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From YouTube: Senate Standing Committee on Health Services (3-29-23)
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A
A
B
B
B
Proceed.
Thank
you.
Mr,
chair
members
of
the
committee,
House
Bill
331
is
a
result
of
legislative
collaboration
to
help
students
and
in
Kentucky
and
save
their
lives.
We
have
worked
in
a
bipartisan
manner,
as
you
can
see,
I'm
wearing
blue
the
lady
here
is
wearing
red
and
we
have
worked
well
together
to
formulate
this
legislation
that
will
save
lives,
and
that
is
the
purpose
of
it.
B
According
to
the
American
Heart
Association,
a
sudden,
Cardiac
Arrest
victim
requires
defibrillation
to
stop
ventricular
fibrillation
and
often
fatal
heart
condition.
The
only
thing
that
will
save
their
lives
is
a
quick
shock
from
a
defibrillator.
It's
estimated
that
more
than
95
percent
of
cardiac
arrest
victims
die
before
reaching
the
hospital
an
eight-year-old
boy
playing
his
first
season
of
peewee.
Football
goes
into
cardiac
arrest.
B
C
C
What
house
bill
331
does
is
requires
an
AED
to
be
available
in
every
school
building
as
funds
become
available,
and
that's
what
the
committee
sub
changed
the
the
bill
and
currently
establishes
a
trust
to
accept
donations,
either
private
donations
Grants
State
Appropriations.
If
we
decide
to
do
that,
but
there
is
no
appropriation
ask
at
this
point.
It
requires
that
coaching
staff
trainers,
School
nurses,
and
then
we
clarified
who
those
volunteers
are,
who
need
training
to
be.
Coaching
staff
only
volunteer
coaching
staff.
C
So
not
the
concession
stands,
but
we
do
want
to
make
sure
that
everyone
is
receiving
CPR
training,
because
we
know
that
that
is
the
most
critical
piece
in
getting
immediate
action
to
a
child
or
or
even
a
bystander
who
has
a
sudden
Cardiac
Arrest.
What
we're
doing
is
requiring
that
a
cardiac
emergency
response
plan
or
cerp
as
per
the
American
Heart
Association,
is
practiced
through
a
simulated
rehearsal.
So
we're
not
say-
and
you
know
a
piece
of
paper
with
the
plan
on
it-
is
not
good
enough
anymore.
C
It
has
to
be
simulated
and
I
just
want
to
say
that
you
know
we.
We
take
Extraordinary
Measures
to
make
sure
that
our
students
are
safe
in
school,
and
this
is
simply
a
measure
that
will
save
lives.
Should
someone
have
a
sudden,
Cardiac
Arrest?
We
have
seen
some
success
stories
this
year
we
saw
that
a
an
Emergency
action
plan
was
implemented
quickly
in
the
case
of
the
Buffalo
Bills
football
player
motion.
F
F
E
A
Now,
thank
you
as
well,
particularly
working
in
the
bipartisan
fashion,
and
it
is
good
to
see
folks
come
together
and
move
an
initiative
like
this
forward.
It
has
been
several
years
since
we
have
first
talked
about
this
and
long
overdue.
I
appreciate
the
compromises
you
folks
are
willing
to
make,
and
this
isn't
the
end
of
it
I'm
sure
it's
just
the
beginning,
but
look
forward
to
it.
But
with
that,
thank
you
Lord.
Please
call
the
road.
E
A
C
You
so
much.
We
both
appreciate
it.
We
do
if
I
could
just
say
one
quick
thing,
I
believe
in
your
packet,
or
at
least
we
can
share
this.
There
is
a
letter
from
the
NFL
that
is
announcing
a
funding
partnership
for
States
who
are
enacting
this
sort
of
legislation.
So
I
will
continue
my
work
on
that
front
and
make
sure
that
schools
can
get
these
funded.
C
A
Back
to
the
sorry
back
to
the
formal
agenda
house,
bill,
56.
Jim,
if
you
would
come
forward.
A
I
This
Regional
concept
was
started
by
President
Kennedy
as
much
as
we
already
know.
There's
this
last
Billy
sign
in
Kentucky
was
the
first
state
to
put
it
into
effect
now
today,
there's
14
regions
and
of
those
14
regions.
Several
of
the
CEOs
are
here
today
if
they
would
stand
up
in
support
of
this
bill,
if
you're
here
and
as
you
can
see,
there's
several
of
them
here
all
the
way
from
Western
Kentucky
to
Ashland,
where
I
live
but
I'm
going
to
make
it
short
because
I
know
you're
limited
on
time.
I
A
I
Thank
you,
sir.
Later
continue.
Yes,
please.
Thank
you.
House
Bill
56
does
three
things
relating
to
the
Community
Mental
Health
Centers,
as
established
in
krs-210
370
through
485.
one
it
clearly
deliminates
the
15
regions
by
listing
Which
counties
are
included
in
each
region.
Two.
It
creates
a
pathway
which
permits
a
cmhc
to
provide
services
outside
of
its
designated
area.
The
Cabinet
for
Health
and
Family
Services
will
recognize
and
treat
the
Community
Mental
Health
Center
as
a
Behavioral
Health
Service
Organization
for
the
provision
of
services
out
of
its
region.
I
The
the
cabinet
on
Health
and
Family
Services
backs
this
bill.
Three
pending
notification
to
the
secretary
that
the
local
Community
Mental
Health
Center,
is
unable
to
provide
a
public
safety
net
Behavioral
Health
Service.
The
secretary
shall
ask
continuous
Community
Mental
Health
Centers
to
provide
the
service
recognizing
it
as
a
Community,
Mental,
Health
Center.
Thank
you.
A
A
A
A
K
Senator
Shelley
Funke,
freemeyer,
district,
24.
and
I'm
speaking
on
the
committee
sub,
the
version
that
is
so
focused
on
mental
health
and
great
work
on
the
regional
layout.
So
the
addition
is
focused
on
the
mental
health,
in
particular
of
our
firemen,
and
it
will
recognize
and
recommend
that
there
is
treatment.
K
A
Any
questions,
if
not
I'll,
allow
you
to
excuse
yourself
from
the
table
there
and
we'll
call
up.
Mark
Baldwin
is
sign
up
to
speak
in
opposition
to
this
bill.
A
L
Mr,
chairman
members
of
the
committee,
thank
you
so
much
for
allowing
us
to
at
least
voice
our
opinion
today.
We
know
this
is
a
train
down
the
track
and
it's
hard
to
stop
a
train.
My
favorite
President
in
my
lifetime,
Ronald
Reagan
once
said.
The
nine
most
terrifying
words
in
the
English
language
are
I'm
from
the
government
and
I'm
here
to
help
in
2016
under
previous
administration's
Cabinet
for
Health
and
Family
Services,
their
legal
counsel.
L
At
the
time,
Justin
Clark
penned
a
letter
essentially
allowing
a
Community
Mental
Health
Center
to
operate,
operate
outside
their
archaic,
redefined
regions.
As
representative
Bentley
said
the
Kennedy
era
as
she's
all
my
client
Mountain,
comprehensive
care
invested,
millions
of
dollars
and
hired
hundreds
of
mental
health
care
workers
to
provide
mental
health
care
services
and
communities
they
were
invited
into
because
the
cmhc
in
the
region
would
not
provide
said
Services.
L
As
a
result
of
this
permission
from
the
government,
26
000
patients
have
access
to
Mental,
Health,
Care,
Services,
drug
abuse,
Services
drug
counseling
services,
and
they
were
going
otherwise
unmet
because
nobody
else
would
step
up
the
table.
So
Mountain
comp
went
outside
the
region
to
provide
those
Services
now
House
Bill
56,
if
passed
and
enacted,
would
eliminate
700
jobs
and
26
000
patients
would
no
longer
have
access
to
the
care
they
have
come
to
expect.
L
The
government's
number
one
priority
is
to
protect
its
citizens,
and
this
overreach
by
the
government
is
not
needed
in
the
Commonwealth
and
will
certainly
limit
access
to
mental
health
care
and
drug
counseling
services,
especially
in
our
rural
regions,
where
there
was
a
need
that
was
not
being
otherwise
met
and
I
would
ask
you
and
encourage
the
committee
today
to
vote
no
on
House
Bill
56,
notwithstanding
senator
from
Myers
committee
sub,
which
I
didn't
know
anything
about
and
I'm
sure
that's
a
very
good
measure.
So,
but
that
would
be
my
statement.
Bart
Baldwin.
M
Thank
you,
chairman
members
of
the
committee,
just
to
add
a
little
bit
to
what
Mark
said
in
2014
Kentucky
created
Behavioral,
Health,
Service
organizations,
Behavioral
Health
multi-specialty
groups
for
the
the
sole
purpose
of
expanding
access
to
Mental
Health
Services.
We
had
we're
implementing
the
Affordable
Care
Act.
We
had
600
000
kentuckians
with
a
new
payer
source
for
mental
health
services
and
we
needed
to
expand
our
capacity.
M
At
that
point,
Community
Mental,
Health
Centers
were
allowed
and
encouraged
to
operate
and
expand
beyond
their
region
in
order
to
increase
access
to
Mental
Health
Services,
as
Mark
said,
Mountain
Comprehensive
Center
has
done
so
other
cmhcs
have
done
so
since
then,
it's
not
just
one,
but
none
to
the
scale
that
that
mountain
has
and
our
concern
is
that
at
a
time
when
we
need
more
Mental,
Health
Services
haven't
seen
it,
but
I
certainly
support
the
committee
sub.
M
It
reinforces
the
need
for
mental
health
services
for
for
all
citizens
and
that's
what
we're
trying
to
achieve,
and
this
is
essentially
draws
a
line
around
an
arbitrary
account
group
of
counties,
If
you're
receiving
Mental,
Health,
Services
I.
Don't
think
you
care,
if
you're
in
this
County
or
that
County
or
which
cmhc
what
you
want
is
to
have
a
good
therapist
and
a
good
counselor
and
someone
that
you
can
relate
to
and
is
helpful.
M
H
H
It
matters
in
natural
disasters.
I
got
a
text
message,
I
think
it
was
December.
13Th
of
2021.
tornado
hit,
Senator,
Carroll
and
I
was
asked.
Are
the
cmhcs
in
that
region
ready
to
respond?
I
said
yes,
because
I
knew
the
answer
was
yes,
truthfully.
I
didn't
get
a
response
from
one
CEO
to
Wednesday
Thursday
the
following
week,
because
he
was
too
busy
to
answer
my
foolish
question.
Essentially,
he
knew
that's
what
this
bill's
about
making
sure
when
bad
things
happen
in
communities.
We
know
who
is
responsible
for
that.
H
It
permits
a
cmhc
to
go
out
of
region
as
a
Behavioral,
Health
Service
organization.
It
has
no
impact
on
Workforce.
It
has
no
impact
on
people
served
if
an
added
Regency
MHC
elects
their
board
of
directors
not
to
be
a
bhso.
That
is
their
corporate
decision.
It
is
not
dictated
by
this
piece
of
legislation.
H
This
piece
of
legislation
ensures
access
to
services
in
all
120
counties,
24
7,
365..
That's
what
this
is
trying
to
do
protect
that
system.
You
can
go
out
of
region.
Do
you
have
to
go
to
all
your
counties
and
chairman
Meredith
I
can
test
rural
counties
will
not
have
24
7
access.
We
need
to
protect
the
behavioral
health
Public
Safety
Net,
albeit
archaic,
may
very
well
be
it
is
effective.
It
has
met
people's
needs
for
over
half
a
century,
we're
pushing
60
years
of
people
served
180,
000
individuals
are
served
and
supported.
N
F
O
F
So
this
study,
which
can
take
you
five
minutes
to
do
you-
can
get
this
many
RV
use.
This
study
takes
you
20
minutes
to
do
you
get
the
same
amount
of
use,
which
one
are
you
going
to
pick
to
do
you
know
so
I
understand
the
issue.
I
am
voting.
Yes,
I
really
don't
want
to
contract
mental
health
care
services
in
this
state
under
any
circumstances,
which
is
why
this
is
a
tough
vote.
H
P
Gonna
pass
just
because
I
was
absent
for
the
first
part
of
this
testimony,
I
don't
feel
like
I
have
a
good
amount
of
information
to
make
that
decision.
Thank
you.
A
All
right,
I'll
explain
my
vote.
I
appreciate
Mr
Wilson's
quote
from
President
Ronald
Reagan
he's
my
favorite
too,
but
I
had
to
admit
my
favorite
quote
is
from
Senator
Steve
Meredith,
it's
a
rule
until
it's
a
rule
and
I'm
sorry
that
they
had
to
rely
on
a
ruling
from
the
cabinet
several
years
ago.
That
obviously
had
unintended
consequences
for
everyone
and
I
think
one
of
the
actions
we
have
taken
with
committee
sub
is
to
have
a
a
period
of
transition
of
18
months,
which
I
think
is
is
very
reasonable
and
I
appreciate.
A
A
The
vote
is
nine
eyes.
No
Nays
and
one
pass
does
passive
favorable
expression
we'll
move
forward
to
the
sentence.
Thank
you,
sir
appreciate
the
presentation.
A
A
N
Representative
Rebecca
Raymer
District,
15.
and
I'm
here
to
discuss
House
Bill
311,
so
this
was
really
a
cleanup
bill
that
addressed
Telehealth
services
for
Medicaid
providers.
This
allowed
that
you
did
not
have
to
maintain
a
physical
address
within
the
state
to
provide
Telehealth
Services.
You
still
have
to
be
licensed
in
Kentucky.
You
still
have
to
have
the
Medicaid
ID.
It
also
addressed
that
if
there
is
a
court,
ordered
evaluation
ordered
for
someone
that
that
can
be
conducted
via
Telehealth
and
that's.
F
I
again,
may
I
explain
my
vote
for
a
second
I'm.
Sorry,
my
one
concern
and
I
saw
it
was
in
here
and
now
I
see
that
it's
gone
Telehealth
mental
Telehealth
care
providers
are
responsible
for
notifying
local
emergency
response
teams
if
they
have
a
patient
who
is
threatening
actively
threatening
suicide
and
I
know
it's.
It
was
in
here
that
they
weren't
now
it's
in
here.
Now
it's
not
even
addressed.
This
is
something
as
we
go
forward
with
telemedicine
that
has
to
be
addressed
for
the
safety
of
our
patients.
So
thank
you.
E
I
think
I
think
this
is
a
good
deal.
I
agree
with
with
Senator
Berg
I
think
there
are
some
other
things
that
need
to
be
added
and
I
think
we
can
come
back
later
on
to
to
take
another
or
a
closer
look
at
this
bill
and
make
those
modifications,
but
I
don't
see
that
as
a
reason
not
to
move
on
at
this
time.
Thank
you.
Thank
you.
Mr
chair.
A
A
C
A
Excuse
me
I
think
we
aired
on
something
we
had
a
title
amendment
that
we
didn't
act
on
if
you're
one
pleased
to
indulge
me
here,
we
had
a
title:
Maybelline,
House,
Bill,
56
and
entertain
a
motion
to
approve
that
motion
is
your
second.
Second,
all
in
favor,
say
aye
aye
opposition
all
right.
Thank
you
again.
My
apologies.
A
C
Worries,
thank
you
so
much
and
thank
you
for
allowing
me
some
some
more
time,
and
it's
not
the
last
of
of
me
that
you
will
see
this
morning
but
and
and
my
apologies
for
not
being
prepared
on
the
committee
sub.
Things
are
flying
around
so
fast
here
and
thank
you
for.
C
C
This
bill
is
really
about
helping
a
very
small
group
of
kentuckians
who
have
been
diagnosed
before
the
age
of
65,
with
some
of
the
most
debilitating
health
conditions,
ALS
or
amiotrophic,
lateral
sclerosis
or
Lou,
Gehrig's,
Disease
and
end-stage
renal
disease.
Medicare
is
typically
only
available
to
individuals
who
are
65
and
over,
but
there
are
special
rules
for
individuals
who
are
under
65
with
these
particular
diagnoses.
These
are
the
individuals
who
have
already
been
identified
by
Medicare
as
needing
special
treatment
and
are
eligible
to
obtain
Medicare
Part
B
coverage
before
turning
65.
C
so
who
can
purchase
the
Medigap
supplement
policy.
Today,
the
individuals
over
age
65
who
are
who
are
enrolled
in
Medicare
Part
B,
are
allowed
the
opportunity
to
purchase
Medigap
supplement
plans
without
a
physical
exam
and
received
guaranteed
coverage
if
they
apply
for
the
Medigap
plan.
Within
six
months
of
becoming
available
or
eligible
to
enroll
in
Medicare,
Part
B,
once
an
insurer
and
a
plan
type
are
selected,
the
individual
cannot
change
insurers
for
any
reason
without
losing
their
guaranteed
coverage
protections
and
sorry.
C
This
is
a
little
bit
of
background,
because
I
think
it's
necessary
to
really
understand
the
changes
that
we're
making.
So,
secondly,
individuals
who
are
under
age
65
with
end-stage
renal
disease
and
ALS,
are
currently
eligible
for
Medicare
Part
B
coverage
due
to
their
qualified
health
condition.
However,
they
are
not
afforded
the
same
guaranteed.
Medigap
supplement
coverage
that
overage
65
individuals
receive.
This
lack
of
equal
treatment
based
on
age
has
resulted
in
unaffordable
Medigap
premiums
for
qualified
under
age
65,
vulnerable
individuals.
C
This
follows
the
lead
of
15
states
who
have
implemented
this
provision
allowing
Medigap
access
and
affordability
laws.
It
provides
a
one-time
six-month
guarantee
open,
enrollment
period
for
pay
for
eligible
under
65
kentuckians,
who
are
already
enrolled
in
Medicare
Part
B,
so
that
they
receive
the
same
opportunity
for
reasonably
priced
coverage.
That
individuals
over
65
received
today
represent.
O
Thank
you
all
right.
My
name
is
Katie
Adams
and
I've
lived
in
Henderson
Kentucky,
my
entire
life
I'm
a
39
year
old,
single
mother
of
two
daughters
and
was
recently
diagnosed
with
amyotropic
lateral
sclerosis,
more
commonly
known
as
Lou
Gehrig's.
The
disease
is
very
debilitating
and
is
a
hundred
percent
fatal
I
was
told
that
I
have
one
to
three
years
to
live,
maybe
five,
sorry,
the
majority
of
that
time
will
be
spent
unable
to
walk,
unable
to
move
unable
to
speak,
swallow
and
eventually
breathe.
O
As
you
can
imagine,
my
life
has
been
completely
turned
upside
down
since
receiving
this
news.
I
worked
as
an
occupational
therapist
and
a
rehab
manager
in
a
long-term
care
hospital
and
acute
settings.
My
entire
adult
life.
Up
until
the
day
I
was
diagnosed
because
I
worked
hard
and
made
decent
money.
My
income
through
disability
is
more
than
what
it
would
take
to
qualify
for.
Medicaid
ALS
is
one
of
the
diagnoses
that
Social
Security
and
Medicare
immediately
give
access
to
benefits
to
they
understand
how
quickly
the
devastating
the
disease
becomes.
Once
I
received.
O
My
medicare
benefits
I
then
had
the
task
of
finding
a
supplement
to
cover
the
20
percent.
That
Medicare
does
not
cover
I,
do
not
have
a
problem
not
qualifying
for
Medicaid
and
having
to
pay
premiums
for
supplemental
insurance,
but
through
a
long
and
enduring
process
many
hours
of
phone
calls
and
meetings
with
insurance
brokers.
I
found
that
as
a
disabled
person
under
the
age
of
65
in
Kentucky
I
did
not
have
an
option
to
buy
affordable,
Medigap
coverage.
O
I
say
the
process
was
long
and
enduring
because,
when
speaking
to
Medicare
themselves
and
ship
State
Health
Insurance
assistance
program,
neither
could
tell
me
the
regulations
that
limited
me
from
such,
but
instead
gave
me
pages
and
pages
of
numbers
that
offer
coverage
the
five
and
a
half
page
list
of
numbers
they
gave
me
was
a
complete
waste
of
time.
These
companies
say
they
can
provide
Insurance
to
you.
But
then,
when
you
go
through
medical
underwriting,
they
deny
you
coverage.
O
So
after
painfully
figuring
out
that
I
had
no
options.
I
had
to
go
with
a
Medicare
Advantage
plan
through
United
Healthcare
being
in
healthcare,
had
I
already
seen
the
disadvantage
of
these
Medicare
Advantage
plans.
I
had
fought
on
many
of
my
patients
behalfs
trying
to
get
their
appeals
turned
over
after
breaking
a
hip
or
having
a
stroke
needing
therapy
and
then
being
denied
I
would
never
have
thought
at
39.
O
That
I
would
be
dealing
with
my
own
insurance
denials,
but
here
I
am
my
new
full-time
job
is
dealing
with
insurance
issues,
not
even
two
months
into
having
my
one
and
only
choice
for
insurance,
and
they
have
denied
the
most
important
and
important
and
medically
necessary
pieces
of
durable
medical
equipment
that
an
ALS
patient
needs.
My
power
wheelchair
this
power
wheelchair
my
physician
ordered,
was
specifically
fit
for
me
and
has
been
ready
since
January
and
is
just
sitting
in
a
warehouse
not
doing
anyone
any
good
just
sitting
there.
O
This
wheelchair
will
be
where
I
spend
the
rest
of
my
life.
That's
if
I
get
it.
This
wheelchair
would
have
allowed
me
the
independence
to
get
into
this
room
today.
On
my
own,
it
would
allowed
me
the
ability
to
reposition.
In
my
chair,
when
my
body
was
sore
from
just
sitting,
it
would
allowed
me
to
raise
up
so
that
I
could
have
reached
the
microphone
on
my
own.
It
would
allow
me
the
ability
to
raise
up
to
get
to
the
sink
this
morning
and
be
on
more
independent,
with
brushing
my
hair
and
my
teeth.
O
I
do
not
have
the
energy
strength
nor
endurance
to
push
a
manual
wheelchair
soon
I
won't
be
able
to
walk
at
all,
and
my
wheelchair
will
allow
me
the
mobility
that
I
would
that
I
need.
If
otherwise,
I
would
have
none
later,
it
will
provide
vital
repositioning
when
I'm
unable
to
move
at
all.
It
will
help
with
necessary
adjustments
for
respiratory
and
swallowing
functions
all
functions.
A
standard
wheelchair
cannot
perform
this
power.
Wheelchair
isn't
something
I
even
want
to
be
fighting,
for.
This
is
not
the
ride
that
I've
been
dreaming
of.
O
However,
this
chair,
this
particular
type
of
chair,
is
now
a
necessity
for
me
and
will
greatly
improve
what
time
I
have
left.
This
will
be
my
only
chance
for
any
kind
of
Independence
mobility
and
quality
of
life
when
speaking
with
ALS
foundations
such
as
team
Gleason,
synapticure
and
ALS,
the
ALS
associate
Association,
you
will
hear
of
other
equipment
that
insurances
have
denied
I
heard
one
story
where
a
Medicare
Advantage
plan
denied
a
ventilator
for
an
ALS
patient,
I'm,
not
sure
about
you,
but
I.
O
Don't
know
how
that's
legal
and
it's
definitely
not
humane
Medicare
Advantage
plans
are
supposed
to
follow
the
same.
Regular
regulations
that
are
set
by
Medicare
Medicare
approves
these
shares
all
the
time.
Medicare
Advantage
plans
replace
traditional
Medicare,
so
Medicare
has
not
seen
any
of
my
claims
or
pre-authorizations.
O
They
also
denied
me
the
ability
to
have
a
case
manager
assigned
to
my
account
so
that
I
could
speak
with
anyone
regarding
this
issue.
They
say
some
plans,
just
don't
qualify
for
those
things.
I
have
filed
a
complaint
with
Kentucky's
department
of
insurance
and
received
a
letter
stating
that
Medicare
Advantage
plans
are
out
of
their
jurisdiction.
They
direct
me
to
contact
State,
Health,
Insurance
assistance,
program
and
Medicare
for
help
the
same
people
that
led
me
down
the
path
that
got
me
nowhere.
O
I
have
also
filed
a
complaint
with
Medicare
and
have
yet
to
receive
any
news
from
them.
So
who
is
there
to
help
me?
I
am
tired
and
I
have
my
children
and
my
family
and
loved
ones
to
focus
on,
but
instead
my
time
is
being
spent
with
dealing
with
insurance
issues,
I
hope
to
help
facilitate
change
so
that
others
don't
have
to
spend
precious
time
and
energy
that
is
already
limited
on
fighting
such
an
insane
battle.
O
You
are
never
put
in
the
situation,
but
if
think
of,
if
or
you
or
your
child,
or
your
grandchild,
39
years
old
and
struggling
with
these
situations,
when
you
make
your
decision,
if
that
doesn't
work,
just
take
a
few
minutes
to
look
up
ALS
on
a
simple
internet
search,
and
you
will
understand
how
important
this
is
to
these
patients.
You
will
hear
that
the
opponent
say
that
the
bill
will
shift
cost
to
senior
citizens
most
of
the
seniors.
O
That
I
know
would
gladly
pay
a
dollar
or
two
more
to
help
someone
in
such
a
desperate
situation
that
has
worked
hard
and
earned
good
money
versus
paying
more
in
tax
dollars
to
have
more
people
on
Medicaid.
The
people
opposing
this
bill
will
also
say
that
not
passing
the
bill
will
just
result
in
winners
and
losers.
I'm,
sorry,
but
isn't
it
having
ALS
enough
of
a
loss?
Can't
we
just
have
a
win.
Thank
you
for
allowing
me,
and
my
children
and
my
parents
to
be
here
today.
A
Thank
you,
Miss
Adams,
appreciate
you
making
the
trip
from
Henderson
and
one
of
the
things
I
could
say
to
you.
First
I
appreciate
you
choosing
Health
Care
is,
is
your
vocation
and
obviously
it
takes
a
special
heart
to
serve
others
and
appreciate
you
doing
that
and
appreciate
your
advocacy
for
this
bill,
but
particularly
appreciate
you
being
the
face
for
ALS
patients,
and
let
me
this
certainly
has
all
of
our
attention
and
we
appreciate
your
heartfelt
testimony
and
wish
you
the
best
of
going
forward
our
thoughts
or
prayers
with
you
and
your
family.
F
F
When
you
choose
a
Medicare
Advantage
plan,
they
come
up
and
they
tell
you,
you
know
you
get
free
access
to
health
clubs
and
rides
to
your
doctors
and
they'll,
deliver
drugs
to
your
doors
and
make
it
look
like
you
are
getting
something
they
are
taking
away
basic
basic
basic
benefits
that
Medicare
covers,
and
you
cannot
get
them
back.
It's
not
like.
You
made
this
decision,
and
next
year
you
have
the
right
to
change
it.
You
do
not.
This
is
a
horrible
system
that
has
been
instituted
in
our
country
and
I.
F
Understand
you
weren't,
given
a
choice.
You
had
no
other
policy
to
take,
but
it
is
not
worth
it.
These
are,
in
my
opinion,
shysters.
They
are
selling
you
something
and
not
telling
you
what
they're
not
giving
you
I
so
applaud
you
being
here,
I'm,
looking
at
your
beautiful,
beautiful
children
and
I
want
to
hug
them
and
I
want
to
say
it
will
be.
Okay,
I
can
promise
you.
This
I
will
make
sure
if
I
have
to
do
it
personally,
that
your
mom
gets
her
wheelchair.
So
don't
worry
about
that!
A
We
would
pull
our
resources
to
help
each
other,
but
somewhere
along
the
way
we
lost
the
goal
of
that,
and
quite
truthfully,
the
focus
now
is:
how
can
we
make
a
profit
off
The
Misfortune
of
others,
and
that's
very
unfortunate
and
I-
concur
with
many
of
centerburg's
comments,
and
maybe
this
is
an
opportunity
itself
to
move
it,
the
pendulum
back
in
the
other
direction,
but
again
appreciate
being
here.
We
have
a
motion,
a
second
on
the
on
the
bill.
Please
call
the
row.
E
All
right,
but
I
want
to
make
a
comment
on
my
boat.
Well,
certainly,
okay,
representative
Moser
I
really
want
to
thank
you
for
bringing
this
bill
and
I
want
to.
Thank
you
for
bringing
these
wonderful
people
to
the
table
to
help
the
other
people
of
the
Commonwealth
really
understand
how
this
affects
people
I
know
we're
talking,
at
least
in
the
Commonwealth
of
Kentucky,
about
1500
people,
but
for
those
1500
people
that
is
the
difference
between
a
life
lived
well
and
no
life
at
all.
E
A
K
Representative
Moser,
thank
you
for
your
time
and
compassion
to
bring
this
bill
to
us,
and
and
thank
you
for
sharing
some
detail.
A
few
weeks
back
in
a
visit
to
my
office
as
well
and
I've
been
involved
with
ALS
for
about
15
years
and
just
praying
for
you
and
your
family
and
the
love
of
your
daughters
and
I
pray.
You
get
every
Wasted
Minute
back
from
this
terrible
Insurance
process,
we'll
we'll
do
our
best
to
work
towards
fixing
that
so
that
every
moment
is
meant
loving
up
your
family.
Thank
you.
K
J
J
A
I,
the
vote
is
unanimous,
we'll
pass
to
the
Center
for
favorable
expression,
there's
a
much
of
a
consent
motion
by
Central
Nema
second,
by
Central,
Bergen,
also
favorite,
consent,
boat
I
in
the
opposition
there
being
none,
the
bill
again
passes
and
with
consent
to
the
Senate,
and
thank
you
all
for
being
here
this
morning.
A
Give
you
a
moment
and
to
prepare
for
your
next
bill
since
you're,
thanks
also
at
the
table
on
House
Bill
353.
G
D
A
C
It
is
not
thank
you.
Thank
you.
I,
don't
know,
I
think
I
introduced
myself
on
the
record,
so
hopefully
you
got
that
I
am
Kim.
Moser,
state
representative
and
I
appreciate
the
opportunity
to
to
talk
about
House,
Bill
353
and
the
committee
sub.
All
this
does
is
ensures
that
individuals
shouldn't
be
or
are
not
arrested
when
they
are
trying
to
prevent
an
overdose.
C
This
legislation
will
prevent
accidental
overdoses
by
allowing
fentanyl
test
strips
to
be
used,
given
the
Insidious
introduction
of
fentanyl
into
the
illicit
drug
Supply
that
we're
seeing
now,
such
as
in
counterfeit
drugs
or
counterfeit
pills
bought
on
the
street.
The
risk
of
accidental
overdose
and
even
unintentional
exposure
is
extraordinarily
High.
Fentanyl
accounted
for
40.2
percent
of
Kentucky
drug
overdoses
in
2021,
while
heroin
that
got
all
the
attention
numerous
years
ago
several
years
ago,
is
down
to
3.7
percent
of
the
overdose
deaths.
C
It
requires
the
Cabinet
for
Health
and
Family
Services,
in
coordination
with
the
justice
and
and
safety
cabinet
to
conduct
a
fentanyl
education
and
awareness
campaign,
and
then
the
third
thing
that
this
does
as
per
the
committee
sub
is:
it
adds
some
treatment
providers
to
last
year's
2022,
Senate
Bill,
90,
re-entry
pilot
and
it
clarifies
some
housing,
some
transitional
housing
certification.
So
it
only
does
those
two
things.
C
I
will
give
my
my
guests
a
moment
to
speak,
but
we
do
have
the
support
of
the
Kentucky
attorney
general's
office.
Commonwealth
attorneys,
the
chiefs
of
police,
the
Department
of
Public
advocacy,
the
ACLU
Kentucky
League
of
cities
dream.org
and
the
Bluegrass
Institute,
and
harm
reduction
coalitions
all
around
the
state,
just
to
name
a
few.
So
if
I
I'll
stop
talking
now
and
give
my
guest
a
moment
to
to
add
any
comments,.
D
Thank
you,
representative
Moser,
and
thank
you
for
bringing
this
bill.
We've
had
to
learn
a
new
term.
Recently,
it's
not
drug
overdoses.
It's
drug
poisoning,
a
college
student
who
thinks
they're
buying
an
Adderall
off
the
street
to
study
all
night
ends
up
dying
of
overdose
of
fentanyl
because
that's
what's
the
active
ingredient
is
in
the
substance,
a
young
person
who
buys
what
they
think
is
a
Xanax
off
the
street
to
help
them
sleep
turns
out
to
be
Fentanyl
and
they're
poisoned
and
they
overdose.
That's
why
we
need
this
bill,
we're
just
trying
to
save
lives.
D
Q
Q
I
thought
I
was
given
some
time,
but
apparently
we're
in
a
rush,
so
I'll
I'll
trim
it
down
I
sit
here
in
front
of
you
as
chief
of
police
here
in
Frankfurt,
but
also
as
a
family
member,
who
has
seen
the
devastation
of
drug
overdoses
and
I'll
limit
it
to
just
one
my
cousin
just
before
Thanksgiving
last
year,
who
is
fighting
back
and
forth
in
and
out
of
recovery
I
met
up
a
friend.
He
had
been
sober
for
a
few
months
very
proud
of
it.
Q
You
know
I
always
knew
when
he
was
doing
good
because
he'd,
let
me
know
when
he
was
doing
good
and
I
loved
hearing
those
stories.
His
friend
this
night
told
him.
There
was
something
different
had
a
good
high
for
him
and
he
relapsed.
That
was
the
last
time.
He'd
get
the
relapse
inside
that
was
supposed
to
be
just
heroin
was
fentanyl
and
the
crazy
thing
is
nowadays
we're
seeing
that
everything
is
being
laced
with
fentanyl
marijuana
you're
having
it
introduced
in
crack.
Cocaine
right
now
the
cartel
is
getting
so
witty.
Q
Q
I
can
assure
you
I,
wouldn't
be
sitting
here
in
front
of
you
if
it
did
there's
a
reason
why,
in
Frankfurt,
we're
taking
new
steps
next
month
kicks
off
our
overdose,
Response
Team
having
a
bill
and
having
another
tool
like
this,
we
could
provide
those
strips
for
somebody,
because
here's
what
I've
learned
from
another
family
member
who
was
an
addict
they're,
not
going
to
give
up
using
until
they're
ready
to
give
up
using
or
until
it
get
until
it
kills
them.
So
what
can
we
do?
Q
A
Appreciate
your
testimony,
there
is
a
motion
on
the
bills
for
a
second
funky
from
Meyer
before
we
take
the
vote
just
like
to
ask
you,
since
you've
been
doing
this
for
some
time
over
the
last
10
years.
How
have
you
seen
this
multiply
just.
Q
Well,
I
can
save
for
the
most
part
here
for
Franklin
County
in
the
city
of
Frankfort.
Four
years
ago,
fentanyl
wouldn't
have
been
found
in
most
things
that
we
see
it
has
taken
off
like
wildfire
and
that's
because
these
drug
dealers
and
he
cartels
drug
dealers.
They
don't
have
quality
control
in
their
in
their
places
of
business.
They
don't
have
it
in
their
factories.
They're
now
producing
these
in
factories,
so
they
don't
need
the
the
Opium.
They
don't
need
the
plant.
They
just
produce
It
Well.
By
doing
that,
they
don't
care
about
dosing.
Q
Q
E
A
Certainly
a
needed
bill
and
I
support.
This
only
concern-
maybe
that's
not
the
right
word-
is
we
kind
of
treat
the
symptoms,
but
we
don't
cure
the
disease,
and
certainly
this
is
a
result
of
what's
happening
on
our
Southern
Border
in
large
measure,
and
this
is
an
attack
on
our
country
and
I.
Don't
know
that
it's
not
time
that
our
military
doesn't
have
a
presence
on
our
border
to
protect
all
of
us,
because
this
can't
continue
but
appreciate
you
being
here
and
we
look
forward
to
providing
you
with
yet
another
tool
to
fight
this.
M
A
A
A
Next,
we'll
hear
house
joint
resolution
38.
A
A
To
be
here,
please
feel
free
to
identify
yourself
for
the
record
and
proceed.
R
Thank
you.
My
name
is
representative
Jared.
Ballman
I
represent
the
28th
house
district,
and
today
we
have
before
us,
ladies
and
gentlemen
of
the
committee
house,
joint
resolution,
38.
I'm
glad
to
report
that
this
joint
resolution
passed
unanimously
through
house
committee
and
on
the
house
floor,
and
it
is
actually
an
output
from
the
task
force.
R
The
EMS
task
force
from
from
last
year
that
looked
at
a
lot
of
different
things
with
within
Emergency
Medical
Services
infrastructure,
Workforce
training,
reimbursement
rates,
and
this
joint
resolution
is
laser
focused
on
those
reimbursement
rates
which
have
not
changed
in
over
a
decade
and
so
we're
we're
asking
the
Cabinet
for
Health
and
Family
Services
to
evaluate
those
reimbursement
rates
and
to
allow
coverage
for
treatment
in
place.
R
If
you
will
today,
if
we
provide
Emergency,
Medical
Services
in
place,
but
don't
transport
that
person
to
the
hospital,
you
know
they're
they're
that
may
or
may
not
be
covered
likely
not,
and
so
that's
what
we're
looking
to
accomplish.
With
this
joint
resolution.
A
A
E
A
A
Last
order
of
business
we
have
mentioned
at
the
start
of
the
meeting.
We
have
three
resolutions
in
a
resolution:
82
182,
183
184,
your
firming
appointments
to
the
Kentucky
Board
of
Nursing,
and
the
entertaining
motion
accept
those
resolutions,
motion
motion
by
Center
funky
from
Myers
seconded
by
Central
Douglas,
all
those
in
favor,
we'll
vote
I'll.
Suppose
no,
please
call
the
roll
I'm
sorry!
This
is
Voice
vote.
My
apologies
all
is
in
favor
of
the
motion.
A
Vote
aye
aye,
the
opposition
there'd
be
none
all
right,
Central,
you
think
you
were
came
in
late
or
they
votes
you'd
like
to
register
at
this
time.
I'm,
not
sure
where
you
missed
any
or
not.