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From YouTube: Commission on Race and Access to Opportunity (11-15-22)
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A
22
meeting
of
the
commission
on
race
and
access
to
opportunity
to
order
as
a
reminder,
please
silence
your
cell
phones,
so
they
do
not
disrupt
the
meeting.
Thank
you
to
our
lead
staff,
member
Brandon
white.
This
has
been
his
first
interim
being
our
staffer,
and
this
is
our
last
meeting
of
the
interim,
and
so
if
we
could
just
give
a
round
of
applause
to
Brandon
and
Brett
for
the
work
that
they've
done
for
us,
this
interim
would
greatly
appreciate
it.
A
They
have
helped
us
they've,
helped
us
a
lot
and
just
making
sure
that
the
meetings
are
running
smoothly,
but
also
providing
a
lot
of
policy
Solutions
along
the
way
in
recommendations
and
so
I'm
very
grateful
and
I've
enjoyed
seeing
Brandon
more
specifically
grow
in
his
in
his
transition
from
transportation
to
the
commission
so
very
proud
of
both
of
you
all
I.
We
got,
we
went
ahead
and
get
started
as
you
can
see.
A
A
A
No
okay!
As
a
reminder,
the
commission
purpose.
The
statement
is
in
everyone's
folder,
but
as
we
do,
every
meeting
I
would
like
to
read
that,
and
it
says
the
purpose
of
the
commission
shall
be
to
conduct
studies
and
research
on
issues
where
disparities
may
exist
across
the
sectors
of
educational
Equity,
child
welfare,
Health,
Economic,
Opportunity,
Juvenile,
Justice,
Criminal,
Justice
and
any
other
sectors
that
are
deemed
Irrelevant
in
an
effort
to
identify
areas
of
improvement
in
providing
services
and
opportunities
for
minority
community.
A
So
let's
go
ahead
and
get
started.
We're
actually
going
to
do
agenda
item
number
six,
maternal
health
and
Doula
access.
So,
if
hope
in
Tabitha
can
go
on,
come
up
to
the
table
and
I
believe
your
your
counterparts
are
on
Zoom,
please
and
invite
your
or
sorry
introduce
yourself
for
the
record,
which
includes
our
constituent
or
our
people
on
Zoom
as
well,
and
then
you
can
go
ahead
and
get
started
and
make
sure
the
green.
The
light
is
green
on
your
microphone.
It'll
be
a
bright
green.
A
B
So
co-chair
Heaven
co-chair
Givens.
Thank
you
for
having
us
here
today.
Hope
McLaughlin
elevance
Health
members
of
the
commission
glad
to
to
share
some
information
with
you
here
today.
B
B
Okay,
now
now
we're
going
here
a
little
technical
difficulty
or
delay,
and
so,
as
I
said,
hi
I'm,
hope,
McLaughlin
and
I'm.
B
The
senior
director
of
government
relations
for
Kentucky
for
elevance
health
I
am
joined
online
by
April
Falcone
and
Leo
Ramirez,
with
our
public
policy
Institute
and
here
at
the
table
by
Tabitha
Ross,
who
is
the
Health
Equity
director
for
Anthem
Blue
Cross
Blue
Shield
Medicaid
in
Kentucky,
and
we
wanted
to
share
some
information
with
you
here
today
about
a
report
to
the
public
policy
Institute
put
together
regarding
addressing
maternal
Health
disparities
and
Doula
access
in
Medicaid
and
with
that
I'm
going
to
turn
it
over
to
April.
To
get
us
started.
C
Hello,
my
name
is
April
Falcone
I'm,
associate
research
director
at
the
elephants,
Health
public
policy,
Institute,
just
a
quick
introduction
to
the
public
policy
Institute.
We
were
established
to
share
data
and
insights,
to
inform
public
policy
and
shape
Health
Care
programs.
We
are
a
group
of
Health
policy
and
Health
Services
researchers.
We
strive
to
be
an
objective,
incredible
contributor
to
Health
Care
information
and
publication
of
policy
relevant
data
analysis,
okay,
so
a
little
introduction
about
why
we
took
on
This
research,
as
many
of
you
may
be
familiar
with.
C
There's
a
maternal
Health
crisis
in
the
United
States,
maternal
mortality
in
the
United
States
outranks
every
country
in
the
developed
world
and
black
women
and
American
Indian
and
Alaska
native
women
disproportionately
experience
this
impact
of
this.
They
have
a
two
to
three
times:
greater
risk
of
dying
during
pregnancy,
compared
with
white
women,
also
as
access
to
obstetric
care
and
rural
areas
continues
to
shrink
due
to
hospital
closures.
C
Black
women
once
again
are
disproportionately
impacted
and
if,
hopefully,
you
can
see
in
this
chart
here
on
the
right
hand,
side
of
the
slide-
maternal
mortality
is
even
just
increased
within
the
past
couple
of
years,
and
you
can
see
these
teal
colored
bars
how
the
proportion
for
black
women
is
just
so
much
higher
than
non-hispanic
white
women
or
even
Hispanic.
Women
and
I
can
tell
you
just
to
put
into
context
for
Kentucky
that
the
rates
for
maternal
mortality
are
even
higher
in
Kentucky
than
they
are
for
the
United
States.
C
Okay,
so
you
know,
a
lot
has
been
asked
about
what
can
be
done,
because
a
lot
of
maternal
morbidity
and
mortality
is
considered
to
be
preventable
and
one
strategy
that
strategy
that's
been
proposed
is
doulas.
Doulas
are
not
medically
trained,
but
they
are
certified
and
they
work
alongside
clinical
providers.
They
have
a
lot
of
services
that
they
offer
women
and
their
families.
They
can
offer
reassurance
and
provide
information
on
Health
Care
health,
education
to
women.
C
They
facilitate
communication
between
mothers
and
providers
they're
often
situated
in
communities
that
they
serve,
so
they
share
the
same
background
and
culture
and
language
as
their
patients
and
also
in
rural
settings.
It
can
be
a
really
big
help,
because
women
often
live
very
far
away
from
the
hospitals
that
they
ultimately
give
birth
at.
So
doulas
really
can
be
a
great
resource
for
helping
rural
families,
navigate
the
Health
Care
system.
C
Okay,
so
a
little
bit
an
introduction
to
the
research
that
we
did.
We
evaluated
a
pilot
program
in
California
and
New
York
and
then
the
Doula
program
within
Florida,
and
these
are
Doula
programs
within
Medicaid
in
these
states
and
the
programs
within
California
New
York.
These
programs
were
targeted,
it
really
women
that
were
living
in
areas
that
have
among
the
highest
maternal
infant
mortality
in
the
states.
These
are
areas
where
there's
High
segregation
and
poverty
and
unemployment
in
California.
C
The
infant
mortality
rate
is
the
same
level
as
it
is
in
developing
countries
and
then
just
demographic
differences.
You
know,
they're
women
in
these
programs
were
either
more
likely
black
or
white,
but
not
Asian
Or
Hispanic.
They
were
older,
average
age.
Maternally,
maternal
age
of
birth,
they
had
a
higher
prevalence
of
pregnancy,
complications
like
preeclampsia
and
anemia
and
I
mentioned
all
of
these
factors,
just
because
traditionally
Doula
care
has
only
been
reserved
for
people
who
can
afford
them.
C
So
often
it's
you
know
been
people
who
are
a
little
higher
income,
they're
a
little
more
wealthy,
and
so
there's
been
this
thought
that
maybe
you
know
this
research
that
has
shown
that
doulas
are
you
know
this
really
great
benefit
to
maternal
Health?
Maybe
it's
just
because
the
women
who
are
able
to
use
them
are
just
somehow
you
know
healthier
and
and
better
off,
but
in
this
situation
these
women
actually
at
least
for
California,
New
York,
and
then
the
Doula
program
for
Florida,
was
throughout
the
entire
State.
C
These
women
actually
were
at
higher
risk
for
many
reasons
due
to
their
demographic
characteristics,
but
also
because
of
some
clinical
characteristics.
Okay,
next
slide,
but
we
saw
really
great
results
with
our
analysis.
We
saw
that
women
who
had
doulas
had
a
lower
proportion
of
low
birth
weight,
infants
and
lower
admissions
to
NICU
their
infants.
C
A
higher
proportion
of
women
who
use
doulas
carried
their
babies
to
term
or
post
term
and
also
a
higher
proportion,
attended
their
postnatal
visit.
This
was
a
really
great
finding
because
so
much
more
than
half
I
think
of
maternal
morbidity
and
mortality
occurs
within
that
postpartum
period.
So
having
women
attend.
C
Their
postnatal
visit
to
you
know
make
sure
that
their
health
isn't
as
good,
is
just
a
really
great
finding
and
can
potentially
be
have
huge
horrifications
in
terms
of
maternal
morbidity
mortality-
and
we
can
see
here
on
this
chart-
oh
sorry,
yeah
the
last
part,
sorry
yeah
and
the
blue
and
the
teal
bars
here.
These
are
women
who
use
doulas
and
we
just
broke
it
down
by
the
different
clinical
combinations,
and
you
know,
regardless
of
the
clinical
combination,
the
women
who
use
doulas.
Had
these.
C
You
know
these
higher
proportions
of
postnatal
visits
and
then,
and
then
the
term
and
post
term
births.
Okay
next
slide,
and
then
we
took
it
a
step
further
and
we
used
a
very
rigorous
statistical
technique,
called
propensity
score
matching
and
just
a
brief
summary
of
that
is
we
do
that
was
we
match
women
who
use
the
Doula
to
those
who
didn't
use
a
doula?
We
matched
them
on
a
lot
of
different
characteristics,
including
State
and
age,
and
race
and
area
level,
socioeconomic
status
and
Hospital
type,
meaning.
C
C
We
also
saw
that
women
who
used
the
Doula
had
a
58
lower
odds
of
postpartum,
depression
or
anxiety.
This
was
amazing
news
to
us
as
well,
just
because
we
know
that
postpartum
depression
and
anxiety
are
one
of
the
biggest
maternal
morbidities
that
women
experience
and
then.
Lastly,
we
also
saw
that
you
know
the
allowed
medical
cost
of
pregnancy
were
less
among
women
using
doulas
and
we
suspect
that's
due
to
the
lower
odds
of
cesarean
delivery
and
then
one
more
slide
for
me.
C
I
just
wanted
to
say
you
know
my
hypothesis
going
into
this
research
was
that
women
who
use
doulas
you
know
maybe
would
only
be
useful
at
delivery,
that
you
know
the
continuous
labor
support
that
doulas
offer
and,
like
you
know,
the
breathing
techniques
or
whatever
that's
where
we
would
see
the
benefit,
but
actually
we
saw
that
when
women
initiated
their
Doula
care
within
their
first
trimester,
that
is
when
they
had
the
lowest
odds
of
having
a
cesarean
delivery,
and
this
is
controlling
for
this
maternal
comorbidity
Index.
C
This
is
adjusting
for
women's
conditions
like
preeclampsia
and
anemia
and
Etc
women
who
initiated
their
Doula
care
in
their
second
trimester.
Also
had
a
lower
odds
for
cesarean
delivery
than
the
women
who
just
used
it
at
you
know
a
delivery.
So
the
purpose
of
this
finding
is
just
to
show
that
women
who
initiate
their
Doula
care
earlier
and
establish
that
relationship
with
the
Doula
are
really
getting
the
the
best.
C
You
know
bang
for
their
Buck
in
terms
of
getting
you
know,
realizing
the
benefits
of
having
this
Doula
care
so
starting
it
earlier.
The
better.
Thank
you.
D
Tabitha
Ross
Health
Equity
director
for
Anthem
Medicaid
of
Kentucky.
What
are
the
one
of
anthem's
goals
in
increasing
prenatal
care
in
Kentucky
was
one
of
our
most
important
goals.
So
when
we
heard
about
the
impact
that
doulas
were
having
Across
the
Nation,
we
wanted
to
take
a
look
at
that
a
little
bit
further,
and
so
we
invested
in
Dueler
scholarships
here
in
the
Kentucky
market
and
the
hopes
of
that
and
the
goal
was
to
improve
outcomes
of
our
moms
and
babies
across
the
state.
D
So
what
we
did
was
we
partnered
with
three
Doula
agencies
and
organizations
so
Mama
to
Mama,
Kentucky,
doulas
and
hopes
embrace.
All
of
those
were
to
were
provided
scholarships
across
Jefferson,
Fayette
and
28
additional
counties
across
both
serving
in
urban
and
rural
communities.
Three
agencies
of
those
three
agencies
they
hired
25
now
actually
I.
Think
it's
changed
since
this
slide
was
created.
D
26
due
of
diverse
backgrounds,
one
of
the
pieces
of
the
program
is
to
ensure
that
they
had
cultural
concordance,
recognizing
that
there
was
importance
of
representation
in
the
relationship
between
the
doulas
and
the
mothers.
So
they
were
mindful
to
make
sure
that
they
were
hiring
diverse
racial
Urban,
rural
language
backgrounds,
as
well
as
engaging
in
ASL
certified
Doula.
D
Those
three
agencies
have
provided
87
and
I.
Think
most
recently
we
saw
it
was
99
birth
scholarships
across
the
state
of
which
we
saw
similar
outcomes
of
birth
in
their
programs,
reducing
the
C-section
rate
by
65
percent,
85
percent
reduction
in
Behavioral
Health
diagnosis
such
as
postpartum
anxiety
and
depression,
as
well
as
a
96
percent
increase
in
breastfeeding
rate.
They
also
have
had
a
total
of
146.5
hours
of
lactation,
support
to
those
mothers
that
they
were
providing
services
to.
D
In
addition
to
that,
because
we
saw
those
positive
results
with
those
three
agencies,
Anthem
has
further
invested
in
supporting
an
additional
agency.
My
Sunshine
birth
services
to
provide
for
women
in
rural
Kentucky,
I
think
they're
going
to
be
primary
located
in
the
Warren
County
region,
all
of
which
are
helping
anthem's
goals
to
increase
prenatal
care
and
improve
the
health
outcomes
for
both
moms
and
babies
across
the
state
of
Kentucky.
E
Hi
Leah
Ramirez
Health
policy,
director
with
elevance
health,
public
policy,
Institute,
so
I'm
just
going
to
be
going
over
some
Medicaid
policy
options
and
considerations,
and
you
know
one
of
the
reasons
that
Medicaid
is
the
focus.
Is
you
know?
First
of
all,
that's
what
our
study
focused
on,
but
also,
if
you
think,
about
kind
of
the
the
landscape
of
Kentucky.
E
E
E
That
may
not
be
very
familiar
with
Medicaid
programs,
because
it's
sort
of
important
to
remember
as
we
talk
through
these
Medicaid-
is
a
state
federal
partnership,
meaning
that
State
Medicaid
programs,
including
Kentucky
sort
of
has
agreements
with
the
federal
government
on
how
they
will
administer
their
Medicaid
programs
and
that's
important,
because
then
the
federal
government
then
helps
partially
fund
Medicaid
programs
within
the
states.
And
so
that's
why
states
have
to
adhere
to
these
different
kind
of
federal
authorities
and
regulations
is
in
order
to
get
that
Federal
funding
for
those
services.
E
So
the
first
policy
option
is
called
a
state
plan.
Amendment
and
again,
all
states
have
a
state
plan,
as
it
relates
to
their
Medicaid
Program.
That
is
basically
the
the
road
map
for
who
they
deliver
services
to
what
services
they
offer
to
their
members.
Etc
and
so
states
can
go
this
route
and
basically
submit
an
amendment
to
the
federal
government
and
say
you
know
we
want
to
pay
for
Doula
Services
and
get,
and
you
know
be
able
to
reimburse
for
that.
E
E
The
second
pathway
is
through,
what's
called
a
section,
1115
demonstration,
waiver
and
again
waivers
are
essentially
the
states
again
going
back
to
the
federal
government
saying
we
want
to
waive
a
certain
part
of
the
Social
Security
Act
as
it
relates
to
Medicaid.
To
be
able
to
you
know,
maybe
do
something
Innovative
or
maybe
limit
services
to
a
certain
area
or
to
a
certain
population.
E
So
there's
a
lot
of
flexibility
in
this
in
this
pathway,
because
states
can
again
really
design
it,
how
they'd
like
or
maybe
if
they
don't
want
to
have
to
get
a
kind
of
a
prescription
from
Physicians
or
licensed
practitioners.
E
This
would
be
a
good
option
and
then
third
and
fourth
are
kind
of
related,
but
third
are
through
Managed
Care,
Organization
contracts
or
MCO
contracts,
so
Kentucky's,
Medicaid,
Program
again
contracts
with
mcos
to
you
know
manage
the
care
of
their
Medicaid
members,
and
so
states
can
really
use
contracts
to
promote
the
uptake
of
doulas
in
their
programs.
E
So,
just
thinking
about
all
the
great
work
that
that
hope
in
Tabitha
and
their
Health
Plan
have
been
doing
in
the
Doula
space
Medicaid
agencies
could
somehow
take
that
back
to
their
Medicaid
contracts
and
perhaps
design
things
for
all
of
their
health
plans
to
do
something
in
a
similar
regard
again
to
help
you
know,
increase
the
workforce
or
train
the
workforce,
you
know
whatever
they,
they
see
fit
and
feasible
for
them
and
then
fourth
is
through
quality
initiatives.
E
So
again,
the
federal
government
requires
All
State
Medicaid
programs
to
have
quality
strategies
and
within
those
quality
strategies,
there's
different
initiatives
that
are
also
carried
out
through
their
contracts
with
their
Managed
Care
Organization.
So
a
lot,
some
quality
initiatives
do
focus
on
maternal
Health
outcomes
and
within
that
again,
using
doulas
or
piloting
doulas
in
different
areas
or
for
specific
portion
of
your
women
who
are
pregnant,
is
again
another
pathway
for
for
states
to
to
figure
out
how
to
reimburse
for
Doula
services
and
excited.
Thank
you.
E
You
know,
as
States
kind
of
you
know,
take
into
consideration
for
integrating
doulas
with
into
their
programs,
there's
sort
of
several
different
things
to
keep
in
mind,
and
you
know
this
says
integrating
community-based
doulas,
because
just
kind
of
remember
that
the
population
that
doulas
would
be
serving
within
the
Medicaid
space
is
different
than
you
know:
women
who
traditionally
use
doulas
during
birth.
You
know
women
who
are
paying
cash
and
have
the
resources
to
be
able
to
do
that,
so
first
just
kind
of
remembering
reimbursement
models.
E
One
of
the
lessons
learned
from
other
states
that
have
again
integrated
doulas
within
their
Medicaid
programs
is
that
it
needs
to
be
they
need
to
be
reimbursed
at
a
rate.
That's
that
is
a
living
wage
for
them,
remembering
that
you
know
they.
They
may
be
spending
a
lot
of
time
with
with
women
during
the
prenatal
period,
birth
and
then
the
postpartum
period,
and
you
don't
want
to
create
barriers
for
doulas
to
want
to
participate
within
the
Medicaid
Program
and
want
to
be
providers.
E
The
second
is
around
Partnerships
and
personally
I
probably
think
this
is
maybe
one
of
the
most
important,
because
you
want
to
be
engaging.
You
know
dual
organizations
and
other
stakeholders
very
early
on
in
the
process,
and
that
includes
your
your
Medicaid
mcos,
so
that
you
can
think
about
again
how
designing
a
benefit
would
work
within
Kentucky,
Medicaid
and
also
thinking
about
and
learning
what
supports
again.
Doulas
may
need,
as
they
consider
becoming
a
Medicaid
provider,
whether
it's
infrastructure
or
training,
around
Medicaid
billing
policies,
Etc
and
then
third,
is
just
the
workforce
strategy.
E
So
I
already
mentioned
that
you
know
the
population
that
these
duels
would
be
serving
is
different
than
a
traditional
Doula
and
so
going
beyond
that
training.
To
think
about,
you
know,
equity
and
cultural,
competency
and
humility,
trauma-informed
approaches,
but
also
training
them
on
the
knowledge
of
different
resources
within
women's
Community.
E
You
know,
if
you
think
about
again,
if,
if
a
woman
is
thinking
about
child
care
for
their
for
their
baby,
once
they're
born,
you
know
how
can
they
find
affordable
and
quality
Child
Care
or,
if
you
think,
about
the
postpartum
period?
If
you
know,
if
they're
trying
to
breastfeed
and
are
having
a
hard
time
how
they
could
potentially
get
connected
to
formula
or
lactation
support,
So,
a
doula
could
really
be
that
that
person
to
support
the
women
during
again
that
entire
period
and
then
last
is
just
scope
of
services.
E
So
again
thinking
about
how
early
on
in
the
pregnancy,
your
Medicaid
Program
could
re
start
reimbursing
for
services
and
then
also
how
long
during
the
postpartum
phase,
you
know
you,
you
would
like
to
see
doulas
support
those
women.
E
You
know
our
research
has,
you
know,
as
April
mentioned,
shows
that
earlier
engagement
led
to
lower
odds
of
C-section.
So
again,
just
using
that
evidence
to
to
inform
the
programs
that
you
may
be
designing
next
slide,
please
so
just
some
key
takeaways
to
wrap
us
up
again.
Doulas
can
really
be
that
person
to
provide
the
person-centered
care
to
women
who
are
pregnant
to
you
know,
address
disparities
to
increase
supports
for
them.
You
know
our
data
shows
that
you
know
women
using
doulas
and
Medicaid
are
more
likely
to
attend
their
visits.
E
They
experience
lower
odds
of
C-section,
postpartum,
depression,
anxiety
and
lower
total
medical
costs
so
really
reimbursing
for
Doula
services
within
Medicaid,
as
we
think
of
a
larger
maternal
Health
strategy
is
just
kind
of
one
tool
within
our
toolbox,
the
next
slide,
and
then
we
just
want
to
leave
you
with
some
resources.
E
You
know
to
look
at
in
the
future,
so
the
first
two
are
our
specific
elevance
Health,
briefs
and
Publications
that
we
have
and
then
just
some
other
resources
too,
on
what
other
states
have
done,
and
just
some
more
information
on
the
considerations
that
I
just
sort
of
touched.
The
the
surface
level
at
today
and
with
that
I
just
want
to
thank
you
for
the
opportunity
to
present
and
I
will
turn
it
back
over
to
the
committee.
F
Thank
you,
madam
chair
I,
think
that's
the
right,
designation
I
can
never
get
it
right.
Thank
you.
Thank
you.
I
think
I
had
a
question
for
Miss
Ramirez,
who
mentioned
mcos
a
couple
of
times
in
her
presentation.
I'm
not
familiar
with.
You
know
these
models
enough
to
to
speak
intelligently
about
them.
So
I
was
just
wondering
if
you
could
explain
a
little
bit
about
what
it
looks
like
when
on
that
slide,
where
you
were
talking
about
Medicaid
policy
options,
states
can
use
their
MCO
contracts
to
promote
the
uptake
of
doulas.
E
Thank
you
for
the
questions,
so
you
know
again:
Allstate
Medicaid
programs
that
utilize
Managed
Care,
meaning
that
they
again
contract
with
mcos
to
really
manage
people's
care,
not
just
pregnant
people,
but
they
there's
different
ways
that
they
could
do
this.
That
other
states
have
done
this,
so
one
one
strategy
could
be
if
you
want
to
require
an
mcos
to
offer
training
to
to
doulas
within
the
Medicaid
Program.
So
again
around
that
cultural,
competency
or
humility.
E
You
know
there's
a
lot
of
different
trainings
that
you
could
do
another
route
that
I
mentioned
are
quality
initiative,
so
some
states
will
use
their
Managed
Care
Quality
initiatives
to
require
their
mcos
to
implement
a
doula
pilot.
Sometimes,
if
there's
multiple
mco's,
which
there
usually
are
within
States,
serving
your
Medicaid
members,
they
may
require
mcos
to
focus
on
different
areas
of
the
state
for
their
pilots.
So
one
might
be,
and
I'm
not
super
familiar
with
Kentucky
but
might
be
Western
Kentucky
another
might
be
Eastern
Kentucky.
E
F
G
Thank
you,
madam
chair.
This
is
a.
This
is
a
topic
that
I've
spent
a
lot
of
time.
Thinking
about,
and
it's
just
the
reports
and
the
numbers,
it's
just
not
good.
It's
the
numbers
are
just
aren't
good
I
have
several
questions.
Madam
chair,
they're,
not
very
likely,
and
some
of
them
will
probably
be
pretty
brief,
but
yes,
ma'am
first,
why
are
our
numbers
so
bad?
This
is
the
United
States
of
America.
G
C
The
answer
is,
we
don't
know,
especially
for
black
women.
We
know
that
this
disparity
still
exists
even
for
black
women,
who
are
highly
educated
and
have
high
income.
C
There's
certainly
been
lots
of
maternal
Health
commissions
that
will
examine
you,
know
every
single
maternal
mortality
that
occurs
within
the
state,
and
then
you
know
getting
into
getting
into
that
and
figuring
out
what
the
causes
are,
so
that
they
can
ultimately
reduce
maternal
mortality.
Those
sorts
of
commissions
have
been
effective,
but
we
still
have
this.
C
This
ongoing
problem,
it
does
seem
like
there
is
an
issue
of
I
can
say
you
know
just
from
my
own
research,
because
likewise
I've
also
spent
a
lot
of
time
in
this
area
that
it
seems
like
there
is
some
issue
of
coordination
among
providers,
and
you
know
there's
just
so
many
people
and
and
the
patient
as
well.
There's
just
so
many
people
who
are
involved.
You
know
in
you
know
this
not
in
a
physical
way,
but
in
a
figurative
way,
touching
the
the
woman
in
her
journey
through
pregnancy
and
postpartum.
C
A
Ing,
for
the
sake
of
time,
hope
we
will
have.
We
will
connect
representative
Timothy
with.
A
G
With
this
particular
topic-
and
this
is
going
to
be
a
very
specific
question,
as
I
heard-
the
description
as
we
were
talking
about
different
things-
we're
talking
about
before
the
baby's
born
delivery
and
then
post,
where
are
we
seeing
the
highest
where?
What
which
one
of
those
three
are
we
seeing
the
most
significant
issues.
C
And
there's
a
lot
of
issues:
I
apologize,
I
just
heard
I
was
breaking
up
in
the
last
question.
The
evidence
suggests
that
more
than
half
of
maternal
mortalities,
morbidities
occurring
in
the
postpartum
period,
so
I
think
that
women
are
often
you
know
they
are
attending
their
prenatal
visits.
Most
of
them
are
they're
getting
seen
then,
once
they
deliver
at
the
baby.
The
rates
of
women
who
are
attending
and
either
postnatal
visits,
drops
precipitously.
You
know
babies
are
going
to
their
well-checked
visits,
but
women
aren't
getting
to
care
anymore.
C
So
my
personal
opinion
is
that
there
is
a
huge
issue
with
the
postpartum
period
that
women
aren't
getting
seen
and
they're.
Not
their
care
is
not
being
you
know,
continued.
A
Thank
you.
This
is
an
issue
near
and
dear
to
my
heart
and
so
I
greatly
appreciate
you
all
taking
the
time
to
come
present
today.
So
thank
you
all
so
much.
We
greatly
appreciate
you
if
we
have
any
additional
follow-ups,
we'll
make
sure
to
email
that
over.
Thank
you.
Thank
you.
Thank
you
back
to
regular
programming.
I
do
need
to
ask
Brett
to
take
roll
call,
since
we
now
have
a
quorum.
H
Senator
Berg
Senator
Neal
Senator
Westerfield
representative
Brown,
representative
Cole,
Carney
representative
Timothy
Mr
Davis,
Mr
ache,
Dr,
Jones,
Dr
olaika,
here
Mr
Roberts,
here,
chair,
Givens,
chair
Heaven,
present.
A
Thank
you
and
I
need
a
motion
to
accept
minutes
from
the
last
meeting.
Okay
motion,
a
second
okay,
all
in
favor,
say
aye
all
opposed.
Okay
motion.
Our
minutes
have
been
passed.
Sorry
I
kind
of
forget,
sometimes
minutes
past
woohoo,
okay.
So
next
up
we
have
I'd
like
to
invite
representative
Keturah
herein
and
Dr
Brown
and
Dr
Williams
to
come
up
to
the
table.
A
As
you
all
can
tell
today,
we've
been
discussing
and
we'll
continue
to
discuss
health
and
health
outcomes
and
we're
also
going
to
receive
a
demographic
update
from
the
Kentucky
Center
statistics
so
kind
of
a
catch-all,
but
really
some
really
great
information,
as
we
finish
out
this
commission
during
the
interim.
All
right,
please
introduce
yourself
for
the
record
and
make
sure
your
microphone
is
on.
Thank.
I
You
chairwoman,
heaven
for
having
me
I,
am
representative
Couture,
Heron
and
I
represent
the
42nd
District
here
in
Louisville,
and
I
will
say
that.
Thank
you,
Brandon
as
well,
for
your
all
of
your
help
and
support.
I
will
say
that
you
all
have
a
great
staffer,
as
he
has
been
very
helpful
to
me,
as
this
is
the
first
committee
that
I've
had
a
chance
to
present
in
front
of
as
an
elected,
and
so
thank
you
for
for
that.
I
I
do
have
Dr
Sabrina
brown
with
me
today
and
then
also
Dr,
Monique
Williams,
and
once
they
speak,
I
will
let
them
do
a
deeper
dive
and
introduction
and
to
themselves,
and
so
when
I
decided
to
run
for
office,
I
immediately
said
that
one
of
my
priorities
would
be
to
figure
out
ways
to
change
and
impact
the
gun.
Violence
issue
that
we
have
across
the
state
in
our
in
our
Commonwealth
and
before
we
get
too
deeper
too
much
deeper.
I
know
that
anytime,
you
say:
gun
violence,
people
get
scared.
I
They
think
that
you're
talking
about
taking
guns
away
I
do
want
to
make
known
for
the
record.
I
do
so
fully
support
the
Second,
Amendment
and
I
am
a
legal
gun
owner.
So
I
just
want
folks
to
know
and
understand
that.
I
However,
my
analysis
of
gun
violence
has
changed
and
shift
throughout
the
years.
I've
had
a
lot
of
young
people
in
which
I've
worked
with,
who
have
lost
their
lives
to
gun
violence.
I've
also
had
a
lot
of
young
people
who
were
have
been
perpetrators
of
gun
violence
and
then
very
personally.
I
I
had
20
year
old
cousin,
who
committed
suicide
and
took
his
life
using
a
gun
and
I
also
have
a
cousin
who
was
doing
Federal
time
independentiary
for
his
role
and
conspiracy
to
commit
murder
where
two
people's
lives
were
taken
and
those
two
people
were
Folks
at
our
families
were
were
close
with,
and
so
I
feel
like
that.
This
issue
was
very
vast
and
it's
broad.
I
It's
not
black
and
white,
and
and
chairwoman
I
know
that,
just
in
your
District
last
week
there
was
an
issue
at
an
elementary
school
where
a
father
was
going
to
pick
up
his
kids
and
he
was
running
in
the
hallway
and
a
gun
discharged
and
he
was
shot
in.
The
leg
was
hitting
the
leg
and
so
to
me.
In
my
opinion,
that
is
also
a
form
of
gun
violence.
I
You
have
someone
who
is
a
legal
gun
owner
who
is
very
aware
of
the
laws
that
you
should
not
have
a
gun
on
school
property,
but
I.
Look
at
that
as
gun
violence,
as
the
impact
that
that's
going
to
have
on
those
folks
who
are
present
and
then
also
the
impact
that
it's
going
to
have
on
the
community
and
so
I
have
I'd
filed
before
and
I'm
working
on
a
bill
to
create
an
office
of
gun,
violence,
prevention
and
basically,
what
this
would
do.
I
It
would
change
a
KRS
section,
194a,
zero,
three
zero
to
create
the
office
of
gun,
violence
prevention,
and
this
would
be
placed
in
the
Office
of
Public
Health.
I
I
The
office
would
also
collect
and
disseminate
data
and
make
recommendations
related
to
gun
violence
policy,
community-based
gun,
violence,
intervention
and
prevention
programs,
and
for
those
who
are
familiar
with
the
office
of
drug
policy
control,
it
would
have
the
very
similar
same
role
as
that
office
would
have
also
this
office
would
be
in
charge
and
getting
alternative
funding
sources
other
than
State
funds
to
make
sure
that
this
office
runs
properly,
and
we
know
that
in
June
the
bipartisan
safety
safer
communities
Act
was
passed
at
the
federal
level
and
there's
about
seven
to
nine
different
categories
in
that
piece
of
legislation.
I
That
would
allow
us
from
the
state
to
be
able
to
get
funds
and
resources,
and
some
of
that
is
going
to
be
for
violence,
intervention
programs
and
then
some
of
it
is
going
to
be
for
family
and
Mental
Health
Services,
there's
also
Parts
in
that
Federal
legislation.
I
J
Research
Center
known
as
kiprick
was
established
in
1994
and
it's
a
unique
partnership
between
the
Kentucky
Department
of
Public
Health
and
the
University
of
Kentucky
College
of
Public
Health.
It
serves
as
both
an
academic
injury
prevention,
Research
Center
and
as
the
bona
fide
agent
for
Statewide
injury
prevention
and
control,
and
we
focus
on
injury
prevention,
translation,
but
also
practice
and
Community
Based
Services,
so
I've
been
the
Principal
investigator
for
the
Kentucky
violent
death,
Reporting
System
since
2004.
J
this
system
is
part
of
the
national
system
that
includes
all
states
and
territories
as
part
of
the
national,
violent
death,
Reporting
System,
we
enter
death
certificates
and
death
scene
investigation
reports
into
the
system.
Deaths
include
homicide,
suicides
and
all
gun
related
fatalities,
and
I
just
want
to
add
that
during
the
interim
about
a
10-year
period,
where
there
was
no
gun
research,
this
system
continued
through
that
time.
So
we're
really
the
only
entity
during
that
time
that
continued
to
collect
information
on
gun
related
fatalities
just
going
to
get
a
little
bit
of
water.
J
J
Try
not
to
overwhelm
you
and
talk
too
fast
with
all
the
data
and
also
just
to
let
you
know
we
have
a
lot
of
data
sets
at
kiprick,
and
so
we
have
different
years
that
are
available
so
anywhere
from
our
latest
years,
2019
to
like
write
the
current
quarter,
so
it
it
varies
between
the
the
data
years.
J
Just
want
to
add
that
so,
according
to
the
Centers
for
Disease
Control
and
prevention,
there
were
almost
40
000
firearm
related
deaths
in
the
United
States
in
2019
and
109
people
died
from
guns
every
day.
Six
out
of
every
10
deaths
in
2019
were
firearm
related
suicides
more
than
three
out
of
every
ten
were
firearm
related
homicides,
and
we
hear
a
lot
about
the
the
homicides
and
the
shootings.
But
what
is
not
talked
about
a
lot
are
the
suicides
and
that's
much
more
prevalent.
J
Are
the
suicide
firearm
related
fatalities
and
there's
an
Unwritten
precedent
in
the
media
to
not
report
on
suicides
because
there
is
an
Evidence
base
that
there
are
copycats
when
when
suicides
are
reported
on
in
the
media,
so
it's
kind
of
a
you
know.
Do
we
report
on
it
or
not?
Because
if
we
do
we
raise
awareness,
but
if
we
do
then
there
also
is
the
potential
of
copycats
and
clusters.
J
So
nationally
in
2020
there
were
19
384
homicides
and
the
average
cost
to
each
homicide
in
the
United.
States
was
over
nine
thousand
dollars
for
each
homicide.
There
were
twenty
four
thousand
over
twenty
four
thousand
suicides
in
the
United
States.
The
average
cost
for
each
suicide
is
over
four
thousand
dollars
in
the
United
States
in
Kentucky
in
2020
just
one
year,
341
homicides,
the
average
cost
was
nearly
eight
thousand
dollars
per
homicide.
There
were
518
suicides
with
over
four
thousand
dollars,
for
each
suicide
is
a
great
cost
to
us
as
well.
J
If
you
look
at
the
10
leading
causes
of
death
in
the
United
States,
the
ages
of
1
to
44
suicide
and
homicide
are
the
top
four
leading
causes
of
death
and,
as
you
can
see,
I
don't
have
a
slide,
but
I
can
provide
this
information.
These
are
the
top
the
10
top
leading
causes
of
death,
but
we
see
homicide
and
suicide
all
over
the
leading
causes
of
death.
If
you
look
at
potential
years
lost,
if
you
think
of
65
as
a
year,
that
is
the
goal
to
arrive
at
you
know
as
an
individual.
J
J
If
you
look
at
unintentional
firearm
injuries
in
our
in
our
children,
an
average
of
19
emergency
department
visits
for
unintentional
firearm
injuries
occurred
per
year
among
Kentucky
youth
from
2016
to
2021.
the
median
cost
per
for
emergency
department
visits.
For
that
same
time,
period
2016
to
2021
was
over
two
thousand
dollars.
J
J
Another
concern
that
we
have
with
firearm
injuries
is
intimate
partner
violence
and
we
see
an
increase
in
intimate
partner
violence
with
both
males
with
males
a
decrease
in
females
with
intimate
partner,
violence
related
suicides
with
a
firearm
between
2005
and
2020.,
but
intimate
partner,
violence
related
homicides
with
a
firearm,
it
increases
for
the
females
and
it
increases
for
the
males
between
that
time
period.
I
know
you
can't
see
this,
but
if
you
look,
the
trend
lines
are
going
up
in
homicides
suicides.
J
J
We
monitored
suicides
very
closely
because
there
was
the
perception
that
suicides
were
going
to
go
up
because
of
all
the
risk
factors,
isolation,
those
sorts
of
things
we
found
that
suicides
initially
went
down
during
covid,
and
then
we
saw
a
cluster
of
homicides
followed
by
suicides,
and
then
we
realized
that
the
suicides
were
going
to
start
going
up
and
they
sure
did
because
homicides
followed
by
suicides
are
almost
always
domestic
violence.
Related
and
I
just
wanted
to
have
some
other
statistics.
J
J
Actually,
we
were
funded
with
the
Kentucky
violent
death,
Reporting
System,
starting
in
20
2004..
Since
2004.
We
now
have
2020
data.
During
that
whole
time,
Kentucky
has
a
higher
rate
of
firearm
fatalities
than
any
of
the
other
nvd
nvdrs
states
combined
the
rest
of
the
national,
violent
death,
Reporting
System
combined.
J
And
that's
both
with
our
females
and
our
males,
the
the
age
where
it's
most
prevalent,
45
to
54..
We
have
the
most
firearm
fatalities
and
males
outnumber
females
about
three
to
one
and
I.
Think
that's
all
they
have.
If
you
have
any
questions
about
the
data
I'm
happy
to
feel
those
questions.
K
Right,
Dr,
Monique
Williams
I'm,
an
assistant
professor
in
the
School
of
Public
Health
and
information
Sciences
at
the
University
of
Louisville,
where
I
study,
violence,
prevention
and
I
was
asked
to
kind
of
talk
about
gun,
violence
from
a
public
health
perspective
and
I
think
that
when
it
comes
to
gun,
violence,
I
think
the
year
2020
and
the
pandemic
provided
an
unfortunate
unveiling
of
just
how
much
of
a
public
health
issue
violence
is
and
how
critical
it
is
for
us
to
talk
about
it
from
that
lens.
You
know.
K
Thanks
to
the
pandemic,
we
had
cities
across
our
state
and
nationally
that
were
impacted
by
economic
crisis,
different
varying
levels
of
social
disorganization.
That
was
happening
due
to
the
isolation
requirements
to
keep
us
safe
from
covid-19.
K
Lots
of
people
had
limited
access
to
resources
that
they
were
normally
used
to
being
able
to
access.
We
had
increased
trauma,
trauma
and
traumatic
experiences
for
many
people
for,
for
various
reasons,
school
closings
we
had
safe
recreational
spaces
for
young
people.
Closing
closing
all
of
these.
You
had
a
question:
okay,
sorry,
okay,
you
know!
K
All
of
these
things
had
an
impact
on
Health,
both
physically
and
mentally,
but
it
also
had
an
impact
on
our
violence
outcomes
and
we
couple
that
with
kind
of
record
purchasing
of
firearms
in
the
year
of
2020,
where
you
know
it's
estimated
that
about
22
million
Firearms
were
purchased
in
2020,
which
was
a
64
percent
increase
from
2019,
and
what
we
saw
in
2020
was
kind
of
a
shift
in
even
our.
K
On
top
of
that,
we
know
that
you
know
guns
are
the
most
chosen
weapon
when
we
talk
about
homicide
and
suicide,
in
fact,
for
suicide.
It's
the
leading
method
and
I
think
the
death
rate
for
those
who
utilize
guns
for
suicide
is
about
85
percent
in
comparison
to
about
three
percent
for
other
suicide.
K
So
we
know
we
have
an
issue
of
gun
violence
on
our
hands
and
we
know
that
there
are
multiple
risk
factors
for
violence
that
increase
its
likelihood
and
it's
a
combination
of
individual
relational
community
and
societal
factors
that
contribute
to
it.
However,
there
are
many
factors
that
we
know
that
protect
against
violence
happening
and
a
lot
of
those
protective
factors
were
disrupted
during
the
pandemic,
and
so
where
you
had
disruption
in
areas
that
weren't
used
to
these
kinds
of
disruptions.
K
You
know
you
saw
violence,
begin
to
happen
in
some
spaces,
and
then
you
have
the
spaces
where
kind
of
the
fires
of
violence
were
already
there,
and
you
just
poured
gasoline
on
that
fire,
and
these
were
the
places
that
were
already
struggling
from
economic
deprivation.
These
are
the
spaces
that
are
already
struggling
with.
You
know:
isolation
and
social
disorganization
of
neighborhoods,
already
struggling
with
trauma
and
mental
illnesses
that
are
not
address
and
have
limited
access
to
being
able
to
address
those
things,
areas
where
access
to
Safe
recreational
spaces
for
young
people
are
already
limited.
K
We
know
that
it's
it's
preventable,
and
so,
when
we
look
in
public
health
and
when
we're
looking
at
implications
of
whether
or
not
something
is
a
public
health
issue,
we're
looking
at
whether
or
not
there
are
preventable
risk
factors
we're
looking
at
whether
or
not
there
are
physical
and
mental
effects
of
the
issue,
and
you
look
at
gun
violence,
and
the
answer
to
that
is:
yes,
you
look
at
whether
or
not
there
is
morbidity
and
mortality
associated
with
the
issue,
which
is
just
is
there
illness
and
death
associated
with
the
issue?
K
The
answer
to
that
is,
yes:
are
there
Health
disparities
associated
with
the
issue?
The
answer
is
yes,
and
are
there
substantial
health
care
costs
associated
with
the
issue,
and
that
answer
is
yes.
So
for
lots
of
reasons,
we
know
that
this
is
a
public
health
issue
and
it
needs
to
be
addressed
from
a
public
health
lens.
K
The
research
and
our
best
practices
tell
us
the
same
thing,
and
so
there's
kind
of
more
than
enough
local
and
National
evidence
to
tell
us
what
we're
dealing
with
is
just
shifting,
probably
an
ideology
and
how
we
think
about
violence
for
us
to
better
address
in
the
ways
that
we
know
that
we
need
to
be
addressing
and
right
now
we
don't
necessarily
have
the
best
system
for
violence
prevention.
K
We've
relied
heavily
on
one
system
that
was
not
created
to
address
risks
of
violence,
nor
was
it
created
to
build
resilience
or
protective
factors
against
the
likelihood
of
violence.
Happening
are
kind
of
Criminal.
Justice
and
law
enforcement
systems
are
over
overwhelmed
with
parts
of
violence
that
they
were
never
meant
to
address,
especially
with
our
criminal
justice
system.
I
mean
it's
just
that
it's
meant
to
address
criminalistic
activities
and
behaviors,
including
violence.
But
that's
after
something
that's
happened
through
research.
K
We
know
that
violence
is
it's
not
inevitable
and
it
is
preventable
and
utilizing
Public
Health,
Systems
and
approaches
allows
for
us
to
do
true
prevention
and
it
allows
for
us
to
kind
of
create
the
systems
that
are
where
we're
able
to
engage
multi,
multiple
sectors
right.
The
best
strategies
for
violence
prevention
are
comprehensive
because
it's
a
complex
issue
and
that's
a
lot
of
times
where
people
get
frustrated
because
we
want
answers
now.
K
But
the
best
way
to
get
to
results
is
to
take
the
time
to
build
the
infrastructures
necessary
to
make
the
systems
that
all
touch
violence
work
together
to
address
the
issue
in
the
ways
in
which
we
know
it
needs
to
be
addressed,
and
so
we
have
to
look
at
the
downstream
factors,
the
kind
of
individual
factors
that
hit
the
direct
violence
that
we
see
that
everybody
is
kind
of
concerned
about
whether
you're
talking
about
suicide,
homicide,
domestic
violence,
child
abuse,
elder
abuse,
all
of
those
kinds
of
violence
are
considered
direct
violence
and
that's
what
everybody
sees
and
everybody
pays
attention
to.
K
And
it
allows
for
us
to
treat
violence
like
the
disease
that
it
is,
as
we
see
it,
becoming
an
epidemic
in
our
society,
and
it
would
be
beneficial
to
have
a
coordinated
operating
body
that
can
do
what
public
health
does,
which
is
to
engage
in
kind
of
the
core
activities
of
monitoring
and
surveilling,
so
that
we
can
Define
what
the
problem
is,
particularly
in
our
local
context.
K
But
then
also
it
would
also
help
us
to
kind
of
institutionalize
what
we
know
works
and
so
Public
Health
has
offered
a
lot
to
violence
prevention
over
about
three
decades
and
so
from
a
theoretical
perspective
and
research.
We,
we
kind
of
know,
but
it's
hard
in
practice
to
make
transitions,
but
we
do
indeed
need
to
make
those
Transitions
and
really
help.
Everybody
understand
that
the
same
social
determinants
of
Health,
those
things
that
help
us
know
whether
or
not
we're
healthy
when
those
things
are
impacted.
K
A
Thank
you.
Thank
you.
Okay.
Are
we
ready
for
questions?
Yes,
okay,
what
a
thought-provoking
conversation
you
know,
we
always
say:
senator
Givens
and
I.
We
say
we're
here
for
the
hard
conversations
and
I
think
a
lot
of
times
when
I
think
of
gun,
violence,
I,
think
about
it
being
a
lawful
issue
or
an
urban
issue,
but
Katara
you
framed
it
in
a
very
interesting
way
of
this
is
a
Kentucky
issue.
This
is
something
you
know.
What
we
might
not
think
is
gun.
A
Violence
in
rural
Kentucky
is
still
considered
could
be
considered,
gun
violence
through
a
specific
definition,
and
so
it's
my
brain
is
going
everywhere.
I
think
right
now,
I
do
I
want
to
commend
representative
Heron.
You've
done
a
fantastic
and
I
just
shared
this
with
you
before.
A
You
know,
we've
known
Couture
as
an
activist,
and
she
is
now
a
policy
maker
and
so
taking
what
she's
learned
actually
in
her
in
Louisville
in
her
District
in
her
area
that
she's
so
advocated
for
even
across
the
Commonwealth
you've
now
brought
that
into
a
different
line.
Right
and
so
I
just
want
to
commend
you
and
say
I'm,
very
proud
of
you.
As
a
colleague
for
making
that
transition
and
continuing
to
learn
and
do
that
smoothly,
so
I'll
open
up
for
questions,
I
believe
that
Senator
Neal
is
the
first
one
on
our
list.
L
Thank
you,
madam
chair,
and,
and
and
thank
you
representative
Herron,
for
bringing
this
issue
up.
Is
it's
not
something
immediately
to
our
attention?
Because
it's
all
it's
all
around
us
of
course,
but
thank
you
very
much
because
what
it
appears
that
you're,
trying
you're
offering
and
you're
putting
it
on
the
table
is
a
ability
to
focus
in
on
and
grapple
with
and
and
perhaps
come
up
with
some
solutions,
societal
and
individual
solutions
that
will
benefit
us
all.
So
I
want
to
commend
you
on
on
that.
Thank
you.
L
I
want
to
commend
the
others
that
provide
the
information
here
today.
We
appreciate
that
in
fact,
I'd
like
to
have
some
of
that
statistical
information.
If
you
can
provide
that
to
the
chair
of
Staff,
I
would
really
like
to
get
a
hold
of
that.
I
did
want
to
ask
a
couple
of
quick
questions.
One,
although
it's
been
framed
as
a
Kentucky
issue,
which
I
agree,
there
are
components
of
it
and
I
was
very
interested
and
I.
Think
I
heard
and
I'm
not
sure.
L
J
I
will
let
you
know
so
in
the
rural
areas,
there's
more
suicides
and
the
urbans
used
to
be
more
homicide,
but
now
that's
kind
of
changed.
Homicides
are
more
Universal
across
the
state
more
than
they
used
to
be
since
2020,
but
we
definitely
will
get
to
that
information.
So.
A
Yes
and
please
make
sure
to
turn
on
your
mic
when
you
speak
just
so,
everyone
can
hear.
Thank
you.
I'm
just
gonna
go
ahead
and
turn
it
on.
That's
perfect,
go
ahead!
Senator
thank.
L
J
L
Correct
I
had
some
legislation
that
dealt
with
just
Farms
being
in
the
home
and
not
being
secure.
N
L
Being
accessed
by
children,
no
one
intends
anyone
to
get
hurt,
but
because
of
how
it
is
handled,
some
young
people
who
have
of
been
injured
as
a
result,
would
that
be
part
of
your
investigation
as
that
anticipated
to
be
part
of
the
investigation
of
this
for
lack
of
better
term
commission?
That
would
be
looking
at
this.
F
I
Yeah
I
think
that
you
know
the
goal
is
for
this
office
is
to
really
dig
down
into
what
the
issues
are
and
then
give
those
policy
recommendations
as
well,
and
so
one
of
the
things
that
I've
noticed
with
and
I'm
not
sure
if
this
is
particular
with
that
bill
that
you're
speaking
on,
but
some
of
the
other
pieces
of
legislation
that
looks
at
issues
related
to
guns,
gun
safety
is,
is
that
some
of
those
bills
just
look
at
legal
gun
ownership
and
it
doesn't
necessarily
impact
the
illegal
gun
ownership.
I
And
so
you
know
this
office
would
once
that
data
starts
rolling,
to
look
at
what
are
going
to
be
the
best
of
policy
Solutions
moving
forward,
but
I
do
want
to
make
clear
two
folks.
Is
that,
no
matter
what?
If
someone
is
a
legal
gun
owner
and
there's
a
an
incident
or
an
accident
in
their
house,
because
they
don't
secure
their
guns
or
if
a
gun
is
not
secured
in
a
car?
I
And
someone
steals
that
we
will
never
be
able
to
arrest
or
criminalize
our
way
out
of
the
issue
of
gun
violence,
and
so
I
want
to
be
very
careful
and
clear,
with
creating
more
criminal
codes
or
more
penalties.
Obviously,
I
do
think
that
there
needs
to
be
us
a
consequences
for
that,
but
I
do
think
that
that
that
this
office
would
then
be
able
to
help
identify
what
are
going
to
be
our
best
Solutions
moving
forward.
L
Just
an
observation
for
me:
there's
always
this
strange
Dynamic
that
takes
place
when
you
raise
the
question
about
guns
and
when
you
try
to
deal
with
issues
such
as
safety
or
something
of
this
nature,
then
this
seems
to
be
a
defensiveness
on
those
who
say
they
want
to
maintain
the
I
guess
for
lack
of
better
words,
the
ability
to
maintain
and
have
guns.
L
I
I
think
that
you're
exactly
right
and
the
one
thing
about
this
piece
of
policy,
it
does
not
say
anywhere
about
taking
guns
away
or
raising
the
age
or
doing
anything
like
that.
It
is
clearly
to
say
that
we're
going
to
create
an
office
I
want
it
to
be
very
clear
that
this
office
will
be
very
similar
to
what
the
office
of
drug
policy
control
does
is
for
us
to
just
identify
and
look
at
what
we're
seeing
in
our
state
and
then
for
us
to
come
up
with
Solutions
and
I.
I
Think
that,
based
on
different
jurisdictions,
we
may
come
up
with
different
things.
And
so
that's
the
goal
of
this
and
I
will
continue
to
be
very
clear
about
that.
But
I
think
that
your
you're
right
senator
is
that
when
we
start
when
even
the
even
when
you
look
at
the
agenda,
that
is
there.
If
you
notice
on
the
agenda,
it
says,
gun
injury
prevention,
and
that
was
done
intentionally
because
of
the
fear
of.
If
we
set
gun
violence,
that
people
would
have
an
issue
and
want
wanted
to
be
off
the
agenda.
I
But
the
bill
is
to
create
an
office
of
gun,
violence
prevention,
and
that
is
what
we'll
do
and
I
and
I
think.
The
one
thing
that
we
have
learned,
especially
in
this
commission,
is
that,
if
we're
not
very
intentional
in
what
it
is
that
we're
speaking
about
and
talking
about,
then
we're
not
going
to
address
the
issue.
I
F
Thank
you,
madam
chair,
and
thank
everybody
for
presenting.
It
was
a
lot
of
really
great
information,
really
important
information
and
I
thank
very
much
in
keeping
with
the
spirit
of
this
Commission
in
terms
of
trying
to
come
up
with
data-driven
solutions
for
these
problems.
I
have
a
few
questions
just
too.
If
that's
okay,
Madam
chair
the
first
I,
think
it's
is
it
Dr
Brown.
F
You
had
mentioned
that
60
percent
of
it's,
it
was
gun,
injuries,
I,
believe
or
was
it
gun
deaths
I,
wasn't
clear
on
the
breakdown
60
from
suicide
and
I
wondered
if
you
could
give
me-
and
you
can
also.
This
might
be
part
of
the
follow-up
that
you
provide
to
our
our
committee
members,
just
the
breakdown
of
actual
deaths
resulting
from
as
opposed
to
injuries,
the
breakdown
for
suicide
homicide
and
then
accidental.
C
F
And
then
I
believe
Dr
Williams.
You
mentioned
that
90
of
those
that
attempt
suicide
do
not
try
again
if
they
survive.
That,
first
attempt
is
that
correct.
F
That
is
an
astonishing
number,
given
that
you
also
said
that
what
83
of
of
suicide
attempts
with
a
gun
are
successful,
85
the
first
time
so
I
mean
this
is
this
is
a
important
I,
think
piece
of
data
to
to
study
and
then
representative,
Heron
I,
think
I
had
a
question
about
other
states
or
other
models
that
have
tried
this
approach
in
establishing
an
office
of
gun,
violence,
gun
injury
prevention,
how
what
are
the
best
models
out
there
in
other
states
and
what
kind
of
data?
F
I
Thank
you
for
asking
that
question.
I'm,
honestly,
not
sure
what
other
states
have
done.
It
I
know
that
other
cities
have
done
it,
but
I
want
us
in
Kentucky
to
be
a
leader
in
that
to
ensure
that
we
are
doing
that.
I
We
do
know
that
the
the
bipartisan
safer
communities
act
did
pass
in
June
and
there
is
funding
available
to
create
such
office
like
this,
and
so
it
is
my
hopes
and
goals
that
we
are
in
the
top
states
to
do
that
and
lead
and
become
that
model,
and
so
I'm
not
sure
exactly
what
those
states
are.
But
I
can
do
a
little
bit
more
research
and
find
out
what
that
is.
J
We're
part
of
the
national,
violent
death
reporting
system
and
have
been
so
since
2004,
so
we're
one
of
the
older
states
that
started
the
system
started
in
in
2002,
and
so
we
have
a
lot
of
years
of
data
and
we're
able
to
collect
that
and
get
that
information
to
you
look
at
trends
with
firearm
versus
non-firearm
and
most
most
are
firearm.
Sorry.
F
O
M
Thank
you,
chairwoman.
First
of
all,
thank
you
all
for
this
presentation.
Thank
you
all
for
the
bill.
You
know
this
is
something
that
is
extraordinarily
near
and
dear
to
my
heart,
because.
M
M
I
can
promise
you
that
couple
of
comments
I
want
to
make
is
that
you
know
we
just
came
off
of
the
of
an
election
campaign,
and
I
can
tell
you
that
public
violence
is
a
number
one
issue
for
constituents
in
my
district
choice
and
and
control
violence
are
the
two
things
that
people
are
asking
me
to
do
and,
and
you
know
without
acknowledging
that
you
have
a
problem
and
exploring
the
problem,
it
is
extraordinarily
difficult
to
figure
out
what's
going
to
impact
the
problem.
So
I
would
say
this.
M
You
know,
commission
has
or
this
office
has
my
100
support,
because
until
we
understand
what's
what's
bringing
this
forward,
what's
precipitating
this,
what
can
we
do
to
address
it?
We're
helpless?
We
we
don't
have
a
way
of
addressing
this
without
that
data.
I
also
want
to
add
that
states
with
basic
Common
Sense
gun
legislation
statistically
have
less
gun
deaths
and
spend
less
on
gun
costs
than
States
like
Kentucky
that
basically
have
none
of
the
five
basic
regulatory.
M
You
know
rules
that
the
majority
of
other
states
have
already
instituted
safe
storage,
basic
basic
legislation,
so
just
want
to
say,
I
really
appreciate
the
work
that
you
all
have
already
done.
The
knowledge
that
you
come
in
with
and
I
think
this
is
a
way
for
us
to
try
to
move
forward
as
a
state
acknowledging
that
we
have
an
issue
exploring
the
issue,
understanding
the
depths
of
the
issue,
the
costs
of
the
issues
and
then,
hopefully,
what
can
we
do
to
start
impacting
this?
M
So
I
just
want
to
say.
Thank
you.
I
also
want
to
add
just
one
other
statistic
simply
because
I
heard
it
last
night
nationally
nationally,
the
number
of
teenagers
under
18,
showing
up
in
emergency
rooms
for
suicidal
ideation,
has
increased
50
percent.
Over
the
last
year,
I
mean
we
are
going
in
to
an
absolute
crisis,
and
if
these
children
have
guns
available
to
them,
we
know
and
you've
just
testified-
that
their
ability
to
execute
a
suicide
successfully
goes
up
tremendously.
M
P
Thank
you,
madam
chair.
Thank
you,
representative
Aaron,
for
being
here.
It's
always
good
to
see
you
thank
you
as
well
to
your
colleagues
for
the
data
presentation.
That
is
what
my
questions
if
I
may
have
got
a
few
to
try
to
move
quickly
here.
That's
what
my
questions
are
about
the
data,
particularly
the
nvdr
data.
Have
those
data
been
controlled,
it
all
for
income
or
geography
or
any
of
those
factors.
J
Yes,
we
look
at
a
myriad
of
other
information,
demographic
and
then
circumstantial,
which
is
unique
to
the
system.
It's
the
first
time
that
precipitating
circumstantial
information
has
ever
been
collected.
So
we
look
at
Financial
to
like
Crisis
disclosed
intent
left
a
suicide
note,
a
myriad
of
different
circumstances.
P
Thank
you
and
then
secondly,
for
those
data
or
any
other
data
that
were
cited,
we
talked
earlier
about
illegal
gun
activity.
Is
that
included
as
in
the
the
individual
who
uses
a
gun
for
violence
and
how
they
obtained
that
gun?
Was
it
legally
or
illegally?
Do
we
have
those
data
included
in
what
was
discussed
today
so.
J
We're
we
rely
on
the
Justine
investigators
for
that
information
if
they,
the
coroner
is
the
chief
death
scene
investigator,
but
also
law
enforcement
will
investigate
as
well.
So
we
rely
on
the
narratives
to
tell
us
where
the
game
where
the
gun
was
stored
or
who
was
the
owner.
So
sometimes
we
get
that
information,
but
sometimes
we
don't,
but
we
do
collected
if
we
do
learn
that
it
was
illegally
obtained.
We
do
have
that
information.
Thank.
P
You,
my
third
and
final
question
Madam
chair.
If
I
may,
it
gets
to
I
think
some
of
the
broader
comments
that
were
discussed
before
in
terms
of
the
data
representative
here,
and
you
mentioned
that
you
were
a
pro
Second
Amendment.
So
am
I
some
of
my
questions
and
concerns
about
this
regard
to
how
the
data
was
presented
in
terms
of
the
the
root
causes.
If
I
may,
in
terms
of
how
this
violence
is
perpetrated,
we
talked
about
homicide
suicide.
P
Those
numbers
particularly
going
up
post
covid,
lockdown
policy,
that
was
government
policy
that
then
LED
people
into
a
different
state
of
mind,
a
psychological
change,
a
psychological
shift.
We
talked
also
about
how
there
are
environmental
factors
again,
if
you
are
in
a
particular
community
that
struggles
with
a
number
of
different
things,
whether
it
was
psychological
Trauma
from
some
event
that
occurred,
whether
it
was
historical
generational
trauma
in
your
small
rural
area
or
in
an
urban
community,
there
seem
to
be
other
factors
that
contribute
and
then
cause
people
to
do
violent
things.
P
So
my
question
would
be:
is
it
the
issue
of
guns
themselves
and
again
I'm,
not
discounting
anything
that
you've
said,
especially
in
terms
of
the
research
that
you
brought
up
the
30
years
of
data
that
you
mentioned?
Is
it
guns
themselves
or
is
it
socio-cultural
environmental
factors
that
then
cause
people
to
be
in
a
particular
State
of
Mind
to
then
choose
to
use
aegon
to
commit
violence?
And
you
all
have
the
experts?
So
you
all
clearly
understand
the
question
that
I'm
asking
so
I'm
repeating
it
not
for
you
all,
just
for
the
The
General
room.
P
My
concern
would
be
if
we
focus
our
attention
and
efforts
on
the
front
end
the
gun,
as
opposed
to
the
socio-cultural
environmental
factors
that
may
push
someone
into
that
condition
again:
a
poor
economic
environment,
bad
General,
government
policy
that
locked
people
down
in
the
case
of
a
pandemic
or
just
simply
not
having
any
options
or
resources,
and
so
that
it
leads
people
to
this
particular
outcome.
So
again,
you
all
understand
this
stuff,
because
how
you
study
it,
but.
J
We
like
we
were
pretty
steady
about
180
190
for
for
decades
and
then
all
of
a
sudden,
we
started
to
see
an
increase
in
in
2015,
but
2020
we
saw
a
substantial
increase
and
it
hasn't
returned
out
in
a
lot
of
the
other
states
have
seen
the
same.
The
suicides
have
kind
of
remained
the
same,
but
the
homicides,
the
level
of
anger
and
aggression
and
assault
those
sorts
of
issues
have
increased.
K
K
Even
if
a
an
unused
gun
is,
is
you
know
no
problem
and
so
I
think
that's
why
you
know
she's
attempting
to
stay
away
from
whether
or
not
we're
trying
to
legislate
whether
or
not
people
have
guns
but
identify
the
circumstances
that
surround
what
you
know
makes
it
more
likely
for
a
weapon
to
be
used
in
that
way,
and
then
you
build
policy
and
strategy
based
on
what
you
learn
from
the
data
that
we're
able
to
collect,
but
also
to
what
makes
this
a
grand
idea
is
the
fact
that
we
don't
know
what
we
don't
know
there
are
so
many
people
that
collect
so
many
different
things
and
kind
of
having
a
data
warehouse.
K
That
kind
of
tells
us
everything
that
we
can
know
with
what
we
have
relative
to
the
gun
and
how
it's
used
in
these
various
capacities
could
then
lead
us
in
how
we're
determining
legislation
after
that,
but
I,
don't
think
you
could
talk
about
one
without
the
other,
because
I
mean
the
issue
is
the
interconnectivity
of
the
weapon
and
the
kind
of
Social
and
economic
conditions
when
you
kind
of
put
them
together.
O
Thank
you
so
much
and
thank
you.
Dr
Brown,
for
all
of
your
statistics
and
I
was
similar
to
Dr.
Alanka
I
was
curious
about
because
it
seems
like
you
have
a
lot
of
data
already
and
you've
been
collecting
it
for
years
and
and
Dr
Williams
had
mentioned
a
lot
of
other
issues
like
trauma
and
you
all
know,
I'm
always
focused
on
race
and
how
those
things
impact
gun,
injury,
gun
violence.
O
J
Well,
from
my
perspective,
so
we
have
it.
We
have
a
point
to
start
with.
We
already
have
an
established
data
set,
but
there
are
so
many
other
factors:
psychosocial
factors
that
we
need
to
link
to
the
data.
N
J
O
J
I
And
I'll
and
I'll
also
add
that
when
I
was
doing
research
to
create
this
office,
I
had
no
idea
that
Kipper
existed
and
so
I
was
very
excited.
When
I
learned
that
there
is
already
an
entity
and
institution
that
we
know
as
legislators,
that
is
trusted
who's
already.
Collecting
this
data,
and
so
I
just
want
folks
to
really
get
and
understand
that
this
office
will
just
be
part
of
that
ecosystem
of
figuring
out.
I
What
are
the
the
best
solutions
for
us
to
move
forward
as
a
state
to
ensure
that
we
are
decreasing
gun
violence
in
general,
but
also
that
we're
identifying
and
understanding
those
root
causes
of
violence
and
this
office
is
only
to
fill
in
the
Gap,
and
so
we're
not
going
to
be
able
to
do
this
without
everyone
working
together.
I
So
whether
that
is
folks
who
are
informed
about
housing
law
enforcement,
mental
health,
the
school
system,
this
office
would
collaborate
and
work
with
all
of
those
institutions
to
ensure
that
we're
doing
the
right
thing
to
make
sure
that
people
have
their
needs
met
and
that
all
of
these
systems
are
creating
policies
and
practices
and
programs
to
ensure
that
we
are
decreasing
on
the
possibilities
of
gun
violence
that
we're
seeing
across
the
state.
Q
So
well
done
great
presentation
and
I
want
to
go
back
to
something
that
you
said
very
eloquently
and
much
more
eloquently
than
I
can
say
a
very
profound
thing,
though,
because
it
crosses
not
just
through
this
issue
but
through
so
many
difficult
issues
that
we
deal
with
in
this
commission
and
in
other
places.
You
eloquently
stated
that
this
is
complex,
multifaceted
and
it's
not
going
to
have
a
single
answer.
That's
going
to
solve
the
problem,
that's
something
we
all
want
to
rush
and
grab
and
say
boom.
Q
A
I,
do
I
have
a
a
quick
question
before
we
wrap
up
and
move
on
to
our
next
one
but
representative
here
and
I
would
like
to
continue
a
conversation
of
just
my
brain's
going
I
need
to
process
it
and
then
I
would
love
to
continue
a
conversation
with
this
and
I
believe.
My
question
is
for
Dr
Brown
with
the
data
that
you
you've
talked
about
with
the
number
of
homicides
and
suicides.
Do
you
have
correlations
of
what
those
homicides
came
from
the.
J
Precipitating
circumstances,
yes,
we
do
and
we're
seeing
an
escalation
of
gang
activity
that
was.
A
My
next
question,
yeah
that
was
and
I,
think
you
know
kind
of
to
to
Dr
Berg's
Point
too.
You
know
I
think
one
of
the
biggest
fights
that
we
have
in
Frankfurt
is
urban
versus
rural.
You
know,
because
we
all
look
at
things
very
differently.
What
gun
violence
is
in
Grayson
County,
like
with
the
the
junior
pro
incident
that
representative
Heron
brought
up
is
very
different
than
the
gang
violence
going
on
in
Louisville
and
I
really
hope
with
the
recent
election
that
the
mayor
will
will
have
that
conversation
in
Louisville
leadership.
A
We'll
start
talking
about
these
issues
that
are
very
real
to
the
people
in
the
West
End
and
how
that
affects
everyone.
Louisville
is
our
economic
driver
of
the
Commonwealth
of
Kentucky.
There
is
no
doubt
about
that,
and
so
I
look
forward
to
continuing
having
those
conversations
and
seeing
what
we
can
do
to
better
that,
but
to
kind
of
to
Dr,
alaika's
point
and
several
I
think
Ms
Drake
mentioned
it
as
well
is
is
the
root
causes
of
these
things
and
mental
health
is,
is
that
I
I
truly
believe
is
it's
a
bigger
conversation?
A
We've
got
to
start
having,
as
a
general
assembly,
I
think
covert,
really
brought
that
out
how
mental
health
is
very
real
and
a
very
I'm
intrigued
to
continue
the
conversation
about
suicide,
because
that's
as
soon
as
that
can
happen
by
many
measures
and
just
as
representative
Heron
said,
I've
been
affected
by
Suicide
from
a
very
close
family
friend.
A
She
did
not
shoot
herself,
but
there
are
many
measures
that
you
can
take
to
do
that
and
once
you've
made
that
decision
you're
going
to
continue
to
try
and
so
just
seeing
what
kind
of
continued
conversation
we
can
have
with
that.
And
so
thank
you
all.
This
is
a
tough
conversation,
but
you
all
gave
great
data
and
so
I
appreciate
that
very
well
thought
out
presentation.
A
R
Hi
I'm,
Tracy,
pulley
and
I
am
the
Family
Resource
youth
service
center
coordinator
at
Fulton,
independent
in
Fulton,
County
and
I
appreciate
a
moment
for
the
rural
folks
and
and
I
will
be
I.
Think
I'll
be
your
shortest
presentation
and
thank
you
so
much
for
your
time
and
thank
you
to
representative
Rudy
I.
Think
I
bugged
him
enough
times
asking
about
this
commission
and
when
they
were
going
to
to
take
a
look
at
Fulton
that
he
he
got
me
on
the
agenda.
R
So
I'm
from
Fulton
I
have
not
lived
there.
All
of
my
life,
my
grandparents
moved
there
for
work.
My
Papaw
worked
on
the
Illinois
Central
Railroad
Fulton
is
kind
of
a
railroad
town
and
Hickman
to
our
West.
The
other
town
in
the
county
is
a
Mississippi
River
Town.
R
My
dad
was
in
the
Air
Force,
so
I
was
raised
in
multiple
places,
but
when
I
graduated
from
the
University
of
Florida
I
realized
I
did
not
want
to
live
in
Miami.
So
that's
how
I
ended
up
in
Fulton.
R
I
asked
just
for
the
one
map
to
be
shown
to
you
all,
because
I'm
I
don't
have
a
PowerPoint
presentation,
but
I
just
wanted
to
illustrate
that
Fulton
is
all
all
the
way
over
at
the
southwestern
corner
of
Kentucky
and
we're
on
the
Missouri
and
the
Tennessee
state
lines.
So
we're
just
we're
sort
of
isolated,
but
it's
a
really
unique
Community
we're
on
the
Mississippi
River.
R
We
have
I-69
running
through
the
railroad
it
used
to
be
Illinois
Central
and
now
it's
Canadian
national,
it's
busy
24
7.,
so
Fulton
is
often
grouped
with
the
river
counties.
They
call
us
the
Four
River
counties,
but
Fulton
doesn't
match
Ballard
or
Carlisle
or
Hickman.
Fulton
is
sort
of
Metropolitan.
We
have
a
Walmart
and
we
have
a
McDonald's.
We
have
your
Basics
yeah,
but
we're
also
different
in
terms
of
our
economics
and
our
racial
makeup,
so
say,
example
for
our
household
income.
R
It's
about
thirty
one
thousand
dollars,
so
we're
ranked
112
out
of
the
120
counties.
Well,
our
three
buddies.
Next
to
us
they
are
73,
67
and
47..
So
they're,
far
away
from
us
about
50
50
counties
different,
even
though
we're
we're
neighbors.
Our
poverty
rate
is
25,
so
we're
number
16
in
the
state
and
our
neighbor
Hickman
is
62..
Carlisle
is
66
and
Ballard
is
86.,
so
it
just
feels
like,
although
Fulton
is
grouped
with
these
other
counties,
that
we
just
don't.
Oh
thank
you.
Thank
you
that
we
don't
match
them.
R
You
really
have
to
go
all
the
way
across
the
state
all
the
way
over
to
the
Appalachian
counties
to
see
who
matches
us
economically
and
then
in
terms
of
racial
makeup.
We
don't
match
anyone
until
you
get
over
to
to
Christian
County,
so
Fulton
has
24
percent
black
residents
and
Christian
has
22
and
so
does
Jefferson.
So
we're
just
we're
unique,
we're
interesting
little
County.
R
So
when
I
heard
last
year
that
you
all
had
created
a
commission
on
race
and
access
to
opportunity,
I
was
very
excited
because
Fulton
in
terms
of
our
you
know
real
estate,
they
say
location,
location,
location,
we're
a
really
good
location.
It
feels
like
Fulton
should
be
thriving.
We
we
do
have
a
good
amount
of
business.
We
have
a
Distillery
down
in
Hickman,
that's
that's
booming!
Right
now
we
have
a
new
dairy
farm.
Apparently,
that's
relocating
from
California
to
us,
but
we
still
are
our
folks
all
of
us
who
live
there.
R
We
are
doing
very
poorly
in
terms
of
our
economics
and
our
health
care,
so
the
latest
County
Health
rankings
came
out
and
it
turned
out.
We
dropped
17
points
and
we
are
now
in
the
bottom
five.
So
the
other
four
counties
again.
You
know
we
get
grouped,
but
we
don't
really
match
anybody
else,
because
the
other
four
counties
are
all
over
in
Appalachia.
R
So
I
just
thought
this
commission
is
about
access
to
opportunity,
and
can
you
all
help
us
figure
out
how
to
connect
Fulton
better
with
some
access?
I
did
this
first
time,
I've
ever
spoken
in
Frankfurt
and
and
I
was
very
stressed
about
it.
Brandon
and
Brett
were
helpful,
but
I
realized.
Finally,
I
don't
have
to
be
a
historian.
Who
knows
everything
about
the
county.
I
just
have
to
tell
you
all
what
I
know.
R
So
I
will
tell
you
that
that
Fulton
County
grew
more
cotton
than
any
of
the
other
counties
in
the
state
and
I.
Guess
the
Mississippi
river
floods,
the
Hickman
area
regularly.
So
we
have
more
fertile
soil
and
of
course,
as
we
know,
you
know,
slavery
and
and
cotton
farming
went
hand
in
hand
in
America.
I
couldn't
find
any
numbers
of
I
just
heard
a
story
this
morning
on
NPR
about
how
in
Germany
they
they
do
such
a
wonderful
job
of
memorializing,
the
Holocaust
and
what
occurred
there.
R
But
you
know
in
America
not
so
much
here
about
our
memorializing
of
what
went
on
during
slavery.
I
did
find
that
that
we
had
the
highest
number
of
lynchings
in
Fulton
County
in
the
1800s.
So
there's
there's
just
some
racial
history
to
our
community.
That's
Unique
in
terms
of
our
but
I,
know
I'm
here
to
talk
to
you
all
about
Healthcare
today,
but
you
know
race
and
economics.
They
just
go
hand
in
hand,
and
you
all
can
see
on
the
the
state
map
that
we're
just
we're
we're
in
the
corner.
So
we
have
to
go.
R
We
have
to
go
east
east
Northeast
for
anything
in
terms
of
health
care
because
we're
on
the
Tennessee
State
Line,
so
all
of
our
folks
with
medical
cards,
that's
about
47
percent
of
our
County.
They
can't
cross
the
state
line
normally
to
to
see
a
physician
so
that
really
isol
releases
as
well.
We
did
have
a
lovely
little
Hospital,
a
Parkway
Regional,
but
then
it
was
purchased
by
a
company
called
Community,
Health
Systems,
which
is
now
being
investigated.
R
So
they
wouldn't
have
the
competition
so
they're
gone,
but
it
hurt
us
greatly
and
it
also
hurt
us
because
not
only
did
they
own
the
hospital
they
owned
a
great
little
clinic
in
Fulton
called
Hillview,
and
this
is
what
I
would
love
for
for
Kentucky
legislators
to
to
look
at
they
closed
that
clinic
in
on
the
Kentucky
side
and
they
reopened
it
on
the
South,
Fulton
Tennessee
side,
so
I
know
I,
appreciated
Senator,
given
saying
Long,
View
and
lots
of
issues
because
I
I
know
I'm
I'm
talking
about
lots
of
different
things
and
I
know
there
are
no
Simple
Solutions.
R
But
I
really
would
appreciate
you
all.
Looking
at
border
communities
like
us
and
what
are
the
law,
differences
between
Kentucky
and
Tennessee
that
make
us
struggle
in
these
in
these
areas,
so
Hickman
residents
who
live
18
miles
to
the
west
of
Fulton,
so
Fulton
has
the
interstate
and
the
railroad
and
Hickman
has
the
river
we're
18
miles
apart
and
they
have
to
drive
over
to
us
if
they
want
to
use
the
health
department.
R
Their
health
department
closed
because
of
mold
issues,
so
they
have
to
come
18
miles
east
just
to
use
the
health
department
and
then,
unfortunately,
in
my
job,
I
am
now
seeing
so
many
children
with
teeth
problems
that
I'm
crossing
down
into
Tennessee,
because
Lake
County
Tennessee
realfoot
lake
is
the
only
County
close
to
us,
that's
as
poor
as
us,
and
they
have
a
place
called
real
foot,
rural
Ministries
and
so
but
I
hate
I,
just
hate
that
that
I'm
going
over
to
Tennessee
to
get
medical
care
for
our
families.
R
You
know,
unfortunately,
you
all
know
I'm
sure
there
have
been
presentations
on
dental
problems,
but
dentists
are
not
taking
new
patients
anymore
with
medical
cards.
You
know
I've
heard
the
reimbursement
rate
for
dental
X-rays
is
seven
dollars
and
then
so
anyway,
we
can't
I
can't
find
any
dentists
who
will
help
out
our
kiddos.
At
this
point,
the
closest
one
is
the
Benton
Clinic,
it's
about
an
hour
from
us
and
I'm
grateful
that
it
exists,
but
it's
overloaded
and
you
can't
always
get
in
and
they
don't
do
sedation
dentistry.
R
R
I'm
not
going
to
list
all
the
health
statistics
for
for
Fulton.
Of
course
you
all
have
those
at
countyhealthrankings.org,
but
the
fact
that
we
are
now
in
the
bottom,
five
in
Kentucky
when
all
the
rest
of
the
counties
with
those
struggles
are
far
away
from
us.
It's
just
it
should
be
looked
at.
If,
if
possible,
I
mean
you
all
passed,
Senate
built
in
and
created
this
Commission,
because
you
recognize
that
race
still
impacts
opportunity
in
America
in
Fulton,
our
residents
access
to
opportunity
keeps
shrinking.
R
Is
it
because
we
have
the
highest
percentage
of
black
residents?
I,
don't
know,
but
I
do
know.
This
commission
can
change
things
for
Fulton.
We
need
better
Access
to
Health
Care.
They
did
advise
my
advisor
said.
I
should
probably
ask
you
all
for
something
concrete,
I'm,
not
sure
you
know.
I
would
love
to
ask
that
the
commission
somehow
create
a
policy
that
Fulton
be
used
as
a
pilot
project
for
a
new
dental
clinic.
R
You
know,
I
know
that
Appalachian
counties
are
able
to
team
up
together
and
use
that
their
Collective
voice
to
ask
for
things
like
that.
So
I
don't
know.
Fulton
only
has
about
6
000
residents.
It
may
not
be
possible
that
that
could
happen,
but
we
do
have
a
wonderful
new
opportunity
with
the
federal
government
they've
created
the
rural
Partners,
Network
and
Fulton
is
included
in
that,
and
so
that's
supposed
to
put
us
at
the
top
of
the
list
for
Federal
grant
opportunities.
R
So
I
don't
know
if
that's
something
that
could
is
something
the
commission
could
help
us
with.
We
do
have
another
wonderful
program.
That's
starting
a
a
doctor
who
was
who
grew
up
in
poverty
and
now
is
giving
back
is
coming
to
our
our
schools.
We
have
a
school
at
Fulton,
independent
in
the
town
of
Fulton
and
then
Fulton
County
in
the
town
of
Hickman,
and
he
is
coming
to
our
schools.
Now
one
Friday
a
month
and
providing
physicals
and
basic
things
like
that.
R
So
the
the
woman
Diane
Owen
who's
with
Robbie
Rudolph's
Four
Rivers
Foundation.
She
wrote
that
Grant
and
she
I
talked
to
her
and
she's.
You
should
ask
for
equipped
medical
clinics
in
both
school
districts
because
then
he,
you
know
right
now,
he's
like
an
art
teacher
with
a
cart
just
kind
of
rolling
around,
whereas
if
he
had
an
equipped
Clinic,
he
could
really
provide
some
some
more
significant
health
services.
So
I
know
those
are.
Those
are
big
asks.
I
have
no
idea
if
that's
in
your
capacity,
but
I
would
I
just
I.
R
Thank
you
all
for
giving
a
moment
to
Fulton
County
to
to
have
us
be
heard.
I
apologize
that
I
am
a
white
lady
coming
and
speaking
for
Fulton
about
our
our
racial
economic
and
Health
Care
needs.
I
did
have
a
friend,
Bonita
cheers
who's
our
4-H
agent
and
she
was
going
to
come
with
me
and
then
we
had
a
conflict
with
the
October
date,
and
so
she
couldn't
come
today.
So
again,
I've
been
there
for
with
the
district
for
18
years
and
I
could
possibly
answer
some
questions
about
about
our
issues.
A
Thank
you
Tracy.
Thank
you
for
your
your
engagement
on
this
issue,
I've
traveled
to
Fulton,
and
there
are
a
lot
of
disparities
there
and
you
can
tell
it
was
it's
a
community
that
at
one
point
it
was
very
big
and
it's
just
kind
of
it's
dwindled
away,
so
I
will
I
will
pass
it
over
to
my
co-chair
Senator
Gibbons,
who
I
believe
has
a
question.
Q
You
actually
answered
my
question
in
the
midst
of
the
the
latter
part
of
your
presentation,
because
I
was
marking
what
I
thought
you
wanted
us
to
know
and
what
what
you
wanted
us
to
take
away,
and
so
you
wanted
to
put
Fulton
County
on
the
map
literally
and
figuratively.
Both
you
want
us
to
know
about
the
struggles.
Q
My
question
was
going
to
be
when
we
leave
today
what
are
the
one
or
two
things
that
you
want
us
to
be
thinking
about,
and
you
very
specifically
indicated
a
Fulton
County
pilot
project
related
to
Dental
Care.
Yes,
I
would
encourage
you
to
follow
up
with
your
elected
representative
and
your
elected
Senator
and
the
members
of
this
commission
with
a
letter
indicating
the
typical
flowery
language
we
all
use
at
the
start
of
what
a
joint
is
to
appear
in
front
of
you,
blah
blah
blah
remind
us
of
your
ask.
Okay.
L
First
of
all,
thank
you
very
much
for
coming
and
presenting
I
had
to
step
out
for
a
minute
I
apologize
to
you
for
that.
You
may
have
covered
this.
Your
public
health
is
a
public
health
coordinator
in
that
county,
correct.
L
N
N
P
Thank
you,
madam
chair.
Thank
you
for
the
presentation
for
driving
for
so
long,
I
want
to
Echo
what
chairman
Givens
was
saying
in
terms
of
the
request
for
us
as
a
commission
and
I,
don't
want
to
overburden
us,
and
this
may
not.
P
P
I,
don't
know
if
it
would
be
useful
for
us
to
put
those
somewhere
or
try
to
organize
or
aggregate
those,
so
that
folks,
who
are
interested
in
some
type
of
Grant
or
some
type
of
support
financially,
can
have
an
easy
access
to
that.
Based
on
what
this
commission
does.
For
you
a
couple
questions
to
that
note:
do
you
do
you
know
if
there
is
specifically
an
opioid
issue
in
your
community
I'm.
R
Oh
great
well
so
I
started
the
ASAP
Council
when
I
came
back
to
the
job
in
2009
I
found
out
that
we
were
one
of
only
six
counties
that
didn't
have
an
ASAP
Council
on
that.
So
we've
got
that
going,
but
actually
no,
even
though
there's
tons
of
opioid
finding
out
there
and
I'm
on
opioid
task
force
that
runs
out
of
Paducah,
it's
still
meth,
that's
the
main!
That's
our
number
one
issue:
okay,.
D
P
My
second
question
in
I
know
that
we've
got
the
ad
districts
that
all
are
all
around
the
state,
one
of
the
things
that
a
number
of
different
communities
have
done
and
I
don't
know
if
you're,
if
the
judge
Executives
in
the
area
work
together,
communicate
at
all
and
so
I
don't
want
to
make
any
assumptions
one
way
or
the
other
one
thing
that's
been
useful.
P
That
I've
seen
is
that
different
communities,
different
judge
Executives,
have
tried
to
pull
together
some
resources
for
some
Regional
opportunities
in
and
I
only
know
this,
because
I
worked
in
the
treasurer's
office
in
Kentucky
in
Ohio
they
have
a
star
Ohio
program.
It's
a
state,
treasurer's
asset
reserves,
program,
long
story
short.
P
What
they
do
is
they
help
local
municipalities
pull
together,
resources
that
may
not
have
them
on
their
own
to
try
to
develop
a
deeper
sense
of
capital,
so
they
could
build
a
new
Regional
hospital
or
they
could
build
some
different
resources
that
could
impact
the
community
you're
mentioning
going
down
to
Tennessee
if
some
of
the
things
that
Fulton
needs
are
in
Fulton
because
of
a
regional
push
to
pull
those
resources
that
could
be
beneficial.
So
what
I
might
offer
to
you
is
is
again
asking
your
elected
officials,
your
local
folks,.
N
P
R
Yeah
about
collaborating
okay.
Thank
you.
Thank
you.
Thank
you
very
much.
Thank
you.
Oh
oh
sorry,
just
the
last.
What
I
have
to
say,
though,
is
I,
feel
like
Regional
agencies
take
Fulton's
numbers,
they
take
our
high
need
and
they
write
grants
and
then
they
they
just
don't
come
down
in
service
very
much.
They
use
their
Regional,
but
but
yeah
I'll
talk
to
our
judge
executive.
Thank
you.
A
A
A
No
kill
him!
No!
Okay!
What's
your
question,
you
get
two
seconds:
okay,
these
people
they're
needy
up
here,
man,
okay,
so
if
you'll
introduce
yourself
for
the
record
and
give
us
a
a
presentation
now,
I
do
want
to
offer.
There's
been
a
long
agenda.
That
is
our
fault,
but
we
would
you
know
we
want
to
hear
as
much
as
you
have
to
say
in
a
short
time
span.
A
Allow
us
to
answer
to
ask
a
few
questions
and
then
we
would
like
to
go
in
an
invitation
for
you
to
be
our
first
Speaker
during
the
next
interim
in
2023
as
well,
because
I
know
we
requested
this
information
and
I
know.
You've
got
lots
of
good
data
to
give
us
now
representative
timony.
What
kind
of
question
would
you
have
after
or
what
kind
of
question
would
you
have
well
at
first,
if
you'll
introduce
yourself
for
the
record,
that'd
be
fantastic.
S
G
S
Mm-Hmm
so
good
question.
Thank
you.
It
actually
I
have
an
answer
to
that
on
one
of
my
very
first
slides.
So
if
you
don't
or
close
close
enough
to
an
answer,
so
I
will
answer
it
first,
but
let
me
let
me
say
very
quickly
that
I
appreciate
the
acknowledgment
that
we
have
a
very
short
amount
of
time,
I'm,
aware
of
that
also
we
will
take
you
up
on
the
invitation
to
come
back
next
year.
We
appreciate
that.
So
what
I
was
going
to
say,
anyway,
is
that
this
is
intended
to
be
an
overview.
S
It's
a
it's
a
state
level
overview
of
our
demographics
at
the
Kentucky
at
KY
stats.
We
have
one
of
the
richest
data
sets
in
the
country,
we're
very
lucky,
so
we
can
do
a
lot
more
than
what
you
see
here
so
I
wanted
to
acknowledge
that
and
then
also
encourage
you
all
to
ask
us
really
hard
questions
that
you
may
not
see
answers
to
today,
because
we
want
to
be
doing
more.
So
I
will
give
you
an
answer.
S
Let
me.
Let
me
get
to
that
on
the
next
slide.
I
think
if
I
have
just
a
few
minutes,
I
want
to
show
you
some
sort
of
four
key
trends
that
we've
noticed.
What
we've
done
here
is
two
two
major
things
in
this
presentation.
One
is:
we've
tried
to
take
a
look
at
the
racial
demographics
in
the
state
in
key
in
key
sectors
of
the
state.
S
We
look
at
K-12
education,
post-secondary,
education,
the
population
in
general,
the
workforce,
and
we
try
to
when
possible
look
over
time,
and
so
we
looked
at
about
a
10-year
period
when
possible.
Sometimes
it
wasn't
possible
and
you
can
see
that
in
the
slides
that
we've
provided
for
you
all,
but
the
four
key
trends
that
I
think
we
want
to
highlight
are
number
one.
Kentucky's
population
white
population
is
decreasing,
so
we're
becoming
more
racially
diverse
as
a
state
over
a
10-year
period.
S
Our
K-12
enrollment
for
non-white
students,
similarly,
is
increasing
so
again
becoming
more
diverse,
racially
our
post-secondary
enrollment,
while
it's
going
down
in
general
in
recent
years,
it's
increasing
for
certain
demographic
groups,
racial
groups,
Asian
Hispanic
Latino
and
those
who
identify
as
two
or
more
races
and
then
finally,
the
black,
Asian
and
multiracial
workforces
are
all
increasing
in
terms
of
their
labor
force
participation
rates.
So
I
wanted
to
mention
those
four
things
with
the
limited
time.
S
What
we
do
have
here
today
and
we
can
I-
can
follow
up
with
you
on
a
particular
number
at
the
state
level
population
just
sort
of
the
raw
top
level
number,
but
in
terms
of
our
racial
makeup,
what
you
can
see
is
related
to
the
first
bullet
point.
That
I
just
mentioned
is
that
we
are
becoming
more
racially
diverse
as
a
state,
so
these
These
are
census.
S
Numbers
between
2010
and
2020,
so
a
10-year
window,
you
can
see
that
in
2010
the
state
was
about
86
percent
white
population
and
then
in
2020
the
most
recent
data
available
we're
about
just
over
81.
So
that's
a
five
point
decrease
and
you
can
see
all
other
all
of
the
other
primary
racial
demographic
groups
which
are
reported
in
the
census
have
increased
in
that
time.
Some
just
slightly
our
black
population
has
gone
up.
S
You
know
less
than
a
percentage
point,
but
other
other
other
populations,
such
as
Hispanic
or
Latino,
and
are
in
particular,
are
two
or
more
races.
Populations
have
gone
up
even
more
significantly,
so
the
what
I
would
say
to
your
question
is
that
we
are
the
we're
the
growth
that
we're
seeing
is
in
sort
of
the
non-white
population,
that's
demographically
speaking
and
then
we'll
have
to
follow
up
with
you
on
the
on
sort
of
the
general
population
number
itself,
and
we
will
do
that,
and
so
I
do
want
to
touch
on
this
as
well.
S
This
is
sort
of
an
overwhelming
slide,
I
know,
but
the
takeaway
here
is
the
driver.
I.
Think
of
that
of
this
diversification
racially
is
occurring
in
our
younger
demographics
right,
and
so
this
is
a
slide.
Looking
at
our
youth
population,
zero
to
19
years
of
age,
the
key
takeaway
here
is:
we
have
these
bucketed
from
zero
to
four
years.
Five
to
nine
ten
fourteen
fifteen
to
nineteen
the
yellow
bars,
there
show
the
percentage
of
each
of
those
populations
again
2020
to
2010
that
identify
as
white
in
each
of
the
cases.
S
The
these
population
are
excuse
me,
these
age
buckets
have
become
more
racially
diverse
or
or
a
lower
percentage
of
those
buckets
are
identified
as
white,
and
so
the
state
as
a
whole
is
becoming
more
racially
diverse,
but
but
these
are
really
the
population
groups
that
are
driving
that
what
I
think
probably
makes
sense
just
off
the
top
of
your
you
know
top
of
your
head.
S
If
you
hear
that
is
that
the
K-12
demographics
are
similarly
shifting,
so
this
is
kind
of
just
a
an
overview
of
the
percentages
of
our
K-12
Public
School
enrollment,
and
then
this
is
a
view
over
time.
This
is
very,
very
similar
to
the
demographic
shift
in
general
that
we
showed
in
that
between,
between
these
periods.
S
So
I
mentioned
earlier
as
one
of
our
key
takeaways
that
our
post-secondary
enrollment
has
decreased.
So
you
can
see
in
about
in
about
10
years
the
total
post-secondary
enrollment-
and
this
is
all
levels
I
should
mention.
So
this
is
undergrad
all
the
way,
all
the
way
through
the
the
higher
levels
enrollment's
gone
down
about
260
000
to
you
know
just
shy
of
250
000.,
the
the
percentage
of
enrollment
which
our
students
identified
as
white
has
gone
down.
S
I
I
do
want
to
say:
I
do
want
to
say,
though,
that
I
do
want
to
mention,
while
the
enrollment
has
gone
down,
degree,
completions
or
degree
completers
excuse
me
have
gone
up,
so
we
have
fewer
people
enrolling,
we
do
have
more
people
completing
degrees,
and
in
this
case
all
the
racial
demographic
groups
have
similarly
increased
I'll
just
touch
on
labor
force
participation
rates
relatively
quickly.
Excuse
me,
you
can
see
in
this
in
this
period
here
or
between
these
two
periods.
S
S
We
we
did
drill
into,
and
this
is
something
that
I
think
you
know.
I
would
offer
that
we
could.
We
could
speak
more
about
when
we
do
have
the
opportunity
to
come.
Speak
to
you
again.
We
drilled
into
one
particular
piece
of
the
teacher
Workforce.
The
takeaway
here
is
that
there
are
kind
of
two
take
takeaways
here
again
without
having
having
to
get
too
deep
into
this.
S
The
predominant
share
of
our
teaching
Workforce
identify
as
white,
and
so,
if
you
think,
back
to
the
the
earlier
slides
in
terms
of
K-12
public
enrollment
in
our
youth
populations
becoming
more
racially
diverse.
What
that?
What
that
really
ends
up
meaning
is
in
the
classroom.
S
Students
are
far
more
likely
to
be
and
not
consider
themselves
non-white
than
their
students
are,
and
you
can
see
that
that's
about
three
and
a
half
students
are
about
three
times
more
likely
to
be
black
than
their
teachers,
eight
and
a
half
times
more
likely
to
be
Hispanic
than
their
teachers
and
about
51
percent,
or
excuse
me
51
times
more
likely
to
be
two
or
more
races
than
their
teachers.
And
so
again
we
just
wanted
to
highlight.
You
know
what
we
what
we
consider.
S
We
know
that
as
being
considered
a
key
piece
of
our
of
our
Workforce
right
now
and
I
just
want
to
highlight
a
couple
of
more.
This
is
this:
is
our
median
income
2015
to
2020
for
all
racial
and
demographic
groups?
The
median
income
has
increased
the
largest
increases
for
our
black
population
up
28
percent,
although
still
in
terms
of
raw
income,
the
lowest
group
and
then
the
the
smallest
increases
at
about
seven
percent
and
finally,
our
inmate
population.
S
This
is
again
another
10-year
10-year,
look
the
one
population,
so
the
the
total
inmate
population
here
in
Kentucky
has
decreased
during
this
time.
The
one
population
that
has
decreased
as
a
in
terms
of
a
percentage
of
the
total
inmates
is
our
black
population
down
about
three
points
between
that
to
in
that
10-year
period,
and
this
is
a
summary
which
I
think
just
kind
of
digs
a
little
more
into
the
sort
of
the
four
large
bullet
points
that
I
gave
you
at
the
very
beginning.
S
S
As
a
state
and
I
think
it
just
scratches
the
surface
of
what
we're
able
to
do
as
an
agency,
so
what
we
try
to
do
here
is
represent
some
of
the
opportunities
that
we
have
to
provide
more
more
data
and
more
analysis
for
you
all.
As
you
continue
continue
your
important
work,
so
I
really
do
want
to
encourage
an
ongoing
conversation
and
I
do
appreciate
the
the
opportunity
to,
or
the
invitation
excuse
me
to
come
back
next
year.
A
Okay,
we're
going
to
be
very
quick
on
our
questions
and
I'm
actually
going
to
give
the
opportunity
for
Senator
to
kneel
to
briefly
make
remark
and
then
I'm
going
to
just
because
of
time,
I'm
going
to
ask
that
if
any
members
or
were
to
have
additional
questions.
Are
you
sure?
Okay,
thanks
internet
you're,
officially
my
favorite?
Q
Coacher
asked
to
get
to
a
committee
and
I'm
not
going
to
be
long
but
share
briefly
with
the
group,
because
you
do
have
such
rich
rich
data
you're
an
underappreciated
asset
here
in
Kentucky
you're.
An
evolution
of
the
oksus
model,
walk
this
group
in
30
seconds
through
what
you
can
do
for
us
that
we
just
don't
know
great.
S
Thank
you
for
thank
you
for
that.
Prompt
I
should
have
done
that
I'd
usually
do
that
little
sales
pitch
at
the
beginning,
but
I
skipped
it.
So
thank
you
for
that.
So
we
are.
The
Kentucky
Center,
for
statistics
is
what's
known
as
the
state
longitudinal
data
system.
This
is
for
folks
who
may
not
be
familiar,
and
what
that
really
means
is
we.
We
have
data
from
agencies
and
partners
across
the
state
from
from
early
childhood
education
to
K-12
education,
post-secondary,
Workforce
and
and
so
on,
and
so
on,
and
so
on.
S
We're
able
to
connect
those
data
across
those
systems
to
understand
how
individuals
and
outcomes
move
through
those
systems
and
we're
able
to
connect
it
over
time,
and
so,
if
we
provide
analyzes,
many
of
our
Data
Systems
go
back
more
than
10
years,
and
so
we
can
ask
questions
about
you.
You
know
how
a
K-12
environment
may
impact
post-secondary
enrollment,
which
may
impact
Workforce
outcomes
which
may
impact
you
know,
Health
outcomes
and
so
on
and
so
forth,
and
we
can
do
it
over
time
and
we
can
do
it.
S
You
know
at
regionally
demographically
at
the
state
level,
and
so
we
have
all
kinds
of
opportunities.
I
agree
with
you
we're
an
underutilized
resource.
We
work
every
day
to
try
to
rectify
that,
but
we
can
always
use
more
I
do
want
to
if
I
apologize.
This
isn't
this,
isn't
your
your
question:
Senator
Givens,
but
but
representative
Timothy,
we
I
got
a
note
from
my
colleague
thank
goodness
she
was
here.
We,
the
population
for
Kentucky,
did
increase
between
2010
and
2020
slightly
from
about
4.3
million
to
about
4.5
million
total
residents.
A
Thank
you
and
Senator
Berg.
Please
send
your
question
to
Brandon,
so
he
can
yes,
he
can
relay
it
and
then
we
will
make
sure
to
get
an
answer
back
to
you.
I
apologize
for
being
rude.
Thank.
A
Appreciate
it
just
to
wrap
up
this
final
meeting,
Dr
alaika
has
sent
in
a
resignation,
letter,
effective,
November,
30th.
A
We
wish
him
the
best
thank
him
for
his
service
and
if
we
had
more
time,
I
would
say
thank
you
for
creating
this
commission,
but
unfortunately
we
do
not
just
teasing.
Thank
you
for
your
hard
work
on
this
Dr
olaika
and
for
for
allowing
Senator,
Givens
and
I
to
bring
your
vision
as
policy
makers
to
the
general
assembly
and
I'm
glad
that
you
were
able
to
see
the
fruits
of
your
labor
and
making
the
Commonwealth
a
better
place.
A
Best
of
luck
and
whatever
you
decide
to
do
from
here,
there's
a
letter
from
the
finance
regarding
request
for
data
on
minority
contracts
issued.
If
you
have
any
questions
about
that,
please
reach
out
to
Brandon
and
he'll
make
sure
to
get
that
to
us.
Unfortunately,
we
do
not
have
time
to
discuss
any
legislation
that
we'll
be
doing
in
the
2023
session,
but
Senator
Givens
and
I
welcome
each
member.
A
If
we
can
be
helpful,
please
reach
out
to
us,
and
let
us
know
what
legislation
you're
interested
in
pushing
that
Brandon
will
send
out
a
list
of
recommendations
that
we've
kind
of
talked
about
this.
This
interim
he'll
send
that
to
each
of
us
and
feel
free.
Our
offices
are
open
to
have
further
conversations
on
that
and
then,
of
course,
any
of
the
legislative
members
on
the
task
force.
Please
let
staff
know
if
you'd
like
to
request
a
new
legislation
individually
that
pertains
to
the
mission
of
the
commission.