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D
A
E
E
President,
if
I
could
please
allow
me
the
opportunity
to
introduce
our
Senate
committee's
staff,
because
they
are
invaluable
to
us
and
I'm,
not
sure
how
many
newbies
we
have
from
the
Senate
side,
but
to
my
left,
raise
your
hand
if
you
would
Chris
joffrin
who's
our
lead
staff
person
into
my
right:
Becky
Lancaster
who's,
our
committee
assistant,
so
again
as
you're
working
through
various
bills
and
issues
with
this
committee.
These
are
the
All-Stars
here,
so
I
want
you
to
know
their
places
faces.
So.
Thank
you,
madam
chair
back
to
you.
A
We
have
Deanne
wank,
who
is
the
lead
staff
for
our
committee
and
all
things,
health
care
and
DJ
Burns
is
the
committee
assistant
and
we
also
have
some
analysts
who
it's
important
for
you
all
to
know,
and
they
will
be
working
with
both
the
house
and
the
Senate
we
have
Ben
Payne
could
raise
your
hands
Samir
and
Nasir
and
Logan
bush,
okay.
So
for
all
the
new
legislators,
when
you
have
questions
or
comments
during
the
meeting,
please
signal
one
of
the
staff.
A
You
probably
gathered
that
from
the
last
time,
but
we
didn't
say
it
and
they'll
put
your
name
on
the
list
to
ask
questions
during
committee.
So,
okay!
Well,
thank
you
all.
We
will
go
ahead
and
get
started.
We
have
a
very
full
agenda,
as
we
tend
to
do
in
this
committee,
but
I
felt
like
this
topic
was
very
important
not
only
to
those
of
us
who
are
serving
here,
but
for
members
of
the
public
to
hear
an
update
on
the
opioid
issue.
We
we
hear
a
lot
about
it
in
the
news.
A
We
hear
a
lot
about
it
in
our
communities.
Our
families
have
been
touched
greatly
by
this
issue
and
I
just
want
everyone
to
know
that
a
lot
of
the
initiatives
that
you're
going
to
hear
about
today,
all
stemmed
from
some
policy
decisions
that
we
made
here
either
on
a
state
level
or
some
some
of
these
initiatives
even
began
on
a
local
level
and
became
some
State
policies
that
we
enacted
so
I
know
that
it's
going
to
seem
like
a
lot
of
information,
just
try
to
absorb
as
much
as
you
can
again.
A
There
are
always
individuals
and
members
of
various
departments
who
you
can
reach
out
to
to
ask
questions,
get
more
information,
so
this
is
meant
to
be
kind
of
a
broad
overview,
and
certainly
this
is
something
that's
near
and
dear
to
my
heart.
I
work
on
this.
A
lot
so
feel
free
to
reach
out
to
any
of
us.
If
you
have
questions
so
first,
we
would
like
to
welcome
Mr
Brian
Hubbard,
who
is
the
executive
director
and
chair
of
the
Kentucky
opioid
abatement
advisory
commission.
He
is
with
the
Attorney
General's
office
and
I.
F
Thank
you,
madam
chair.
My
name
is
Brian
Hubbard
and
I.
Am
the
chair
and
executive
director
of
the
Kentucky
opioid
abatement
advisory
commission,
and
it
is
an
honor
to
be
in
front
of
the
people's
Representatives
this
afternoon,
it's
been
nice
to
provide
an
overview
of
what
the
commission
is.
The
purpose
is
that
it
aims
to
achieve
and
the
things
that
we
have
done
so
far
as
everyone
here
likely
knows.
F
F
This
was
part
of
a
26
billion
dollar
global
settlement
process
in
which
multiple
States
participated,
and
it
is
the
second
largest
such
settlement
in
U.S
history.
The
Distributors
involved
in
that
initial
sum
were
Amerisource
Bergen,
Cardinal,
Health
and
McKesson,
and
manufacturer
Jansen,
which
is
known
as
Johnson
and
Johnson.
A
F
F
Fifty
percent
of
the
funds
will
come
to
the
commission,
which
will
be
distributed
by
Grant
Awards
Senate
Bill
90
will
require
the
distribution
of
10.5
million
dollars
annually
from
the
commission
share
for
four
years
for
the
behavioral
health
conditional
dismissal
program
that
is
being
developed
in
connection
with
the
administrative
office
of
the
Courts.
All
funds,
whether
to
local
governments
or
the
or
to
the
commission,
must
be
used
for
opioid
abatement
and
krs-15291
subsection
5
lists
possible
programs
for
use
of
those
funds.
F
Those
who
have
been
appointed
by
the
Attorney
General
include
myself,
Dr
Jason
rope
who
represents
victims
of
the
opioid
epidemic,
director
of
The
Office
of
drug
control
policy
van
Ingram,
who
represents
drug
treatment
and
prevention,
Community
Mr
Vic
Brown,
who
is
the
executive
director
of
the
Appalachian
high
intensity,
drug
trafficking
area
task
force,
Ms
Von
Purdy?
Who
is
a
vice
president
with
Simmons
College
in
Louisville
Kentucky,
who
represents
citizens
at
large
and
then
Ms
Karen
butcher,
who
also
represents
citizens
at
large.
Miss
butcher
lost
a
son
to
fentanyl
poisoning
in
May
of
2021..
F
On
the
other
end
of
the
spectrum,
we
had
a
450
page
monstrosity
that
came
from
a
western
state
that
had
clearly
been
created
by
the
collaborative
and
creative
exercises
of
a
lot
of
lawyerly
Minds.
So
we
tried
to
cut
it
down
the
middle
and
came
up
with
a
15-page
document
if
you
print
it
out
on
word
that
we
now
have
put
on
to
the
electronic
platform
that
was
activated
for
the
purposes
of
submitting
Grant
proposals
on
October.
F
We
have
a
situation
whereby
an
organization
or
agency
that
is
in
good
standing
with
a
Kentucky
Secretary
of
State
May
apply.
We
intend
to
do
everything
we
can
to
be
creative
entrepreneurial
in
our
philosophy
and
to
explore
every
opportunity
to
develop
Innovation
with
regard
to
combating
the
opioid
epidemic.
F
There
is
no
deadline
for
the
submission
of
Grant
applications.
We
are
accepting
these
on
a
rolling
open-ended
deadline.
There
are
no
caps
on
Grant
requests
and
the
funds
will
come
through
the
settlement
disbursements
over
18
years,
and
we
hope
that
we
will
have
somewhere
in
the
neighborhood
of
30
to
45
million
dollars
to
work
with
for
calendar
year.
2023
and
again
we
have
a
Target
date
for
our
first
round
of
awards
for
spring
of
this
year.
F
You
will
see
if
you
go
to
the
attorney
general's
website.
There
is
a
yellow
Banner
at
the
very
top
that
an
individual
or
organization
May
click
on
that
will
take
them
to
the
grant
portal,
which
is
highlighted
there
in
Orange,
since
the
commission's
formation,
in
addition
to
its
regular
business
meetings,
the
creation
of
the
application,
as
well
as
the
electronic
portal
through
which
they
are
being
submitted.
We
have
had
11
exceptional
Town
Hall
meetings
across
the
state,
literally
from
Pikeville
to
Paducah.
F
We
went
to
Louisville
twice,
we've
been
to
Paducah
twice
and
we
just
had
our
second
Lexington
Town
Hall
event:
a
Consolidated
Baptist
Church
on
Tuesday
evening.
Thus
far
we
have
received
32
completed
Grant
applications
and
there
are
an
additional
231
in
progress
and,
as
you
can
see
from
that
bottom
line
figure,
the
total
ask
among
the
32
completed.
Grant
applications
is
63.6
million
dollars.
A
Well,
thank
you
for
the
brief
overview.
I
know
that
a
lot
more
work
has
gone
into
this
than
you
made
it
sound
like
and
you've
been
very
busy
with
the
commission
and
I
just
I.
Thank
you
for
all
your
efforts.
I
know
that
you've
been
busy
going
around
the
state
doing
Town
Hall
meetings.
Have
you
seen
have
you
what
are
what
are
the
recurrent
themes
that
you're
you're
hearing
in
and
around
the
state
and
is
there
any
clear
direction
for
disbursement
of
these
funds?
Programmatically.
F
If
it's
okay,
I'm
going
to
answer
this
in
three
parts
and
the
first
will
be
the
big
picture
perspective,
what
we
have
gathered
is
that
in
our
town
hall
meetings,
it
is
very
clear
that
kentuckians
wish
for
those
of
us
who
hold
public
trust,
to
understand
the
depth
and
just
immense
dimension
of
pain
that
exists
in
the
state
that
has
been
produced
by
this
epidemic.
We
are
losing
a
small
town
a
year
and
have
been
for
at
least
a
decade.
F
For
those
who
are
just
now
beginning
the
process
of
rebuilding
their
lives
or
those
areas
in
which
we
seem
to
have
the
most
critical
gaps,
whether
we
are
talking
about
recovery
housing
that
is
genuinely
safe
and
sober,
whether
we
are
talking
about
Transportation,
the
expungement
of
criminal
records,
the
creation
of
viable
employment
opportunities
that
let
people
have
a
dignified
life.
All
of
these
remain
significant
challenges
that
we
need
to
address,
and
those
are
the
consistent
themes
that
have
come
through
the
most.
Wherever
we
have
been
in
the
state.
F
F
Kentucky
2021
was
the
first
year
in
which
black
kentuckians
were
charted
and
statistically
demonstrated
to
be
dying
at
a
higher
rate
than
that
of
whites,
and
those
deaths
are
almost
exclusively
driven
by
fentanyl
fentanyl
poisoning
that
began
to
really
show
up
in
state
statistics
in
2017
and
the
trend
line
is
a
sharp
trend
line
upward,
and
it
is
something
that
we
have
got
to
get
our
hands
around
and
drive.
Awareness
of
it
was
news
to
us
when
we
pulled
those
statistics
and
everywhere
we
have
been
to
give
a
presentation
of
statistical
realities.
G
Thank
you,
madam
chair
Madam,
coach
here,
Mr
Hubbard
I
have
a
couple
of
questions
about.
If
I
may,
Madam
coach
here
I
have
two
questions:
you're
exactly
right
that
that
Black
America,
we're
discovering
is
dying
at
a
higher
rate
from
the
Fentanyl
and
and
some
of
the
earlier
studies
suggested
that
it
was
White
America
that
was
primarily
involved
in
methamphetamine
changes.
G
This
is
an
area,
as
you
know,
I've
I've
worked
in
for
a
long
time.
I
have
two
quick
questions.
We've
mentioned
that
there
are
no
caps
on
the
award,
and
my
first
question
is:
how
do
we
determine
the
efficacy
of
the
pre-award
program?
How
do
we
determine
how
well
that
program-
or
you
know
how
much
are
we
going
to
give
this
particular
program
and
this
particular
program
and
this
particular
program
before
we
give
it
to
them?
G
G
I
I
want
to
see
this
money
going
to
where
it's
going
to
affect
our
public
and
not
to
attorney's
fees
with
all
due
respect
to
attorneys,
and
maybe
you
could
help
me
out
in
these
two
particular
areas.
Thank
you,
madam
co-chair.
F
The
attorney
fees
have
already
been
deducted
from
the
settlement
proceeds.
At
the
national
level.
There
were
multiple
law
firms
engaged
in
the
negotiations.
There
is
a
settlement
administrator
that
is
named
Brown
and
Greer,
that
is
overseen
the
distribution
of
the
money,
the
deduction
of
those
fees
in
terms
of
the
commission's
pot
of
money
that
money
is
arriving
after
those
deductions
have
occurred
as
part
of
the
national
settlement
process.
So
there
there's
not
going
to
be
any
money
heading
to
any
lawyer
bank
accounts
from
this
Commission.
F
In
terms
of
the
first
question
we
want
to
make
sure,
and
as
best
we
can
tell
given
how
the
statute
is
written,
the
legislature
has
been
very
forward
thinking
in
terms
of
wishing
to
have
a
structure
that
preserves
local
autonomy
that
allows
cities
and
counties
to
customize
solutions
for
their
unique
conditions
on
the
ground,
while,
given
the
commission
specific
statutory
guidance
as
to
those
priorities
on
which
the
money
must
be
spent.
Without
pigeonholing,
the
commission
to
certain
rubrics
that
may
or
may
not
fit
our
state.
F
The
way
in
which
we
intend
to
award
money
is
on
the
basis
of
the
priorities
that
have
been
identified
within
the
broad
topics
of
prevention,
treatment
and
Recovery.
Insofar
as
we
have
Grassroots
organizations
that
have
a
demonstrated
track
record
based
on
their
ongoing
current
work,
as
well
as
their
past
performance
of
delivering
services
that
fill
in
those
critical
gaps
that
were
previously
described.
That
is
what
is
going
to
drive
the
award
of
the
money.
It's
fulfilling
the
need
that
is
identified
with
Grassroots
organizations
that
have
proven
track
records
of
performance.
E
Thank
you,
madam
chair,
and
thank
you
Brian
for
the
presentation.
You're
always
doing
a
great
job.
Just
a
couple.
Quick
questions
for
842
million
is
a
nice
number,
but
it's
relatively
small.
When
you
look
at
the
scope
of
the
problem
and
any
discussion
about
going
forward
about
what
the
price
tag
might
be
for
this
and
where
additional
funding
might
have
to
come
from,
I
mean,
could
it
be
from
the
general
fund
or
is
there
anything
else?
That's
kind
of
hanging
out
there
that
we
need
to
pursue.
F
So
what
we
really
have
here,
while
substantial
and
while
very
much
needed,
is
but
a
drop
in
the
bucket
compared
to
the
overall
scope
of
this
problem
in
terms
of
finding
additional
funds
with
which
to
address
the
opioid
epidemic,
there
are
still
yet
potential
lawsuits
to
participate
in
either
as
part
of
a
national
litigation
and
settlement
process,
as
well
as
the
consideration
of
litigation
within
the
state.
Those
are
not
things
that,
at
this
stage
in
the
game,
there
have
been
any
firm
decisions
on,
because
they're
very
much
in
the
stage
of
development
and
assessment.
F
The
one
thing
we
have
to
look
for
is
the
opportunity
to
build
a
clinical
treatment
Paradigm
that
covers
Us
from
front
to
back.
That
will
deliver
us
better
results
than
what
we
have
now
I.
Don't
have
the
answer
as
to
what
that
is,
but
just
as
the
United
States
relied
upon
a
team
of
scientists
spread
across
the
country
as
part
of
what
was
referred
to
as
the
Manhattan
Project.
F
E
Appreciate
you
Mr
Purdue
Pharma,
those
interesting
the
numbers
you
gave
us
CBS,
Walgreens
and
so
forth.
Certain
grade
settlements,
I
think
the
Purdue
Pharma
settlement
was
26
million,
I
believe
possibly
29.
E
and
I
understood
at
one
time
that
former
Attorney
General
stumbo
said
that
this
is
going
to
be
a
billion
dollar
settlement
in
that
suit,
and
we
weren't
even
close
to
that.
But
it
is
tragic
that
they
made
that
kind
of
profit
that
we
just
kind
of
get
a
pittance
of
it,
and
that's
that's
very
tragic
in
itself,
but
I
appreciate
your
assessment
of
this
and
certainly
be
a
challenge
going
forward.
But
thank
you.
Thank
you.
Senator.
A
Okay
well,
thank
you
again.
I
really
appreciate
your
work.
Your
comments
today
and
we
will
certainly
keep
working
together
on
this
I
know
that
we
share
this
passion
for
really
finding
some
solutions
to
to
mitigating
and
and
mitigating
the
problem
and
and
saving
more
lives.
A
So
all
right,
well,
I,
think
at
this
point,
I
don't
have
any
further
questions
for
you
right
now
doesn't
mean
that
there
won't
be
later,
but
I
think
at
this
point,
we'll
we'll
bring
up
Dr
Katie
Marks,
to
talk
about
the
course
project
and
funding
the
Kentucky
opioid
response
effort
project
and
all
of
these
kind
of
go
hand
in
hand
so
I.
It's
my
hope
that,
after
you
hear
all
of
these
presentations
that
you'll
you'll
get
a
clear
picture
of
what's
going
on
in
Kentucky,
so
Dr
marks.
A
Thank
you
so
much
for
being
with
us
today.
If
you
could
introduce
yourself
for
the
record,
give
us
your
title
and
tell
us
about
the
great
work
that
you're
doing
and
and
I
I
haven't
seen
your
slides
yet
so,
hopefully,
there's
a
little
bit
of
background,
if
not
provide
that.
Thank
you.
I.
H
Appreciate
it,
thank
you.
Katie
Marks
I'm,
the
Project
Director
for
the
Kentucky
opioid
response
effort
core,
as
we
called,
is
housed
in
our
department
for
Behavioral,
Health,
Developmental
and
intellectual
disabilities
within
the
Cabinet
for
Health
and
Family
Services
I'll
be
full
of
acronyms
and
I'll
attempt
to
also
spell
them
out
as
we
go
through
the
project
today.
I
want
to
just
pause
and
thank
you
for
prioritizing
this
topic
and
I
know
today
is
centrally
focused
on
it.
H
H
I
also
hope
that
you'll
hear
in
this
presentation
today,
as
Brian
so
eloquently
described
both
the
challenge
that
Kentucky
is
uniquely
facing
in
the
opioid
crisis,
but
the
immense
array
of
solutions
and
Recovery
that
is
already
occurring
in
the
state
and
when
I
tell
you,
we
are
leading
the
nation
in
the
solutions
to
the
overdose
epidemic
to
the
addiction
crisis.
That
is,
that
is
the
truth
and
so
I'm
going
to
paint
a
broad
picture
of
many
things.
H
We're
already
doing
today
with
the
goal
of
continuing
to
scale
the
work
across
the
state
core
was
originally
funded
through
samhsa,
the
Substance
Abuse
and
Mental
Health
Service
Agency
in
2017,
and
they
came
with
a
very
intentional
focus
and
set
of
funds
to
reduce
opioid
overdose
deaths
across
the
state
and
also
increase
access
to
a
full
Continuum
of
prevention,
treatment
and
Recovery
support
services.
And
so
that's
where
core
is
born
from
is
that
very
specific
Grant
initiative?
We
receive
funding
every
two
years
from
samsa.
H
I
wanted
to
quickly
paint
a
picture
of
our
funding.
For
you,
as
you
can
see
on
the
left,
is
the
name
of
the
grant.
Sometimes
you'll
hear
people
talk
about
core
and
you'll
hear
people
talk
about
soar,
Sor
the
state,
opioid
response.
These
are
interchangeable
terms,
but
this
shows
you
that
we
are
receive
a
significant
investment,
but
at
the
same
time
we
just
had
a
conversation
about
the
scale
in
the
insufficiency
of
these
funds
to
make
the
Statewide
impact
that
we
need.
H
Nevertheless,
what's
really
unique
about
this
opportunity
and
has
been
since
it
began-
is
the
ability
to
Pilot,
develop
test
and
evaluate
novel
interventions
and
then
work
to
build
them
into
policy
and
practice
by
expanding
our
reimbursement
structures
by
changing
Statewide
practices,
so
that
these
aren't
just
one-off
pilot
projects.
But
a
changed
way
that
we
have
our
system
of
care.
H
What
we
do
with
this
funding
is
create
funding
of
opportunities
on
an
annual
basis
to
award
to
Community
Partners
and
over
92
percent
of
these
funds
go
directly
to
Community
Partners
for
delivery
of
services.
The
remaining
portion
is
also
to
State
agencies
to
directly
deliver
services,
and
then
a
small
portion
is
the
operation
of
a
core.
H
H
My
background
is
Academia,
so
I
can't
help,
but
give
you
at
least
one
or
two
Frameworks
for
how
we
think
about
what
we're
doing,
because
when
you
understand
what
our
approaches
it
makes
sense,
what
our
Solutions
are,
and
so
we
use
the
Cascade
of
care
framework
and
what
it
says
is
that
we
think
about
all
the
points
along
the
Continuum
of
Care,
that
we
have
the
opportunity
to
intervene,
and
so
we
can
begin
by
preventing
the
initiation
of
use.
But
we
also
have
to
present
prevent
that
transition
to
misuse.
H
We
have
to
identify
the
need
for
treatment
early
and
we
have
to
provide
treatment,
access
and
engage
people
in
that
treatment.
Then
we
have
to
support
them
in
the
retention
of
treatment
and
then
sustain
remission
and
long-term
recovery,
and
so
we
have
to
Target
each
of
those
phases
at
the
individual
level,
and
then
we
also
have
to
build
that
Continuum
into
all
of
the
systems
and
settings
that
we
deliver
services
in.
So
it's
no
small
task
across
all
of
this,
you
see
is
reduce
harm.
H
H
Is
it
what
that
person
needs
for
their
recovery
and
then
is
it
quality
and
evidence-based,
and
we
have
to
tick
those
boxes,
all
four
of
them
in
order
to
change
our
system
just
to
bring
it
back
to
core
a
little
bit
more
specifically,
our
priority
populations
are
based
on
the
data
that
we
have
that
show
who's
at
highest
risk
for
overdose,
and
so
we've
prioritized
this
time
for
populations.
People
who've
experienced
an
opioid
overdose.
H
We
know
that
they
are
at
highest
risk
for
a
subsequent
overdose,
pregnant
and
parenting
women,
both
for
the
vulnerability
and
the
opportunity
to
impact
intergenerational
families,
criminal,
legal
involved
individuals.
We
know
not
only
that
the
reasons
they
often
enter.
The
criminal
legal
system
is
related
to
their
substance
use,
but
their
vulnerability
to
return
to
use
in
overdose
following
release
from
incarceration
is
immensely
elevated
and
then
marginalized
and
minoritized
individuals
I'll
give
Brian
another
prop
for.
H
Stigma
is
one
of
the
major
drivers
of
why
people
don't
seek
treatment,
don't
remain
in
treatment
or
return
to
use
and
then
don't
seek
Services.
After
that,
and
so
unshamed
Kentucky
is
a
Statewide
anti-stigma
campaign,
it's
focused
on
reducing
the
stigma.
Against
Addiction,
it's
reducing
the
stigma
against
medications
for
opioid
use
disorder.
You'll
hear
me
call
that
mood
several
times
throughout.
H
The
statistics
are
remarkable
on
this
on
a
monthly
basis.
This
is
just
December
data,
1.6
million
impressions
on
social
media.
So
this
is
largely
driven
by
videos
that
kentuckians
record
about
their
Journey,
their
experience
of
Hope
and
recovery,
and
our
mission
you'll
recognize
Marta
Miranda
stop
as
one
of
the
people
that
has
contributed
to
this
campaign
on
a
daily
basis.
600
000
people
are
watching
these
videos
and
I
think
that
this
is
really
an
impactable
initiative.
In
version
2.0
we're
going
to
dive
even
deeper
into
fentanyl
awareness
and
follow
us
Unchained
Kentucky.
H
You
can
follow
us
on
social
media.
You
can
go
to
the
website.
Please
help
expand
this.
Another
infrastructure
initiative
is
the
Kentucky
recovery
Housing
Network.
This
is
a
the
adoption
of
the
National
Alliance
of
recovery
residence
standards
to
build
a
system
of
certification
that
supports
safe
and
quality
housing.
It
also
provides
technical
assistance
for
free
to
any
recovery
housing
operator,
a
monthly
learning
collaborative
call.
It
has
a
community
Advisory
board
right
now.
H
We've
got
42
houses,
certified
that
hold
up
to
496
beds
and
an
additional
109
Oxford
houses
that
are
not
counted
in
this
number
you'll
hear
me
talk
about
housing
and
I'm
sure
you'll
hear
about
others,
others
as
well.
We
have
a
significant
deficit
in
recovery,
how
we
have
a
housing
deficit
to
begin
with
in
a
recovery
housing
deficit.
H
On
top
of
this,
and
so
the
recovery
Housing
Network
is
one
critical
intervention
to
make
sure
that
we've
got
safe
quality,
housing,
I'm,
going
to
move
into
prevention
and
harm
reduction
strategies
and
just
to
foreshadow,
then
we'll
go
through
treatment
and
then
recovery,
there's
so
many
important
initiatives
I'll
talk
about
naloxone
distribution
in
a
little
bit
but
know
that
we
do
a
lot
with
primary
prevention,
which
means
prevention
in
our
schools
and
after
schools
over
300
schools
or
have
adopted
some
of
the
programs
that
we
funded
sources
of
strength
are
too
good
for
too
good
for
drugs.
H
A
Community
Coalition
building,
Early
Childhood
Mental
Health
Services
to
support
bonding
and
early
attachment,
syringe
service
programs,
reducing
suicide
risk.
All
of
these
are
distinct
initiatives
that
have
specific
projects,
contracts
and
partners
in
our
community
that
are
doing
this
work,
but
I
want
you
to
know,
especially
about
overdose
education
in
naloxone
distribution.
So
naloxone
is
the
generic
name
for
Narcan,
which
is
the
overdose
reversal.
H
Medication
Narcan
has
remarkable
capacity
and
efficacy
in
reducing
an
opioid
related
overdose,
and
it's
one
of
the
most
important
interventions
we
can
get
out
there
to
save
lives,
because
we
can't
help
people
recovery
recover
if
they
are
not
alive,
and
so
we've
got
a
two-prong
strategy.
We
have
both
community-based
distribution,
which
means
we
pay
directly
for
the
cost
of
naloxone,
and
we
give
it
to
health
departments
and
community-based
programs
and
jails
and
schools
to
say
here.
You
could
have
this
to
give
directly
to
the
people
you
serve
or
to
give
directly
to
individuals.
H
We
also
work
with
our
pharmacies
and
we
encourage
co-prescribing
pharmacists
initiated
conversations
about
using
naloxone,
and
this
is
all
anchored
by
the
Kentucky
pharmacist
Association
and
in
done
in
very
close
coordination
with
all
of
the
funding
being
for
naloxone
in
the
state.
So
between
office
of
drug
control
policy,
CDC
funding,
State
block
grant
dollars.
We
make
sure
that
this
is
a
coordinated
effort,
anchored
in
the
Kentucky
pharmacist
Association
on
an
annual
basis
we're
getting
out
about
63
000,
two
dose
units
of
naloxone
a
year.
That's
almost
half
of
the
Statewide
distribution.
H
I
also
wanted
to
highlight
syringe
service
program
expansion.
We
know
unequivocally
that
syringe
service
programs
save
lives,
they
reduce
disease
transmission
and
they
facilitate
service
access,
and
so
what
we
do
is
just
use
very
small
amounts
of
funding
15
to
30
000
awarded
to
health
departments,
which
are
the
entities
that
oversee
the
syringe
service
program.
In
the
return
on
investment
is
remarkable:
8
700
individuals
last
year
alone
accepted
a
referral
to
treatment
because
of
their
engagement
in
a
syringe
service
program.
H
98
000
brochures
went
out
around
education,
around
harm
reduction,
wound
care
and
protection
and
accessing
treatment
services,
and
just
for
your
own
visualization.
All
of
the
stars
represent
where
we
have
syringe
service
programs
in
Kentucky
and
the
pink
is
where
we
have
counties
vulnerable
to
an
HIV
or
a
hep
C
outbreak.
H
In
the
treatment
space,
as
you
heard
me
say
earlier,
we're
focused
on
Outreach
engagement,
access
and
retention.
Treatment
is
and
isn't
a
single
uni-dimensional
concept.
Quick
response
teams
are
funded
throughout
the
state.
The
idea
here
is
that,
when
someone
experiences
an
overdose
or
opioid
related
crisis,
we
send
a
team
into
the
community
to
show
up
at
their
door,
alongside
with
the
EMS
at
the
hospital
to
the
family,
to
say
we're
here,
for
you
we're
going
to
connect
you
with
resources.
H
One
of
the
things
we
learned,
especially
during
covid,
is
that
we
can't
wait
for
people
to
come
into
our
brick
and
mortar
buildings.
We
have
to
go
out
there
in
the
community
and
meet
people
where
they're
at
figuratively
and
literally,
and
that's
what
quick
response
teams
do
about.
25
percent
of
people
access
Services
as
a
result
of
of
the
quick
response
teams,
that's
a
huge
return
on
investment
for
something
we
hadn't
previously
invested
in
at
all
core
also
pays
for
treatment
for
individuals
who
have
no
payer
Source.
We
pay
for
residential
and
intensive
outpatient
services.
H
We
pay
for
room
and
board
to
extend
the
duration
of
their
care.
We
pay
for
Methadone
when
there's
not
a
payer
Source.
We
worked
with
the
Kentucky
Primary
Care
Association
to
fund
federally
qualified
Health,
Centers
and
Rural
health
clinics
to
expand
their
capacity
to
offer
services
within
their
clinics.
H
These
are
all
activities
that
we
are
currently
funding
and
are
expanding
in
this
state,
I
always
have
to
emphasize
medications
for
opioid
use
disorder.
We
know
that
the
evidence
is
absolutely
clear
and
is
embedded
in
all
of
our
projects.
Medications
reduce
opioid
use,
craving
return
to
use
overdose
recidivism.
H
They
improve
treatment,
red
tension
and
I'll
back
up
and
say
that
medications
for
opioid
use
disorder
refers
to
buprenorphine
or
Suboxone,
methadone
and
Vivitrol,
and
the
the
last
piece
just
to
emphasize
in
the
treatment
space
is
our
partnership
with
addressing
the
criminal
legal
system
and
so
I've
laid
out
for
you
quickly,
so
that
you
could
read
it
another
time.
This
idea
that
it
every
intercept
of
the
criminal
legal
system,
whether
it
be
when
they're
still
at
community
services
and
law
enforcement,
all
the
way
to
re-entry
into
the
community.
H
There
are
core
funded
programs,
Building
Services
for
people,
whether
it
be
pre-trial
care
coordination,
alternative
sentencing,
with
funding
to
support
access
to
treatment,
medications
in
the
jails
or
re-entry
care,
coordination
and
employment
and
job
training
for
jails
or
people
re-entering
the
the
service.
Continuum
is
really
remarkable
in
its
breadth.
H
I'll
leave
these
for
you
to
read,
but
a
42
reduction
in
opioid
use
disorder
diagnosed
at
six
months.
That's
our
primary
outcome.
Right
now
with
core
for
people
that
complete
a
survey
at
the
intake,
which
is
several
thousand
individuals.
At
six
months.
We've
got
a
42
reduction
in
opioid
use.
Disorder,
diagnosis
about
13,
000,
unduplicated
individuals
are
served
each
year
in
the
recovery.
Space
recovery
is
maybe
the
most
exciting
piece
to
talk
about,
because
it's
not
just
about
the
the
reduction
in
use
or
the
cessation
of
use.
H
H
Know
that
there's
another
about
13
000
individuals
each
year
that
receive
recovery,
Support
Services
through
core
funded
programs
over
1500
people
receiving
housing
just
through
Oxford,
House
alone,
remarkable
number
of
people,
almost
5
000
individuals,
getting
employment
support
services
and
a
199
increase
in
employment
from
when
they
enter
a
core
funded
program
until
six
months
later,
and
so
I
I
really
wish
that
I
could
just
dive
deeply
into
every
last
program,
but
I'll
I'll
leave
it
for
kind
of
future
conversation
and
obviously
more
discussion
right
now,
but
I
hope
that
this
provides
the
flavor
of
the
array
of
services
and
the
understanding
that
there
are
things
there
are
evidence-based
practices
implemented
in
the
state
that
are
working,
and
it
is
our
job
and
opportunity
to
scale
that
which
works.
H
It's
no
longer
just
a
scarcity
crisis.
We
have
effective
programs
and
partners,
and
our
job
is
to
to
turn
it
over
to
them
to
do
that.
Work
at
this
point
so
with
that
I'll
take
questions.
Thank
you.
I
A
Love
that
you
do
a
great
job
on
on
following
up
and
and
really
giving
us
some
of
the
outcomes
that
we
that
we
need
to
to
really
see
what's
working
I
was
part
of
that
little
Quick
Response
Team
program
years
and
years
ago,
up
in
Northern,
Kentucky,
so
I'm
excited
to
see
that
that's
expanding
and
one
thing
you
said
you
said
that
it's
being
funded
through
the
state
and
that
wasn't
always
the
case.
Do
you
mean
that
it
that
some
of
those
programs
are
being
funded
through
the
course
program?
Yeah
I
tend.
H
H
A
It's
it's
exciting
to
see
that
25
return
on
investment
I
mean
that's
a
big
number
of
people
who
wouldn't
ordinarily
seek
treatment.
So
there
there
are
some
good
things
happening.
The
bridge
expansion.
A
That
was
you
know,
lots
and
lots
of
meetings
early
on
to
to
Really
encourage
Physicians
to
prescribe
buprenorphine
in
the
emergency
room.
So
there
are
these.
These
programs
that
started
small
and
and
through
a
lot
of
really
great
Partnerships,
are
growing,
so
it
I
I,
find
it
very
exciting.
A
I
have
a
question
about
the
Nars
certification
for
transitional
housing
and
I
know
that
not
all
of
our
housing
needs
to
be
or
there's
no
real
requirement
to
be
nurse
certified.
Is
that
something
that
you
think
would
would
really
help
us
as
we're
looking
for
Quality
programs.
I
know
that
there
are
cities
and
counties
who
deal
with
kind
of
these
pop-up
sober
living
houses,
that's
a
terrible
term,
but
that's
you
know
and
they're
not
certified,
and
you
know
they
create
a
little
bit
of
distrust.
H
So
we
established
in
our
certification,
anticipating
that
this
type
of
conversation
was
coming
and
we've
used.
The
carrot,
approach,
I
think
is
as
far
as
we
can
go,
and
one
of
the
main
carrots,
in
addition
to
the
training
and
technical
assistance,
is
that
with
core,
and
also
with
dbh
department
for
Behavioral
Health
funds
is
we
say
we
will
only
award
funding
to
Nar,
certified
or
entities
can
only
refer
to
Nara
certified,
and
so
that's
the
biggest
I
think
payoff
is
really
routing
people
to
Quality
programs.
H
And
so
this
narrow
space,
relatively
narrow
space
of
people
that
houses
that
need
to
become
Nar
certified
I
do
think
that
if
we
can
get
a
Groundswell
of
support
by
having
more
entities
require
it
and
really
pushing
people
towards
that
Nar
certification,
one
way
or
the
other.
We
are
going
to
see
a
positive
return
on
investment,
but
I
think
we
just
need
to
recognize
that
again
those
those
entities
that
don't
want
to
be
certified
that
aren't
going
to
play
by
the
rules.
This
isn't
going
to
make
the
big
difference
for
them.
H
A
Okay,
thank
you.
Yeah
I
I
mean
I,
think
that
makes
a
lot
of
sense.
You
know
I'm
I'm
looking
for
ways
to
to
not
only
create
quality
treatment
and
and
wrap
around
and
re-entry
services,
but
give
our
community
some
comfort
that
these
are.
You
know,
folks
who
are
following
the
laws
and
are
are
working
to
improve
their
lives
and
good
neighbors.
C
A
Yeah,
okay
and
then
I
have
a
question
about
a
reg
that
we
talked
about
in
the
summer.
It
had
to
do
with
the
300
patient
limit
on
treatment
providers.
Where
are
where's
the
cabinet
on
this
right
now
and
I
mean
I'll,
probably
have
a
follow-up.
H
I
wish
I
had
brought
Rachel
to
the
stand
with
me.
She
could
speak
to
it
much
better
than
I
know
that
it
was
just
the
reg
just
went
all
the
way
through
the
300
was
returned
back
to
the
previous
state,
so
I
am
blanking
on
exactly,
but
there
was
no
change
in
its
status
from
what
it
was
prior
to
opening
the
Reg
could.
A
J
Rachel
Ratliff
I'm
the
regulation
coordinator
for
the
Department
for
Behavioral,
Health,
Developmental
and
intellectual
disabilities.
Thank
you.
The
rig
actually
cleared
ours
for
its
first
reading
last
week
and
we
had
in
the
drafting
of
it.
We
had,
of
course
made
changes
to
restrict
that
to
300
patients
back
nationally
and
what
we
did
was
we
opened
up
more
prescribers
and
providers
that
are
available
in
clinics
to
where
it's
not
just
a
program
physician
or
a
program
prescriber,
but
we
allowed
other
professionals
that
qualified
based
upon
their
credentialing
and
their
licensing.
H
A
I
see
so
if,
if
a
provider
comes
from
out
of
state,
yeah
I
mean
I
still,
you
know
I'm
not
I'm,
not
crazy
about
this
idea,
because
we
don't
cap
the
number
of
patients
for
other
specialty
Specialists.
A
So
you
know
this
is
a
reg
for
everyone
on
the
committee
that
we'll
be
hearing
and
so
we'll
have
another
opportunity
to
discuss
it.
But
this
is
kind
of
the
process.
A
We
we,
you
know,
get
feedback
and
you've
already
gone
through
the
public
comment
period
and
you've
digested
all
of
that
information
and
and
come
back
with
your
proposal.
So
thank
you
for
that
explanation.
We
might
have
more
questions,
but
I
appreciate
that
feedback.
Yes,
okay,
thank
you
all
right,
Senator
Adams!
Do
you
have
a
question.
K
Yes,
thank
you,
madam
chair
I
have
a
well
one
question
you
already
asked
was
about
State
participating
in
this.
Is
it
just
a
federal
funding
or
did
the
state
contribute
but
I'm
curious
to
know
I'm,
assuming
that
the
footprint
of
this
is
Statewide?
It
is
okay,
so
we
have
a
Statewide
footprint
for
this
and
there
are
a
lot
of
programs
that
you
outlined,
but
I'm
interested
in
kind
of
the
breakdown
of
the
numbers
of
what
are
we
spending
most
of
this
money
toward
and
I
know
we
kind
of
glossed
over
outcomes.
K
Do
we
need
to
look
at
those
percentages
of
what
we're
spending
that
money
on
to
get
the
higher
level
of
outcomes,
because
this
is
a
lot
of
money
and-
and
we
still
have
a
very
pervasive
problem
in
our
state
and
so
I
want
to
make
sure
that
we're
utilizing
resources
where
we
can
see
most
Advantage
absolutely.
H
So
about
53
percent
of
the
funding
for
core
is
to
treat
what
you
call
kind
of
classic
treatment
about
19
I'm
saying
about
90.
It's
exactly
19
because
it
is,
is
harm
reduction,
so
that
would
be
either
naloxone
distribution
or
syringe.
Naloxone
distribution
or
other
harm
reduction
activities
about
five
percent
is
primary
prevention.
Sorry
I
didn't
move
these
in
order
primaries.
K
H
Do
and
I
can
get
that
to
you
afterwards
in
an
array
of
different
visualizations,
but
in
general,
where
we
started
is
mapping
it
on
to
overdose
death
deaths
by
county,
and
so
we
created
a
Risk
Index
score.
What
that
score
has
showed
us
over
the
years.
Is
that
our
obviously
our
Urban
centers
Louisville,
Lexington,
Northern,
Kentucky
and
then
Eastern
Kentucky
historically,
have
received
the
majority
of
the
resources,
that's
proportionate
to
the
impact
we've
seen
two
things
change
over
time,
though
shifting
to
more
Central
Kentucky.
H
So
if
we
start
with
kind
of
Fayette,
County
move
a
little
East
and
then
do
a
big
circle
like
this.
So
funding
is
increasingly
allocated
in
that
way
and
then
more
towards
Western
Kentucky
as
well.
Samhsa
expanded
our
capacity
to
also
provide
services
for
people
with
stimulant
use
disorders,
and
that
was
historically
a
little
bit
more
represented
in
Western,
Kentucky
and
so
Western
Kentucky
is
increasing,
but
yeah
I
can
present
that
to
you
a
few
different
ways.
E
Thank
you,
madam
chair,
and
thank
you
Dr
Mark's,
a
great
presentation,
as
always,
and
of
all
your
slides,
probably
one
that
it
was
impactful
for
me,
was
your
own
shame
Kentucky
and
never
really
had
considered
that
element
of
it,
but
certainly
that
is
an
obstacle
for
many.
Many
people
and
I'm
very
pleased
that
maybe
we
have
some
technology
available
to
us
to
address
that
and
in
our
tool
chest-
and
this
is
certainly
something
that
all
of
us
seem
to
have
today
and
so
I'm
talking
specifically
about
the
prescription,
digital
Therapeutics
and
I
know.
E
There's
been
some
pilot
programs
on
that.
Other
states
have
adopted
it.
Chairwoman
Moser
had
a
house
joint
resolution
last
session
to
direct
Medicaid
to
see
guidance
from
cms's
to
payment.
For
this.
Do
you
Embrace
that
technology?
And
if
you
do
do
you
know
where
we
are
as
long
as
the
payment
Continuum
for
this
yeah.
H
I
do
Embrace
that
technology
their
evidence
base
is
clear
that
it
it
supports
engagement
in
the
application
which
delivers,
if
evidence-based,
psychosocial
interventions.
It
has
the
capacity
to
do
contingency
management.
Sorry,
I,
dove
technical.
You
probably
just
want
a
thumbs
up
or
a
thumbs
down,
but
yes,
I
in
terms
of
the
status
that
is
on
the
Medicaid
side,
where
it's
moving
through
I've
been
supportive
of
the
process
core,
obviously
piloted
those
to
demonstrate
the
return
on
investment.
H
E
H
Here's
what
I
know
I
know
that
we
had
our
highest
peak
about
a
few
months
after
the
Declaration
of
emergency
was
declared
for
covid
and
we
shot
up
in
our
time
and
then
we
continued
to
rise,
and
then
we
leveled
off
and
that's
where
we
are
right.
Now
we
are
at
a
new
Baseline
that
remains
significantly
elevated
prior
to
the
covid-19
pandemic.
H
I
do
see
signs,
I,
look,
I,
look
at
the
data
regularly
that
we
might
start
to
be
on
a
small
decline,
but
we've
settled
in
really
firmly
to
this
kind
of
higher
plateau
and
with
evolving
issues
like
fentanyl
in
other
adulterants.
That
naloxone
can't
reverse.
We've
got
more
challenges
to
get
it
to
go
firmly
down
right.
A
L
Thank
you,
madam
chair
and
I
thank
Senator
Meredith
answered
or
asked
the
question
mine
was,
you
know
we
still
rank
the
last
numbers.
I
look
we're
number
one
in
Desma
overdose
in
the
nation
and
that's
not
a
good
number,
not
a
good
place
to
be
number
one.
We've
been
at
number
one
for
quite
a
while.
So
I'm
just
wondering
you
know
when
we're
going
to
see
results
on
the
hard
work
we're
putting
in
and
the
money
we're
putting
into
these
areas,
because
people
are
dying
daily
because
of
this
epidemic
and
it's
affecting
the
economy.
H
Bending
the
overall
curve
is
hard
to
say,
but
what
I
can
tell
you
is
that
alone
in
this
program,
I
can't
believe
I
didn't
say
this
number
out
loud.
We
know
that
there
were
over
4
200
people
that
had
an
overdose
reversed
or
requested
additional
naloxone,
because
they
had
reversed
an
overdose
through
this
alone,
and
so
I
can
tell
you
that
we
would
have
4
200
more
people
dead
in
the
state.
If
we
didn't
have
this
program
just
in
the
past
year,
and
so
a
while
and
I
have
to
give
myself
this
own
pep
talk.
H
A
Thank
you,
representative,
rourkes
last
question
and
then
we'll
I
know
that
there
are
some
other
folks
who
have
questions
we'll
move
on
and
if
you
could
just
save
those
and
roll
them
into
the
next
presentation.
That
would
be
great.
Thank.
D
G
D
H
Yeah,
that's
a
that's
a
great
question:
I
I
think
that
there's
a
lot
there's
structural
barriers
right.
We
don't
have
enough
recovery,
housing,
and
so
we
communities
can
do
all
of
this
treatment,
but
then
they
either
have
to
send
their
someone
outside
of
their
Community
for
Recovery
housing
or
they
just
don't
have
it.
Transportation
is
a
huge
barrier.
H
We
can
build
these
Services
all
day
long,
but
if
people
can't
get
to
them-
and
this
is
an
urban
and
rural
issue,
if
you
can't
get
to
the
location
you're,
not
you're,
not
gonna,
you're,
not
gonna
recover.
We
know
that
there's
still
stigma,
that's
preventing
access
to
Quality
evidence-based
services,
so
we
still
have
the
vast
majority
of
hospitals
in
our
state,
not
prescribing
or
giving
buprenorphine
to
treat
opioid
withdrawal.
H
A
And
we're
going
to
bring
up
Dallas
Hurley
to
he's
a
senior
policy
director
for
VOA
The
Volunteers
of
America
to
talk
about
recovery,
ready
communities
and
I'm
sure
he's
going
to
give
us
great
background
and
talk
about
kind
of
what
is
going
on
across
the
state
to
ensure
that
our
communities
are
recovery.
Ready.
So
welcome.
If
you
could
just
introduce
yourself
for
the
record
and
please
proceed.
M
M
We
have
been
chosen
well,
first
of
all,
initially
I
want
to
excuse
me
issue
an
apology
on
behalf
of
Executive
Director
Van
Ingram
from
the
office
of
drug
control
policy.
He
was
double
booked
today,
but
he
is
at
a
very
important
meeting.
He
is
attending
the
board
of
directors
for
the
healing
communities
study
and
so
that's
a
huge
influx
of
federal
support.
M
So
it's
good
that
he's
there
and
I'm
happy
to
try
to
fill
the
void
and
hopefully
be
as
a
informational
as
he
can
be
so
just
to
give
all
the
new
members
some
background.
The
general
assembly
and
the
2021
session
passed
House
Bill
7,
which
established
the
recovery,
ready
communities,
advisory,
Council,
22-member,
Council,
very
diverse
folks,
with
lived
experience.
Experts
in
the
field,
folks
from
the
all
the
department
affected
departments,
local
representation
from
KLC,
and
so
it's
a
very
good
sort
of
broad-based
Council.
M
This
Council
was
tasked
with
creating
a
quality
measure
for
cities
and
counties,
recovery,
support
systems
and
treatment
programs.
M
So
with
that
work
started,
the
council
initially
met
several
times,
I
think
over
about
six
months
and
I
think
they
decided
that
once
they
started
getting
into
the
technical
aspects
of
actually
building
a
criteria
to
do
these
quality
measures
that
they
needed
some
backup
and
some
extra
support,
So
a
it-
was
decided
through
officer,
drug
control,
policy
to
contract
with
Volunteers
of
America
Mid-States,
and
that's
how
I
became
part
of
the
project
and
I'm
very
excited
to
report
today
that
we
have
just
the
advisory.
Council
has
just
approved
the
draft
criteria
that
we
proposed
to.
M
That
was
helped
that
we
helped
the
executive
director
Ingram
develop.
So
we
are
right
on
the
cusp
of
launching
this
Statewide.
We
are
sort
of
tinkering
last
few
last
minute,
tweaks
to
our
website,
which
that'll
be
the
application
portal
for
communities,
so
it'll
be
rrcky.org
and
that'll
be
that'll,
be
live!
M
That's
where
anyone
in
your
community
can
go
to
get
more
information
or
apply
to
give
you
an
overview
of
the
criteria
I'm
going
to
Echo,
director,
Hubbard
and
Dr
marks,
because
we
had
the
same
three
areas
of
focus.
So
the
first
category
prevention-
and
you
know
that
runs
the
gamut
from
active
local
ASAP
boards
to
primary
prevention
in
schools
at
chorus
funding.
M
Next,
the
category
would
be
treatment
and
here
again
sort
of
building
on
the
work
that
core
has
done
in
terms
of
trying
to
really
you
know,
sort
of
professionalize
and
get
as
much
evidence-based
practice
or
evidence
informed
practice
in
that
treatment
space.
That's
what
we're
are
that
this
criteria
is
focused
on
making
sure
we're
using
Asam
assessments,
which
is
the
Association
or
the
Society
of
addiction
medicine
there.
M
So
we'll
have
a
universal
assessments,
also
we're
looking
at
overdose
Response
Team,
the
quick
response
team
that
chair
Moser
mentioned
earlier,
trying
to
expand
that
out
wide
and
really
from
my
perspective
and
it's
a
great
job
as
a
policy
nerd
we're
building
on
the
amazing
the
amazing
work
of
core
and
really
trying
to
scale
it
up
and
sort
of
give
cities
and
counties
a
blueprint
for
evaluating
the
good
things
that
they're
doing
the
strengths
that
they
have
and
then
looking
at
the
opportunities
to
where
maybe
they
can
make
some
strategic
Investments,
especially
using
some
of
the
money
that
is
coming
in
from
these
giant
settlements.
M
So
I
think
that's
really
sort
of
where
we
fit
in
on
this
Continuum
of
of
all
these
Statewide
efforts
and
then
the
final
category
recovery
support,
so
Dr
Marx
alluded
to
trying
to
build
up
recovery
Capital,
which
are
the
sort
of
the
protective
factors
around
folks
in
recovery
or
folks
in
you
know,
suffering
from
substance
use
in
treatment
or
in
recovery.
And
so
really
you
know,
all
of
our
criteria
is
designed
to
increase
recovery
Capital
at
the
at
the
you
know,
human
level.
M
So
the
person
be
person
affected
the
family
level,
trying
to
support
families
in
crisis
or
families
with
a
family
member
in
crisis
and
then
also
at
the
community
level,
and
really
that
the
strengthening
at
the
community
level
really
looks
like
at
strengthening
the
Continuum
of
Care
and
making
sure
that
everyone
all
stakeholders
involved-
First
Responders
Hospital
systems,
Public
Health
departments,
local
Chambers,
local
employers,
that
everyone
receives.
M
So
moving
on
the
I
did
once
did
want
to
bring
up
prior
to
passing
the
or
approving
this
criteria.
Executive
director
Ingram
wanted
us
to
beta
test
this
criteria,
just
to
make
sure
that
we're
striking
the
right
balance
between
being
aspirational
and
attainable
and
I.
Think
the
initial
for
beta
tests
were
successful.
M
Most
of
the
communities
were
within
Striking
Distance
I
mean
there
were
some
obviously
there's
some
gaps,
but
really
what
we're
excited
that
we
think
we've
got
a
good,
a
good
blueprint
for
communities
to
really
dive
deeply
into.
What
are
our
responses?
What
can
we
do
better?
How
can
we
better
serve
this
vulnerable
population
and
then
finally,
I
would
like
to
thank
not
only
Dr
Marx,
but
just
a
myriad
of
people.
We
were
on
a
six-month
Blitz
across
the
Commonwealth
trying
to
get
as
much
input
as
much
stakeholder
advice.
M
M
This
is
this
is
rough
stuff,
but
to
see
what
is
going
on
on
the
on
the
ground
level
and
to
see
the
people
that
care
to
see
the
people
that
are
maybe
putting
away
their
biases
and
and
really
just
stepping
up
to
just
try
to
help
their
neighbors
recover
from
this
to
see
like
local
Chambers
of
Commerce
and
employers,
stepping
up
being
involved
in
the
transfer
transformational,
employment
efforts-
it's
just
it's
very
heartening
from
my
perspective
and
I
I-
hope
that
I'm
a
good
booster
for
you
all
in
terms
of
really
promoting
this
program,
because
I
think
this
is
a
key
or
a
part,
a
way
to
scale
and
build
on
the
successes
that
we've
heard
from
core.
M
So
at
that
I'd
welcome.
Any
questions
and
I
can
actually
talk
about
the
the
application
process.
So
we've
got
we'll.
Have
the
website
up
and
running
now
the
one
of
the
features
of
the
website
we're
going
to
link
directly
to
the
Kentucky
injury
prevention,
research,
Council
kiprick?
They
are
amazing,
they
have
been
putting
out
they've
been
put.
M
They
put
out
this
dashboard
with
all
of
our
overdose
data
from
2017
to
2021,
and
you
can
actually
drill
use
this
dashboard
to
drill
down
at
a
county
level,
and
you
can
see
everything.
That's
happened
from
2017
to
2021,
so
I
highly
encourage
everyone
up.
You
know
all
of
the
members
to
check
that
out
and
also
you
know,
send
your
judge
Executives
and
your
your
Mayors
and
anyone
on
Council
or
fiscal
courts.
I
think
that's
sort
of
the
starting
point
you
got
to
know.
M
What's
going
what's
happening,
what's
been
happening,
the
trends
so
very
thankful
to
Dr,
Bunn
and
her
team
and
for
letting
us
link
to
that
that
information,
it's
a
invaluable
resource,
so
once
a
community
makes
that
application
and
the
application's
open
to
anyone.
The
Advisory
council
is
encouraging
communities
to
sort
of
designate
one
person,
but
maybe
create
like
an
ad
hoc
team
or
a
multi-disciplinary
team,
because
this
criteria
spans,
like
I,
said
everything
from
Hospital
Systems
treatment
providers,
recovery,
community,
centers,
there's
a
broad,
the
court
system.
M
You
know
everyone's
at
the
table,
so
you
really
need
I
think
the
successful
application
will
be
where
we
have
as
much
input
as
we
can
from
across
different
practices
and
that'll
make
everything
a
lot
smoother.
So
the
the
application
will
be
made.
My
team
will
review
the
application
initially,
then
we'll
work
with
the
community
to
schedule
a
site
visit
I
think
that
site
visit
is
going
to
sort
of
be
too
twofold.
M
You
know
make
sure
that
nothing's
changed
since
the
application
and
that
the
the
conditions
on
the
ground
are
the
same
and
then
also
to
be
able
to
seize
like
some
Innovative
models
that
might
be
scalable
in
other
communities
that
we
could
highlight
again
sort
of
that
booster
role.
M
So
once
once
that
site
visits
over
we'll
come
up,
my
team
will
work
to
provide
a
a
recommendation
to
the
advisory
Council
and,
ultimately,
the
22
member
advisory
Council
will
make
the
final
decision
on
the
certification
in
the
event
that
a
city
or
county
or
group
of
city
or
cities
or
counties
aren't
certified.
That
initial
attempt.
We
will
offer
our
support
in
the
form
of
technical
assistance,
to
work
on
any
gaps
in
that
application
process
and
maybe
provide
some
more
Innovative
models
that
might
be
scalable
or
might
be
workable
in
those
communities.
M
So
really
this
is.
This
is
about
collaboration
and
really
just
bolstering
the
good
work.
That's
already
been
doing
been.
You
know
been
done
across
this
Commonwealth.
Thank
you.
A
Thank
you
so
much
Dallas
I.
You
know
it
is
heartening
to
hear
about
the
the
collaboration
that's
going
on
across
our
state
and
I.
Think
that
when
we,
when
we
talk
about
this
project,
it's
it's
not
just
creating
a
blueprint,
but
it's
it's
putting
together
that
multi-stakeholder
team
in
each
County
or
each
region
and
I
know
that
some
urban
areas,
like
Northern
Kentucky,
we
have
the
office
of
drug
control
policy.
Fayette
County
has
something
similar,
Jefferson
County
as
well,
but
for
the
smaller
counties,
who
don't
have
something
that's
organized
yet
putting
together
this.
A
This
team
really
helps
do
a
broad
assessment
of
of
what's
in
place,
what
resources
are
needed
and
and
putting
together
that
that
blueprint
blueprint,
I
love,
creating
Partnerships,
I
I
love
that
this
is
also
working
in
tandem
with
kiprick,
to
look
at
and
and
follow
the
data
as
a
as
it
comes
available.
I
think
it's
a
really
kind
of
comprehensive
program
to
to
put
a
Continuum
in
place.
So
thank
you
for
your
work
and
I
think
your
talk
now
is
a
great
segue
to
another
project.
A
That's
going
on
in
the
state
and
I
hope
that
everyone
is
starting
to
see
kind
of
how
all
of
this
interplays
and
we've
got
a
lot
of
different
things
happening,
but
they
all
are
working
together.
So
thank
you
for
your
work.
I
know
that
this
is
not
the
last
time
we
are
going
to
hear
from
you.
So
I
love,
I
love
the
work
that
VOA
is
doing
as
well.
So
all
right,
thank
you,
I,
don't
I,
don't
think
we
have
any
further
questions.
A
I'll
invite
Larry,
Givens
and
Rachel
Bingham
to
the
table
now
to
talk
about
another
aspect
of
this
and
and
Dallas
touched
on
this
in
his
comments
about
how
the
court
system
is
often
involved
in
individuals
who
are
suffering
with
the
substance,
use
disorder
and
mental
health
issues,
often
co-occurring
and
because
individuals
are
often
Justice
involved.
A
I
was
really
honored
to
be
part
of
a
team.
This
summer
and
I've
talked
about
this
a
little
bit
before,
but
that
traveled
to
Texas
to
talk
about
the
intersection
of
the
justice
system
in
dealing
with
mental
health
issues
and
and
substance
substance
use
disorders.
The
Supreme
Court
has
an
AOC
and
I'll.
Allow
you
to
introduce
yourselves
here
in
a
second
but
has
done
a
great
job
in
putting
together
a
judicial
commission
to
really
look
at
this
holistically.
So,
thanks
for
being
here,
introduce
yourselves
for
the
record
and
I'll,
let
you
get
started.
Madam.
N
N
Think
typically,
when
you
see
Court
involvement,
UC
Court
involvement
on
the
back
end
and
historically,
you've
seen
it
in
Kentucky
court
involvement
on
the
back
end
in
a
drug
court
program
and
each
of
your
communities
Statewide,
but
where
we
haven't
really
had
a
lot
of
consistency
and
I.
Think
what
we're
probably
seeing
the
pucks
start
to
move
is
towards
what
is
a
more
holistic
behavioral
health
model?
N
What
is
more,
front-end
work
by
the
court
systems
and
really
a
greater
focus
on
Mental
Health,
the
intersection
of
mental
health
and
substance
use
disorder
and
intellectual
and
developmental
disabilities
and
Rach
I
just
want
to
say
you
set
us
up
perfectly
with
the
word
collaboration
at
the
end
of
Dallas's
presentation,
because
that
is
the
whole
purpose
of
this
project.
This
is
not
a
general
assembly,
a
funded
project.
N
Sailed
now
to
myself,
apologies
thank
you,
but
the
commission
skills
that
are
Explorer,
recommend
and
Implement.
Transformer
transformational
changes
to
improve
system-wide
responses
to
justice-involved
individuals,
experiencing
mental
health,
substance
use
and
or
intellectual
disabilities.
I
think
the
language
there
is
very
important
because
we
spent
a
significant
amount
of
time
and
we
have
in
the
courts
talking
about
substance
use
disorder.
But
what
we
frequently
see
is
a
population
that
is
also
suffering
from
undiagnosed
and
previously
untreated
mental
health
issues.
O
O
And
you
know,
as
you
heard,
from
from
Dr
Marx
with
the
core
initiative,
we
have
been
privileged
over
the
years
to
partner
with
the
Cabinet
for
Health
and
Family
Services
regarding
their
efforts
around
core,
and
that
partnership
has
has
typically
been
around
ways
that
the
court
system
internally
can
really
educate
ourselves
around
substance
use
disorder.
How
can
we
be
able
to
collaborate
and
and
provide
resources
to
our
local
judges?
O
So
we
looked
at
that
from
two
different
spaces.
It's
taken
us
about
three
years
to
really
dive
into
that.
Looking
at
Readiness
for
the
court
system,
were
we
in
a
place
that
we
could
honestly
be
able
to
dive
into
this
work,
and
then
we
also
wanted
to
plan
on
how
we
could
accomplish
that,
and
so
some
of
the
first
initial
products
that
we
had
were
really
to
be
able
to
build
our
capacity
to
understand
what
a
recovery
oriented
system
of
care
would
even
look
like
in
concept
for
the
court
system.
O
This
took
us,
and-
and
we
were
excited
about
the
fact
that
the
that
the
court
has
really
taken
such
a
leadership
role.
We
have
had
the
the
honor
of
working
with
justice,
Deborah
Lambert,
who
was
unable
to
be
here
today
to
be
able
to
really
lead
this
work,
and
so
the
commission
itself
and
the
framework
that
was
built
around
it,
with
her
leadership
and
and
we
actually
have
Circuit
Judge
Larry
Thompson,
who
is
the
co-chair
of
that
particular
commission,
has
been
an
opportunity
to
really
bridge
and
expand
the
resources.
N
So
it's
a
large
commission,
so
we
have
74
appointed
members.
However,
even
beyond
that
number,
we
have
a
lot
more
involved.
Once
we
announce
the
formation
of
the
group,
which
initially
was
much
smaller
than
70
more
four
members,
we
started
receiving
a
lot
of
phone
calls
from
folks
who
wanted
to
be
involved
and
there's
no
way
to
tell
anyone.
N
No,
when
you
begin
a
project
of
this
scope
and
this
magnitude,
so
we
have
really
taken
an
approach
where
reach
out
to
us,
because
we
know
there
is
a
place
for
you,
no
matter
what
your
background
is
no
matter
what
your
perspective
is,
but
the
commission
is
a
combination
of
judicial
members,
legislative
members,
legislative
staff,
members,
Community
stakeholders,
treatment
providers,
folks
in
the
communities
in
law
enforcement,
I
think
playing
a
critical
role.
Also
on
this
task
force.
N
We
have
there's
a
link
in
your
presentation
materials
to
the
order,
but,
as
Rachel
has
already
mentioned,
collaboration
we
think
is
the
key.
The
commission
meets
quarterly
and
we
had
our
meetings
this
year
were
September
and
December,
but
we
anticipate
March,
June,
September
and
December,
and
are
really
trying
to
work
around
the
legislative
calendar
to
make
it
possible
for
the
legislature
to
be
as
involved
as
possible.
N
So
much
of
the
work
is
going
to
happen
in
all
things
on
committees.
So
this
is
the
structure
of
the
Mental
Health
commission.
We
have
three
large
committees
encompassing
criminal
justice,
civil
and
Family
Justice,
and
treatment
and
access.
Each
of
these
committees
has
separate
work
groups.
So
suddenly
you
see
those
74
members
on
this
committee.
Everyone
has
found
their
area
of
interest
and
are
contributing
in
a
significant
way.
We're
moving
quickly,
I
feel
like
on
this
project.
N
We
are
moving
towards
really
what
short-term
objectives
and
long-term
objectives
are,
but
Rachel
I
think
with
the
next
slide,
we'll
show
them
exactly
what
the
structure
looks
like
sorry
for
the
small
print,
but
you
can
see
the
lead
on
each
of
these
work
groups.
We
have
a
number
of
folks.
You
can
see
names.
I
know
that
you
recognize
County
attorneys
jailers,
some
of
our
own
judges
and
we've
got
folks
from
the
Cabinet
for
Health
and
Family
Services,
many
of
whom
are
in
this
room
right
now
leading
several
of
these
work
groups
not.
O
To
make
a
plug,
but
if
anyone
is
interested
we
are
encouraging
participation,
in
particular
around
the
committee
in
the
work
group
efforts,
because
it's
such
a
broad
scope
of
of
content
areas
and
things
that
we
really
want
to
make
sure
we
have
the
experts
in
the
room.
So
please
share
this
information.
If
you
yourself
are
interested,
we
definitely
have
a
place
for
everyone
and.
O
So
this
is
what
it
looks
like
in.
Basically,
our
short-term
goals,
as
you
can
tell
any
type
of
multi-disciplinary
commission
like
this,
is
all
about
communication
and
collaboration
for
the
court
system
to
be
able
to
really
engage
with
the
partners.
We
want
to
expand
and
increase
the
educational
opportunities
that
we
have.
We
also
want
to
make
sure
that
we
look
at
how
we're
efficiently
partnering
on
resources.
Services
supports.
You
know
we're
taking
notes,
even
when
we
listen
to
the
core
presentations
and
Recovery
ready
presentations
just
to
figure
out.
O
Where
are
we
potentially
missing
connections
and
opportunities
to
provide
information
to
the
commission?
We
want
to
make
sure
that
we
can
also
help
around
efficiency
and
capacity
building,
and
we've
been
very
intentional
to
do
some
work
around
some
of
our
national
Partners,
so
we
can
provide
TA
from
that
or
receive
TA
from
them.
You
mentioned
there
was
mentioning
of
sequential,
intercept
mapping,
we're
very
intentionally
doing
that
work
on
the
criminal
justice
side,
as
well
as
Juvenile
Justice,
independency,
neglect
and
abuse
long
term.
O
It
is
just
as
you
can
just
see
from
the
capacity
itself
of
those
that
are
represented
in
the
content.
Areas
is
really
about
trying
to
figure
out
and
find
ways
for
earlier
identification
and
support
a
capacity
building
for
for
those
individuals
that
come
in
contact
with
the
court
system
and
justice
system
in
general
really
find
ways
to
be
able
to
invest
more
in
diversion
programming.
You
are
going
to
get
a
great
presentation
from
our
colleagues
around
seven
Senate
Bill
90.
O
N
It's
an
opportunity
to
gather
all
of
the
stakeholders
together
in
your
branch,
in
our
branch
in
the
executive
branch
and
our
partners
at
the
local
levels,
from
the
treatment
providers,
law
enforcement,
our
prosecutors,
our
public
defenders
and
and
really
advocates
in
this
space
as
well.
We're
excited
about
following
what
was
the
Texas
model
that
we
first
saw
we're
one
of
the
first
states
to
form
this
commission
and
also
to
host
a
mental
health
Summit
in
a
little
bit
and
I
know.
There
are
a
lot
of
new
members
on
this
committee
and
a
new
committee.
N
But
for
those
of
you
who
don't
know
the
administrative
officer,
the
course
is.
The
support
arm
of
the
judicial
branch.
Much
like
lrc
is
to
you
and
we
have
410
elected
judges
and
circuit
court,
clerks,
Statewide
and
3
500
and
employees
Statewide,
but
we're
one
unified
judicial
branch
with
one
budget
and
our
chief
justice
is
our
administrative
head.
N
So
this
has
the
support
at
all
levels
of
our
court
system
and
our
commitment
and
I
just
want
to
thank
you
for
your
partnership
with
us
over
the
years
and
your
support,
because
it's
your
leadership
that
I
think
is
so
critical
to
the
success
of
this
commission
and
I.
Just
want
to
thank
you
all
and
Happy
to
take
any
questions.
I
do
I
did
bring
a
recent
map
of
our
early
beginning
on
where
our
family
treatment,
Court
programs
are
and
where
sort
of
our
Patchwork
quilt
beginning
of
mental
health
courts
are
I.
A
Thank
you
so
much
I
I,
don't
know
if
the
members
here
really
understand
my
involvement
historically
and
why
I'm
interested
in
this
I
am
a
nurse
but
I
also
served
as
as
drug
policy
director
for
a
lot
of
years,
and
so
I
saw
that
the
individuals
who
were
being
routinely
incarcerated
suffered
with
a
mental
health
or
substance
use
disorder.
In
fact,
I
think
the
number
I
don't
know
how
current
this
is.
But
it's
it's
been
in.
A
The
80
percent
range
about
84
to
87
percent
of
inmates
who
are
incarcerated
are
incarcerated
because
of
a
mental
health
or
a
substance
use
disorder,
and
that
is
unacceptable.
We
understand
that
the
court
is
often
on
the
front
lines
of
this,
and
so
it
just
makes
sense
to
take
a
look
at
how
the
the
court
system,
in
collaboration
with
all
of
these
stakeholders
that
Laurie
talked
about,
can
come
together
to
really
address
the
needs
of
the
individuals
because
it
affects
everyone.
N
Well,
and
and
we're
really
trying
to
focus
too
on
an
area
that
we
don't
think
has
received
as
much
attention
the
last
few
years,
but
certainly
is
now
and
it's
it's
juvenile
mental
health
issues
and
that's
where
we
have
the
intersection.
It
isn't
just
necessarily
in
our
Criminal
Courts
and
our
it's
in
our
dependency
neglect
and
abuse
stock.
N
It's
our
juvenile
court
docket,
it's
our
family
court,
docket
we're
seeing
it
in
every
courtroom
in
the
Commonwealth
and
early
identification
of
folks
who
are
in
need
of
services
of
what's
important
and
that's
that's
our
goal
and
in
so
many
ways,
Madam
chairman
the
segue
to
the
next
presentation
on
on
Senate
bill
90..
But
we're
happy
to
take
more
questions.
But
I
also
know
you
guys
are
okay.
A
Yeah
I
just
have
one
more
quick
request
and
yeah
I.
Think
Senate.
Bill
90
is
an
excellent
example
of
of
some
of
the
policy
decisions
that
we're
going
to
talk
about.
I
know
what
sequential
intercept
models
are
I
it.
Could
you
just
elaborate
a
little
bit
more
on
what
that
is
just
a
high
level.
The
different
categories.
N
O
And
I
think
the
important
part
is
that
at
each
time,
you're
looking
at
where's
the
opportunity
to
intercept
to
take
a
different
direction
to
potentially
do
things
slightly
different.
Some
unique
approach,
some
opportunity
instead
of
moving
someone
through
the
system
and
having
to
have
them,
enter
the
court
system
to
even
access
a
service
or
a
resource.
N
And
you
you
heard
director
Hubbard
mentioned
how
important
the
expungement
piece
is
in
future
employment.
So
what
if
we
are
able
to
intercept
these
individuals
earlier
before
conviction
before
sentence
before
the
period
of
time?
You
know
they
wait
in
the
event
they
have
an
eligible
charge
to
to
be
expunged,
so
it
really
is
about
redirecting
much
earlier
in
the
process.
A
Thank
you
for
that
and
there's
so
much
that
we
could
talk
about.
We
could
really
get
in
the
weeds,
but
that's
what
the
the
commission
is
for
and
I
would
just
encourage
everyone
to
come
to
the
the
summit
it
at
the
end
of
may.
You
said:
May
June.
A
Right
and
and
I
believe
we
should
be
pretty
ready
with
some
mapping
to
talk
about
the
resources
and
and
policies
that
are
in
place
now
and
to
really
get
a
little
more
Direction.
So
I.
P
Yes,
thank
you,
madam
chairman,
and
Laurie
and
Rachel
beautiful.
This
is
a
conversation
Monday
morning
that
I
had
with
a
constituent
in
my
community
and
without
taking
an
inappropriate
introduction.
I
wanted
to
understand
an
appropriate
introduction.
Would
you
want
to
meet
those
constituents
that
are
maybe
didn't
hit
the
intercept
point
and
had
the
direction
that
they
wish
they
would
have
headed,
but
perhaps
they
could
provide
some
great
life
experiences
to
exactly
what
you're
sharing
from
the
arrest
to
the
conviction
to
the
current
incarceration?
They
not
they
themselves,
but
one
of
their
family
members
I.
N
Think
their
stories
are
critical
to
telling
the
story.
I
think
this
is
absolutely
about
telling
those
stories
and
Senator
we
would
be
more
than
happy
to
meet
with
you
and
your
constituent,
anytime
and
happy
to
travel
to
Northern
Kentucky
as
well.
We
do
have
staff
there.
We
do
have
a
mental
health
court
program
there,
but
again
many
of
our
our
court
programs.
There
are
the
back
end
of
the
system,
so
I
think
we
will
be
happy
to
be
happy
to
meet
with
you
and
your
constituents.
P
N
Is
and
I
believe
staff
can
also
connect
you
with
us
individually
and
we're
happy
to
share
cell
phone
numbers
I.
Think
for
many
of
the
new
members
who
may
not
have
ourselves
yet
I'm
absolutely
happy
to
share
that
I
know
several
of
the
members
who've
been
here
for
a
little
while
do
have
that
so
we're
available
to
you
anytime.
Thank
you.
A
Any
further
questions,
thank
you
so
much
these
women
and
your
teams
are
just
invaluable
resources
and
I'm
very
proud
of
your
work.
So
thank
you.
Okay.
Next
we're
going
to
hear
about
the
behavioral
health
conditional
dismissal
pilot
program
also
known
as
Senate
Bill
90,
and
we
have
Angela
Darcy
also
with
the
administrative
office
of
the
courts
and
Jason.
Well,
no
Jason's,
not
here,
I'm.
Sorry,
all
right!
A
R
There
we
go.
Thank
you.
Brittany
Allen,
director
of
the
division
of
substance
use
disorder
within
the
Department
of
Behavioral,
Health,
Developmental
and
intellectual
disabilities.
Q
So
it
is
my
honor
to
be
here
today.
Thank
you
for
inviting
us
I
want
to
talk
a
little
bit
about
Senate,
Bill,
90
and
kind
of
where
we
are
at
with
implementation.
So
far,
I'm
extremely
excited
to
talk
about
Senate
Bill
90.
As
a
former
public
defender,
I
would
say
that
Senate
Bill
90
is
much
needed
and
I
was
in
Pike
County
in
Eastern
Kentucky,
when
I
was
a
public
defender
and
many
of
my
clients
suffered
for
from
substance
use
disorders
or
mental
illness.
Q
So
it's
exciting
that
we
finally
have
a
Bill
of
this
impact
and
we
will
go
ahead
and
get
started
and
talk
a
little
bit
about
it.
So
for
all
of
our
new
members,
Senate
Bill
90
is
basically
a
bill
that
seeks
to
divert
people
from
the
criminal
justice
system
that
have
substance,
use
disorders
or
mental
health
disorders
and
it
diverts
them
from
the
system
and
gets
them
into
treatment
right
away.
They
have
to
meet
a
series
of
criteria
and
we
will
take
that
defendant
in
pre-trial
Services.
Q
We
will
assess
them
and
then
within
72
hours
they
will
get
a
clinical
assessment
if
they
qualify
and
the
clinical
assessment
will
then
determine
whether
or
not
they
do
have
a
substance
use
disorder
or
if
they
have
a
mental
health
illness.
If
they
do,
they
are
eligible
to
participate
in
Behavioral
Health
conditional
dismissal
program,
so
the
program
lasts
a
minimum
of
one
year,
but
it
can
last
up
to
the
maximum
set
sentence
that
the
defendant
is
sentenced.
Q
So
there
will
be
defendants
that
with
the
misdemeanors,
that
may
not
be
the
minimum
or
the
maximum
of
one
year,
but
they
can
also
agree
to
participate
and
extend
and
waive
that
requirement.
So
defendants
have
the
ability
to
say
yes,
I
would
like
to
participate
in
this
program
and
then
participate
accordingly.
One
of
the
good
things
about
this
bill
is
what
it
does
for
the
defendant,
so
it
offers
wraparound
services.
Q
So
it's
not
just
treatment,
but
we're
also
looking
at
housing,
we're
looking
at
potential
jobs
for
these
defendants
and
giving
them
just
the
opportunity
to
succeed.
These
are
low-level
defendants,
so
they
are
low
risk
defendants
with
our
pre-trial
Services,
which
would
be
low
risk
for
failure
to
appear
and
low
risk
for
new
criminal
activity.
So
these
defendants
have
an
opportunity
to
go
into
this
program,
not
have
any
charges
they're
charged
with
a
crime,
but
the
charges
held
in
abeyance,
and
if
they
complete
the
program,
then
the
charge
will
will
be
dismissed.
Q
So
it's
really
a
good
opportunity
for
defendants
not
to
have
a
criminal
record,
and
there
are
some
class
D
felonies
that
they
that
are
eligible
for
this
bill
and
that's
pretty
critical
in
this
process
because,
as
we
all
know,
once
you
are
convicted
of
a
felony,
it
impacts
the
rest
of
your
life.
So
this
is
a
pretty
important
bill
for
these
class
of
defendants.
It'll
allow
them
to
get
treatment,
potentially
a
job,
housing
and
kind
of
follow
up
with
them,
and
if
they're
successful,
they
don't
have
criminal
charges
and
the
charges
are
dismissed.
Q
So
we
have.
The
bill
also
provides
for
an
implementation
Council
and
if
you
can
look
from
the
slides
that
we've
provided.
These
are
all
the
members
that
are
on
the
implementation.
Council,
we
did
add
the
implementation
Council
added,
an
ex-officio
member,
which
was
somebody
from
the
Kentucky
adult
education.
The
executive
director
is
a
ex-officio
member
because
they
play
a
big
part
in
this
bill,
so
we
thought
it
was
really
important,
or
the
council
thought
it
was
really
important
to
have
them
at
the
table.
Q
So
much
like
every
Council,
we
have
work
groups
and
we
have
a
a
series
of
work
groups.
The
implementation
Council
has
designated
the
courts
and
data
reporting
work
rate.
They
do
a
lot
of
the
data
mapping.
They
also
look
at
what
we
need
to
capture
in
data
fields
and
what
we
need
to
create
for
reports.
So
as
a
as
a
result
of
the
courts
and
data
reporting,
we
have
a
created
a
series
of
forms
and
I
believe
in
your
packet.
Q
You
probably
have
one
or
two
of
those
forms
that
we've
begun
to
create
and
we
have
a
14-day
report
that
we're
working
on
a
28
day
report
that
we're
working
on
a
bhdid
has
been
really
working
alongside
us.
With
this
and
helping
us
create
these
reports
as
well.
We
also
have
a
treatment
and
Recovery
Services
and
Dr.
Alan
will
talk
about
that
sure.
R
So
the
commissioner
of
our
department
for
Behavioral,
Health,
Developmental
and
intellectual
disabilities
chairs
this
treatment
and
Recovery
Services
work
group,
and
so
our
department
did
take
the
lead
on
developing
a
number
of
the
different
pieces
that
you
see
listed
on
the
slide
here.
But
we
did
so
in
close
collaboration
with
AO,
see
also
Medicaid
treatment
providers
are
a
part
of
that
group
and
also
some
other
key
stakeholders.
R
Notably,
we
have
worked
to
establish
the
clinical
assessment
process
which,
again,
as
Angela
mentioned,
is
required
to
determine
participant
eligibility,
we're
also
working
through
determining
how
we're
going
to
link
these
individuals
to
Services,
also
planning
for
engagement
and
onboarding
of
treatment
providers.
I'll
talk
a
little
bit
later.
There
are
some
specific
criteria
for
providers
and
specific
expectations
for
them,
and
so
we
wanted
to
be
sure
that
they
had
all
the
information
possible
to
be
onwarded
into
this
program.
Q
And
then
we
also
have
the
Education
and
Training
work
group,
that
is
a
series
of
members
from
vocational
rehab,
adult
education
and
then
other
members,
and
they
are
working
together
to
piece
together.
The
second
component
of
the
bill,
which
is
Education
and
Training
for
the
participants
in
this
program.
H
Q
We
have
identification
of
11
pilot
sites,
the
bill
required
us
to
establish
or
require
the
Supreme
Court
to
establish
a
10
and
the
Supreme
Court
established
11..
So
we
have
Christian
Clark,
Davies,
Greenup,
Hopkins,
Kenton,
lecher,
Madison,
McCracken,
Odom
and
Pulaski
the
we
reached
out
to
all
the
stakeholders
that
would
be
involved,
and
this
is
how
the
Supreme
Court
made
their
decision
we
reached
out
to
all
the
stakeholders
we
reached
out
to
prosecutors.
Q
We
reached
out
to
judges,
we
reached
out
to
public
defenders
and
treatment
providers
and,
as
a
result,
we
built
the
11
counties
based
on
the
support
from
the
community,
because
we
thought
it
was
really
important
and
the
Supreme
Court
thought
it
was
critical
to
have
supports
from
the
communities,
because
without
that
support,
the
infrastructure
would
fail.
So.
Currently
we
are
just
now
rolling
out
in
Letcher
County
we
are,
the
funding
is
still
in
Alex.
R
The
funding
is
still
in
flux
at
this
point
and
I'll
touch
on
it
a
little
bit
later,
but
we
we're
very
grateful
to
receive
an
appropriation
with
this
legislation.
10.5
million
dollars
in
opioid
sentiment
funds
every
year
that
the
program
is
operating.
At
this
point,
we
have
established
the
mou
with
the
AG's
office.
We've
set
up
accounting
codes,
but
literally
just
waiting
for
the
money
to
drop
into
our
coffers,
so
we
can
get
going
so.
Q
It's
been
really
good
in
a
way
because
it's
allowed
us
to
do
a
really
slow,
rollout
and
we've
started
in
lecture
County,
and
one
of
the
reasons
that
we
started
in
Letcher
County
was
because
the
providers
were
basically
saying
look.
We
are
so
invested
in
this
and
the
judge
was
so
invested
in
this
that
they
wanted
to
go
ahead
and
get
started
without
worrying
about
the
funding.
So
these
providers
in
some
situations,
they're
doing
assessments
and
they're
they're,
starting
on
the
treatment
we
only
have.
Currently
we
we
had,
we
thought
what
were
four
eligible
defendants.
Q
We
actually
have
one
eligible
defendant
who
today,
we
believe,
is
going
to
enter
the
program
so
today
we're
actually
going
to
have
our
first
defendant,
so
we're
really
excited
about
that,
but
one
of
the
you're
right
just
keep
going.
So
we
also
conducted
a
bunch
of
community
forms.
We
we
did
a
tour
of
the
state
so
to
speak,
and
our
our
staff
was
there
from
pre-trial
Services.
We
had
AOC,
we
had
bhdid
and
we
conducted
all
these
Community
forums
in
which
we
presented
the
bill.
Q
We
talked
about
how
our
process
was
going
to
go.
How
we
were
going
to
roll
that
out
and-
and
we
received
a
lot
of
questions
and
a
lot
of
feedback
from
this
community
forums.
Q
They
have
to
be
at
least
18
years
of
age
and
a
Kentucky
resident.
They
have
to
be
a
low-level
offender,
meaning
that
they
have
to
be
low
risk
for
the
FTA,
and
they
also
have
to
be
low
risk
for
new
criminal
activity.
They
have
to
be
charged
with
a
qualifying
offense.
There
are
some
exclusions,
as
you
can
see
there.
They
have
to
have
a
clinical
assessment
that
indicates
that
they
have
a
substance,
use
and
or
a
mental
health
disorder
or
if
they
don't
qualify
through
the
pre-trial
risk
assessment
or
those
above
qualifications.
Q
The
prosecutor
has
the
ability
to
do
an
override.
So
if
the
prosecutor
sees
somebody
that
they
think
would
be
really
good
for
this
program,
the
prosecutor
is
allowed
to
recommend
them,
even
if
they
might
not
be
eligible
on
our
pre-trial
eligibility
criteria,
and
but
they
still
have
to
indicate
that
they
have
a
substance,
use
disorder
or
a
mental
health
disorder.
On
that
clinical
assessment,
this
is
just
the
next.
One
is
just
an
overview
of
the
form
that
we
have
created
for
the
pre-trial
eligibility
screening.
Q
I
think
that
it
is
important
to
note
that,
even
though
we
have
not
rolled
out
in
the
counties
yet
with
the
with
the
program,
we
are
conducting
this
eligibility
screening
as
we
speak
in
all
11
counties.
So
we
know
who
is
eligible
as
of
this
moment,
and
so
when
it
rolls
out,
we
will
be
able
to
offer
these
services
to
them
if
they
elect
to
participate.
R
So
the
other
key
component
in
determining
eligibility
for
the
program
is
completion
of
a
clinical
assessment.
That's
going
to
indicate
the
likelihood
of
the
that
individual
having
a
substance,
use
and
or
mental
health
disorder
for
which
they
should
be
referred
for
treatment
and,
as
was
mentioned
earlier,
the
legislation
does
require
that
this
assessment
take
place
within
72
hours
of
being
booked
into
jail
and
being
referred
into
the
program
by
P,
by
pre-trial
or
by
the
Commonwealth
Attorney
or
by
the
client's
attorney.
R
And,
as
you
can
imagine,
72
hours
is
a
pretty
quick
turnaround
for
a
lot
of
our
providers
that
are
contending
with
some
significant
Workforce
challenges
and
some
other
limitations
as
well.
So
what
we're
doing
to
remedy
that
is
we're
establishing
an
assessment
entity
that
can
provide
Assessment,
Services
pilot
wide
so
for
every
pilot
County.
This
entity
can
provide
that
assessment
process.
In
addition,
we're
creating
an
alternative
for
those
counties
that
maybe
already
have
a
diversion
program
in
place.
R
They're
already
working
with
an
entity,
that's
providing
a
similar
assessment
service,
and
so
we
want
to
be
able
to
leverage
that
existing
infrastructure
and
relationship
and
provide
an
extra
level
of
flexibility
for
those
counties.
Specifically,
so
we've
released
an
application
for
those
entities
that
are
interested
in
in
serving
as
a
county
level
assessor
to
to
serve
in
that
capacity.
For
those
counties
that
are
in
that
situation.
But
if
a
county
does
not
choose
to
have
a
county
level,
assessor,
that's
completely.
Okay,
we
will
have
that
pilot
wide,
Statewide
assessor
that
can
provide
that
service.
R
Now,
after
that,
clinical
assessment
is
completed,
the
qualified
mental
health
provider
has
48
hours
to
submit
treatment,
referral
information.
So
that
is
what
level
of
care
is
that
individual
going
to
be
referred
to?
R
What
provider
is
that
individual
going
to
be
referred
to
so,
whether
it's
the
pilot,
Statewide
assessor,
or
whether
it's
the
county
level,
assessor
they're,
going
to
do
an
initial
screening
and
a
brief
assessment
that
they're
going
to
provide
a
referral
to
a
behavioral
health
provider
at
that
appropriate
level
of
care
and
that
provider
will
complete
a
full
biocycle
social
assessment
in
order
to
develop
a
treatment
plan
and
engage
that
individual
and
Services
I
mentioned
it
earlier?
But
I
do
want
to
note
that
participating
providers
are
required
to
meet
specific
criteria
as
part
of
this
program.
R
R
They
have
to
be
a
Medicaid
enrolled
provider
and
they
also
have
to
meet
at
one
of
three
specific
accreditation
criteria,
and
this
is
accreditation
criteria
that
specifically
indicates
that
they
are
able
to
provide
quality
services
to
these
individuals
and
we've
also
established
an
application
process
by
which
providers
that
are
interested
in
providing
Services
as
part
of
this
program
can
attest
that
they
do
meet
these
criteria,
that
they
have
the
the
necessary
experience
to
deliver
these
evidence-based
services
that
are
evidence-based
services
that
are
outlined
within
the
legislation
that
they
can
provide.
Linkage
and
referral
to
recovery.
R
Support
Services
as
part
of
this
program,
including
housing,
supports
including
employment,
supports,
and
also
that
they
have
the
capacity
to
meet
the
programmatic
expectations
of
this
program.
So
there's
data
collection,
components,
those
reporting
components,
and
these
are
all
key
pieces
that
they
have
to
test
that
they
are
able
to
do.
Q
Speaking
of
data,
the
ASC
was
allotted
I
believe
it
was
about
five
hundred
thousand
dollars
in
the
bill
for
the
administration
of
our
data
collection.
So
that
is
one
of
the
reasons
that
we
created
all
the
forms,
because
we
at
AOC
are
going
to
be
collecting
all
the
data
and
reporting
that
back
to
the
legislators
every
year
and
So.
Currently,
we
were
working
on
software
for
that
right
now,
we're
just
doing
a
manual
collection,
but
we
hope
to
have
a
program
soon
on
behalf
of
a
of
AOC.
R
I'll
just
mention
briefly,
as
Angela
mentioned,
we
worked
very
closely
to
develop
those
data
forms
on
both
our
department
and
ALC.
We
also
got
feedback
for
Medicaid.
We
also
got
feedback
from
treatment
providers
and
then
we
are
also
our
department
establishing
a
data
collection
platform
that
will
make
it
really
easy
and
streamline
the
process
for
providers
to
enter
the
required
data
points
and
then
also
at
those
appropriate
time
points
as
well
as
there
are
many.
R
All
right,
so
I
am
just
going
to
again
just
make
a
plug.
We
are
very,
very
grateful
to
have
the
appropriation
of
funding
for
this
program.
There's
a
lot
of
components
here
that
require
some
additional
assistance.
The
primary
goal
with
the
funds
is
really
going
to
be
to
support
reimbursement
for
direct
Client
Services.
R
That's
really
where
we
want
to
focus
the
bulk
of
this
funding,
so
that
could
include
the
covering
of
assessment
costs
that
could
include
the
covering
of
treatment
and
Recovery
Services,
particularly
for
those
individual
individuals
that
don't
have
private
insurance
that
are
not
Medicaid
eligible
in
in
and
don't
have
a
third-party
payer
source
of
any
kind.
We
also
plan
to
use
funds
to
cover
those
non-reimbursable
costs,
Transportation
recovery,
housing,
job
training,
all
things
that
we've
heard
from
the
other
prisoners
are
really
key
barriers
to
these
folks,
maintaining
long-term
recovery.
R
So
we
do
want
to
make
sure
that
those
supports
to
build
recovery,
Capital
are
in
place
and
then
we're
also,
of
course,
going
to
need
to
use
some
funds
to
support
those
administrative,
also
Staffing,
building
out
these
data
collection
platforms
and
any
really
any
other
necessary
components
necessary
for
successful
startup
and
ongoing
implementation
of
this
program.
Q
Q
I
think
we're
going
on
three
now
to
implement
Senate
bill
90.,
since
we,
since
we
just
started
in
Letcher
County
I've,
had
those
staff
in
Letcher
County
to
kind
of
see
how
the
process
goes
to
work
out
some
of
those
Kinks.
But
we've
created
an
operation.
A
Statewide
operations
supervisor
we're
hopefully
going
to
have
two
of
those
positions.
I'll
explain
what
the
second
one
will
be
doing
shortly.
Our
first
Statewide
operations,
supervisor
Stephanie
Rio,
is
overseeing
the
implementation
of
Senate
Bill
90.
She
is
working
with
providers.
Q
She
is
working
with
the
judges,
she's
working
with
the
local
communities,
she's
working
with
pre-trial
services
to
kind
of
get
this
up
and
running,
and
then
we
also
have
a
regional
supervisor
who
is
providing
support.
Amy
Rouse
to
Senate
Bill
90
for
Stephanie
and
Amy
is
doing
all
the
basically
the
administrative
support,
but
also
is
out
in
the
communities
talking
with
these
providers.
Trying
to
get
the
Kinks
worked
out
early
in
the
system,
so
we
can
have
it
up
and
running
pretty
smoothly
and
I.
We
are
working
on
training
with
our
staff.
Q
Our
staff,
like
I,
said
with
pre-trial
Services.
We
are
fully
doing
the
eligibility
assessments
we
have
discovered
there
are
you
know
when
you
do
a
manual
process,
we've
discovered,
you
know
some
errors,
we're
working
on
correcting
those,
so
we
can
have
it
perfected
in
we're
almost
there
with
Perfection
on
the
eligibility
criteria.
The
next
steps
I
think
Dr
Allen
can
talk
about
yeah.
R
Sure
so,
obviously,
no
no
pilot
or
startup
is
without
some
initial
barriers
to
implementation,
but
our
department
AOC
other
stakeholders.
We
we
have
persevered
and
we
continue
to
push
forward
and
I,
know
we're
all
committed
to
getting
this
up
and
running
in
All
Counties
as
soon
as
possible,
as
I
mentioned
earlier,
we're
waiting
for
those
funds
to
come
down.
We
have
the
contracts
prepped
and
ready
to
go
once
those
funding
once
that
funding
does
become
available.
With
regard
to
Providers,
we
released
our
first
approved
provider
list
last
week.
R
We
continue
to
get
additional
applications
and
we
are
certainly
pushing
it
out
into
the
communities
and
ensuring
that
we
can
engage
as
many
providers
as
possible
into
this
program.
We
want
to
make
sure
that
folks
have
optimal
Choice
plenty
of
choice
when
it
comes
to
what
provider
they
choose
to
go
to
to
receive
treatment
again.
R
With
regard
to
the
assessors,
we
have
just
I
think
yesterday,
the
application
for
county
level
assessors
wrapped
up,
so
we're
going
to
be
meeting
with
AOC
and
also
some
county
level
stakeholders
to
make
sure
we
get
their
opinions
and
and
who
is,
is
awarded
that
county
level,
assessor
distinction
and
then
also
we're
establishing
that
contract
with
that
Statewide
entity.
That's
going
to
be
able
to
provide
Assessment
Services
across
all
of
the
pilot
counties.
Q
And
we're
looking
at
ongoing
training
for
all
our
local
stakeholders.
That's
something
that
we've
been
working
on
is
developing
a
training
process
for
them,
as
they
get
into
Senate
Bill
90,
to
kind
of
to
to
explain
and
guide
to
them
how
the
process
is
working
and
then
we
are
also
doing
a
process
map,
so
I
believe
in
your
package.
You
have
a
a
brief
process,
map
of
Senegal
90
and
so
we're
we're
constantly
tweaking
that
process,
map
and
refining
it
to
get
it
right
and
what
I'm
really
excited
about
is
our
case.
Q
Navigators
and
I'll
talk
about
them
next.
So
one
of
the
things
that
we,
when
we
went
to
all
these
Community
forums,
everybody
talked
about
needing
support.
They
needed
a
person
that
was
allotted
to
that
specific
County
that
could
support
them
with
Senate
Bill
90s.
So
we
have
in
conjunction
with
bhdid
and
have
been
able
to
secure
funding
for
case
Navigators
and
the
case
Navigators
are
going
to
be
critical
to
this
they're,
going
to
kind
of
take
the
defendant
and
take
them
through
the
whole
process
of
the
behavioral
health
conditional
dismissal
program.
Q
So
they
are
going
to
help
coordinate
Services.
They
may
work
with
the
case
managers
from
the
treatment
providers
they'll
be
kind
of
the
the
One-Stop
shop
for
the
defendant
if
the
defendants
having
issues
they'll,
be
the
source
for
the
defendant
and
just
kind
of
helping
them
holding
their
hand
and
walking
them
through
this
process.
Since
these
are
substance,
use
disorders
and
mental
health
disorders,
these
case
Navigators
are
going
to
be
critical,
because
these
are
people
that
will
be
equipped
to
deal
with
people
with
these
disorders,
and
so
we
are.
Q
We
have
just
made
our
first
request
to
fill
the
first
three
case,
Navigators
two
for
Kenton
County
and
one
for
Letcher
County,
and
so
we
hope
to
get
them
up
and
running
in
the
next
hired
and
then
trained
and-
and
it's
going
to
be
it'll-
be
a
a
good
learning
process
for
everybody,
because
this
will
be
critical
to
this
to
us.
The
case
Navigators
are
going
to
be
the
one
piece
that
is
critical
to
the
success
of
Senate
bill
90..
Q
So,
thanks
to
bhdid
we're
using
the
comprehensive
opioids
stimulant
and
substance
abuse
program,
funds,
the
costat
funds
and
then
we're
hoping
not
to
have
to
tap
into
Senate
Bill
90
we're
hoping
to
continue
to
get
grant-based
funds
for
those
positions
throughout
the
four
years.
So
that's
something
that
we're
actively
pursuing.
A
Okay,
thank
you
so
much.
You
were
so
thorough
that
we
don't
have
any
questions.
Oh
representative,
Whitton,
I,.
Q
So
we
have,
and-
and
that
was
something
that
we
sought-
guidance
from
from
the
implementation
Council-
and
it
is
basically
whatever
the
prosecutor
determines-
is
an
override
they.
They
have
the
discretion
to
allow
that
defendant
in
I,
don't
think
in
Letcher
County.
They
had
some
potential
for
prosecutor
overrides,
but
I
don't
think
that
they
have.
They
have
elected
to
use.
Those
overrides
so
I
think
that
they
will
be
used
sparingly,
but
definitely
probably
appropriately
for
defendants
that
have
any
substance,
use
or
mental
health
disorders.
A
Okay,
representative
Burke.
S
Thank
you.
So
much
I
was
really
pleased
to
hear
your
presentation
today.
I
have
a
quick
question.
May
I
ask
butcher
regarding
the
care
case?
Navigators
sorry
not
carry
Navigators
case
Navigators.
S
Q
So
we
are
building
that
job
description
as
we
speak,
and
the
answer
is
yes,
we're
hoping
to
really
so
we
we
kind
of
have
two
goals,
and,
and
one
of
our
goals
is
to
open
it
up
to
defendants
that
have
or
not
to
defendants
or
to
people
that
may
have
had
a
criminal
history
before,
but
have
a
peer
support
background
or
some
background
in
substance,
use,
recovery
or
mental
health
issues,
and
so
we
are.
The
answer
is
yes,
we're.
Q
Also
looking
at
we
have
our
typical
requirements
with
AOC,
which
is
a
it
requires
at
least
a
four-year
degree,
but
we
are
also
seeking
and
and
specifically
hoping
to
Target
people
with
at
that
expertise.
T
Thank
you,
madam
chairman,
after
they
complete
this
one-year
program,
what
what
happens
to
people
who
participate
what's
next
so.
Q
Q
A
You're
welcome.
Thank
you
very
much.
Thank
you.
This
was
a
great
presentation.
I
really
appreciate
your
being
here
and
all
of
the
work
that
you've
done.
It's
great
to
hear
how
we're
moving
forward
on
implementing
this
really
important
program.
We
have
one
individual
who
has
signed
up
to
speak.
We
are
technically
out
of
time,
but
I'll
give
you
a
few
minutes.
If,
if
you
can
keep
it
really
short,
I
would
appreciate.
A
U
Name
is
David
Royce
and
I'm
with
I
started
three
years
ago,
stopped
the
drug
war
and
start
the
recovery
process.
We
cannot
afford
to
lose
another
child
I
lost
my
son
two
years
ago
to
Fentanyl
and
it's
past
time
to
start
treating
our
sick
I
want
to.
Thank
all
you
all
for
having
this
meeting
I
want
to
thank
everyone
out
here
for
all
the
work
they're
doing
to
save
their
lives.
U
We,
the
parents
of
the
2250
kentuckians,
that
lost
their
lives
last
year
to
Fentanyl,
don't
want
it
to
happen
to
anybody
else.
It
doesn't
happen
to
have
anybody
else.
The
infrastructure
to
treat
them
is
already
there.
All
we
have
to
do
is
open
up
every
EMT
station
across
Kentucky.
Every
morning
the
gold
drug
addict
could
go
in
and
get
a
safe
dose
of
medication
go
home,
come
back
the
next
morning,
get
a
safe
dose
and
and
we'd
be
able
to
talk
to
them
and
counsel
them
and
possibly
someday.
U
U
U
The
stars
on
the
back
of
this
quilt
represent
there's
2250
stars
on
the
back
of
this
quilt.
That's
how
many
kentuckians
we
could
save
every
day
every
year
if
we
treat
them
and
I
I
feel
like
that.
It's
past
time.
We
all
know
that
it's
past
time
to
start
treating
them.
We
all
know
it
what
an
emergency
it
is,
and
so
I
challenge
each
and
every
one
of
you,
senators
and
legislators
to
get
on
board
with
treating
our
sick.
U
It's
it's
just
an
unconscionable
that
we're
sitting
idly
by
every
day
and
watching
five
or
six
more
kentuckians
die.
280
Americans
die
every
day
from
drug
overdose
and
we
can
treat
them
and
we
can't
set
these
up.
I've
talked
to
the
fire
chief
in
Lexington,
and
he
says
yes,
it's
a
great
idea.
I
talked
to
Gary
Jenn
in
Lexington
to
the
coroner
he
said
once
we
recognize
that
a
drug
addict
is
sick,
it's
our
job
to
save
them
before
they
die.
U
He
said:
I've
had
39
people
this
year
from
17
to
68
that
have
died
from
drug
overdose.
It's
past
time.
To
do
this,
we
have
to
do
it.
Reginald
Thomas
signed
this
quilt.
He
said
that
he's
going
to
get
on
this
when
the
legislative
session
ends.
He
don't
have
time
to
fool
with
it
right
now.
Lindsey
Burke
has
signed
it.
Several
other
people
signed
in
the
opioid
monster
knows
no
bounds.
He
will
claim
someone
you
know
sooner
or
later.
This
is
not
a
partisan
thing.
U
A
You
so
much
yeah!
Thank
you!
So
much
Mr
Royce
I
really
appreciate
your
your
being
here
today,
I'm
very,
very
sorry
for
your
loss
and
I'm
glad
that
you
could
be
here
today
to
see
all
that
we
are
working
on
in
Kentucky
and
I
wanted
to
give
everyone
kind
of
an
overview
of
what
we
have
in
Kentucky
and
how
we're
looking
to
expand
it
so
I.
You
know
every
every
policy.
Every
resource
is
a
tool
in
the
toolbox
and
we
need
to.
A
We
need
to
make
sure
that
we
have
all
all
of
the
tools
that
we
can
to
save
our
to
save
our
sick
and
I
agree.
That
addiction
is,
is
a
sickness.
It's
a
disease,
and
so
I
appreciate
your
your
work,
your
advocacy
and
thanks
for
being
here
thanks
for
speaking
up,
we
will
absolutely
consider
all
of
the
tools
so.