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From YouTube: Administrative Regulation Review Committee (9-13-22)
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B
B
With
the
quorum
being
present
today,
this
subcommittee
is
duly
constituted
today
to
do
business.
The
first
matter
of
business
today
is
the
approval
of
the
minutes
of
our
previous
meeting
in
august.
Are
there
any
additions
or
corrections
to
the
minutes
from
that
meeting.
B
D
B
B
B
D
B
Mr
bishop
miss
ashley
or
miss
daily.
I'm
sorry,
I
called
you
fair
saying
my
apologies.
Thank
you
for
being
with
us
today.
There
is
a
staff
amendment.
Is
there
a
motion
for
approval?
There
is
a
motion.
There
is
a
second
without
objection
to
disordered.
Are
there
any
questions
from
any
of
the
members
anything
you
all
would
like
to
add
today.
B
F
F
B
C
You
chairman,
just
really
briefly
on
ages
of
kids.
Three
and
up
I
mean
obviously
as
a
doc.
We
worry
about
measles,
mumps,
rubella
vaccinations
at
ages,
four
to
five.
Typically
in
those
what's
the
requirement,
are
pharmacists
gonna
be
allowed
to
administer
those
for
children
who
would
come
in,
let's
say
at
ages,
four
and
five
for
their
routine?
C
G
Sure,
thanks
for
the
question,
so
this
this
language
aligns
with
with
the
prep
act.
It's
a
continuation
of
of
the
rules
that
have
been
in
place
during
the
during
the
pandemic.
Then
the
previous
emergency
rule
rule
expired.
So
so,
yes,
the
pharmacist
would
be
authorized
and
they
do.
They
do
obtain
information
from
from
from
the
patients
regarding
regarding
the
providers
and
they
may
send
a
notification
to
those
providers.
B
Anything
else
center,
yes
representing
mars,.
H
F
201
kr8
550
amends
to
include
clarifications
of
the
existing
requirements
for
dental
sedation
and
anesthesia
regarding
basic
life.
Support
certification,
an
ad
that
a
facility
owner
looking
to
obtain
or
renew
their
facility
shall
maintain
an
active
sedation
permit.
The
amended
after
comments
version
amends
to
require
at
least
two
members
of
the
on-site
care
team
to
maintain
current
certifications
and
basic
life.
Support
for
health
care
providers
in
pediatric
advanced
life
support,
rather
than
to
specify
that
the
dentist
maintain
this
certification
clarify
that
only
one
permit
is
needed
for
sedation
or
anesthesia
and
make
technical
corrections.
B
B
D
J
B
B
Good
afternoon,
gentlemen,
thank
you
again
for
being
here
with
us
today.
There
is
an
agency
amendment
on
this
regulation.
Is
there
any
discussion
on
the
agency
amendment?
B
C
B
A
I
301
2090
is
being
amended
to
remove
the
restrictions
on
the
use
of
crossbows,
while
hunting
migratory
birds,
the
staff
suggests
the
amendment
amends
various
sections
to
comply
with
the
drafting
and
formatting
requirements
of
krs
chapter
13a.
301
2095
is
being
amended
to
update
definitions,
clarify
the
requirements
for
importing
carcasses
or
carcass
parts
of
a
legally
harvested.
I
The
cwd
surveillance
zone
require
an
individual
engaging
in
taxidermy
or
processing
of
served
meat
who
accepts
an
imported,
cervix,
carcass
or
carcass
part
to
transfer
all
non-permitted
conservative,
carcass
and
carcass
parts
to
the
department.
After
contacting
the
law
enforcement
division
and
add
a
new
section
establishing
requirements
for
import,
the
importation
of
wild
lagomorph
meat
carcasses
and
parts,
the
staff
suggested
amendment
amends
various
sections
to
comply
with
the
drafting
requirements
of
keras
chapter
13
8.
I
301
2
300
is
being
amended
to
remove
the
bare
quotas
and
instead
regulate
the
harvest
using
season
length
establish
bear
zones
with
specific
hunting
seasons
split
the
season
dates
for
bear
hunting
with
dogs
to
avoid
overlapping
with
bear
archery
season
change
the
equipment,
restrictions
for
modern
rifle
bullets
and
handgun
bullets
from
270
to
264,
caliber
or
larger
change.
The
equipment,
restrictions
for
a
muzzle
loader
from
50
to
45,
caliber
or
larger,
and
add
the
requirement
that
a
person
shall
contact
the
department
to
arrange
an
inspection
prior
to
removing
a
harvested
bear
from
a
bear
zone.
B
Thank
you
both
today
for
being
with
us,
there
are
staff
amendments.
Is
there
a
motion
for
approval?
B
There
is
a
motion
and
there
is
a
second
without
objection.
Are
there
any
questions
from
the
members?
We
will
go
first
to
representative
marzian.
H
Thank
you,
mr
chair,
on
the
removing
of
the
bear
quotas.
What
is
the
quota
now
and
how
long
will
the
season
be.
J
The
season
varies,
so
we
have
all
that
information
listed
on
our
website,
currently
right
now
for
the
chase.
Only
if
you,
if
you're
looking
at
bear
chase
that
will
be
finished
september
30th
and
then
to
hunt
with
dogs
it's
late
october,
okay
and
that
will
be
updated
once
this
regulation
takes
effect
and
then
archery
and
crossbow,
and
then
additionally,
firearm
would
be
different
once
this
takes
effect
as
well.
J
Check
back
for
current
information,
so
I
think
that
the
quota
would
be
changed
in
this
regulation.
Let
me
look.
K
Previously
it
had
been
a
quota
system
where
a
certain
number
of
bears
are
killed
in
in
the
season
within
the
particular
bear
zone,
and
that
would,
at
the
end
of
that
day,
would
would
end
the
season.
Now
we're
going
to
a
more
normal
standard
season
like
anything
else
where
there's
not
a
set
number
of
animals
that'll
be
taken,
but
rather
the
season
will
be
open
for
the
time
period,
which
is
a
lot
been
more
beneficial
to
our
hunters
and
sports
men
and
women.
So
they
can
plan
better.
B
And
if
I
let
me
just
follow
up
on
that,
I
I
think
probably
what
representing
marzian
might
have
been
referring
to
there
was
that,
once
that
quota
would
be
met,
a
lot
of
people
wouldn't
know
that
that
quota
was
met
at
that.
That's
that
that
specific
time,
because
it
was
a
certain
amount,
am
I
correct
on
that.
K
Correct
and
we're
moving
away
from
that
this
with
this
change
previously,
you
had
to
call
in
right.
L
Yeah
switching
gears
a
little
bit.
Could
you
just
give
us
a
brief
update
on
the
30-second
update
on
the
chronic
wasting?
What's
going
on?
There
are
any
changes
there,
any
we,
not
the
regulation,
but
right
on
the
ground.
J
H
Hi,
thank
you
for
being
here
today.
I
just
have
a
question
in
regards
to
hauling
of
carcasses
in
the
sealed
containers:
that's
referenced!
How
do
you
plan
to
monitor
that?
I
mean
it
seems
reasonable
that
there
could
be
a
violator
dump
something
somewhere
and
then
we
have
cwd
in
kentucky.
So
I
just
wanted
to
get
your
thoughts
on
that.
K
That
that
is
a
aspect
of
it
that
we
are
concerned
about.
Is
people
violating
the
law
that
we
have
our
law
enforcement
enforcement
officers?
That
will
be
patrolling
and
if
you
see
somebody
driving
during
deer
season
with
a
cooler
and
it's
leaking
out,
we're
gonna
be
concerned
about
that
and
hopefully
be
able
to
avoid
that
sort
of
situation.
K
The
we
had
some
concerns
on
the
commerce
clause
on
being
able
to
ratchet
it
down
any
further
than
this.
We
had
to
avoid
any
impact
on
commerce
through
the
other
states.
J
Also,
I
think
it's
we
really
tried
to
even
say
spill
proof
leak
proof.
J
So
they
were
willing,
at
least
in
the
cw's
d
zone.
Last
year
they
were
willing
to
comply,
and
are
you
know
pretty
positive
about
the
things
that
we
have
done
so
far
as
a
department?
So
I
think
we
did
try
to
be
specific
in
that
in
respect
to
the
commerce
clause,
but
also
you
know,
our
field
staff
and
our
conservation
officers
are
just
really
getting
that
message
out
in
the
public.
B
Senator
yates,
you
sure
you
don't
want
to
ask
about
the
waterfowl
hunting
with
a
crossbow.
J
It's
not
many,
not
many
at
all.
We
just
we
did
have
a
few
requests
from
people
who
live
in
urban
areas
and
are
limited
because
they
can't
use
a
firearm
and
there's
urban
geese
population
problems.
So
it
is
removing
that
restriction,
but
it
is
also
in
compliance
with
the
u.s
fish
and
wildlife
service.
So
we're
not
going
against
anything
that
u.s
fish
and
wildlife
would
allow.
B
Okay,
as
a
former
fish,
and
wildlife
I
was
just
wondering,
is
that
is
that
something
that's
becoming
really
popular
hunting
migratory
birds
with
with
a
crossbow,
but
thank
you
all
for
being
here
today
for
your
time.
We
appreciate
it.
Thank
you
all
and
the
good
good
answers
on
the
questions.
B
Good
afternoon,
mr
quarles,
thank
you
today
for
being
with
us.
There
is
a
staff
amendment
or
there
are
staff
amendments
to
these
regulations.
Is
there
a
motion
and
a
second,
there
has
been
a
motion
in
a
second
without
objection,
it
is
so
ordered.
Are
there
any
questions
from
any
of
the
members
today
appearing
to
be
no
questions?
Thank
you,
sir,
for
your
time
today.
Please
call
the
next
regulation
at
this
time.
D
B
H
B
Thank
you
captain
for
being
with
us
today
and
sparker.
Thank
you
very
much.
There
are
staff
amendments
to
these
regulations.
Is
there
a
motion?
Please
there
is
a
motion
in
a
second
without
objection
it
is
so
ordered.
Are
there
any
questions
from
the
members
of
the
subcommittee
today.
B
B
F
739
kr
2070
amends
to
update
the
agency
name
to
the
kentucky
fire
commission
update
definitions,
increase
the
maximum
loan
amount
from
75
000
to
125
000
increase
the
loan
period
from
12
to
15
years,
remove
outdated
and
unnecessary
procedures
and
update
material
incorporated
by
reference.
The
staff
suggested
amendment
amends
various
sections
to
comply
with
keras
chapter
13,
a
the
agency
amendment
amends
section
5,
6
and
7
to
delete
references
to
or
75
percent
for,
consistency
with
the
change
of
the
maximum
loan
amount
to
125
thousand
dollars
and
updates
material
incorporated
by
reference
for
consistency.
B
Again,
gentlemen,
thank
you
all
today
for
being
here
with
us.
There
are,
or
there
is,
a
staff
amendments.
There
is
a
staff
amendment.
Is
there
a
motion
for
approval?
There
is
a
motion,
and
there
is
has
been
a
second
without
objection
is
so
ordered.
There
is
also
an
agency
amendment.
Is
there
any
discussion
on
this
agency
amendment.
B
There
appears
to
be
no
discussion.
Is
there
a
motion
for
approval,
there's
a
motion,
for
there
has
been
a
motion
and
a
second
for
approval
without
objection
or
disordered.
Are
there
any
questions
on
this
regulation
for
any
of
the
gentlemen
appearing
to
be
none?
Thank
you
all
for
your
time
today.
Please
call
the
next
regulations
this
time.
N
787-2040
men's
workforce
development
area
provisions
to
establish
standards
for
dissemination
and
implementation
of
policies
and
guidance
issued
by
the
kentucky
workforce,
innovation
board
staff
suggested
amendments
were
approved
at
the
july
14
meeting
of
this
subcommittee.
The
agency
amendment
relates
to
the
relates
the
agency.
Amendment
amends
the
relates
to
paragraph
and
section
8
to
clarify
that
this
regulation
shall
not
prohibit
coordination
between
the
kentucky
workforce,
innovation
board
and
the
kentucky
education
workforce
collaborative.
B
Pardon
me
there
for
just
a
moment:
there
are
staff
amendments.
Is
there
a
motion
for
approval?
There
is
a
motion
and
there
is
a
second
without
objection.
It
is
so
ordered.
There
is
also
an
agency
amendment
with
this.
Is
there
any
discussion
on
the
agency
amendment
there?
Is
there
a
motion?
Please
there
is
a
motion
in
a
second
without
objection
or
disorder.
B
Are
there
any
questions
from
any
of
the
members
senator
west
go
ahead,
sir?.
L
Thank
you,
mr
chairman.
Yes,
I
believe
it's
787-2040.
L
This
is
the
regulation.
I
think
it
was
last
month.
It
was
here
two
months
ago,
two
months,
I'm
sorry,
I
lose
track
of
time,
but
you
guys
are
going
to
meet
with
supposed
to
meet
with
senator
higdon
correct
and
my
understanding
is,
you
have
he's
approved
this,
and
everything
is
that
is
okay
and
okay.
Yes,.
K
B
F
F
Additionally,
791
kr1025
amends
without
making
changes
to
the
fee
structure,
to
address
the
location
of
the
fee
structure
for
initial
and
annual
renewal
license
applicant
application
fees
for
resident
and
non-resident
commercial
driver
licensed
training.
Schools,
791
kar
1030,
amends
to
add
the
word
agent
in
section
6
of
the
regulation
for
consistency,
791
kr1035,
it
means
to
require
students
eligible
for
reimbursement
to
receive
funds
from
the
surety
bond
or
other
collateral.
F
Before
filing
a
claim
against
the
student
protection
fund,
791
kr1060
amends
to
change
the
deadline
to
renew
a
school's
license
from
may
15
of
each
year
to
45
days
before
the
expiration
of
the
current
license.
791
kr1070
amends
to
require
electronic
submission
of
passport
sized
photographs
for
instructor
applications
and
changes.
Terminology
from
temporary
license
for
instructors
to
a
conditional
license.
F
F
791
kr1150
amends
to
align
the
regulation
with
the
language
used
in
cares,
chapter
165a
by
permitting
other
types
of
collateral,
as
approved
by
the
commission
for
surety
bonds.
791
kr01
155
amends
to
provide
that
if
a
school
closes,
the
school
shall
range
with
another
school
or
schools
to
provide
teach-out
options
for
students
who
may
need
that
service.
In
an
effort
to
protect
students
enrolled
at
the
closing
school
791
kr1160
amends
to
allow
the
executive
director
to
provide
a
conditional
approval
of
applications
until
submitted
to
the
commission
for
final
approval.
B
N
803
25089
emergency
updates
to
the
2022
kentucky
workers,
compensation
schedule
of
fees
for
physicians.
The
staff
suggested
a
momentum
in
section
5
to
comply
with
krs
chapter
13,
a
803
25
195
establishes
workers
claims
utilization,
review
procedures
for
injured
workers.
The
amended
after
comments
version
adds
a
definition.
N
Clarifies
definitions,
clarifies
claim
selection
criteria,
revises
deadlines,
clarifies
peer-to-peer
conference
provisions,
clarifies
licensure
requirements
for
an
initial
utilization
review
and
establishes
that
only
a
physician
may
approve
denials.
The
staff
suggested
a
momentum
in
various
sections
to
comply
with
keras
chapter
13a
and
I'm
in
section
7
to
clarify
that
written
notice
of
denial
requirements
apply
to
pre-authorization
requests.
B
L
Thank
you,
mr
chairman,
as
you
might
guess,
my
question
pertains
to
the
second
rag
here.
25
195.,
as
you
know,
there's
been
a
little
bit
of
back
and
forth
with
this
committee
and
then
this
set
of
regulations.
So
we
we,
we
don't
have
a
new
medical
director
in
here
clearly,
but
if
you
could
just
briefly
flow
us
through
how
a
claim
goes
just
briefly,
and
then
what
how
does
this
change
that?
Okay,
I.
M
Guess
you
go
ahead.
Okay,
well
long
story
short
is
to
have
a
little
background
to
it.
Let's
say
it's
a
pre-authorization
request
from
a
from
a
physician
that
pre-authorization
request
automatically
has
to
go
through
what
we
call
utilization
review
right
right.
M
So
it
goes
to
a
reviewer
that
reviewer
then,
has
a
certain
number
of
days
two
days
actually
to
actually
accept
or
deny
that
for
payment
if
they
should
deny
it
first
off
again
the
reviewer,
who
may
or
may
not
be
a
physician
at
that
point
it
can't
be
denied
unless
it
actually
is
a
physician
so
that
initial
reviewer
can
approve
it,
but
they
can't
deny
it.
But
if
so,
if
there's
going
to
be
a
denial,
there
has
to
be
a
physician
to
make
that
denial.
M
M
Then
a
second
reviewer
looks
at
it
and
that
second
reviewer
is
to
be
of
the
same
qualifications
as
the
requesting
physician.
That
requesting
physician
can
also
request
what
we
call
a
peer-to-peer
conference.
That
means
you
actually
get
to
talk
to
somebody
and
when
they
do
that,
then
they
designate
a
time
and
date
that
they're
going
to
be
available
and
then
hopefully
the
two
of
them
can
talk
and
work
this
out.
If
they
don't
get,
it
talked
and
worked
out.
M
L
H
M
It's
largely
the
same
thing:
there
were
a
few
things
that
happened
after
we
filed
the
emergency
regulation.
The
the
supreme
court
issued
an
opinion
that
said
that
you
have
to
be
a
a
physician
who's
licensed
in
kentucky
to
do
one
of
these
opinions
and
well
not
just
this
opinion.
It
was
actually
in
a
different
area,
but
let
me.
L
Let
me
help
you
back
up
so,
okay,
that's
this
is
the
the
general
reg
that's
taking
the
place
of
the
e-wreck,
we're
moving
on
from
an
e-reg,
correct,
correct,
I'm
talking
about
before
the
e-rate
190.
M
This
is
basically,
if
you
will
largely
what
was
I'm
sorry
before
that
before
the
medical
director
version,
if
that
makes
sense,
and
then
we've
added
a
few
other
things
to
other
things,
primarily
one
is
the
peer-to-peer
process,
because
that
was
included
in
regulations
for
the
treatment
guidelines
and
the
formulary,
so
we
just
kind
of
make
them
work
together.
That's.
L
Another
it's
adds
a
step,
but
it's
another
step
that
allows
for
an
agreement
or.
M
It's
really
part
of
the
second
step
you
can.
You
could
just
ask
for
reconsideration
and
not
ask
for
peer-to-peer
and
and
that's
okay,
but
if
you'd
like
to
talk
to
the
doctor
who's
done
the
review
and
denied
it.
Then,
as
the
treating
physician
you
get
to
ask
for
that
peer-to-peer
conference,
so
yeah.
I
L
H
Wes,
that's
exactly
what's
designed
to
do
that.
Instead
of
before
the
peer-to-peer,
we
would
have
two
sides
not
talking,
and
actually
they
maybe
actually
have
a
basis
for
an
agreement.
I
know
as
a
practitioner
doing
comp.
That
would
sometimes
happen
saying
I
just
couldn't
talk
to
the
doctor
and
we
need
to
talk
to
explain
the
background.
The
goal
of
this,
the
overall
goal
of
it,
of
course,
is
to
get
medicals
provided
to
the
claimant
that
a
reasonable,
necessary
and
expedited
way.
E
You,
mr
chair,
appreciate
you
guys
being
here
and
my
only
question
in
reading
it
to
see
how
it
plays
out
in
the
event
that
the
physician
that
has
made
the
request
to
do
a
peer-to-peer
discussion.
If,
if
that
is
not
picked
up,
if
they
do
not
participate
in
that
peer-to-peer,
then
it
is
approved
automatically.
Is
that
or
is
what
is
the
next.
M
Step
if
the
reviewing
physician
does
not
participate
at
the
date
and
time
without
good
cause,
there's
kind
of
a
an
escape
clause.
If
you
will
there,
then,
yes,
it
would
be
automatically
approved
for
payment.
M
No,
that
one
is
longer
you
in
and
it
varies
and
I'm
not
trying
to
hesitate,
but
if
there
was
additional
information
required
or
if
there
was
a
peer-to-peer
conference,
then
it's
two
days
after
the
conclusion
of
whichever
that
is
there's.
B
Anyone
else
I
know,
we've
had
a
lot
of
discussion
on
this
in
the
past
and
a
lot
of
back
and
forth,
and
some
of
that
quite
controversial
discussion,
but
thank
you
all
for
working
this
out
and
coming
to
something
that
we
can
all
be
comfortable
with,
and
I
just
want
to
personally
say
thank
you
all
for
that.
Thank.
H
B
F
806
kr9025
amends
to
update
provisions
in
accordance
with
house
bill
91
from
the
2022
regular
session,
which
required
administrative
bodies
to
issue
or
renew
regular
occupational
licenses
to
spouses
of
active
duty
members
of
the
armed
forces
without
payment
of
fees
or
dues.
806
kr
17585
establishes
the
mental
health
parity
comparison
report
form
and
related
reporting
requirements.
B
F
A
I
These
regulations
are
being
amended
to
adopt
the
newest
edition
of
the
2018
kentucky
building
code,
which
includes
definitions
and
guidance
for
controlled
environment,
agricultural
facilities,
ad
examination
requirements
establish
non-refundable
exam
fees,
incorporate
by
reference
to
hvac
examination.
Registration
form,
add
language
regarding
the
exclusive
jurisdiction
of
the
state
fire
marshal
over
facilities
licensed
by
the
kentucky
cabinet
for
health
and
family
services.
An
ad
language
that
allows
a
fire
a
local
fire
chief
to
request
authority
from
the
state
fire
marshal
for
the
inspection
and
enforcement
responsibility
for
licensed
facilities.
B
Commissioner,
rand
and
deputy
commissioner
fuller.
Thank
you
all
nice
to
see
you,
gentlemen.
Today
there
is
a
staff
amendment.
Is
there
a
motion
for
approval
of
the
staff
amendment?
There
is
a
motion
in
approval
without
objection
to
disorder.
Are
there
any
questions
from
members
of
the
subcommittee.
B
F
F
B
There
is
a
staff
amendment
for
the
the
regulations
here.
Is
there
a
motion?
Thank
you.
Senator
you
got
that
one
in
before
representing
marzian
got
that
one
in
today.
So
we
do
have
a
motion
and
a
second
without
objection
to
disordered.
Are
there
any
questions
for
ms
brooks
today
appearing
to
be
no
questions?
Thank
you
for
being
with
us
today.
Please
call
the
next
regulation.
Thank
you.
D
907
1065
emergency
amends
to
incorporate
the
29
dollar,
pin
reimbursement
increase
and
clarifies
how
this
additional
funding
will
be
reflected
in
future
nursing
facility
rates.
907
23020
amends
to
allow
certain
substance
use
disorder
drugs
to
receive
additional
dispensing
fees
per
month.
It
updates
340b
data
tracking
measures.
D
It
removes
cost-sharing
requirements
in
accordance
with
2021
regular
session
senate
bill
55,
and
clarifies
that
both
in-house
and
contract
340b
pharmacy
reimbursements
do
not
include
the
340b
ceiling
price
and
the
lowest
of
logic
methodology.
The
staff
amendment
amends
various
sections
to
comply
with
krs
chapter
13a.
B
Thank
you,
mr
scott.
Maybe
they
all
left
because
you
were
coming
to
the
table,
I'm
not
sure.
Maybe
it
wasn't
miss
brooks,
but
there
is
a
staff
amendment
for
this
amendment
or
this
regulation.
Is
there
a
motion?
L
Thank
you,
mr
chairman.
This
go
into
the
fee,
the
29
fee.
What
was
the
fee
before
the
pandemic?
We've
got
the
pandemic
related
fee
and
then
going
forward.
What
what's
it
going
to
be?
The
reason
I'm
asking
this
question
I
do
know
we
had.
L
O
So
the
the
29
fee
is
that
this
is
the
29
fee
that
was
added
in
the
budget,
and
so
now
we
are
going
to
going
forward.
We're
going
to
add
that
29
fee
into
the
annual
rate.
You
know
into
the
rates
that
are
paid
to
the
nursing
homes
on
an
ongoing
basis.
So
we're
just
incorporating
that
so
this
reflects
kind
of
the
the
movement
from
the
pandemic,
related
fees
into
just
kind
of
the
ongoing
operation
of
these
of
nursing
facilities
going
forward.
L
L
C
So
first
of
all,
thanks
for
incorporating
this,
this
is
a
lifeline
for
a
lot
of
our
nursing
homes
that
would
have
assuredly
gone
under
if
they
didn't
have
that
extra
29
still
not
enough
for
what
they
need,
but
it
kept
them
afloat,
and
so
it's
it's
going
to
help
the
cost
of
practicing
medicine
is
increasing
all
the
time,
and
so
often,
if
the
reimbursements
don't
go
up,
people
think
well
you'll,
just
make
it
with
what
you've
got
and
that's
why
you
don't
see
a
lot
of
primary
care
offices
opening
up
and
it's
having
to
be
part
of
big
corporate
areas,
because
just
you
just
can't
make
it
on
the
same
reimbursements
we've
had
in
the
past.
C
So
it's
much
needed
on
the
outpatient
pharmacy
program.
I
think
this
we've
discussed
this,
I
think
privately
as
well.
This
is
this
is
a
hot
topic,
obviously
with
a
lot
of
our
mit
providers
about
the
reimbursements.
Could
you
describe
what
this?
How
this
is
going
to
look
now
because
what
happens
in
an
mit
clinic
if
someone
comes
in
and
gets
a
prescription
for
suboxone,
for
example,
when
they're
being
inducted
on
this
medication,
they
have
to
come
back
within
a
week,
get
drug
drug
tested
and
they
only
get
a
prescription
for
a
week.
C
At
a
time
the
pharmacists
say
well
we're
having
to
fill
that
every
time
we
should
get
the
same
dispensing
fee.
We
were
talking
about
just
doing
it
on
a
monthly
basis,
not
on
a
weekly
was
a
huge
debate,
so
this,
I
think,
addresses
that.
Could
you
just
let
us
know
how
this
is
going
to
be
handled
now?
That's.
O
Correct
going
forward,
especially
for
mat
drugs
that
meet
that
standard
of
care
where
they're
coming
back
every
every
week
when
getting
a
new
prescription,
there's
going
to
be
a
dispensing
fee,
that
that
should
be
a
a
good
help
to
a
lot
of
our
some
of
our
more
specialized
pharmacies
that
are
that
are
really
serving
the
mat
population
that
is
coming
in
every
week.
So
we're
we're
hopeful
that
that
the
additional
dispensing
fee
will
allow
those
pharmacies
to
remain.
O
You
know
in
business
and
be
able
to
continue
serving
this
population,
so
it
was
a
we.
We
were
happy
to
to
see
that
incorporated
into
the
reg
when
we
were
able
to
refile
earlier
this
year.
C
O
It's
it's
10.64.
I
think
there
may
be
some
interaction
between
whether
it's
going
to
be
called
a
professional
service
fee
or
a
professional
dispensing
fee
as
we
go
through
the
month
there
there
may
be
some
times
when,
when
the
pharmacist
or
pharmacy
provider
is
just
being
paid
for
their
expertise
when
they're
interacting
with
the
recipient.
That's
this
coming
in,
but
I
believe
that
you
know
it'll
either
be
called
a
professional,
dispensing
fee
or
professional
service
fee
when
they
come
in.
But
it's
it's
going
to
be
that
1064..
So.
C
B
Thank
you,
senator
alvarado,
good,
good
comment
and
good
question
anything
else.