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From YouTube: Benefits Cliff Task Force (10-20-22)
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A
I
like
to
call
the
October
20th
benefits,
Clift
has
Force
meeting
to
order
Madam
Secretary,
please
call
the
roll
Senator.
D
A
There
a
second
been
motioned
and
seconded.
We
didn't
have
just
an
eye
vote
on
that
or
yeah
all
those
in
favor
all
opposed
I
missed
that
one
didn't
I
all
right.
First
presentation
is
for
the
cabinet
secretary
Freelander.
If
you
and
your
people
will
come
up
appreciate
you
coming
in
and
educating
us
today
and
the
floor
is
yours.
F
E
So
you've
asked
us
here
today
to
present
on
the
benefits,
cliff
and
and
what
we're
doing
and
where
we
are
so
I
want
to
do
a
little
Preamble
for
you
all
about
kind
of
just
the
general
piece
about
where
we
are
so
a
basic
health
plan,
Bridge
plan
and
and
we'll
go
into
the
recommendations
of
hjr
57
and
where
we
are,
what
I
want
to
kind
of
start
with?
E
Is
this
I've
been
in
we've,
looked
at
the
recommendations,
I
actually
reached
out
to
representative
Moser,
just
to
make
sure
I
understood
which
evidently
I
didn't
so
her
concept,
and
this
is
the
way
I
describe
the
difference.
So
you'll
you'll
you'll
see
this
within
the
presentation.
E
Her
her
concept,
of
course,
was
to
begin
by
using
TANF
funds,
and
it
was
also
how
do
we
help
employers
purchase
insurance
right
for
their
employees
and
tana
federal
funds
really
can't
be
used
that
way,
and
so
what
you're
going
to
see
is
like
how
federal
funds
can
be
used,
and
that's
that's
the
road
we
went
down
so
I
just
want
to
start
with
that,
because
I
think
employers.
E
Obviously,
we
all
support
more
employers
offering
plans
for
their
employees
and
that
that
was
the
bridge
from
Medicaid,
so
it
really
is
more
looking
at
the
the
private
employers
and
building
the
bridge
back
that
way
right
to
Medicaid.
When
you
look
at
the
basic
health
program,
it's
kind
of
just
it's
it's
different
right.
It
will
look
more
like
Medicaid,
and
what
does
that
look?
What
is
that
intermediary
intermediate
policy?
E
E
This
is
a
part
of
the
discussion.
What
we're
going
to
present
to
you
today
is
what
kind
of
our
our
best
thoughts
are.
E
But
this
is
this:
let
just
lets
you
know
where
we
are
not
a
done
deal
not
there
is
no.
This
is
happening.
Piece
of
this
I
want
to
be
just
real
clear
in
the
beginning,
because
really
we
have
to
be
in
agreement,
the
the
general
assembly.
There
have
been
a
lot
of
pieces,
don't
move
without
the
express
written
approval
of
the
general
assembly.
E
There's
money
in
the
budget
for
us
to
do
it,
so
it's
it's
even
a
little
confusing
for
us,
so
I'm,
just
I'm,
just
being
straight
up
as
I
can,
and
so
we
we've
continued
with
the
planning
right.
But
that's
that's
where
we
are
so
we're.
It's
all
planning
nothing's
done,
but
this
this
will
be
to
just
let
you
know
where
we
are
to
this
point.
E
E
As
we
say,
it's
it's
we're
going
to
go
through
the
overview,
we're
going
to
go
through
the
the
recommendations
and
then
where
we
are
in
terms
of
development,
and
then
you
know
if,
if,
if
we
implement
it,
if
we
all
agreed
that
that
was
the
right
thing
to
do,
then
what
those
costs
and
really
kind
of
some
of
the
timelines
that
we're
up
against
just
again
all
out
on
the
table.
E
It's
always
best
when
everybody
knows
everything
so
I
appreciate
you
all
asking
to
see
her,
and
that
is
the
spirit
in
which
we
offer
our
presentation
on
the
benefits.
The
basic
health
program,
Gary,
okay,.
F
Sure,
but
as
the
as
a
secretary
I
think
alluded
to,
is
that
the
basic
health
plan
really
is
that
bridge
between
Medicaid
and
the
qualified
Health
Plan
and
Commercial
Insurance
available
as
people's
incomes
rise
and
as
they're
employed.
F
F
That's
on
the
state
Marketplace,
and
some
of
some
of
the
commercial
which
you
generally
find
in
commercial
and
I'm,
offering
what
what
really
is
kind
of
more
an
affordable
health
care
coverage
for
individuals,
because
what's
happening
is,
as
you
have
been
hearing,
is
that
people
do
get
a
raise
as
in
their
employment
and
if
they
accept
that
raise,
they
immediately
come
off
Medicaid
because
they
no
longer
qualify,
but
then
they
are
hit
with
the
additional
cost
sharing
that
comes
and
the
increased
cost
sharing
that
comes
with
either
a
qualified
health
plan
or
an
employer-sponsored
plan.
F
So
it's
really
trying
to
help
those
folks
make
that
change
from
Medicaid
coverage
generally.
This
is
for
people
in
the
138,
so
Medicaid
covers
up
to
138
percent.
So
individuals,
over
138
percent
up
to
200
percent,
fall
under
a
basic
health
plan.
Some
of
these
individuals
are
already
eligible
for
a
qualified
Health
Plan
in
the
state
based
Marketplace,
and
so
some
of
those
folks
who
are
qualified
for
qhp
qualified
Health
Plan
would
move
into
a
basic
health
plan
if
their
income
and
federal
poverty
level
income
is
eligible
for
that.
F
You
must
be
a
citizen
and
lawfully
president
in
the
U.S
and
those
individuals
with
what's
considered.
Affordable
insurance
through
their
employer
do
not
qualify.
So
there
is
a
another
filter
in
which
you
have
to
determine
whether
the
person
has
access
to
Affordable
affordability
with
their
employer
plan.
F
So
this
just
kind
of
gives
you
a
visual.
What
that
looks
like
Medicaid
there
on
the
left
of
the
slide
is
for
adults
up
to
138
percent,
and
then
we
cover
some
higher
federal
poverty
level
limits
for
children
and
pregnant
women,
but
there
is
no
cost
to
the
coverage
of
Medicaid
The
Exchange
plan,
which
is
the
yellow
arrow
pointing
to
the
right
as
I
spoke
about,
is
for
those
individuals
above
138
percent,
and
up
to
400
percent
federal
poverty
level
and
those
individuals
are
subject
to
premiums
co-pays
deductibles
coinsurance.
F
There
are
subsidies,
as
you
probably
have
heard.
There
are
tax
subsidies
available
to
individuals
with
certain
incomes
so
that
that
can
help
with
the
affordability
of
the
qualified
health
plan,
but
otherwise
they
are
subject
to
those
additional
cost
sharing.
So
the
base
basic
health
plan
is
the
green
and
it's
kind
of
showing
you
that
bridge
between
Beyond
Medicaid
and
throughout
the
exchange,
to
show
you
what
really
we
could
do
for
the
individuals
that
are
in
that
situation.
F
And
as
we've
spoke
about,
I
mean
really,
the
true
need,
we
believe
for
a
basic
health
plan
plan
or
a
bridge
type
plan
is
to
help
those
people
that
are
moving
from
no
cost
sharing
to
more
increased
cost,
sharing
and
being
able
to
leverage
federal
funds
to
do.
That
is
also
why
the
basic
health
plan
becomes.
F
You
know
a
really
good
program
to
utilize,
so
this
will
help
individuals
that
do
see
an
increase
in
their
income
and
then
become
no
longer
eligible
for
Medicaid,
but
can
be
put
into
the
basic
health
program
and
then
something
happens
and
they
lose
coverage.
Then
they
could
more
easily
move
over
back
back
over
to
Medicaid.
So
it
kind
of
helps
that
Continuum
of
people
who
we
do
see
what
what
we
call
the
churn
as
people
do,
increase
their
income
and
decrease
their
income
and
have
to
move
back
and
forth
throughout
the
programs.
F
The
other
piece
to
this
is
you
know,
as
I
mentioned
the
use
of
the
federal
funds.
It's
it's
a
lower
administrative
cost
to
the
state
and
to
to
be
able
to
leverage
a
basic
health
program.
F
So,
in
the
way
that
a
state
is
able
to
do,
a
basic
health
plan
is
called
a
blueprint
and
so
we'll
submit
similar
to
the
state
plan
concept
of
Medicaid
you
we
have
a
blueprint
that
we
have
to
complete
and
submit
to
CMS
for
their
approval
it.
It
will
talk
through
what
the
program
design
is.
So
what
benefits
are
included
in
the
plans?
F
It
talks
about
cost
sharing
premiums
co-pays.
It
talks
about
the
agreement
we
have
with
the
issuers.
It
talks
about
eligibility,
so
it
really.
It
truly
is
a
blueprint
it
walks
through
just
exactly
what
the
program
looks
like
and
covers
all
the
pieces
to
it,
so
that
has
to
be
completed
submitted
to
CMS,
and
that
process
can
take
six
months
for
CMS
to
review
and
get
approval
generally.
D
D
D
Some
of
the
rationale
for
implementing
a
basic
health
program
is
creating
a
basic
health
program,
will
Empower
individuals
who
would
otherwise
lose
their
health
care
coverage
through
Medicaid
to
be
able
to
accept
work
and
pay
raises
and
take
away
the
disincentive
to
accept
increased
payer
work.
The
basic
health
program
offers
more
affordable
coverage
for
low-income
individuals
and
improves
continuative
care.
As
the
individuals
are
terminated
from
their
health
care
coverage
through
Medicaid
in
transition
to
a
BHP,
so
the
task
force
made
five
recommendations.
D
D
It
directed
chfs
to
develop
Health
Plans
under
the
basic
health
program
that
limited
premiums
and
cost
sharing
amounts
with
no
deductibles.
It
directed
chfs
to
submit
a
plan
for
implementing
the
basic
health
program
to
the
legislative,
research
commission
and
CMS
by
July
1st
of
2022.
It
directed
chfs
to
work
with
KY
stats
to
refine
and
improve
the
Kentucky
benefits,
clip
tool
by
September
1st
2022
and
directed
lrc
to
continue
the
work
group
and
focus
on
the
child
care
benefits.
Cliff
next
slide.
F
I
apologize
so
to
give
you
an
idea
of
where
we
are
right
now
we
did
engage
milliman,
who
is
our
state
actuary
to
start
developing
rates
for
for
the
basic
health
program?
So
what
they
do
is
they
look
at
the
qualified,
Health
Plan
rates,
and
they
use
that
to
help
informed
what
rates
could
be
for
a
basic
health
program?
F
They
we
also
engaged
milliman
to
help
us
develop
the
blueprint
and
that's
what
we
are
starting
to
work
on.
But
most
of
the
conversations
that
have
been
going
on
to
date
have
just
really
been
with
the
issuers,
so
the
plans
that
would
offer
plans
on
the
the
companies
that
would
offer
plans
on
the
basic
health
program
talking
with
them
about
what
that
looks
like
what
you
know
again.
What's
the
benefits?
F
What's
the
cost,
who
would
be
eligible,
in
particular,
cost
sharing
for
the
individuals
that
might
be
part
of
that
we
are
if
we
are
to
implement
something
now,
obviously
we're
not
going
to
make
a
January
1
2023
deadline,
but
if
we
were
to
look
at
a
January,
1
2024
deadline.
That
means
we
would
want
to
submit
an
interim
blueprint
to
CMS
by
December
of
this
year
so
that
we
could
work
towards
finalizing
a
blueprint
by
May
of
next
year
in
time
for
open
enrollment
for
for
the
2024
effective
year.
F
F
So
this
reflects
what
could,
to
our
best
estimate,
be
a
cost
for
a
basic
health
program
that
first
line
projected
cost
of
coverage.
This
is
based
again
milliman,
utilizing
previous
qualified
Health,
Plan
information
and
Medicaid
information
that
the
best
cost
would
be
about
238.9
million
dollars.
F
This
includes
a
a
based
on
a
100
110
percent
reimbursement
for
providers
based
on
110
Medicaid
for
providers
that
would
be
a
base,
but
obviously,
as
what
happens
now,
providers
are
able
to
negotiate
rates
directly
with
plans,
so
the
funding
that
the
state
would
get
for
the
basic
health
program.
The
estimate
we
have
is
about
232.2
million.
What
that
represents
is
a
deputy
secretary
mentioned
is
95
percent
of
the
exchange
premiums.
That's
available
for
in
subsidies
that's
available
for
a
BHP.
F
This
includes
what
would
be.
In
addition,
we
have
on
there
what
would
be
the
out-of-pocket
costs
for
members
to
offset
some
of
the
additional
cost
of
the
program
as
we
reflect
there-
that's
33
million.
So
this
is
a
premium
and
cost
sharing
estimated
up,
as
it
notes
is
approximately
40
14
of
the
total
cost
and
then
the
addition
available
additional
funds
of
the
26.3
million.
F
F
So
these
again
are
are
probably
slightly
dated
just
because
we
now
have
some
updated
2023
qualified
Health,
Plan
information.
It
also
just
you
know,
as
we
dig
into
making
decisions
about
cost,
sharing
premiums
and
co-pays
that
that
will
also
impact
overall
cost
to
the
program.
F
I
think
one
of
the
most
difficult
things
we've
been
trying
to
wrestle
is
how
many
people
are
we
talking
about
as
part
of
the
basic
health
program,
and
so
what
we've
been
doing
is
is
tracking.
As
you
all
know,
with
the
public
health
emergency
we've
been
providing
continuous
Medicaid
coverage
for
folks.
As
part
of
that
unwinding,
we
know
that
there
are
people
that
may
qualify
for
a
basic
health
program
and
so
we're
talking
a
probably
about
35
000
people
that
could
move
to
a
basic
health
program.
F
We've
had
a
little
bit
difficult
in
estimating,
but
but
somewhere
in
the
40
to
40
000
to
75
000
Range
Five,
not
a
dollar
per
individuals,
and
so
that's
that's
kind
of
just
our
best
guess
for
right.
Now.
F
And
then
we
were
asked
What
legislation
might
be
needed
as
of
right.
Now
we
don't
have
any
recommendations,
we
do
have
the
budget
appropriation
and
that's
really
what
we
needed
to
move
forward
with
implementation,
but
believe
that,
right
now
there
isn't
anything
else
that
we
need
need.
Some
states
have
had
and
now
enabling
legislation
to
move
forward
on
their
basic
health
program
it.
But
it's
not
again.
You
know
with
the
budget
appropriation,
we
don't
think
that
there's
anything
else,
that's
specifically
needed
for
our
purposes.
A
Thank
you
and
thanks
for
all
your
help,
I
know
that
there
was
a
lot
of
extra
work
that
went
into
that
to
get
through
joint
resolution.
57
lots,
lots
of
estimates
and
guesstimates
and
projections
to
go
in
with
that.
I
know
it
wasn't
easy,
but
we
appreciate
we
try
not
to
to
do
this
willy-nilly
to
just
have
extra
things
for
you
to
do,
but
some
of
the
stuff.
We
really
need
to
take
a
good
look
at
and
you're
our
mechanism
for
doing
that.
G
Have
a
few
year,
Mr
chairman,
if
you
would
indulge
me
now,
it's
my
understanding
on
a
bridge
plan
is
that
for
folks
that
are
totally
without
coverage.
Is
that
correct
kind
of
to
bridge
the
gap
is
that
is
that
the
purpose
of
it.
F
Attractive
to
the
uninsured,
but
really
what
we.
What
we
are
trying
to
do
is
for
people
that
are
coming
off
of
Medicaid,
because
their
income
has
increased
even
by
a
dollar,
is
to
make
that
more
that
Health
Care
coverage
more
affordable
to
them
than
what
they
would
be
charged
for
premium
and
cost
sharing
in
a
qualified
health
plan,
which
is
which
is
where
they
would
go
unless
they
have
affordable
employer
coverage.
I.
E
Think
they're
I
hate
to
do
this
to
you,
but
there
are
multiple
answers
to
your
questions
and
it
depends
on
the
individual.
There
they're
going
to
be
some
people
that
come
from
Medicaid
right
and
who
will
have
insurance
and
then
that,
like
like
Veronica,
said
they
they
make
that
next
dollar
and
they
lose
Medicaid
and
then
then,
what
are
they
going
to
do?
There
are
folks
who
are
already
there
they're
already
above
138
percent
they're
on
the
exchange.
E
They
can't
afford
to
get
insurance
now
they're
working,
but
you
know
they're
employed
to
uncover
them
it's
too
expensive.
So
if
we
did,
the
basic
health
plan
reduce
some
of
those
expenses
for
them,
so
they
would
pick
up
coverage.
There
are
others
that
may
already
have
some
coverage
through
the
exchange,
where
we'd
probably
lower
some
of
their
costs,
and
then
there
is
another
group
and
I
these
I
think
I'm,
covering
all
the
groups
they
have
through
their
employer.
E
They
have
what
would
be
deemed
affordable
coverage
and
then
they
would
not
that's
the
group
that
wouldn't
come
on
so
I
I
don't
mean
to
like
make
it
more
complicated.
But
that's
it's!
It's
kind
of
like
you
can
think
of
it
as
four
separate
groups
that
might
come.
G
Off
and
that's
a
fair
enough
statement,
I
agree,
though
you
know
one
one,
one
description
doesn't
necessarily
fit
everybody
I
I
guess.
Would
you
know
if,
if
you're
pulling
people
off
of
the
exchanges
to
put
them
into
the
basic
health
plan,
could
that
potentially
lead
to
premium
increases
on
those
left
in
the
exchanges?
That's.
E
One
of
the
challenges:
okay,
the
answer
is
yes,
actually,
the
quick
way
to
get
to
that
is
yes,
if
you
change
the
mix
of
people,
it
will
have
some
impact
on
premiums.
No
question
and.
G
E
Happen:
that's
that's
another
potential.
A
lot
of
those
panels
are
very
similar
if
you're
the
reason
we
were
just
the
way
we
described
it,
it'd
be
like
the
mcos
and
all
of
them
are
all
of
them.
Most
of
them
are
participating
on
the
exchange.
You'd
move
from
that
into
the
exchange.
But
if
you're
moving
from
the
The
Exchange
into
the
basic
health
plan,
you
could
have
a
different
set
of
providerships.
G
And
some
of
the
reason
I
asked
this
is
you
know,
I
mean
I
know
what
some
people
refer
to
the
big
lie,
but
you
know
I
would
call
Obamacare
the
original
big
lie.
If
you
like
your
plan,
you
can
keep
it
it's
going
to
get
cheaper.
You
can
keep
your
doctor.
G
I
I
was
not
saying
it's
not
resulted
in
some
good
things.
I
did
clearly
has
and
I'll
I'll.
You
know.
I
have
a
lot
of
my
constituents
that
you
know
got
laid
off
at
the
coal
mines
that
this
was
a
godsend
to
them
me
as
a
practicing
attorney.
Without
my
own
company
in
the
Private
health
insurance,
Market
I
saw
my
family
plan
climb
from
750
a
month
on
an
80
20
plan
with,
like
you
know,
usually
a
50
copay
to
the
point.
G
It
got
up
to
almost
two
thousand
dollars
a
year
and
I
don't
go
to
the
doctor,
but
maybe
once
every
two
or
three
years,
I'm
a
pretty
healthy
person
and
then
I
got
on
to
I,
guess
the
State
Co-Op
plan,
and
then
it
went
bankrupt
and
you
know,
and
even
that
essentially
I
was
forced
into
what
I
would
consider
high-risk
insurance
I
mean
I
was
paying
fifteen
thousand
dollars
a
year
for
insurance
that
didn't
even
cover
the
first
ten
thousand
dollars.
G
G
As
far
as
implementation
of
what
we
manifest,
what
something's
going
to
do
to
people
when
I
think
that
the
Affordable
Care
Act
Obamacare
was
stated
it's
one
thing
and
to
people
like
me,
it
became
very
unaffordable,
I
mean
I,
make
a
pretty
good
living
I
mean,
but
I
don't
make
I
mean
it
was
taking.
Nearly
20
percent
of
my
insurance
to
keep
the
plan.
G
I
had
was
going
to
probably
take
20
of
my
income
to
keep
it
to
somebody
that
doesn't
go
to
the
doctor
a
whole
lot
but
I
I,
guess
what
I'm
wondering
is
what
you
know.
We
talk
about
that
this,
the
feds
are
going
to
cover
95
percent
of
the
this
through
tax
credits.
Potentially,
how
long
is
that
going
to
last,
because
obviously
I
think
with
Obamacare
Affordable
Care
Act,
those
the
the
Federal
portion,
went
down
over
a
period
of
time
leading
the
state
to
have
to
pick
up
more
the
freight.
G
E
Here's
where
we
are
last
year
was
it:
this
year
the
aptc
was
supposed
to
go
down
right,
and
so
there
wouldn't
have
been
the
same.
The
numbers
that
we
gave
you
are
the
higher
Advanced
premium
tax
credits.
Was
it
the
it's?
The.
E
D
E
G
G
Don't
know
that
we
don't
have
a
health
care
industrial
complex
at
this
point
in
time
in
the
United
States,
you
know,
I
lived
in
Germany
for
a
year
where
everybody
is
required
to
have
health
insurance,
and
you
know
it
did
not
operate
at
near
the
cost
that
it
does
over
there.
But
you
know
I
have
to
say
they
had
some
controls
over
there,
like
limiting
the
number
of
Specialists
per
town,
that
we
would
never
tolerate
in
the
United
States.
G
You
know
they
didn't
really
do
what
they're
told
a
little
bit
better
but
but
still
I
think
we
have
to
know
the
actual.
You
know
long-term
cost
or
potential.
You
know
cost
to
the
state
before
we
Implement.
Something
like
this.
Thank
you,
Mr
chairman
sure,
I'm
representative,.
H
Brave,
thank
you
and
thank
you
all
for
being
here.
This
feels
more
like
a
health
and
family
meeting
than
a
task
force,
and
so
I
I
do
have
a
few
questions,
and
I
really
only
had
three
till
Senator
wheeler
started,
but
so
I
guess.
H
First
of
all,
how
is
this
going
to
impact
anyone
currently
on
private
insurance,
I
know
I
know
you
had
said
that
that
there
was
the
potential
that
we
would
have
people
within
the
marketplace
now
migrate
to
this,
and
there
is
the
potential
for
premiums
for
those
in
the
marketplace
to
go
up
because
of
this,
and
my
understanding
that
correct
so.
E
Between
138
and
200
of
poverty
right,
if
somebody
had
other
coverage
that
was
not
considered
to
be
affordable
and
that's
a
percentage
of
income,
they
could
take
advantage
of
this
plan
if
somebody's
currently
on
the
exchange
currently
on
the
exchange
between
138
and
200
percent
of
poverty.
That's
why
you
saw
that
40
to
75
000
estimate
and
they
have
coverage
and
they're
getting
coverage
through
the
exchange.
They
could
come
on
this
plan
and
it
would
cost
them
less.
E
H
Is
that
no
okay?
No!
That's
that's
perfect.
Is
there
any
danger
that
somebody
with
private
insurance
would
lose
coverage
because
of
this
implementation
of
this
plan.
D
H
H
You
know
one
of
the
complaints
I
hear
from
my
hospital
is
or
hospitals
is
that
the
cost
of
care
you
know,
isn't
fully
reimbursed
from
Medicaid
patients
and
they're
so
reliant
on.
You
know.
Our
population
back
home
is
heavily
populated
by
Medicaid
patients,
so
even
at
110
percent
will
that
cover
the
cost
of
care.
E
That
is
an
excellent
question,
so
a
couple
of
years
ago,
General
Assembly
passed
and
we
implemented
something
called
a
trip
and,
and
what
that
is,
is
we
in
concert
with
the
hospital
Association
in
the
hospitals
in
Kentucky
now
through
Medicaid
reimburse
the
inpatient
at
the
average
commercial
rate
and
we're
asking
for
quality
and
it's
a
program?
E
That's
working
really
well
and
probably
saved
a
bunch
of
hospitals,
rural
hospitals
in
talking
with
the
hospital
Association
and
and
and
we're
with
them
on
it,
want
to
implement
that
same
system
on
the
outpatient
side.
If
they
do
that,
and
you'll
probably
see
this
in
the
next
legislative
session.
E
That
will
really
help
the
rural
hospitals
with
that
with
their
Medicaid
patients,
because,
right
now
the
inpatient
goes
because
it's
inpatient.
It
mostly
goes
to
the
urban
areas
and
and
less
to
the
rural
areas.
Outpatient
will
flip
that
and
in
order
for
this
to
work
right,
the
hospitals
have
to
be
on
board.
One
of
the
reasons
we
got
delayed
last
year
and
just
being
frank,
is
that
hospitals
don't
like
110
of
Medicaid
fee
for
service
right.
They
do
much
much
better
under
just
straight
up.
E
H
H
One
more
question
have
any
of
the
mcos
indicated
that
they
want
to
adopt
the
plan
or
that
they,
like
the
plan
or
has
any
of
the
private
insurers
agreed
that
this
is
kind
of
a
good
idea,
a
good
road
to
go
down.
E
So
I
think
about
three
had
three
had
said:
they'd
probably
join
us
and
I.
Think
three
and
the
other
three
that
didn't
want
to.
But
again
you
know
their
difference
is.
F
Something
and
keep
in
mind
some
of
that
is
because
of
the
number
of
people.
Just
you
know
candidly,
that
would
move
from
Medicaid.
F
So
so
it's
a
small
number
for
them
right
now
for
some
of
them
and
so
the
cost
of
standing
that
up
and
having
that
available.
But,
as
we've
pointed
out,
I
mean
one
of
the
one
of
the
things
that
I.
It
is
really
nice
about
this
plan.
If
we
can
get
the
companies
to
offer
Medicaid
basic
health
plan
and
a
qualified
health
plan,
then
individuals
as
they
move
up
and
down
that
Spectrum
can
have
the
same
company
and
then
likely
same
provider.
F
You
know
seamlessly
transition,
so
I
mean
that's.
You
know,
that's
the
goal,
or
would
we
get
there
for
initial
implementation
likely
not
because
they
have
to
make
those
business
decisions
as
to
whether
or
not
they
can
really
stand
that
up
in
the
amount
of
time
for
the
number
of
people
that
you
know
they
they
will
initially
have.
I
H
You
know
I
realize
this
probably
isn't
the
easiest
thing
to
talk
about,
since
it's
all
being
drafted
and
but
just
from
a
you
know,
somebody
who's
seen
rural
Health
Care
in
action.
You
know:
Mom
worked
for
a
rural
hospital
for
40
something
years,
wife
currently
employed
at
a
rural
hospital.
H
You
know:
we've
seen
the
impact
all
across
the
state
under
the
best
of
times.
You
know
our
rural
hospitals
are
struggling
and
covid.
You
know
everybody
thinks
well.
These
hospitals
are
just
flushed
with
cash,
but
that's
not
the
case.
I
mean
you
know.
The
hospital
back
home
they've
got
a
wing
shut
down
because
they're
having
to
compete
with
bigger
hospitals
for
employees
and
it's
it's
killing
them
I
mean
travel
nurses.
You
know
we
all
understand
the
value
in
health
care
and
Healthcare
Workforce.
H
Now
so
just
just
going
forward
I
mean
we
can't
keep
asking
our
rural
Health
Care
facilities
and
providers
to
operate
at
a
loss
when
we
wouldn't
ask
that
of
you
know
an
insurance
company
or
somewhere
else,
and-
and
so
just
just
thank
you
all
for
your
attention
to
that,
and
you
know
just
please
keep
that
in
mind.
Going
forward.
A
I
have
a
couple
of
follow-up
questions,
one
for
representative
Bray's
last
question
in
your
discussions
on
this:
have
have
anybody
discussed
any
alternatives
to
what
you're
trying
to
accomplish
with
BHP
there's
one
thing
to
just
say:
yeah.
We
don't
like
this,
but
if
we're
in
a
space
where
we
are
are
looking
to
do
something
and
needing
to
do
something,
if
there's
any
alternatives
that
we
could
move
toward
to
kind
of
trying
to
find
a
middle
ground
on
some
some
key
issues,
so.
E
I'll
start
with
some
of
the
Alternatives
that
we
looked
at
and
and
you'll
understand
why
you
like
them
even
less
than
what
I'm
saying
you
know,
one
would
be
expand,
Medicaid
up
to
200
of
poverty
and
I
I'm.
For
all
the
reasons
you
all
talked
about
right.
There
are
certainly
significant
challenges
to
that.
What
we're
describing
here,
the
basic
health
plan
is:
what
kind
of
waiver
is
it
that
we'd
be
asking?
We
would
we
would
file
this
with
the
federal
government
if
we
wanted
to
do
a.
D
E
There's
something
called
a
1332
waiver,
which
is
where
you
kind
of
amend
your
insurance
laws
right
to
cover
cover
this
between
Medicaid
the
whole
population
that
for
1332
the
aptc
isn't
really
available
anymore.
So
you
don't
get
that
funding
from
the
federal
government
right.
E
The
other
Alternatives
around
incentivizing
private
insurers
to
provide
coverage
would
look
more
like
house
before
499
this
year,
where
some
some
State
funds,
because
it
have
to
all
be
State.
Funds
were
put
up
for
ensure
for
for
employers
to
be
able
to
access
to
offset
the
cost
of
that
health
insurance.
The.
So
that's
the
child
care
example
right.
E
E
I,
don't
I
we're
working
with
Consultants
we're
happy
to
bring
them
in,
but
as
we
went
through
with
them,
what
our
options
are.
That's
kind
of
the
range
of
options
that
are
out
there.
Is
that
fair,
you
all?
Okay,.
G
Secretary
Freelander,
deputy
secretary
banahan,
one
of
the
things
I
wanted
to
to
bring
up
is
if
we
look
at
House,
Bill
7,
that
was
passed
in
the
2022
session
section.
Six
of
that
says,
let
me
get
it
where
I
can
read
it.
This
is
notwithstanding
any
provision
of
law.
To
the
contrary,
the
cabinet
shall
not
exercise
the
state's
option
to
develop.
A
basic
health
program
is
permitted
under
42
USC,
section
18051,
without
first
obtaining
specific
authorization
from
the
general
assembly
to
do
so.
G
With
what
I'm
hearing
today
with
you
proceeding
forward
on
this
basic
Health
Plan,
how
do
you
reconcile
that
with
the
language
that
was
passed
into
law
this
past
session?
Sure.
E
And
I
know
this
is
going
to
be
an
unpopular
opinion
so
that
language
is
in
in
house
bill
7..
The
budget
that
was
passed
in
the
end
had
funding
for
this
in
the
budget.
E
I'm,
not
an
attorney
so
I'm
not
going
to
make
any
arguments
here,
but
the
perspective
of
the
administration
is
and
and
I
have
it
too,
because
I
think
the
budget
is
like
the
biggest
thing
for
the
Commonwealth.
It
was
last
past,
and
so,
since
the
funding
is
there,
I
think
that
is
how
we
interpret
the
general
assemblies
saying:
go
ahead
because
the
money's
there
now
again
I
know
we
can
disagree
but
I'm
telling
you
what
what
that
logic
is
well.
G
You
you
also
realize
that
we
operate
under
a
two-year
budget,
so
that
would
look
into
the
future
and
I
think
I
know.
You
said
that
you
had
several
opinions
that
would
not
be
popular
today
and
obviously
you
you've
expressed
them.
I
guess.
My
concern
with
it
is,
is
as
I
look
at
this
and
interpret
it
House
Bill
7
is
pretty
clear.
The
general
assembly
may
have
appropriated
money
there
for
the
implementation.
G
A
If
I
have
no
other
questions
again,
I
know
this
was
not
easy.
It
took
a
Herculean
effort
to
grind
through
a
lot
of
that.
We
appreciate
this
and-
and
we
may
have
some
additional
follow-up
as
we
go
through
wrapping
up
our
process
for
this
committee,
and
we
may
be
maybe
not
in
front
of
a
committee
but
maybe
reaching
out
to
you
on
some
of
that
as
well,
but.
E
A
J
C
Figures
that
the
tech
person
would
have
issues
with
technology
good
afternoon.
You
guys
thank
you
so
much
to
this
entire
task
force
for
letting
us
present
to
you
today.
My
name
is
Kelsey
Underwood
I
am
the
product
manager
at
GCO
at
Georgia
Center
for
opportunity,
but
I
am
a
Kentucky
native
and
I
live
here
now
and
I'm
so
excited
to
be
here
and
to
be
discussing
this
issue
with
people
that
genuinely
care
about
helping
people
in
Kentucky.
C
C
C
Let
you
know
why
this
group
from
Georgia
is
here
talking
to
Kentucky
about
benefits
Cliffs,
because
it
probably
didn't
make
a
whole
lot
of
sense
in
the
beginning
and
then
we'll
go
through
two
and
three
pretty
quickly,
because
I
understand
that
you
all
have
had
a
lot
of
meetings
with
people.
Who've
presented
sort
of
ways
in
which
to
model
the
problem,
and
you
have
a
deep
understanding
of
what
the
issue
is.
C
So,
let's
talk
about
this
really
quickly
and
again,
I
know
you
guys
have
seen
a
couple
of
tools
so
far
from
other
groups.
So
let's
talk
about
how
we
do
it
and
why
that's
important,
first
and
foremost,
our
model
for
the
benefits
Cliffs
tool
is
computational.
It's
not
statistical,
that's
important
because
it's
objective,
so
the
output
here
and
I'll
show
you
what
what
it
looks
like
on
on
our
web-based
tool.
But
the
output
here
is
exactly
what
it
looks
like
at
a
federal
state
and
local
level
for
someone
at
each
pay
range.
C
Who
is
on
benefits?
There's
no
question:
there's
no
subjective
information
here,
there's
no
opinion.
This
is
how
the
law
looks
right
now,
and
it's
really
important,
because
what
it
does
is
it
makes
the
magnitude
of
impact
visual
so
for
the
people
you
all
are
working
with
and
trying
to
push
this
policy
forward,
it's
important
to
show
them
the
depth
and
breadth
of
the
problem
and
also
to
be
able
to
calculate
the
Delta
between
where
we
are
and
where
we
really
need
to
be
when
it
comes
to
helping
people
that
are
on
our
welfare
programs.
C
And
lastly,
our
model
is
pretty
straightforward,
so
it
takes
about
60
seconds
to
generate
a
scenario
like
this
and
there's
a
reason
that
we
made
it
that
way,
which
I'll
talk
through
here
shortly,
but
really
quickly,
I'm
going
to
show
you
what
it
looks
like
I've
pre-populated
this
just
to
keep
it
simple
for
you
all
and
in
the
interest
of
time
we
have
10
states
on
our
model
right
now,
we'll
have
12
by
the
end
of
the
year,
and
we
do
update
that
annually.
C
Hopefully
more
often
here
in
the
future,
you
can
look
down
to
the
county
level
on
every
piece
of
data
that
we
have
and
then
all
you
have
to
do
is
enter
information
about
children
and
really
we
only
need
their
age,
gender
at
Birth,
their
school
status
and
their
disability
status,
child
care
and
rate
category.
A
lot
of
people
don't
know
that
unless
you're
working
directly
with
an
individual,
so
like
a
caseworker
or
something
like
that-
and
even
then
some
people
are
not
sure
about
it.
So
we
have
values
populated
in
there.
C
So
for
the
purposes
of
this,
we've
got
a
couple
of
kids
single
mom
in
her
20s
she's,
not
married
and
she's,
not
pregnant,
and
then
I
always
leave
the
housing
and
child
care
additions
on
here,
because
you
can
actually
take
them
off
in
the
graph.
The
graph
is
dynamic,
so
I'll
show
you
what
that
looks
like
here
so
on
the
bottom.
You've
got
your
annualized
income,
annualized
hourly
pay
essentially
and
then
on
the
y-axis.
You've
got
their
total
take
home
with
all
these
programs,
probably
similar
to
what
you
all
have
seen
before.
C
But
it
is
interesting.
You
can
hover
over
any
point
on
this
graph.
They're
all
25
cent
pay
increments
and
you
can
see
what
their
top
line
income
is,
as
well
as
the
value
of
every
single
program
that
they
would
be
res
or
the
value
of
money
that
they'd
be
receiving
from
every
single
program.
Should
they
be
on
that
program
at
that
pay
rate
and
given
their
family
scenario.
C
Another
interesting
thing
is
give
me
just
one
second,
we'll
make
this
a
bit
smaller
here.
So
it's
Dynamic,
like
I,
said
so.
Let's
pretend
that
they're
not
receiving
child
care.
You
can
take
that
off.
Maybe
they're
not
getting
cash
assistance.
We
can
see
what
that
looks
like
food
Etc.
So
really
it
allows
you
to
quickly
and
efficiently
model
different
scenarios
when
you're,
looking
at
creating
Solutions
and
I'm
happy
to
go
over
that
in
more
detail
in
the
Q
a
time
but
I
just
wanted
to
briefly.
C
C
Do
you
have
time
to
run
a
10-minute
scenario,
every
single
time
that
you
want
to
look
into
this?
Probably
not
so
that's
why
we
distilled
our
information
down.
It's
still
very
accurate
down
to
the
dollar
level,
but
it's
not
10
pages
of
information
that
you
have
to
fill
out
in
order
to
get
that
result,
but
we
do
have,
and
this
gentleman
created
it
he's
absolute
genius
and
expert
in
this
created
a
detailed
model
that
powers
this
website
and
that
is
available
to
every
single
person
that
uses
our
tool.
So
we
have
a
lot
of
people.
C
For
example,
there's
a
PhD
student
in
Michigan
who's
using
it
right
now
for
his
thesis
or
his
dissertation.
Sorry,
we've
got
people
in
North
Carolina
using
those
people
in
Arkansas
using
it.
People
in
South
Carolina,
using
this
multiple
States,
whether
they're
a
non-profit
organization
or
policy,
make
they
are
using
the
detailed
model
as
well
to
run
specific
reports.
C
So
one
thing
that's
really
important
to
note,
because
we
have
a
technology
is
that
we
are
not
a
technology
company.
We
are
not
interested
in
outselling
or
outperforming
anybody.
What
we're
interested
in
is
getting
real
results
for
people
as
quickly
as
possible,
and
that
means
that
we'd
rather
work
with
people
than
compete
with
them.
So
if
there's
somebody
in
states
that
we
are
entering
in,
we
would
rather
work
with
them
like
the
Atlanta
fed.
We
work
with
them
quite
quite
a
bit
in
Georgia.
C
You
know
to
to
get
quick
access
to
this
data
and
pull
it
into
our
model.
So.
Speaking
of
collaboration,
here's
kind
of
where
it
becomes
important
for
groups
like
yours,
all
the
states
in
green
will
be
live
by
the
end
of
this
year
on
our
website.
10
of
them
already
are
Utah
and
Missouri
are
coming
here
shortly.
C
There
needs
to
be
multiple
states
that
are
working
on
this
issue,
so
in
these
12
States,
these
1100
and
some
counties
you've
got
counterparts
that
care
about
this
that
are
working
on
this,
that
you
can
collaborate
with.
We
can
introduce
you
to
so.
You
can
see
what's
working,
what's
not
working,
what
have
they
tried?
What
have
they
not
tried?
You
can
compare
their
model
to
yours
on
our
website
or
in
our
Excel
model
as
well,
and
it
covers
about
a
third
of
the
U.S
population.
C
So
it's
pretty
indicative
of
what's
happening
in
our
country,
although
we
would
like
to
have
some
of
the
less
conservative
States
on
here
to
get
a
better
picture
of
what
that
looks
like
on
the
whole
and
then
it
does
represent
95
percent
of
federal
funding.
So
again,
we've
got
18
programs
and
other
inputs
that
are
in
this
model
in
order
to
create
the
best
picture
possible
so
before
I
pass
it
over
to
Eric.
C
J
Hiya,
thank
you
for
inviting
us
thank
you,
Senator
Howell
and
represent
Dixon
and
the
entire
task
force,
so
we
actually
have
a
written
testimony
that
we
had
submitted
and
we
actually
outlined
a
number
of
ideas
in
that
testimony.
So
I,
don't
necessarily
want
to
go
like
word
by
word
of
what
we
have
in
the
testimony.
J
What
I
want
to
do
is
maybe
just
highlight
some
of
the
things
and
then
and
then
at
some
point
we
can
move
to
questions
and
you
can
Grill
me
if
you
want,
but
at
any
rate
we
have
one
thing:
I
want
to
kind
of
say
of
the
outset
and
I'm
sure
that
many
of
you
are
already
aware
of
this.
There
are
pilot
programs,
demonstration
waivers
already
embedded
in
in
federal
law.
So
there's
a
lot
of
opportunity
already
that
that
all
states
concluded
Kentucky
can
take
advantage.
J
I
heard
from
the
last
panel,
they
mentioned
section
1332.,
that
is,
that
was
part
of
the
Affordable
Care
Act
and
then
Congress
inserted
a
provision
that
provided
are
very
flexible
waiver
program.
That
would
allow
states
to
reconfigure
how
they
do
health
care
and
in
fact,
Georgia
has
a
proposal
that
is
in
the
courts,
but
the
courts
ruled
in
favor
of
Georgia,
because
the
current
administration
had
nixed
it
after
the
prior
Administration
approved
it,
but
but
it's
it
is
very
flexible
and-
and
we
actually
I
would
encourage
you
to
kind
of
look
at
that.
J
We
actually
have
a
paper
on
on
some
sort
of
systemic
kind
of
Health,
Care
reform,
and
that's
just
another
option.
You
might
want
to
consider
there's
also
in
the
snap
program
so
in
in
snap
there's
a
section
2026
and
and
that
allows
for
demonstration
and
pilot
programs,
and
so
it
specifically
says
for
welfare
reform
and
for
help
individuals
to
reach
self-sufficiency.
J
So
those
are
two
specific
conditions
that
they
place
in
there
for
what
these
waivers
may
be,
and
and
if
you
kind
of
look
at
the
snap
program,
there
are
things
I
believe
that
can
be
done
to
actually
address
some
of
the
some
of
the
benefit
Cliffs
that
you
see
with
the
snap
program
and
we're
concerned.
I
just
want
to
say
one
thing:
it's
it's
mentioned
briefly
in
the
testimony
we're
concerned
about
the
the
benefit
clips
that
you're
concerned
about
where
you
see
from
additional
earnings.
J
You
have
a
cliff,
but
there's
also,
if
you
will
there's
marriage
penalties,
that's
also
kind
of
a
benefits
cliff,
and
so
the
the
food
stamp
program
and
a
lot
of
the
programs
have
both
they
have.
They
have
a
component,
that's
in
earnings
and
they
have
a
components
that
might
be
a
marriage
penalty.
Sometimes
it's
one
in
the
other,
and
sometimes
programs
have
both.
But
in
the
in
the
case
of
the
snap
program
there
was
during
the
the
family's
first
law
at
the
beginning
of
the
pandemic,
that
was
passed.
J
J
The
actual
numbers
are
in
the
in
the
testimony
that
that
was
something
where
States
could
opt
in
as
a
waiver
in
Kentucky
opt
in
into
it,
but
thank
goodness
they
came
off
of
it
in
May
still,
though
they're
30
States
on
that
program,
but
that
was
a
case
where
I
think
that
states
should
look
at
that
before
you
say:
oh
we're
going
to
participate
in
a
waiver.
You
know
maybe
look
at
it
in
a
degree
to
see.
Did
this
actually
make
benefit
Clips,
worse
or
better?
J
At
the
same
time,
why
not
take
advantage
of
the
you
know,
section
2026
waiver
and
see
what
what
can
be
done
now?
There
are
two
things
that
we've
identified
in
our
modeling,
that
are
specific
food
stamp
related
Cliffs.
One
is
the
the
way
that
you
do
the
calculations
for
the
benefits,
and
there
are
these.
J
What
you
call
these
income
disregards
it's
getting
a
little
bit
into
the
detail,
but
those
that's
that's
where
you
actually
generate
the
cliffs
and-
and
so
it's
like
a
cross
subsidation
of
other
wealth
welfare
areas,
and
so
one
of
the
things
to
limit
for
this
particular
program
would
be
to
to
change
how
those
income
disregards
are
calculated
and,
and
that
possibly
could
be.
You
know
for
a
waiver,
you
know
because
it
would
meet
those
conditions.
Of
course
it
would
require
Federal
approval.
J
There,
there's
also
I,
just
wanna
I'm
jumping
a
little
bit
ahead.
There's
also.
We
we
also
recommend
trying
to
work
with
Congress.
We
actually
have
an
effort.
J
Now
we
we're
we're,
collaborating
with
two
different
think
tanks,
one
in
Texas
and
one
in
Louisiana,
and
we
actually
have
some
legislation
that
we're
going
to
have
introduced
in
Congress
to
handle
some
issues
for
us
and
there's
no
reason
that,
as
we
identify
different
Federal
legislation,
that
could
be
changed,
that
we
can
work
for
that
as
like
a
longer
term
solution,
perhaps
or
if
they
pass
it
more
quickly.
Maybe
a
shorter
term
solution,
but
that's
an
addition
to
things
that
States
could
do
now.
J
I'd
like
to
also
point
out
that,
in
addition
to
waivers
that
that
are
available,
there's
also
block
grants
and
block
grants
are
less
restrictive
than
the
other
programs,
and
one
of
the
big
block
grants
is
the
Child
Care
Program.
So
in
child
care.
What
we've
discovered
is
you
know
it's
one
of
the
the
largest
areas
where
you
see
benefits,
Cliffs
and-
and
these
are
the
kind
of
benefit
Cliffs
where,
where
a
single
mom
or
single
dad
will
give
up
a
better
paying
opportunity,
I
mean
we
know
that
anecdotally.
J
We
hear
that
all
the
time
from
employers
and
others
and
and
well
with
the
and
but
one
of
the
things
we
know
as
we're
doing
the
modeling
with
the
child
care.
Since
we
can,
we
now
have
over.
We
actually
have
11
states
in
and
we're
coming
up
with
12
in
the
modeling
that
the
amount
of
the
benefits
that
you
give
is
a
major
condition
that
creates
the
the
benefits
Cliffs,
so
kind
of
the
trend.
J
The
national
trend
is
to
push
families
into
you,
know
higher
quality
settings,
but
there's
a
trade-off.
The
trade-off
is
that
it
costs
more
money.
So
we
believe
that
one
of
the
things
that
states
can
do
now
is
to
look
at
their
plans
for
how
they
actually
run
their
Child
Care
Program
and
then,
with
the
understanding
that
the
more
costly
you
make
it,
the
higher
that
you
make
these
Cliffs.
So
there
needs
to
be.
J
There
needs
to
be
attention
given
to
how
can
we
make
the
Child
Care
Program,
so
it's
not
as
costly
and
and
one
simple
way
would
be
to
incentify
the
parents
to
choose
less
costly
settings
and
that
might
be
instead
of
having
them
go
into
a
center.
You
might
have
like
a
family
member,
so
a
lot
of
States
would
have
like
various
tiers
of
the
child
care.
J
Setting
like
the
one
tier
would
be,
for
example,
you
know
child
care
center
and
then
maybe
another
tier
would
be
you
know
a
family
setting,
so
you
might
have
a
grandmother
or
a
trusted
relative
who
will
look
after
the
child
as
opposed
to
a
setting.
Now,
in
that
particular
case,
you
pretty
much
eliminate
the
benefits
clip
to
that
program.
There's
actually
other
ideas
that
we've
worked
at
around
the
child
care.
There's
ideas
of
even
trying
to
work
directly
with
employers
to
have
employers
provide
it.
J
That
would
work
with
larger
employers,
mostly
not
small,
small
employers,
so
that
that's
the
case
for
the
restructuring,
the
of
the
child
care
block
grant.
The
other
thing,
too,
is
I.
Think
Kelsey
had
mentioned
this
briefly,
that
you
know
as
we're
coming
up
with
different
ideas
that
we
want
to
pursue
systemic
reform
or
we
want
to
go
before
Congress.
J
So
the
more
that
we
pressure
our
excuse
me,
we
pressure
our
our
Congressional
delegations,
the
the
greater
chances
will
happen
and
just
as
a
case,
study
the
welfare
reform
of
the
1990s,
the
the
TANF
program
was
basically
bubbled
up
from
the
States.
You
had
Wisconsin
works
from
Governor,
Tommy
Thompson,
and
then
that
got
the
attention
and
then
you
had
a
republican
Congress
and
a
Democratic
president
that
signed
it.
J
There's
another
thing:
I
think
I
need
to
mention
before
I
before
I
stop
here,
you
can
stop
if
you
want,
but
if
I
have
a
couple
more
things,
so
so
the
the
one
thing
is
that
we
actually
have
a
a
three-part
series
on
systemic
reform,
which
is
kind
of
like
a
big
picture.
You
know
it's
like,
like
you
know.
J
This
is
where
we
dream
we
would
like
to
be,
but
there's
a
piece
of
that
that
we
are
actually
aggressively
trying
to
get
actually
in
Georgia,
and
we
think
that
other
states
like
Kentucky
can
benefit
benefit
for
something
like
this.
So
we
we
believe
that
you
need
to
kind
of
integrate,
Workforce
Development
with
safety,
net
programs
and
the
more
that
you
can
do
that,
the
better
it
will
be
and-
and
you
can
actually
help
individuals
overcome
benefits
Cliffs
because
you're
actually
helping
them
with
upward
Mobility.
So
there
is
kind
of
there
it
we.
J
We
don't
see
this.
As
you
know,
employment
versus
you
know
incentives.
We
believe
you
need
both.
You
need
to
promote
employment,
but
you
also
need
to
align
the
incentives
for
earning
more
money
and
and
and
so
what
we
have
is
we
have
for
Georgia.
We
have
a
we're
working
on
the
idea
and
we've
we've
talked
to
individuals
in
the
governor's
office
as
well.
The
state
legislature
and
Buzz
Brockway
here
can
give
you
more
detail.
J
If
you
want
to
ask
them
about
that,
but
it's
like
creating
a
Department
of
Workforce
Services
Utah.
Currently
is
the
only
state
in
the
country
that
does
it
this
way,
but
they
also
have
some
of
the
best
metrics
when
you
kind
of
look
at
the
metrics
of
performance.
But
the
whole
idea
is
that
someone
comes
in
and
they
need
us.
J
They
need
help,
maybe
with
some
safety
net
issue
and
then
what
it
is
is
the
central
activity
is
actually
employment,
so
you're
really
helping
people
to
move
up
some
sort
of
income
ladder
so
that
they
could
become
more
self-sufficient.
So
that's
something
that
we're
doing
that
and-
and
there
is
one
there
is
one
kind
of
Hiccup
in
that
where
you
know
there
is
the
federal
legislation
for
the
ver,
the
workforce,
Innovation
and
Opportunity
Act
wioa.
J
If
I
say
wioa,
that's
what
I'm
talking
about
that
that
there
is
a
one
thing
in
there
that
only
allows
Utah
only
allows
you
to
have
a
totally
totally
fully
integrated
system,
and
but
you
can
still
write
the
legislation
so
that
so
there's
a
trigger
thing
so
that
when
the
feds
actually
amend
that
you
can
have
it
trigger
and
it
comes
right
in,
but
you
also
can
put
all
the
pieces
together.
J
F
J
So
so
we
yeah
okay,
so
I've
got
I'm.
Looking
at
the
the
two
chairman,
we
actually
have
a
a
a
smoothing
tool.
That's
part
of
it.
It's
like
a
three
minute.
Video
is,
would
you
would
it
be
okay
if
we
actually
just
kind
of
show
it
just
kind
of
goes
over
how
the
smoothing
tool
Works
without
a
thing,
but
would
you
be
interested
in
seeing
that.
J
J
A
C
Excellent,
so
we'll
close
really
quickly
in
the
interest
of
time.
What
could
we
do
as
GCO
to
work
with
you
all
to
address
these
issues?
Hypothetically
speaking,
the
first
thing
would
be
to
integrate
Kentucky
into
our
data
model,
so
bringing
you
all
on,
as
the
14th
state
would
be
fantastic
I
would
love
nothing
more
than
that
and
then
facilitating
connections
with
other
states
that
are
already
in
the
in
that
model
or
that
we
have
connections
with
that,
maybe
aren't
in
the
model.
C
You
know
that
that
we'd
be
glad
to
introduce
you
to
If
you're,
looking
at
collaborative
efforts
in
that,
in
that
case,
or
just
in
looking
at
again,
what's
worked
and
what's
not
worked
for
other
people
and
then
lastly,
we
took
a
look
at
what
some
objectives
were
for
the
task
force.
One
of
them
is
a
calculator
which
we've
covered
and
then
another
one
is
a
job
search
tool,
we're
not
going
to
belabor
that
that's
not
the
point
of
this
conversation,
but
just
to
let
you
know
if
it
is
of
interest
in
a
later.
C
At
a
later
time,
we
do
have
a
job
search
platform
that
has
been
extremely
successful
in
Georgia
and
it
is
targeted
specifically
at
the
population
that
is
impacted
by
benefits
Cliffs.
We
have
I
think
like
85
employers
that
we're
working
with
right
now
and
we've
had
several
hundred
people,
probably
600
people
that
have
applied
through
it
and
several
that
have
gotten
jobs.
A
K
Thank
you
and
thank
you
for
the
presentation
that
was
very
informative
and
a
lot
of
good
good
information
there.
I
I,
do
have
a
specific
question
on
the
work
program
that
you
brought
up
at
the
end,
and
the
reason
for
that
is
I
had
a
piece
of
legislation
that
was
a
pilot
program
for
a
work
program
that
tied
a
benefits,
cliff
calculator
and
the
benefits
together
as
a
pilot
program.
K
So
with
that,
if
you
can
supply
the
committee
with
or
the
task
force
with
any
information
that
you
have
on
those
type
of
programs,
you
know
on
the
efficiency,
the
effectiveness
of
those
programs,
and
you
had
spoken
that
you
you'd
have
600
people
or
so
sign
up
for
a
program
similar
to
that
in
Georgia.
K
You
know,
Georgia
that
information
would
be
great
for
us
to
have
and
to
see,
because
I
I
agree
with
what
your
statement
and
what
you
said
in
your
testimony,
I
think
that
that
you
know
through
Workforce
Development
in
some
of
these
benefit
Clift
issues
those
coupled
together
can
can
make
some.
You
know
substantial
benefits
for
those
individuals
who
are
motivated
to
to
continue
on
other,
with
other
changes
that
we
brought
up
in
our
task
force.
K
So
I
appreciate
that
and
look
forward
to,
if
you
could
send
that
to
us,
so
we
could
look
into
that
further.
We
would
be
happy
to
supply.
Thank.
A
You
anyone
else
having
any
questions
on
this
I
just
want
to
thank
y'all
for
coming
today.
You
know
we
talk
a
lot
about
the
the
what
and
what
we
need,
but
the
how
on
how
to
get
there
the
devil's
into
details
so
to
speak,
and-
and
this
has
been
really
one
little
question-
I
had
him.
Maybe
this
is
something
we
could
talk
about
afterwards.
A
If
you
wanted
is
how
far
along
are
you
in
Georgia,
I
I,
appreciate
y'all,
sending
that
information
I
did
kind
of
a
dive
into
some
of
the
things
that
you
were
doing
so
if
anyone
just
wants
to
touch
briefly,
there's
a
lot
of
similar
demographics
in
certain
areas
of
Georgia
in
certain
areas
of
Kentucky
and
I,
just
thought
it
might
be
informative
to
have
a
little
brief
talk
about
that.
Yeah.
L
Yeah,
thank
you
for
the
question
Senator
and
appreciate
y'all,
letting
us
come
and
talk.
I
served
eight
years
in
the
Georgia
legislature
and
while
I
was
there
coming
out
of
the
last
the
Great
Recession
so
to
speak.
We
noticed
that
our
urban
areas,
our
our
Metro
areas,
were
covering
kind
of
nicely.
L
Our
rural
areas
were
not,
and
so
the
speaker
of
the
house
at
the
time
formed
what
he
called
the
house:
rural
development
caucus
or
Council
rather
and
it
traveled
the
state,
a
group
of
legislators
that
traveled
the
state
meeting
with
local
officials
talking
to
them
about
about
what
they
needed,
what
what,
how
they
could
spur
economic
development
in
their
communities
and
every
year
they
bring
pieces
of
legislation
based
on
that
recommendations,
but
they
began
hearing
from
employers
all
across
the
state
that
were
trying
to
figure
out
how
come
people
work
three
months
three
weeks
out
of
the
month
and
then
quit
how
come
people
work
30
hours
when
I
need
them
to
work
40
hours
and
over
and
over
again
it
was
coming
back
that
there
were
these
folks
dealing
with
these
Cliffs.
L
So
we've
presented
before
that
committee.
A
number
of
times
talking
about
some
of
the
issues
what's
excited
George,
the
most
is
what
Utah
has
done,
and
they're
they're
full
integration
of
the
delivery
of
Workforce,
Development,
Services
and
and
safety
net
services
and
and
placing
work
really
at
the
center
of
that,
because
it
gets
you
around
all
the
fights
that
people
have.
Oh
and
the
disagreements
that
we
all
have
and
the
Court's
stepping
in
on.
L
You
know
where
you
can
impose
work
requirements
and
those
sorts
of
things
if
you
put
work
at
the
center
of
it
and
the
moment
that
somebody
comes
in
to
seek
assistance,
they're
taught
it's
immediately
talk
to
them.
Hey.
Are
you
aware
that
these
job
training
programs
available?
What's
your
job
situation?
How
can
we
get
you
into
a
job
or
into
a
better
job?
That's
what
people
want.
They
want
to
be
on
that
path
toward
self-sufficiency.
L
So
Utah's
really
done
an
amazing
job
of
that
Eric
mentioned
federal
law
kind
of
prohibits
the
rest
of
us
from
integrating
that
fully.
That's.
Why
we're
kind
of
we're
kind
of
pursuing
a
two-track
situation?
As
as
Eric
mentioned,
we
are
working
with
a
member
of
Congress,
I,
won't
say
it
publicly
because
he
hasn't
dropped
the
bill
yet,
but
we're
very
hopeful
that
in
after
the
first
of
the
year,
he'll
drop
a
bill
that
will
fix
that.
So
what
we
really
need
is
is
states
to
come
along
and
say
yeah.
L
If
Congress
does
this,
then
we
want
to
take
advantage
of
that
and
we're
that's.
What
we're
working
on
in
Georgia
there's
a
lot
of
interest
in
our
governor's
office,
a
lot
of
interest
in
in
key
members
of
the
House
rule
Development
Council,
to
do
this,
George
has
already
began,
bringing
all
of
their
Workforce
Development
programs,
Under
One
Roof,
our
Department
of
Economic
Development.
That's
what
the
governor
chose
to
do
is
he's
consolidating
those
programs
we're
working
with
them
to
all
right.
L
Let's
now,
let's
consult,
let's
bring
all
of
the
safety
net
programs
onto
one
roof
so
that
the
start
to
streamline
the
operations
of
that.
So
that's
that's!
What
we're
working
on
the
state
level
at
the
same
time,
trying
to
put
pressure
on
Congress,
give
States
this
Authority
this
flexibility
to
fully
integrate
the
the
delivery
of
these
programs,
so
that
we
can
everybody
can
do
what
Utah
has
done.
So
that's
that's
kind
of
where
we're
at
right
now
in
Georgia
and
I
hope
that
answers
your
question.
A
Yeah,
thank
you
for
going
into
that
a
little
bit
we're
kind
of
on
Pace
right
now.
Yes,
we
have
the
link
that
you
were
talking
about
for
that
video
and
we'll
distribute
that
amongst
the
these
members
of
the
committee.
So
we
can
review
that
then,
and
we
appreciate
it.
We
appreciate
your
time
coming
up
here
from
Georgia
and
thanks
for
thanks
for
coming
up
thanks
for
your
information.
A
M
M
So
we
are
here
today
to
talk
about
ktap
and
kwp.
The
current
status
of
these
programs
and
the
proposed
red
changes.
M
The
Kentucky
Transitional
Assistance
Pro
program,
known
as
ktab
in
the
Kentucky
Works
program
that
we
refer
to
as
kwp
are
100
percent
funded
through
Federal
TANF
funds
in
1996,
Congress
created
the
temporary
assistance
for
needy
families,
block
grant
through
the
personal
responsibility
and
work
opportunity.
Reconciliation
act
and,
through
this
block,
grant
Congress
also
introduced
the
60-month
lifetime
limits
on
these
benefits
in
order
to
receive
the
full
amounts
of
10
of
funds.
M
The
you
see
listed
here,
the
federal
federally
allowed
uses
of
TANF
funds,
which
include
the
include
basic
assistance,
work,
Education
and
Training
activities,
Child
Care,
non-recurring,
short-term
benefits,
work
supports
and
Supportive
Services
fatherhood
and
two-parent
Family
Programs,
child
welfare
services,
program
management,
the
refundable
tax
credits,
pre-kindergarten
Head,
Start
programs,
the
transferred
I'm,
sorry
transferred
to
Social,
Services
block
grant
and
out
of
wedlock.
M
Pregnancy
prevention
Kentucky
uses
the
artana
funding
for
the
top
eight
initiatives
you
see
listed
here
on
the
screen
and
each
year
every
TANF
dollar
is
obligated
for
these
top
eight
items.
Adjustments
are
made
each
year
between
State
Moe
and
federal
funds
depending
on
the
state's
budget
situation.
But
that's
that's
why
the
the
tenants
flexibility
is
vital
to
the
Department
and
remaining
Tana
funds
are
rolled
over
to
the
next
year
and
quickly.
Spam.
M
Federally
eligible
Federal
eligibility
requirements
for
TANF
programs
are
are
listed
here.
Individuals
must
reside
in
the
state
in
which
the
individual
applies.
They
must
be
a
U.S
citizen
or
legal
immigrant,
with
with
some
restrictions,
federal
law
prohibits,
tenant
funds
being
used
to
assist
most
qualified
immigrants
who
immigrated
after
1996
until
they
have
been
in
the
U.S
for
at
least
five
years,
with
some
specific
exceptions.
M
Participants
are
also
required
to
cooperate
with
child
support
enforcement
or
have
their
benefits,
reduced
or
or
taken
away,
and
then
last
week
the
kinship
families
Coalition
of
Kentucky
presented
to
a
legislative
committee
and
mentioned
this
as
one
of
the
barriers
relatives
have
identified,
many
grandparents
and
other
non-parental
caregivers
received
ktab
for
the
children
they
are
caring
for.
One
of
the
requirements
of
ktap
is
that
the
relative
caregiver
caregiver
has
to
try
to
get
child
support
from
the
child's
parent.
M
This
presents
more
Hoops
for
the
relative
caregiver
to
jump
through
and
can
also
create
tension
and
even
animosity
between
family
members.
The
kinship
Care
Coalition
also
mentioned
that
ktap
rates
are
so
low
and
we'll
we'll
talk
about
that
a
little
bit
further
in
the
presentation
that
it's
difficult
to
cover
a
cost
of
attorneys,
keeping
an
attorney
on
retainer
and
then
again.
Also
state
law
requires
Public
Assistance
recipients
to
assign
child
support
rights
to
the
cabinet
as
part
of
eligibility
day.
B
Right
so
Lisa
told
you
a
little
bit
about
tnf
the
requirements
about
it
and
now
I'm
going
to
go
into
a
little
more
detail
about
these
programs
that
are
funded
with
TANF
that
we
are
presenting
on
today.
So
the
Kentucky
Transitional
Assistance
Program
provides
financial
assistance
for
needy
dependent
children,
that's
key
federally
and
their
households.
There
is
a
60-month
lifetime
limit
that
was
mentioned
and
the
payment
is
based
on
family
size
and
income.
Parents
are
participating
in
ktap.
B
Are
the
poorest
parents
in
the
state
based
on
income
thresholds
that
hover
around
25
percent
of
the
federal
poverty
limit?
We
will
get
into
this
a
little
more
in
the
presentation
again
with
those
income
standards
for
the
Kentucky
Works
program.
The
goal
of
it
is
to
assist
work
eligible
individuals
in
supporting
their
families
through
self-sufficiency.
This
program
is
available
to
ktap
participants.
It
provides
training
and
job
seeking
assistance
and
support
services
that
again
we'll
get
into
a
little
bit
more
in
detail,
but
things
that
are
necessary
for
for
school
and
work.
B
The
federal
TANF
Law
requires
states
to
meet
the
work
participation
rates
targets
or
face
a
penalty,
a
state's
work
participation
rates
measures,
the
share
of
work
eligible
participants
who
are
engaged
in
work
activities
as
defined
in
federal
law,
so
states
must
meet
in
All
Families
rate
and
a
higher
two-parent
families
rate
for
a
state
to
meet
It's
All
Families
right.
50
percent
of
the
families
receiving
tan
of
cash
assistance
must
be
engaged
in
a
work
activity
for
at
least
30
hours
a
week.
B
20
hours
a
week
for
single
parents
with
children
under
the
age
of
six
states
must
also
meet
the
two-parent
family
rates
by
having
two
parent
families
generally
work
for
35
hours
per
week,
and
you
heard
Lisa
mention
relative
caregivers.
This
is
nuanced,
a
little
bit
for
non-parental
relative
caregivers
receiving
ktap
for
children
in
their
care,
because
Kentucky's
TANF
caseload
has
decreased
significantly
over
the
years.
B
We
have
a
caseload
reduction
credit
that
gives
us
some
flexibility
in
those
work
requirements,
but
I
want
to
let
you
know
those
are
federally
required
and
krs-205-20031
requires
the
cabinet
to
promulgate
administrative
regulations,
to
develop
a
work
program
for
recipients
of
Public
Assistance,
to
provide
for
immediate
employment
or
preparation
for
employment
and
to
provide
Supportive
Services
to
assist
in
the
pursuit
of
work
and
self-sufficiency.
So
this
is
fulfilled
through
this
program
Kentucky
Works
program.
B
We
were
asked
to
provide
some
current
program
stats
or
the
status
of
these.
Since
the
creation
of
TANF
in
1996,
there
have
been
dramatic
declines
in
the
number
of
families
receiving
this
assistance.
Nationwide
again,
it
was
created
through
the
personal
responsibility
and
work
opportunity,
reconciliation,
Act
of
part
of
the
welfare
welfare
reform
bill.
So
the
purpose
of
it
was
to
get
families
back
into
work.
B
Even
through
the
covid-19
pandemic.
Tanf
utilization
reached
a
historic,
low,
Tanis
early
years,
witnessed
unprecedented
declines
in
the
number
of
families
receiving
cash
assistance
and
those
have
continued
to
decline
those
rates.
So,
since
tennis
creation,
the
national
caseload
has
declined
by
76
percent,
because
the
program
reaches
so
many
fewer
families
than
the
predecessor
to
TANF
Aid
to
families
with
dependent
children
did
it
provides
families
substantially
less
protection
against
poverty
and
deep
poverty,
because,
again
remember
this
is
for
some
of
the
the
poorest
in
the
state.
Despite
precarious
economic
conditions,
many
families
again
didn't
utilize.
B
Ktap
Services
nationally,
just
21
out
of
every
100
families
in
poverty
received
TANF
benefits
in
2020,
compared
to
68
out
of
every
100
in
1996
and
14
States
reached
10
or
fewer
families
for
every
100
that
you
know
were
statistically
in
poverty
and
those
stats
are
according
to
the
center
of
budget
and
policy
priorities
So.
Currently
we
have
an
average
of
10
342
families
receiving
ktap
assistance,
monthly
I
provide
that
breakdown,
there's
about
a
little
over
3
000
adults
and
over
17
000
children.
B
B
There
are
caregivers
receiving
assistance
only
for
children
such
as
grandchildren
that
they're
caring
for
also
this
year,
TANF
funded
child
care
assistance
was
provided
for
an
average
of
770
children
per
month,
so
TANF
can
again
pay
for
child
care
services
for
children
that
are
eligible
for
this
program
and
other
Support
Services
again
back
to
that
decline
in
utilization
have
been
provided
to
less
than
10
individuals
on
average
monthly
you'll
hear
a
little
bit
more
about
that
program,
but
the
support
services
are
eligible
to
those
in
the
Kentucky
Works
program,
which
are
again
ktap
recipients.
B
So
you
may
be
asking
what
is
the
cause
for
these
updates
house
bill
50?
So
my
my
work
is
in
regulations
and
even
though
this
bill
passed
five
years
ago,
many
people
in
regulations
know
we
remember
what
it
was,
because
it
was
a
pretty
big
deal
as
a
red
tape
reduction
measure
and
it
included
that
regulations
that
haven't
been
updated
in
seven
years
would
expire.
B
They
would
just
go
off
the
books
on
that
seven
year
date
so
from
the
changes
that
we're
going
to
discuss,
9
out
of
11
of
the
administrative
regulations
affected
were
up
for
expiration
as
of
November
18th
of
this
year.
So
when
an
agency
has
regulations
that
are
expiring,
they
have
three
options.
They
can
say
that
a
regulation
is
up
to
date.
We
can
certify
that
we
can
certify
that
a
regulation
is
outdated
and
needs
amending
or
we
can
certify
their
regulation
is
in.
The
process
is
outdated
in
the
process
of
being
amended.
B
So
for
these
administrative
regulations
we'll
get
into
the
need
for
for
updates
a
little
bit.
But
much
of
the
language
of
these
regulations
and
the
amounts
provided
through
this
program
are
1990s
level.
So
there
we
really
could
not
certify
that
they
are
up
to
date.
A
lot
of
the
language
of
the
regulation
is
from
even
the
program
before
TANF
in
1996.,
so
we
certified
that
updating
was
needed
and
that
we
would
undertake
that.
B
So
we
had
to
amend
nine
of
11
of
these
administrative
regulations
anyway,
I
don't
have
it
here
in
the
slides,
but
also
with
the
mention
of
House
Bill
7
House,
Bill
7
included
that
we
were
required
to
include
some
language
around
the
recruitment
of
benefits.
So
we
had
to
open
some
of
these
administrative
regulations
to
meet
that
deadline.
That
deadline
was
October
of
this
year,
so
we
had
those
two
factors
requiring
us
to
open
these
administrative
regulations.
So
we
took
a
good
look
at
them
and
tried
to
address
some
of
the
dramatic
declines
in
them.
B
So
we're
going
to
tell
you
about
some
of
these
changes.
These
regulations
were
filed
that
really
just
kicks
off
the
promulgation
process.
This
long
regulation
process
these
regulation
changes
what
you're
going
to
hear
about
they're
only
proposed
they
still
have
a
long
way
to
go.
They're
still
in
the
public
comment
period
and
then
they'll
undergo
legislative
review,
they'll
go
before
two
legislative
committees
before
going
to
respect
so
I
just
wanted
you
to
know
that
what
you're
you're
going
to
hear
about
is
proposed.
B
We
present
on
TANF
almost
annually
and
other
block
grants
that
we
administer
mostly
to
the
health,
welfare
and
Family
Services
committee,
and
we've
been
asked
before
about
how
these
Assistance
programs
help
single
parent
families
compare
to
two
parent
families
and
we've
been
tasked
with
thinking
about
how
we
could
assist
two
parent
families.
More
and
and
so
you'll
see
that
we've
undertaken
that
in
these
changes
as
well,
I
mentioned,
we've
increased
the
benefit
amounts
they
were
from
the
1990s
and
addressing
the
benefits
Cliff.
B
I
All
right
so
I'll,
just
I,
guess
restate
the
point.
Laura
made
that
these
are
all
still
in
the
review
process.
Excuse.
B
I
Right
step,
one
okay,
I
was
just
saying
again
that
these
are
still
open
for
comments,
so
certainly
we'll
welcome
those
and
any
ideas
as
we
go
through
this,
so
I
get
to
talk
about
the
good
stuff
and
that's
how
we're
changing
the
program.
Some
of
the
changes
we're
making
to
help
help
these
families,
both
single
parents
and
two
parents.
One
of
the
changes
is
eliminating
deprivation
Factor
in
the
current
program
to
be
eligible,
whether
it's
a
if
it's
a
single
family,
then
it
must
have
an
eligible
child.
I
That's
deprived
of
support
of
the
absent
parent,
whether
that's
due
strictly
because
of
absence
the
death
of
one
parent
incapacity
in
the
case
of
a
single
parent
home,
or
if
it's
a
two-parent
home,
it
would
have
to
be
unemployment
or
incapacity.
I
It
has
to
be
deprived
of
support
for
one
of
those
reasons
we're
going
to
eliminate
that,
essentially
that's
a
more
more
of
an
administrative
barrier
than
anything
else,
because,
generally
you
know
you're
tracking
down
proof
of
those
reasons
right,
and
so
it's
really
going
to
be
a
lift
on
the
workers
and
a
lift
on
the
two
parent
households,
especially
it
will
allow
some
larger
portion
of
them
to
be
eligible.
So
that's
a
really
good
thing
and
then,
let's
see
I,
think
we're
ready
for
the
next
slide.
I
I
I
I
became
a
caseworker
in
1990.,
my
first
first
state
job
I
was
an
eligibility
worker
in
the
field,
Jefferson
County
and
so
one
of
the
first
things
I
learned
was
afdc
policy
and
how
to
work
a
case
doing
that
these,
like
I,
say
actually
I,
think
the
lowest
two
have
increased,
and
that
was
in
the
mid
90s
and
since
then
none
of
these
have
increased.
So
it
was
high
time
for
that.
So
we're
doing
that
and
then
I
I
will
reiterate
the
point
about
the
the
relative
caregiver
families.
I
This
payment
scale
applies
to
them
too,
if
they're,
if
it's,
if
it's
a
child,
only
case,
that's
how
we
refer
to
those
because
the
parents,
there's
no
adults
in
the
benefit
group,
is
the
reason
for
that
terminology.
I
So
here
are
the
proposed
increased
amounts,
essentially
we're
doubling
the
payment
amounts
across
all
household
sizes.
So
I
think
that's
a
really
good
thing.
I
think
it'll
be
certainly
it'll
it'll
help
those
families
who
who
are
eligible
so
the
next
part
of
that
we
can
increase
the
payments.
But
if
we
don't
increase
the
a
couple
of
other
factors,
then
nobody
will
be
eligible
for
those
payments
because
of
the
way
the
calculation
happens.
So
there's
there's
two
steps
to
that.
I
One
of
those
is
the
standard
of
need,
and
basically
that's
a
number
used
to
determine
it's
it's
based
on
household
size
and
it's
it's
used
to
determine
the
really
the
amount
of
money.
Someone
or
a
household
would
need
to
pay
their
bills.
You
know,
and
so
this
is
the
current
amounts
and
what
we
propose
to
do
actually
can
can
we
go
back.
This
is
the
standard
of
need
and
the
gross
income
scale.
That's
the
second
part
there
and
actually
I've
got
them
backwards.
I
The
gross
income
is
the
first
thing
we
check
and
then
the
standard
of
need
we
use
to
compare
to
their
actual
accountable
income,
and
so,
if
we
don't
increase
both
of
these
things,
then,
as
I
said,
nobody
would
be
eligible
for
those
increased
benefits.
So
next
slide,
please
and
here's
where
we're
going
with
the
standard
of
need-
and
you
can
see,
let's
see,
is
it
both
of
them
yeah,
but
it's
basically
a
20
percent
increase
across
all
household
sizes
there
and
then
let's
go
to
the
next
slide.
There
Laura,
oh
I'm,
sorry
back
up.
I
One
I
need
to
look
at
my
notes:
don't
so,
and
here's
the
gross
income.
So,
as
I
said,
it's
two
steps.
The
first
step
is
we.
We
do
a
calculation
of
earned
and
unearned
income
for
the
households,
the
household
members
in
the
household,
and
then
we
there
are
certain
things
we
can
deduct,
and
so
once
we
arrive
at
a
gross
countable
income
We
compare
that
to
the
gross
income
limit.
If
they're
below
that,
then
we
go
to
step
two
and
we
compare
it
to
the
standard
of
need.
I
I
All
right
so
that
another
piece
of
this
is
the
resource
limit
and
we're
increasing
the
resource
limit
or
we're
proposing
to
I
should
say,
increase
the
resource
limit
from
2000
to
10
000
per
household.
A
big
part
of
this
is
you
know
what
the
folks
in
front
of
us
were
talking
about
the
benefits
Cliff
right,
because
this
allows
folks
I
mean
if,
if
the
only
thing
they
can
have
in
the
bank
is
two
thousand
dollars
as
soon
as
something
bad
happens
that
money's
gone.
We
all
know
that
right.
I
I
So,
let's
see
what
else
we
have
here?
I
will
note
that
that
this
increase
is
something
that
a
lot
of
other
states
have
done
in
the
last
two
years.
I
think
Connecticut,
Illinois,
Maine,
Nebraska,
New,
Hampshire,
Ohio,
South,
Carolina
and
Texas
they've.
I
All
done
this
already
or
something
similar
to
this
so
I
think
I
think
it's
good
for
us
to
follow
suit
on
that
one
for
sure,
some
of
the
other
things
that
we're
changing
first
thing:
increasing
assistance
for
short-term
employment-
we
have
a
deferment
program-
is
actually
what
it
what
it
is,
and
it's
a
program
that
defers
or
or
diverts
someone
from
monthly
assistance
by
just
helping
them
through
a
short-term
need.
I
The
the
current
amount
of
that
program
is
thirteen
hundred
dollars.
We
can
help
with
that
we're
proposing
to
double
that
amount
and
we're
proposing
to
make
it
available.
It
actually
would
cover
it
can
be
available
for
three
months,
but
then
beyond
that,
for
they
would
not
be
able
to
obtain
it
or
be
eligible
for
assistance
through
that
program
again
for
12
months
after
they
get
it,
and
that
you
know,
as
I
said,
is
really
helpful
for
any
short-term
employment,
short-term
unemployment
or
anything
like
that.
I
We're
going
to
increase
the
work
incentive
for
households
discontinued
from
ktap.
Currently,
that
program
is,
is
nine
months
we're
going
to
extend
that
to
12
that
should
help
with
the
benefits
Cliff
as
well,
because
if
a
household,
if
they're
k-top
discontinues
due
to
earned
income,
then
they're
eligible
for
that
a
payment
for
12
months
after
that,
as
long
as
they
retain
that
employment-
and
we
verify
that
so
that's
been
a
really
good
program
and
it'll
be
great
to
be
able
to
increase
that
and
then
relocation
assistance.
I
That
is
a
program
where,
if
somebody
needs
to
move
for
a
job
or
we're
also
adding
in
there
if
they
need
to
move
to
escape
a
domestic
violence
situation,
and
this
would
be
a
ktap
recipient,
then
the
relocation
assistance
program
can
assist
with
that.
And
so,
if,
if
there,
if
they
have
an
offer
of
employment,
but
it's
too
far
for
them
to
drive,
we
can
help
them
move
closer
to
that,
so
that
they
can
take
advantage
of
that.
And
then
this
last
one
simplifying
School
attendance
paperwork.
I
Essentially,
you
know
school
kids
used
to
be
able
to
just
drop
out
at
16.
They
can't
do
that
anymore,
and
so
there's
no
reason
for
us
to
follow
up
on
that.
So
that's
one
reason:
we're
we're
making
that
change.
That'll
just
be
a
lift
on
the
school
systems
and
on
us
administratively.
So.
B
B
So
the
Kentucky
Works
program
is
really
just
a
program
to
assist
individuals
in
obtaining
and
maintaining
work.
Currently
we
offer
a
transportation
assistance
and-
and
all
the
things
here
you're
going
to
hear
me
talk
about-
are
directly
linked
to
obtaining
and
maintaining
their
employment
and
that
it's
verified
so
Transportation
assistance
they
can
currently
receive
up
to
two
hundred
dollars
per
month
say
for
bus
fares,
for
example.
We're
increasing
that
to
three
hundred
dollars
per
month.
There
are
lower
amounts
if
there
are
like
only
a
few
days
a
month
where
transportation
is
required.
B
We
are
also
proposing
to
increase
Supportive
Services,
and
this
is
what
I
alluded
to
earlier.
This
can
cover
things
required
for
education
or
work
such
as
uniforms
and
interview
outfit
required
tools
and
we're
proposing
to
increase
that
from
400
over
a
12-month
period
to
six
hundred
dollars
vehicle
repairs.
Again,
you
need
this
vehicle
to
get
to
work.
Currently
we
can
assist
again,
and
this
is
for
Kentucky
Works
program.
B
Training,
registration,
lots
of
examples
where,
where
that
may
be
needed
this
program
through
the
Kentucky
Works
program,
there's
also
an
educational
bonus
available
to
participants.
It's
currently
250
dollars
and
we
are
proposing
to
raise
that
to
500
and
examples
where
an
individual
might
obtain.
That
is
if
they
get
their
high
school
diploma,
GED
post-secondary
degree,
and
it's
just
kind
of
an
incentive
that
stating
that
you
know
we
believe
education
is
key
in
obtaining
and
maintaining
employment,
or
you
know
pursuing
promotions
and
things
like
that
so
incentive
there
are
there
any
questions
about
these
programs.
K
Thank
you
for
the
presentation
there.
I
do
have
a
quick
question
on
the
Kentucky
work
program.
How
how
many
participants
are
participating
in
that
program?
Currently,
I
noticed
in
in
the
notes
it
was
I,
think
33,
Excuse,
Me,
3,
360
or
so
or
in
in
the
ktap
program,
families,
individuals,
how
many
of
those
are
participating
in
the
work
program.
Sure.
B
Well,
I'll,
mention
that
you
know
we
we
give
the
number
of
adults
participating,
but
you
have
to
keep
in
mind
too
that
some
of
those
may
be
non-parental.
Caregivers,
Todd.
I
Yeah
yeah,
the
so
the
when
we
say
3,
360
adults.
So
if
a
if
an
adult
is
in
the
benefit
calculation
encounted
in
the
household
and
they
don't
have
a
disability
or
meet
another
exemption,
then
they
are
determined
to
be
quote
unquote
a
work
eligible
at
that
point
in
time
they
go
into
our
account
as
far
as
the
participation
rate,
and
they
are
mandatory
for
participation
in
the
program.
I
During
the
pandemic,
the
participation's
been
lower,
we've
been
counting,
we
have
not
been,
there's
actually
been
a
let's
see,
we
haven't
been
sanctioning
individuals
for
non-participation.
Let
me
put
it
that
way
and
so
we're
picking
them
back
up
right
now,
and
so
the
participation
for
those
work
eligible
the
adults
should
begin
to
go
up
now
that
that's
happening.
K
Is
there
something
that
tells
tells
you
that
there
is
that
requirement
or
was
or
is
that
something
that
you're
doing
internally
with
that
program
as
those
individuals
go
into
that
program,
I'm,
not
sure
I,
guess
my
question
is:
you
said
there
was
approximately
400
participants
in
the
program,
and
then
you
had
made
the
comment
that
with
covid
and
the
pandemic
that
you've
had
less
participation
from
those
individuals
who
were
you,
know
able-bodied
that
could
go
to
work
out
of
those
households.
K
You'd
had
less
participation
in
that
and-
and
you
haven't
quite
impressed
upon
the
requirement-
is
there
that
requirement
is
that
a
regulation
is
that
law
is.
I
I
A
I
Yes,
very
often
they
are
taken
away
and
in
especially
in
terms
of
that
full
family
sanction
I
just
mentioned,
and
it.
A
I
A
I
You
we
I'm
sorry
about
that.
Are
we
there
now
yeah?
Thank
you.
Yes,
it's
it's
a
process.
We
have
case
managers
in
the
field
that
work
with
in
the
field
I
mean
in
all
120
counties
that
that
work
with
this
caseload,
and
so
they
assess
this
caseload
and
make
a
plan
with
the
individual
and
then
follow
through
on
that
plan,
and
if,
if
appointments
are
missed
or
or
attendance
in
an
activity
or
a
job
is
missed,
then
they're
going
to
follow
up
with
that
individual.
It's
a
it's
a
process.
I
We
call
conciliation
and
so
they're
going
to
go
through
that
process
figure
out
what
the
challenge
is,
you
know,
was
it
a
sick
child?
Was
it
your
transportation
fell
through
or
your
child
care
fell
through?
What
happened
they're
going
to
try
to
work
through
that?
If
that,
if
that's
not
possible,
then
yes,
it
wangs,
it
can
absolutely
wind
up,
a
sanction
will
occur
or
a
full
family
sanction,
which
means
the
whole
benefit
group
is
disconnected
discontinued.
A
In
fact
that
that
process
is
kind
of
part
of
the
Workforce
Development
and
and
making
more
consistency
in
their
lives
where
people
can
go
and
hold
a
job
productively
that
that
kind
of
reinforces
some
of
the
life
skills
that
they're
going
to
have
to
have.
This
isn't
something
we're
saying
where
benefits
are
just
taken
immediately.
If
upon
non-compliances,
there's
a
pretty
good
workout
period,
I
guess
is
what
you're
talking
about.
I
Exactly
I
mean
that
is
what
we're
shooting
for.
If,
if
somebody
is
as
Laura
said,
these
are
the
you
know.
Sadly,
the
you
know
lowest
income
poorest
folks
in
in
the
state,
and
so
they
really
need
our
help,
and
so
when
we
we
take
that
case
management
aspect
of
it
very
seriously
and
we
have
the
the
the
referrals
we
make.
The
plan
we
come
up
with
will
address
those
things
right.
I
There
will
be
soft
skills
included
in
some
of
that
training,
just
like
you
said
on
how
to
keep
your
job
right,
so
you're
going
to
have
a
boss.
When
you
go
to
work
those
kind
of
things
right,
you
need
to
set
your
alarm
some
of
the
basics.
You
wouldn't
think
you
would
have
to
talk
about,
but
I
was
a
case
manager
for
10
years
in
the
field.
A
To
talk
about
it
kind
of
a
follow-up,
another
chair,
Dixon's
questions:
you
were
working
through
the
TANF
child
care
assistance.
There
I
noticed
in
there
there
was
I
believe
770
children
that
were
receiving
some
sort
of
child
care
under
this
and
then
there's
10
over
10
000
children
involved
to
me
that
seems
low.
Just
statistically,
you
know,
there's
lies,
damn
lies
and
statistics
statistically
that
seems
low.
Can
you
explain
kind
of
where
the
Gap
is
on
that.
I
I
can't
say:
I
can't
speak
to
what,
where
the
funding
is
point
being
I'm,
not
sure
that
means
none
of
those
other
children
are
receiving
child
care
because
there's
a
lot
of
child
care
funding
out
there
right
now
so
is.
B
A
B
B
Number
of
all
children,
of
course
that's
anyone
under
the
age
of
18,
so
they
may
not
all
be
you
know
daycare
child
care
age,
but
also,
yes,
other
children
will
be
covered
by
our
CDF
funds,
mentioned
Child
Care
Development
Fund
through
our
child
care
assistance,
Pro
program.
So
it's
a
very
well
many
of
those
children
could
be
paid
with
those
funds
instead
of
TANF.
A
I
B
A
Thank
you
one.
One
last
thing
Miss
Megan
you
mentioned
about,
there
were
11
regulations
and
nine
of
them
were
in
compliance.
So
those
are
the
ones
you
were
dealing
with
not
now,
but
is
there
any
way
you
could
just
circulate
that
to
somebody.
So
we
could.
We
could
review
those
two
just
to
kind
of
see
where
you
were
on
some
of
that
stuff.
Yes,.
B
Sir
definitely
the
regulations,
compiler
staff
when
LR
with
lrc
they
could
definitely
make
those
available
and
I
will
touch
base
with.
A
Them
great,
thank
you.
Anyone
else
have
any
questions
on
any
of
this.
Well,
we
we
thank
you
for
your
time,
appreciate
all
your
hard
work
on
this.
Thank
you
our
next
meeting,
it's
our
last
meeting
is
scheduled
for
Wednesday
November
16th
at
11
o'clock.
We
will
be
discussing
and
approving
findings
and
recommendations
at
that
point,
I
encourage
all
of
our
members
to
look
out
for
information
that
we're
going
to
be
circulating
toward
this.
A
Have
some
discussions,
if
you
have
any
ideas
or
questions
circulate
them
through
contact
chairman
Dixon
or
myself,
and
with
that
the
meeting
is
adjourned.