
that
extending
that
post
partum
coverage
is
a
good
idea.
I
know
that
my
story
is
not
unique.
That's
what
makes
it
so
unfortunate
and
I
think
that
this
bill
will
go
a
long
way
toward
rectifying
that.
Thank.
D
Yes,
I
just
want
to
say
my
name
is
christina
libby,
I'm
the
health
outreach
navigator
with
the
homestead
housing
coalition
of
kentucky,
and
in
my
personal
experience,
the
biggest
thing
is
that
I
had
both
as
I
was
able
to
speak
with
you
all
previously
about
mental
health
issues
in
the
postpartum
period,
but
also
physical
health
issues.
That,
thanks
to
the
medicaid
coverage
that
I
had
were
also
covered,
and
so
the
issues
with
postpartum
can
go
much
further
beyond
eight
weeks.
A
B
Senator
rocky
adams
explain
my
vote.
Please.
A
I
A
I
K
A
To
catch
my
eye
vote
and
also
thank
everybody
for
coming
today,
this
is
really
important
bill.
I
don't
think
everybody
realizes
that.
Often
ms
hudnall's
story
is
one:
that's
common
and
a
lot
of
women
after
they
deliver
a
baby
may
have
something
unrelated,
but
if
it
occurs
in
that
one
year
postpartum
it
counts
against
us
for
maternal
mortality
and
morbidity
and
other
problems,
and
so
our
state
has
a
poor
ranking.
As
a
result
of
that,
I
do
want
to
mention.
I
did
I
don't
know
if
the
cabinet
is
here
or
still
online.
A
I
did
speak
to
the
cabinet
about
this,
and
I
see
the
representative
in
the
back
about
the
coverage
for
this,
and
the
cost
of
this,
and,
like
I
said
from
my
understanding,
is
they're
able
to
cover
this
cost,
and
I
see
her
nodding
her
head
in
the
back.
That
would
have
been
nice
to
have
her
come
forward
earlier,
but
they're
able
to
cover
this
cost
without
having
to
have
anything
new
as
far
as
any
costs
or
anything
in
the
budget
for
it
so
cabinet.
A
If
you'd
like
to
come
forward,
yes,
just
really
briefly,
I
know
this
is
kind
of
out
of
the
ordinary,
but
just
to
say
that
I
was
being
brief.
Yes,
no
problem
nodding.
D
In
the
medicaid
program,
we
were
looking
into
it
anyway,
so
this
is
just
going
to.
It
was
an
easier
to
have
it
as
a
bill
in
all
honesty,
and
we
think
we
can
observe
absorb
it
in
the
cost.
So.
A
Thank
you,
mr
robin.
I
appreciate
that.
Well,
I
cast
an
eye
vote
with
that.
The
bill
passes
the
count
of
10
to
zero,
we'll
entertain
a
motion
very
good.
We
have
a
motion
in
a
second
all,
those
in
favor,
please
signify
by
saying
aye
any
opposed
all
right.
The
matter
is
on
consent.
Thank
you.
Thank
you.
So
much.
We
also
have
a
title
amendment
on
this
bill.
We'll
need
a
motion
on
the
title
amendment.
We
have
a
motion
in
a
second
all,
those
in
favor,
please
identify
by
saying
aye
aye
any
opposed
all
right.
A
The
title
amendment
is
adopted
all
right.
Now
we
have
the
bigger
bill,
which
I
know
will
entertain
a
lot
of
discussion
before
we
begin
testimony
on
this
bill.
A
There's
people
going
to
be
for
and
against
this
bill.
For
obvious
reasons,
I'm
going
to
ask
everyone
to
please
temper
those
emotions
that
they
can.
I
have
a
gavel.
I
don't
want
to
use
it
to
to
gavel
anybody
down
I'm
going
to
let
give
an
opportunity
to
folks
to
express
their
views.
We
do
I've
saved
this
for
last.
It's
gonna
take
the
most
amount
of
time
and
I
wanted
to
make
sure
we
had
time
for
discussion
on
the
bill
there
is.
A
I've
worked
pretty
hard
on
this
through
a
lot
of
porsches
a
lot
of
changes
made
from
the
house
bill.
We
do
have
a
sub
that's
before
us
and
before
we
entertain
that
there's
gonna
have
to
be
an
amendment.
A
A
All
right,
very
good,
so
with
that
caveat
for
everyone,
I'm
just
going
to
ask
everybody
to
try
to
keep
emotions
in
check.
Like
I
said
we're
going
to
have
a
lot
of
folks
want
to
speak
on
this,
we're
going
to
be
limited
on
time,
and
I'm
going
to
be
pretty
strict
on
that.
So
we
can
get
done
in
time
to
let
people
speak
their
minds
and
then,
but
if
you
hear
me
gaveling
you
out
or
interrupting
you,
please
don't
get
offended.
I'm
doing
that
to
try
to
keep
us
on
on
track
for
this.
A
Before
we
begin
there
is
a
sub.
It's
pss3
that
is
in
your
packets,
we're
gonna,
be
working
off
of
that
document.
I'll
entertain
a
motion
on
that
sub.
We
have
a
motion.
Is
there
a
second?
Second
all
those
in
favor,
please
define
by
saying
aye
aye
all
right.
The
sub
is
before
us.
There
is
going
to
be
a
I'm
going
to
make
a
senate
committee
amendment.
A
If
you
look
at
page
49
of
the
sub
under
section
22,
subsection,
2,
subsection
b,
number
four,
it
says
shall
be
exempted
from
the
requirements
of
section
20.
That
is
supposed
to
be
section.
21
of
this
act
is
a
technicality
that
will
need
to
be
changed
I'll,
entertain
a
motion
I'll
make
the
motion
to
change
that
from
20
to
21.
A
Is
there
a
second?
You
have
a
second
all,
those
in
favor,
please
signify
by
saying
aye
aye.
Anyone
opposed
all
right
so
that
amendment
has
been
adopted
with
that
we're
gonna.
This
is
house
bill
number
three
again:
it's
an
act
relating
to
public
health
and
declaring
an
emergency.
The
sponsor
representative,
nancy,
tate
representative
tate.
If
you'd
like
to
come
forward,
introduce
yourself,
I
understand
you're,
accompanied
by
adia
wuchner
as
well.
Q
R
D
Q
Thank
you
very
much,
so
I
understand
that
we're
at
a
time
crunch,
so
I'm
going
to
just
brace
be
basically
breeze
through
each
one
of
the
sections
and
just
give
a
high
level
explanation
for
each
one
of
the
sections
so
house
bill
3
has
been
referred
to
as
a
humanity
in
health
care.
Some
have
stated
that
its
intent
is
to
eliminate
abortions
in
the
commonwealth
of
kentucky.
Q
My
response
is:
is
that
we've
already
done
that
with
the
assistance
of
this
honorable
body
with
the
house
bill
or
the
heartbeat
bill
which
was
passed
during
the
2019
regul
regular
session?
Rather,
the
intent
of
house
bill
3
is
to
ensure
that
while
abortions
are
legal
in
kentucky,
we
want
them
to
be
as
safe
as
possible.
Again,
there
are
several
sections,
so
the
first
section,
the
first
topic
is
abortions
on
minors
and
judicial
bypass.
Q
According
to
the
kentucky
annual
adoption
report
summary
from
the
department
of
public
health
office
and
vital
statistics
for
period
2017-2020
kentucky
averages
13
children
14
ages
of
younger
that
have
abortions
annually
at
a
time
when
parents
do
not
even
want
their
children
to
take
an
aspirin
in
their
schools.
Without
their
parents
consent
and
when
the
u.s
state
department
estimates
that
400
000
miners
in
the
united
states
are
involved
in
human
trafficking,
this
measure
states
that
physicians
must
exert
measures
to
ensure
that
parents
of
minors
seeking
an
abortion
are
consulted.
Q
Q
Judicial
bypass
raises
the
standards
of
who
meets
the
merits
to
obtain
a
judicial
bypass
of
parents
and
legal
guardians
they're
not
available,
and
they
are
not.
It
is
not
in
the
best
interest
of
the
miners
to
get
them
involved.
Modifications
have
been
made
to
the
data
required
for
the
vital
statistics
report
and
grants
the
office
of
the
inspector
general
oversight
of
abortions,
reporting,
verification
and
compliance.
Q
Q
The
third
topic
addresses
a
dignified
disposal
of
fetal
remains
the
u.s
supreme
court
upheld
language
in
their
2016
in
2016.
In
the
case
known
as
christina
box,
commissioner
indiana
department
of
health
versus
planned
parenthood
of
indiana
and
kentucky
also
in
2019.
The
ohio
attorney
general
mike
dewine
reported
findings
that
planned
parenthood
was
disposing
of.
Fetal
remains
in
landfills.
In
kentucky
this
information
infuriated
me
and
spurred
me
to
investigate
and
adopt
the
language
upheld
by
the
u.s
supreme
court,
which
prevents
human
remains
from
being
treated
like
medical
waste.
Q
This
section
is
that
each
states
that
each
prescription
issued
for
an
abortion-inducing
drug
that
the
report
form
shall
be
signed
by
the
qualifying
physician
who
provided
the
drugs
and
transmitted
to
the
cabinet.
The
report
will
include
the
drug
administered
complications
or
adverse
effects
and
level
and
type
of
intervention
required.
According
to
a
recent
report
by
medicaid
between
2000
and
2015,
emergency
room
visits
have
gone
up,
500
percent
from
complications
due
to
the
chemical
abortion
pill.
Q
The
sixth
topic
allows
the
attorney
general
to
demand
from
the
general
of
any
state
the
surrender
of
any
person
found
in
the
other
state
who
is
in
who
is
going
to
who
has
been
charged
in
kentucky
with
the
crime
of
violating
the
distribution
of
chemical
abortions.
Mr
chairman,
at
this
time
I
welcome
questions
and
concerns.
Thank
you.
A
I
appreciate,
I
think
what
we're
going
to
do
is
before
we
take
questions.
We
have
people
that
are
here
to
speak
in
opposition.
We
have
one
member
who's
particularly
opposed
to
this,
and
I
want
to
give
that
member
an
opportunity
to
speak.
Senator
burke,
I'm
going
to
invite
you
if
you'd
like.
I
know
you
have
some
things
you
want
to
talk
about
this
bill.
If
you'd
like
to
come
forward
and
present
information
at
the
table,
I
welcome
you
to
come
forward
and
I'll.
Give
you
five
minutes
to
talk
about
your
opposition
to
the
bill.
I
Senator
karenberg
district
26.,
first
of
all
chairman,
I
really
appreciate
you
giving
me
the
opportunity
to
testify.
I
did
not
know
that
I
was
going
to
be
given
this
opportunity,
so
I
do
not
have
prepared
comments.
I
I
It
clearly
states
it's
time
to
change
the
standard
of
medication,
abortion
and
just
real.
Clearly
I
want
to
because
people
don't
understand
words
matter.
Representative
tate
is
talking
about
chemical
abortion,
chemical
abortion
and,
to
me,
chemical,
abortion
would
mean
you
instill
a
chemical
into
the
uterus
in
an
effort
to
create
a
miscarriage
medication.
Abortion,
which
is
what
we're
talking
about
here,
is
you
take
pills.
These
are
pills.
The
first
pill
is
an
anti-progesterone
pill.
I
I
The
second
pill
which
you
take
24
hours
later,
softens
your
cervix
and
causes
your
uterus
to
contract,
and
there
are
women
on
the
committee
today
and
any
of
you
all
who
have
ever
had
menstrual
cramps
will
understand
what
it
feels
like
when
your
uterus
contracts,
so
normal
function
of
the
uterus.
All
this
pill
does
is
is
potentiate
it
and
that's
what
we're
talking
about
we're
talking
about
a
procedure
that
is
done
for
women,
who
are
less
than
10
weeks,
pregnant
okay.
I
So
this
is
an
extremely
simple,
extremely
safe
procedure
that
the
american
college
of
obstetrics
and
gynecology
and
the
american
college
of
medicine
are
both
saying
loud
and
clear.
This
is
safer,
safer
than
surgical
abortion.
It
is
more
private
for
women,
it
gives
them
more
efficacy
over
their
own
body
and
their
decisions
regarding
their
own
reproduction.
I
In
fact,
the
conclusion
of
one
of
the
articles,
the
title
of
this
article
again
this
is
from
jama,
published
on
march
21st
2020,
how
relevant,
given
the
high
effectiveness
and
very
low
risks
associated
with
emitting
in-person
tests
and
using
history-based
screening
alone
no
test
medication.
Abortion
can
offer
substantial
benefits
to
con
clinicians
and
patients
and
is
consistent
with
the
principle
of
patient
centered
care.
I
Now
what
this
bill
this
bill
takes
telemedicine
for
abortion
care
and
makes
it
illegal
in
the
state
now.
Remember
guys,
we've
all
been
through
this
long
session,
we're
getting
to
the
end
of
it.
We
have
expanded
telehealth
coverage
for
virtually
every
other
branch
of
medicine
in
this
state
that
we
could
kentucky
is
actually
leading
the
way
in
this
endeavor,
because
we
know
we
have
access
problems.
We
know
we
have
people
in
communities
that
cannot
reach
safe,
effective
health
care,
and
our
goal
is
to
try
to
fix
that
not
to
make
it
worse.
A
Senator
burke,
I
appreciate
that
we're
at
the
limit
I'm
going
to
have
other
groups
come
forward,
appreciate
your
testimony.
We've
got
several
folks.
They
want
to
come
forward.
I
know
we've
got
kate
miller
with
the
aclu
tamara
wieder
and
if
I
mispronounced
names,
please
forgive
me,
sarah
hall,
aaron
smith,
mickey
adams
and
I'm
the
person
who's
got
a
long
last
name
himself.
I'm
going
to
make
an
attempt
here,
nicole
aguilean,
does
that
jared?
Is
that
right,
close
enough?
Thank
you.
I
I
say
that
myself
quite
a
few
times.
I
appreciate
you
all.
A
If
you
all
want
to
come
forward,
grab
a
seat,
introduce
yourselves
and
allow
each
of
you.
A
couple
of
minutes
provide
a
bit
of
testimony.
Ms
miller.
I
understand
you've
got.
A
T
P
S
O
T
Chairman
and
members
of
the
committee,
thank
you
so
much
for
allowing
us
the
opportunity
to
testify
today.
As
I
said,
my
name
is
kate
miller
and
I'm
the
advocacy
director
for
the
aclu
of
kentucky
and
I'm
going
to
try
to
be
very
very
brief
and
also
not
knock
over
any
of
these
things
and
keep
pretty
close
to
the
microphone.
So,
of
course,
I
think
you
all
know
the
aclu's
position
on
access
to
abortion,
and
so
I'm
not
gonna
spend
a
lot
of
time
discussing
that
today.
T
What
I
do
want
to
discuss
are
some
very
specific
provisions
to
the
bill,
where
I
think
we
can
find
some
common
ground.
I
want
to
start
by
expressing
my
appreciation
to
the
sponsor
representative.
Tate
who's
been
very
responsive
to
our
request
for
meetings
and
emails
and
conference
calls,
and
I
am
appreciative
of
the
chairman
for
making
changes
alongside
the
sponsor
when
it
comes
to
hb3.
T
So,
as
I
said,
I'm
just
going
to
focus
on
a
couple
of
areas
and
the
first
one
is
privacy
and-
and
I
think,
there's
a
lot
of
common
ground
here.
I
hope
that
there
will
be
so.
The
bill
already
addresses
privacy
throughout
its
63
pages,
but
I
think
there
are
still
some
remaining
omissions.
T
One
significant
omission
was
addressed
by
making
the
birth
death
certificate
optional.
Unfortunately,
what
we
did
not
know
is
that
when-
and
I
can-
I
can
show
this
to
you
on
page
46
of
the
committee
sub-
it's
line
26
that
there
is
existing
krs.
That
requires
a
death
certificate
in
order
for
remains
to
be
cremated,
which
of
course
makes
a
lot
of
sense.
Krs
previously
had
an
exemption
for
fetal
remains
that
was
struck
in
the
bill.
T
T
Next,
I
want
to
touch
on
minors.
The
bill
also
requires,
I
believe,
in
section
21,
that
all
parents
of
minors,
all
parents
of
minors,
be
notified
of
the
disposition
of
remains.
I
think,
unintentionally,
that
notification
is
also
required
for
minors
who
have
received
a
judicial
bypass,
and
so
of
course,
if
someone's
gone
through
the
process
of
receiving
a
judicial
bypass,
we
think
it's
pretty
clear
that
the
judge
has
deemed
it's
in
their
best
interest
to
keep
this
private
from
their
parents.
T
So
again
I
don't
it's
a
totally
different
section
than
the
judicial
bypass
section,
two
more
very
quickly,
I'm
so
sorry
trying
to
explain
this
as
best
I
can
pathology
and
law
enforcement,
two
things
that
I
have
no
understanding
of,
but
at
the
bottom
of
section,
21
on
page
49,
the
bill
lays
out
when
fetal
remains
can
be
transported.
It
says
you
can.
T
Only
transport
fetal
remains
in
like
this
four
or
five
situations,
and
it
doesn't
include
the
situation
of
transporting
fetal,
remains
to
a
pathology
lab
or
to
law
enforcement,
and
so
there
are
instances
of
abortion
or
miscarriage
where
you
would
want
to
have
pathologists
review.
Those
remains
in
order
to
establish
a
diagnosis,
and
there
are
instances
where
those
remains
may
be
evidence
of
a
crime
like
rape
or
incest,
where
we
would
want
them
to
be
transported
to
law
enforcement
and
then,
finally,
I
think
the
emergency
clause,
I
think,
remains
in
the
committee
sub.
T
We
there
are
certain
elements
of
this
bill
that
could
go
into
effect
immediately,
but
quite
a
few
prom
administrative
regulations
need
to
be
promulgated
and
we
don't
think
that
that
can
be
done
immediately,
and
so
no
one
will
be
able
to
comply,
and
that's
not
just
in
regards
to
abortion,
but
pharmacists.
T
Hospitals,
thank
you.
So
those
are
the
main
provisions.
As
I
said,
of
course,
you
know.
The
aclu
believes
that
decisions
about
pregnancy
are
personal
can
be
complicated.
The
best
person
to
make
that
decision
is
the
pregnant
person,
but
this
is
a
good
faith
effort
to
come
to
the
committee
and
and
to
come
to
representative
tate
and
urge
you
to
adopt
these
very
simple
recommendations,
and
we
would
be
very
happy
to
help
with
those
and
I'm
going
to
turn
it
over
to
these
more
valuable
voices
and
go
sit
down
over
there.
C
Hi,
thank
you.
Like
I
said,
my
name
is
tamara
weeder
and
I'm
the
kentucky
state
director
for
planned
parenthood
alliance
advocates
I'm
here
today
in
strong
opposition
to
house
pill
3.
this
bill
piles
on
a
long
list
of
abortion
restrictions,
none
of
which
are
based
in
medical,
best
practice
and
patient
safety,
and
all
of
which
will
harm
abortion
patients
and
providers
and
make
it
impossible
for
kentucky
patients
to
get
the
care
they
need.
C
Years
of
medical
research
has
demonstrated
that
legal
abortion
is
one
of
the
safest
medical
procedures
in
the
united
states,
with
low
mortality
and
complication
rates
for
patients.
In
fact,
the
overall
abortion
complication
rate
is
approximately
three
times
lower
than
that
for
wisdom,
tooth
extraction
and
about
three
to
four
times
lower
than
that
for
a
tonsillectomy
women
in
the
us
experience
major
complications
less
than
one
percent
of
the
time.
C
We
know
this
because
the
fda
collects
robust
information
about
abortion,
safety
and
adverse
events,
including
complications
such
as
ectopic
pregnancies
and
hospitalizations
that
do
that
do
not
result
in
deaths.
This
data
has
been
collected
continuously
since
the
fda
first
approved
the
use
of
mephapristone
for
early
abortions.
Over
two
decades
ago,
the
most
recent
fda
report
on
abortion
complications,
which
includes
data
through
june
2021
concludes,
continues
to
affirm
that
complications
are
extremely
rare
in
the
united
states.
C
It
is
important
to
understand
that
none
of
the
requirements
in
this
bill
are
backed
by
medical
best
practice,
as
we
just
heard
from
dr
karen
berg
senator
dr
karen
berg,
or
supported
by
leading
medical
organizations,
for
example,
the
restrictions
on
medication.
Abortion
directly
contradict
the
fda's,
updated
recommendations
for
medication
abortion
in
december.
The
fda
listened
to
decades
of
data
and
overwhelming
advice
of
medical
experts
and
removed
the
medically
unnecessary
requirement
that
medication
abortion
be
dispensed
in
person,
a
requirement
that
doesn't
apply
to
any
other
drug.
C
In
fact,
the
additional
requirements
in
this
bill
are
so
burdensome
and
unprecedented
that
there
is
no
way
providers
and
state
agencies
would
be
able
to
comply
by
the
time
this
bill
goes
into
effect.
This
bill
has
an
emergency
clause,
as
kate
said,
and
with
the
immediate
effect
of
this
date
with
and
when
it.
If
it
passes,
these
requirements
will
be
overwhelming,
we
won't
be
able
to
comply
most.
C
The
pharmacists,
the
hospitals,
planned
parenthood,
emw
things
like
developing
a
certification
process
and
various
forms
of
materials
would
take
time
for
the
state
and
obtaining
certification
and
complying
with
a
long
list
of
other
requirements
in
this
bill
will
take
time
for
providers
if
they
can
comply
at
all,
given
how
harmful
and
burdensome
the
requirements
are
in
the
spill.
Attaching
an
emergency
clause
ignores
this
reality.
It
is
clear
that
this
has
nothing
to
do
with
patient
safety.
C
A
P
I'll
try
to
keep
this.
I
will
try
to
keep
this
brief.
I
am
here
just
to
share
part
of
my
story
with
you
not
really
because
I
want
to,
but
because
I
feel
like
I
have
to
when
I
was
six
years
old.
My
stepfather
sexually
abused
me
for
the
first
time
I
hid
in
my
closet
until
my
mother
came
home
from
work
that
day
and
I
tried
to
explain
to
her
what
had
happened
to
me.
I
heard
her
talking
to
my
stepfather
about
what
I
said
and
then
I
heard
her
say.
P
P
Luckily,
I
was
not
able
to
bear
children
during
that
time,
but
if
my
body
had
been
able
to
reproduce-
and
if
I
had
gotten
pregnant
while
hb3
was
in
place,
the
barriers
to
abortion
care
would
have
been
insurmountable
for
me,
you
see,
I
can
tell
you
that
my
mother
would
have
been
supportive
of
an
abortion,
but
I
didn't
get
my
first
id
until
I
received
my
learner's
permit
at
age
16..
My
biological
father
had
moved
to
florida
after
he
and
my
mom
divorced.
They
had
no
contact.
P
I
have
no
idea
how
my
stepfather
would
have
reacted
to
me
being
pregnant,
but
I
can
tell
you
this
telling
him
quite
possibly
would
have
placed
me
in
more
harm.
My
stepfather
was
a
functioning
drug
addict
and
alcoholic
who
was
as
charismatic
and
charming
as
he
was
cruel
and
abusive
to
both
me
and
my
mother.
My
mother
never
pressed
charges
against
him
for
anything
that
he
did
in
part
because
after
the
first
time
I
kept
what
was
happening
to
me
to
myself.
P
You
see
for
me.
If
I
didn't
tell
anyone,
it
was
easier
to
pretend
that
it
wasn't
happening.
We
were
heavily
involved
in
church,
he
was
a
deacon.
She
was
an
associate
minister.
She
didn't
leave
him
until
our
pastor
told
her
to
do
so
after
witnessing
a
violent
interaction.
One
night
you
see
as
much
as
you
all
might
want
to
turn
a
blind
eye
to
the
fact
that
women
and
children
in
kentucky
are
being
raped
every
day.
P
The
numbers
tell
the
story:
kentucky
has
the
highest
rate
of
child
abuse
in
this
country,
and
I
am
looking
at
the
folks
who
have
the
power
to
create
policy
for
good
but
consistently
choose
otherwise
in
the
name
of
what
protecting
life.
How
are
you
actively
protecting
life
once
a
child
is
born?
How
would
you
actively
protect
her?
This
is
a
photo
of
me
when
the
abuse
was
actively
occurring.
How
would
you
explain
to
her
that
despite
the
suffering
excruciating
abuse
and
trauma
because
of
hb3?
P
I
hope
that
you
can
imagine
the
links
one
might
go
to
to
keep
that
kind
of
information
from
getting
out
there.
It
is
not
a
surprise
that
these
situations
aren't
being
considered
when
the
author
of
this
bill
is
publicly
said
in
a
committee
hearing
on
her
bill
that
she
would
be
okay
with
a
13
year
old,
rape,
survivor
being
forced
to
carry
a
pregnancy
to
term.
P
How
can
you
ignore
this?
Let
me
tell
you
something
and
I'm
wrapping
up.
I
promise
abusers
come
in
many
forms,
most
are
unassuming
to
the
outside
world.
They
have
to
be
otherwise
they
wouldn't
get
very
far
the
best
abusers,
the
most
successful
ones
who
cause
the
most
harm,
are
the
ones
who
are
really
good
at
manipulation.
P
The
commitment
to
this
bill
and
the
way
legislators
have
used
it
as
a
tool
to
say
they
are
pro-life,
is
manipulation
at
best
senators.
If
you
pass
this
bill,
the
only
thing
that
you
will
have
accomplished
is
further
traumatizing
women
and
children
who
are
already
in
the
most
painful
situations.
I
am
urging
you
today
to
stop
attacking
people
who
are
already
being
attacked
and
vote
no
on
this
cruel
piece
of
legislation.
Thank
you.
S
S
She
comes
often
from
a
broken
family,
she's,
often
abused
by
either
parent,
either
physically
or
sexually.
Like
this
young
woman,
here
she
gets
little
or
no
guidance
regarding
reproductive
issues
from
her
parent
I've
had.
I
had
one
client
who
got
who
finally
got
her
birth
control
pills
and
her
mother
found
him
and
said
you
can't
take
them
because
no
daughter
of
mine
is
going
to
have
sex
before
she's
married.
I
mean
this
is
ridiculous.
S
The
the
idea
that.
S
S
S
S
A
We
appreciate
the
testimony.
Ladies
we're
well
past.
Our
limit
we've
had
20
minutes
of
opposition,
which
I
think
is
probably
four
times
long.
We've
heard
from
the
proponents,
I
appreciate
you
all
coming
forward.
We're
gonna
have
the
proponents
of
the
bill
be
able
to
come
back
and
be
available
for
questions
and
respond
to
some
of
the
comments
that
have
been
made.
We
thank
you
all
for
coming
today.
R
Thank
you,
mr
chairman,
and
members
of
the
committee
and
chairman,
thank
you
for
all
your
intensive
work
that
you
also
put
in
this
committee
sub.
I
think
it's
much
different
than
the
first
bill
that
we've
seen
and
and
much
of
improvement,
but
I
wanted
to
address
a
few
things
that
were
said
and
and
respectively,
and
we've
been
working,
of
course,
with
the
aclu
on
many
issues.
But
you
know
we
have
to
understand
that
from
their
own
reproductive
freedom
act.
R
Most
of
the
legislation
that
you
have
passed
in
the
last
few
years
protecting
or
guiding
women
who
are
seeking
to
in
their
in
their
child's
life
or
seeking
an
abortion
in
your
abortion
laws
are
part
of
their
concerns.
The
fact
that
a
minor
child
on
their
own
face
on
their
own
website.
R
They
find
it
wrong
that
a
minor
child
would
even
have
to
have
their
parents
permission
for
an
abortion.
This
is
the
same
child
that
would
not
be
able
to
take
an
aspirin
in
school,
not
being
able
to
get
their
ears
pierced,
but
the
law
does
allow
this
judicial
bypass
process,
and
all
this
bill
does
is
enhance.
That
process
updated,
updated
with
revisions
that
have
been
upheld
when.
E
R
Comes
to
the
issue
of
the
terminated
care,
for
the
terminated
remains
in
a
dignified
manner
that
piece
of
legislation
that
was
incorporated
into
this
bill
has
been
upheld
in
the
courts.
The
other
piece
as
we've
worked
with
is
we
begin
where
there
was
a
lot
of
confusion
with
the
board
of
medical
pharmacy
board
of
medical
licensure.
But
I
think
in
the
wisdom
of
reworking
this
legislation,
it
basically
says
if
a
physician
or
a
provider
in
the
commonwealth
of
kentucky
a
physician
wants
to
enter
in
as
a
non-surgical
provider.
R
There
is
the
same
pathway
and
the
same
that
an
abortion
facility
would
have
registering
with
the
cabinet,
seeing
the
patient
before
and
often,
let's
think
about
this
young
woman,
who
is
who's
coming
in
to
whether
no
matter
what
their
age
is
to
look
at,
possibly
ending
the
life
of
her
child
and
ending
her
terminating
the
pregnancy,
it
may
be,
and
long
this
body
long,
the
general
assembly
has
worked
wanting
people
to
have
a
medical
encounter,
a
medical
home.
We
know
that
kentuckians
do
not
often
seek
the
medical
care
that
they
need.
R
R
We
want
you
to
be
seen
by
a
medical
provider
in
the
commonwealth
of
kentucky
and
it
lays
out
the
ramifications
and
the
and
the
process
for
that
to
be
done,
and
then
the
continued
reporting,
that's
already
in
place
with
the
cabinet,
that's
set
up
for
other
providers
and
the
vital
statistic
reporting
form-
that's
also
used
when
these
medications
are
prescribed
in
kentucky
that
is
already
in
existence.
So
it
would
just
require
those
wanting
to
enter
into
the
field
if
they
should
to
follow
those
same
procedures.
But
why
wouldn't
we
want
that
woman?
R
A
D
Thank
you,
mr
chairman.
During
the
last
several
years
at
least
10,
the
general
assembly
has
made
great
strides
in
passing
legislation
that
protects
victims
of
rape,
beginning
with
the
counting
testing
and
clearing
the
backlogs
of
untested
rape
kits
training
for
police
officers.
Just
last
week
we
unanimously
passed
legislation
to
make
incest
a
violent
offense,
which
means
the
perpetrator
serves
serious
time.
So
my
question
representative,
tate,
is
in
your
house
bill
3.
Is
there
any
exemption
for
a
victim
of
rape
or
incest?
D
Q
Q
You
know
in
2017
was
the
first
year
that
pro-life
legislation
was
passed
by
this
honorable
body
and
at
up
to
this
point,
I'm
completely
following
the
process
that
has
been
established,
and
there
is
no
provisions
now
one
of
the
things
that
I
have
not
changed,
that
at
all
one
of
the
things
that
I
want
to
point
out
too
as
well,
is
that
one
of
my
best
friends
is
she
was
consumed
from
rape,
and
so
what
I
think
is
that
that
would
be
the
ultimate
punishment
of
death
for
the
child
in
the
womb
that
is
conceived
from
a
heinous
crime.
Q
D
Follow
up,
mr
chairman,
can
I
oh
I'm
sorry
please
if.
D
Could
I
just
add
that,
in
the
judicial
bypass
section
of
the
bill,
there
is
an
exemption
that,
if
the
parent
or
guardian,
who
would
be
the
person
giving
consent
for
the
abortion,
is
the
abuser
that
their
consent
is
no
longer
needed.
So
there
is.
The
bill
does
specifically
speak
to
that
tragic
situation
where
the
parent
is
the
abuser.
D
I
I
had
a
question
relating
to
cost-effective
medicine
and
cost-effective
delivery
of
health
care,
which
is,
I
do
believe,
an
over
arching
stated
goal
in
that
we
as
physicians,
provide
medicine
and
good
quality
health
care
to
patients
in
the
least
restrictive
and
most
cost-effective
manner.
Do
you
believe
that
your
bill
follows
those
guidelines.
R
I
would
just
say
that
we're
we're
really,
if
you
think
about
it,
we're
really
not
changing
anything.
That's
been
going
on
before
no
before
prior
to
this,
what
we're
talking
when
we
look
at
the
aspects
of
medical,
surgical,
chemical
abortion
prior
to
the
change
in
december,
they
were
seen
at
the
abortion
provider
clinics
in
the
commonwealth
of
kentucky.
R
Now
the
law
change
or
the
fda
changed
opened
it
up
for
this
to
be
mail-ordered,
so
we're
not
addressing
or
changing
anything.
What
I
really
want
to
commend
the
general
assembly
is-
and
you
just
passed
just
unanimously
a
few
minutes
ago,
extending
the
much-needed
care
to
those.
We
often
talk
about
about
the
women
who
have
children,
the
much-needed
care
to
women
postpartum
for
a
year
or
the
bill.
R
That
is
a
hallmark
in
kentucky,
and
that
is
that
women
who
are
pregnant
are
no
longer
shackled
to
the
in
the
prison
systems
or
in
solitary
confinement
and
respectively
senator
rocky
adams.
That
became
a
national
hallmark
bill.
So
I
just
said:
you've
done
so
much
and
you
continue
to
do
so.
Much
work,
that's
extended
for
women,
pregnant
women
all
right
and
for
the.
R
I
For
the
purpose
of
time,
yes,
thank
god.
We
no
longer
require
women
in
the
state
of
kentucky
to
give
birth
and
shackles.
That's
that's
awesome.
Yes,
we
are
going
to
allow
women
who
have
just
had
a
child
to
have
medicaid
coverage
for
a
year.
That
is
amazing,
amazing
movement
forward,
but
what
this
bill
does
to
its
core
has
nothing
to
do
with
the
safe
delivery
of
health
care.
I
I
Another
requirement
to
dispose
of
fetal
remains
now.
If
you
believe
that
a
fetus
in
the
womb
is
an
actual
life,
do
not
have
an
abortion,
and
I
will
stand
behind
you
and
I
will
support
you
and
I
will
protect
you
and
I
will
vote
to
cover
you
with
medicaid,
and
I
will
do
everything
I
can
to
help
you,
but
the
decision
belongs
to
the
woman.
I
It
is
not
your
choice
to
say
this
is
a
morally
reprehensible
thing
to
do.
It
is
my
choice
to
decide
if
this
is
something
morally,
ethically,
religiously
and
medically
that
I
want
to
do
and
this
legislation,
no
matter
what
you
call
it,
no
matter
what
you
say
about
it
is
designed
to
limit
that
choice
and
representative.
I
know
we
disagree
with
each
other.
I
know
that
you
believe
at
conception
that
that
those
two
cells
have
life.
I
Q
And
and
she's
absolutely
right,
we
do
absolutely
completely
disagree,
but
one
of
the
things
that
I
want
to
point
out
too.
According
to
the
vital
statistics
for
the
commonwealth
of
kentucky
in
2021
2020
and
the
report
published
for
2021,
there
were
4
100
abortions
that
were
committed
in
kentucky
alone,
of
which
one
was
for
the
health
of
the
mother.
Q
Typically,
whenever
there
is
the
health
of
the
I'm
just
talking
about
the
the
intake
form
from
the
vital
statistics,
may
I
respond,
and
so
typically
when
the
life
of
the
mother
is
being
challenged
or
is
at
risk,
we
don't
go
to
abortion
clinics.
We
go
to
hospitals.
I
know.
Whenever
I
had
my
health
issues
when
I
was
pregnant,
I
sought
the
my
doctor,
my
ogbyn,
and
I
went
to
a
hospital.
It's
not
done
in
an
abortion
clinic,
and
I
also
want
to
point
out
one
other
thing.
Q
A
All
right,
I
think,
we've
had
like
I
said
I
knew
this
was
going
to
have
a
lot
of
discussion
as
heated.
I
appreciate
the
tenor
of
everybody
here
it's
so.
I
appreciate
that.
I
know
a
lot
of
discussions
and
there'll
be
an
opportunity
for
the
voters
to
vote
on
this
issue.
This
fall
there's
a
constitutional
amendment
on
the
ballot
that
the
voters
of
kentucky
will
speak
on
this
issue,
whether
or
not
they
want
to
put
that
into
our
constitution.
A
If,
whether
or
not
we
think
that
this
is
a
constitutional
right
or
not,
so
I
want
to
just
reiterate
that
as
a
doc,
I
don't
think
any
medication
was
ever
designed
to
terminate
life,
and
I
know
this
bill
has
a
lot
to
do
with
that,
and
I
know
that
the
discussion
is
often
about
where,
when
life
begins,
that
becomes
the
issue
and
if
all
lives
have
the
same
rights
or
not
if
some
have
more
rights
than
others.
A
We've
heard
differing
opinions
on
that
here
today
and
some
of
us
feel
like
we
have
to
speak
up
for
those
those
children
who
can't
speak
for
themselves.
All
right
appreciate
everybody's
tenor.
I
think,
hopefully
both
sides
have
been
heard
on
this
here
today.
This
has
been
a
difficult
bill
for
me
to
work
on
one
of
the
more
difficult
ones
I've
had
to
work
on,
I'm
willing
to
entertain
a
motion
on
the
bill.
You
have
a
motion.
Is
there
a
second?
You
have
a
second
all
right,
madam
clerk,
please
call
the
roll.
I
I
A
Aye
the
matter
passes
with
a
vote
of
eight
to
two
it'll
be
reported
fairly
to
the
senate
floor.
I
think
there
may
be
a
couple
more
tweaks.
We
may
need
to
do
for
this
bill,
so
there
may
be
an
amendment
coming
just
for
a
couple
of
things
based
on
the
testimony
we
heard
here
today.
Thank
you
all
members
for
being
here,
we
do
need
a
yeah.
We
do
need
to
have
a
motion
actually
to
roll.
The
amendment
into
the
committee
sub
on
this
bill
that
we
did
earlier.
A
Do
you
have
a
motion?
You
have
a
motion
is
your
second.
Second,
all
those
in
favor,
please
unify
by
saying
aye
aye.
Anyone
opposed
all
right
that
amendment's
been
rolled
into
the
sub.
Thank
you
all
for
being
here
today.
Thank
for
all
all
of
you
who
have
come
here
today
to
provide
testimony.
We
stand
adjourned.