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The last minutes of the livestream were cut off. This is a re-upload containing the last minutes of the meeting.
A
A
B
President
in
the
room,
thank
you.
Okay,
we
do
have
a
quorum
and
duly
constituted
to
do
business.
I
would
entertain
a
motion
to
approve
the
minutes
from
the
november
10th
2021
meeting
motion.
We
have
a
motion
from
representative
blanton
to
have
a
second
senator
nemes.
All
those
in
favor,
please
signify
by
saying
aye,
pose
no
motion
carries
minutes
are
approved
before
we
get
started
on
the
agenda
today.
B
I'm
I'm
going
to
take
a
couple
minutes
and
then
I'm
going
to
ask
senator
howe
to
to
also
give
us
an
update
on
on
what's
going
on
in
his
district
in
relation
to
the
storm.
So,
as
you
all
know,
our
districts
join.
I
have
marshall,
which
was
the
main
county
that
was
affected
during
the
tornadoes
in
my
district
and
also
my
home.
I
actually
live
in
benton.
B
The
tornado
missed
us
by
about
a
mile
and
a
half.
Maybe
so
we
were
very
fortunate
did
do
some
damage
within
bitten
itself,
but
the
main
damage
came
in
the
eastern
part
of
the
county
neighborhoods
there,
some
pretty
major
devastation
more
confined,
though,
perhaps
than
what
we
had
in
the
east
end
of
the
county
out
on
kentucky
lake
cambridge
shores,
and
there
were
houses
hit
in
between
and
businesses
hit
in
between
those
two
locations.
B
There
is
a
small
army
down
in
our
part
of
the
state.
Now
the
logistics
is
becoming
the
challenge.
Now
millions
of
dollars
are
pouring
in
either
through
the
state's
relief
fund
or
the
count
that
the
the
governor
set
up
and
and
then
also
some
of
the
local
counties,
have
set
up
funds.
So
we
do
have
money
coming
in
the
state
parks
are
opened
as
the
governor
ordered
he
and
we
were
able
to
get
volunteers
really
more
than
they
can
use
at
this
point.
B
So
those
efforts
are
going
very
well
red
cross,
fema
organizations
from
all
over
this
country.
Are
there
feeding
and
taking
care
of
our
people,
and
you
know
for
my
district
and
I'll.
Let
jason
speak
for
his
district.
I
cannot
thank
the
people
of
this
state,
the
people
of
this
country
enough
for
what
they
they
have
done
for
our
community.
B
B
I
cannot
say
enough
good
about
what
they've
done
and
and
the
not
just
the
counties
in
in
the
commonwealth
that
came
to
assist
but
counties
in
other
states
that
came
to
assist
and
very
professionally
handled
through
our
fire
department
at
east
marshall
and
actually
one
of
their
facilities.
One
of
their
fire
departments
was
destroyed
during
the
storm,
so
so
they're
dealing
with
all
of
that
and
then
coordinating
all
the
the
search
and
rescue
efforts.
B
C
Yeah
sure,
thank
you,
mirror
and
repeat
everything
danny
just
said
this
is
a.
This
is
organized
chaos.
Quite
candidly
in
my
district,
it
hit
four
of
my
six
counties,
fulton
hickman
graves
and
lyon,
and
had
to
pass
through
danny
to
get
there,
but
it's
just
intimidating
is
the
only
way
I
I
know
to
put
it
what
the
destruction
looks
like
danny
mentioned,
the
local
people,
the
local
people
in
graves
county.
C
They
were
downtown
in
the
midst
of
all
of
that
rubble,
sorting
things
out
and
putting
some
order
together
in
the
dark
friday
night.
It's
it's
hard
to
explain.
I
left
the
other
day,
I'm
in
mayfield
two
or
three
times
a
week
and
have
been
for
15
years,
and
I
got
lost
getting
out
of
downtown
because
because
there's
no
landmarks,
it's
ju.
It's
just
incomprehensible
to
see
the
extent
of
this
damage
and
the
power
that
it
happened
with
it
turned
over
loaded
rail
cars
that
weigh
roughly
146
tons
loaded.
C
So
you
kind
of
you
kind
of
it's
almost
like
you
make
soup
with
it.
You
bring
everything
to
the
fairgrounds
and
everybody
comes
in
and
gets
what
they
need
with
kind
of
centralized
processing.
It's
rough,
it's
rough
for
a
lot
of
people.
There
are
a
lot
of
people
that
are
are
associate
that
are
affected
in
this
and
associated
in
many
different
ways,
and
the
impact
is
going
to
last
a
long
time.
C
It's
going
to
take
parts
of
our
of
our
district
a
couple
of
years
to
work
through
this
and
we're
going
to
have
downstream
issues
that
that
leave
a
mark,
there's
not
going
to
be
ways
to
get
people
back,
employed
are
places
to
house
them
and
you
need
both
of
those
you
can't
have
one
without
the
other.
Some
of
these
businesses
won't
be
back
up
and
running.
This
time
next
year,
we're
we're
going
to
have
we're
going
to
have
a
lot
of
downstream
problems.
C
After
all,
after
all,
the
cameras
leave
mayfield
kentucky
people
still
going
to
be
trying
to
put
their
lives
back
together,
and
it's
going
to
it's
going
to
take
a
long
time.
It'll
take
a
couple
of
years,
at
least
to
get
to
to
to
sort
through
all
of
this
stuff
and
get
regain
some
sort
of
normalcy
for
everybody.
So
as
much
as
we
appreciate
everybody's
time
and
attention
now,
please
be
with
us
for
the
long
haul,
because
this
isn't
going
to
be
over
when
society's
attention
span
leaves
this
issue
and
moves
on
to
the
next
thing.
B
Thank
you,
senator
howe.
Are
there
other
members
either
present
or
joining
us
remotely
that
have
districts
that
were
affected?
That
would
like
to
give
an
update
and
me
personally,
you
know
we
we
were
out
power
and
phone
service
was
sketchy.
So
for
a
few
days
I
didn't
get
much
information
at
all.
So
I'm
interested
to
hear
representative
beckler,
please
go
ahead,
sir.
D
Thank
you,
mr
chairman,
I
represent
the
district
out
west
and
one
of
the
counties
I
represent
is
caldwell.
County
caldwell
county
was
hit
extremely
hard
in
certain
areas.
Caldwell
county.
I
actually
have
constituents
with
the
dawson
springs
address,
and
there
were
five
deaths
out
there
in
in
caldwell.
D
The
area
was
was
decimated.
I
can't
add
anything
more
to
what
has
been
said
about
the
the
help
and
and
what
the
devastation
looks
like.
Also
in
caldwell
county,
there
were
several
subdivisions
that
were
just
almost
totally
destroyed
and
the
uk
research
center
is
located
in
princeton
kentucky
and
it
was
essentially
leveled
the
new
building
that
just
went
up.
It
was
just
you
know,
ribbon
cutting
and
everything
about
a
year
ago,
it's
gone,
the
fields
are,
the
crop.
Fields
were
were
damaged.
D
I
think,
there's
probably
still
some
animals
that
haven't
been
accounted
for,
that
are
kind
of
running
loose,
so
it
was
terrible.
I've
had
a
number
of
people,
of
course,
reach
out
to
me,
had
somebody
as
far
away
as
central
minnesota,
who
has
heavy
equipment
and
wants
to
come
down
and
help.
So
the
response
we've
had,
as
was
mentioned
not
just
from
the
the
commonwealth
but
from
all
over
the
country,
has
just
been
wonderful
on
the
way
to
the
capitol
today.
D
For
this
meeting
and
other
meetings
that
I
have
sun
army
convoy
going
down
the
road,
so
they
are
they're
they're
prime
they're
helping
and
we
just
need
everybody's
prayers
and,
like
senator
hall,
said
once
the
immediate
news
moves
on
to
something
else.
We'll
still
need
everybody's
help.
So
thanks
to
everyone
and
thanks,
mr
chairman,.
B
B
I
plan
to
follow
bill
this
session
that
will
enhance
penalties
for
crimes
that
are
committed
during
states
of
emergency
when
the
crime
has
to
do
as
related
to
that
emergency.
I've
had
that
request
from
law
enforcement
in
my
area,
because
we're
already
starting
to
see
those
issues-
and
I
know
the
ag's
office
will
be
very
mindful
and
we
will
be
monitoring
price
gouging
in
those
areas
to
make
sure
that's
not
happening.
B
The
fund
that
we
have
set
up,
I
think,
was
done
through
executive
order.
So
I
think
we
probably
need
to
look
at
codifying
that,
so
we
can
put
parameters
on
it
and
make
sure
that
we
have
the
ability
to
take
funds
in
outside
funds
to
build
that
account
up.
So
we
have
those
funds
available
when
we
do
have
natural
disasters
within
the
commonwealth.
B
B
What
we
do
receive
is
just
basic
numbers
without
any
detail,
justifying
the
the
early
release
as
far
as
what
good
time
that
in
particular,
inmate
had
earned
or
was
given,
and
I
would
have.
I
would
look
at
this
point
that
we
will
be
utilizing
the
subpoena
power
of
this
committee
to
get
those
records.
B
So
it's
a
little
concerning
that
we're
having
so
much
difficulty
getting
that
information,
but
that's
why
we
changed
this
committee
to
be
able
to
issue
those
subpoenas
and
folks
are
gonna
answer
for
for
why
they
have
not
given
us
that
information
and
also
answer
with
an
expectation
that
we
do
get
that
information.
So,
but
there
was
some
miscommunications
we'd
hope
to
have
the
commissioner
or
the
secretary
here
today.
But
that's
that's
not
going
to
happen.
B
The
next
item
of
business
that
we
have
has
to
do
with
the
contracts
that
have
been
issued
during
the
pandemic,
dealing
with
testing
and
vaccine
and
what
we
really
wanted
department
of
health
to
do
is
just
kind
of
give
an
overview
of
how
these
contracts
were
done.
What
rules
as
far
as
procurement
that
process,
I
know
with
the
with
a
declared
emergency
that
there
were
probably
some
changes
in
that
process,
but
just
to
get
to
understand
that
better
in
who
got
the
contracts.
E
E
E
Seeing
the
communities
the
damage
and
others
have
already
very
adequately
described,
that
the
devastation
that
this
represents
for
the
communities
as
sad
as
that
all
is,
it
really
is
inspiring
to
see
people
coming
together,
so
folks
are
all
pitching
in
helping
each
other
out
and
already
starting
the
process.
So
I'm
sure
what
the
governor
and
others
saw
them
the
first
morning
looked
very
different
from
what
I
saw
in
morning.
Four,
the
cleanup
efforts
have
been
heroic
and
people
are
clearly
pulling
together
so
we'll
get
through
this
and
and
the
communities.
E
Clearly
are
a
resource
and
support
for
each
other,
and
public
health
is
here
to
support
those
communities
in
the
weeks
and
the
months
ahead,
as
we
address
other
issues
to
your
specific
question,
mr
chair,
as
I
understand
it,
it
would
be
to
explain
sort
of
the
journey
we've
been
on
a
little
bit
for
how
we
have
used
the
resources
that
were
available
and
obtained
partners
in
providing
testing
and
vaccination
services
throughout
the
pandemic.
Is
that
a
reasonable
summary.
E
Well,
thank
you
so
so
remember
when
this
started
back
last
year
in
the
early
part
of
2020,
there
was
no
test
available
and
in
fact
the
only
place
in
the
country
who
could
do
the
testing
with
cdc
in
atlanta
and
then
late
february
march.
We
were
able
to
do
a
very
small
volume
of
testing
at
the
state
public
health
lab,
and
that
was
the
only
place
in
kentucky,
could
provide
the
test.
As
we
went
deeper
into
march
and
really
the
beginning
of
april
and
beyond.
E
E
E
I
think
really
because
of
the
the
really
intense
efforts
of
the
people
at
that
particular
laboratory
and
I'm
proud
to
say
it's
a
kentucky
laboratory
that
was
doing
this.
We
partnered
up
with
kroger
corporation
who
then
volunteered
their
services.
They
didn't
charge
the
commonwealth,
and
you
may
remember,
we
did
widespread
high
volume
testing.
There
were
drive-through
sites
in
a
lot
of
different
places
and
so
gravity
processed
all
those
tests
and
kroger
provided
the
clinical
staff
and
the
registration
services,
and
we
went
through
multiple
months
where
that
was
the
primary
way
people
could
access
testing.
E
There
really
were
no
other
places
to
get
it,
except
for
health
departments
where
we,
we
also
have
some
of
the
the
departments
that
were
able
to
set
up
their
own
drive-through
testings.
There
are
a
number
of
health
departments
that
really
distinguish
themselves.
Christian
county
did
a
particularly
fantastic
job,
setting
up
high
volume,
drive-through
sites
processed
and
lots
and
lots
of
folks
for
testing,
and
so
that
was
the
first
contract.
E
Other
labs
and
hospitals
began
to
have
access
to
resources
and
the
ability
to
offer
testing
of
different
types,
but
it
wasn't
consistent
or
uniform,
and
at
that
point
we
supported
hospitals
with
that
gravity
contract
so
that
they
could
provide
testing.
I
apologize,
I
don't
know
the
exact
number
off
the
top,
but
I
bet
at
some
point.
E
E
E
E
If
we
go
forward
in
time
from
there,
we
started
to
begin
to
get
access
to
antigen
testing
and
other
types
of
resources.
So
the
variety
and
ways
we
got
them
were
a
little
bit
different.
Sometimes
initially,
the
federal
government
gave
us
almost
1.3
million
of
these
little
binax
now
cards,
which
we
distributed
widely
throughout
the
state
for
people
to
use
and-
and
there
was
no
contract
with
that.
That
was
if
you
met
the
eligibility
criteria.
E
That's
got
to
cover
120
different
counties,
as
variable
as
as
ours
are
in
kentucky,
so
we
use
that
open
rfp
process
again
and
we
we
currently
have
25
or
more
labs
who
are
participating
in
that
program,
and
we
are
currently
testing
in
close
to
105
of
120
counties
right
now
and
we're
testing
at
just
under
1300
schools
across
the
commonwealth
and
again
that's
a
multi-provider
arrangement,
there's
25
vendors
who
are
in
it.
There
are
probably
nine
or
ten
who
are
doing
most
of
the
work.
E
There's
probably
details
in
there
that,
if
you
have
questions
I'm
happy
to
to
answer,
but
that
sort
of
gives
a
description
of
the
the
journey
for
testing
with
respect.
Oh
and
now,
I'm
sorry
most
recently,
the
federal
government
has
its
own
procurement,
where
they
were
able
to
get
discounted
rates
to
get
these
binax
now
cards
where
we
can
buy
a
box
of
40
for
200.
So
it's
five
dollars
a
test,
so
we
do
have
a
contract
with
through.
E
You
know
that
the
federal
government
has
made
available
to
be
able
to
purchase
those
binax
now
cards,
but
we
purchase
those
and
distribute
those
at
no
cost
to
sites
around
the
state
who
meet
the
eligibility
criteria
for
vaccination.
It's
it's
briefer.
There's
really
only
been
one
contract
that
had
two
iterations.
If
you
will,
there
was
the
first
contract
which
was
initially
done.
E
I
think
what
we
did.
We
had
a
number
of
vendors
who
offered
us
proposals
and-
and
if
there's
details
in
this
we'd
have
to
kind
of
go
into
it.
I
think
this
was
ultimately
done
under
emergency
procurement.
I
think,
but
at
least
three
different
vendors
who
offered
proposals
and
one
of
them
was
a
big
like
fortune
500
company.
One
of
them
was
another
established
testing
sort
of
company
and
then
the
third
one
was
the
one
we've
used,
which
is
wild
health,
which
is
here
in
kentucky.
E
The
other
companies
require
guaranteed
minimums.
So
if
they
set
up
a
site,
whether
one
person
or
a
thousand
people
went
through,
they
were
going
to
get.
You
know.
I
think
it
was
a
couple
hundred
thousand
dollars
a
day,
no
matter
how
many
people
did
or
didn't
show
up
it
put
much
of
the
risk
on
the
commonwealth
and
the
prices
were
quite
frankly
outlandish
and
the
pricing
that
wild
health
offered
required
no
guarantees.
E
E
In
addition
to
wild
health
and
of
course
I
don't
want
to
leave
out
here-
I
cannot
begin
to
emphasize
and
if
you
all
would
give
a
great
shout
of
gratitude
to
your
local
health
department
leaders,
they
have
been
enormously.
I
mean
they've
done
so
much
in
this
response.
Vaccinating
testing
contact,
tracing,
educating
and
forming
reassuring,
and
so
we
have
devoted
substantial
resources
to
supporting
local
health
departments.
At
one
point,
for
the
testing
part,
we
had
four
different
local
health
departments.
E
Kentucky
river
lincoln
trail
purchase
district
health
department
in
ashland
boyd.
Those
four
health
departments
stood
up
community-based
testing
and
we
specifically
sourced
them
or
resourced
them.
So
they
could
do
that
and
again
we're
allowed
to
contract
with
those
local
health
departments
differently,
because
they're
quasi
governmental
entities
so
again
there's
a
variety
of
means.
We
can
use
emergency
procurement,
open,
rfps
standard
rfps.
E
The
finance
cabinet's
currently
going
through
an
active,
regular
rfp
where
there's
competitive
bidding
and
people
are
all
going
to
make
their
proposals
and
they'll
go
through
that
process.
That's
in
in
the
process
right
now,
so
I
think
we've
used
a
variety
of
tools:
the
university
exclusions
moas
with
nonprofits
to
try
to
get
as
much
testing
as
efficiently,
equitably
and
hopefully
transparently
as
possible
to
the
people
across
the
commonwealth.
So
I'll
I'll
stop
there,
mr
chair
and
you
know,
be
available
for
any
questions
you
have
or
clarifications
you
desire.
B
E
E
Now
we're
going
to
get
the
federal
government's
buying
over
300
million
of
these
kind
of
things.
This
is
a
loom
which
is
one
brand.
Cuidalis
is
another
brand,
so
they're
going
to
buy
a
whole
bunch
of
these
different
point
of
care
tests
and
then
they're
going
to
distribute
those
directly
to
fqhcs
to
vulnerable
populations
like
nursing
homes
or
jails.
E
No,
so
I
just
did
one
of
these
before
I
went
down
and
visited
the
tornado
area
this
one
here,
you
you
download
an
app
for
your
smartphone
and
and
you
follow
it,
it
shows
you
a
little
video.
You
follow
the
instructions
you
swab
yourself
and
it
provides
in
15
minutes.
You
know
on
your
smartphone,
it
shows
you
your
positive
or
your
negative,
and
it
tells
you
what
to
do
these
here.
B
E
E
There
was
more
uncertainty,
we're
at
a
very
different
place
now,
so
we
all
know
codes
everywhere
right
I
mean.
Unfortunately,
it's
spread
everywhere.
It's
in
communities
all
around
we've
got
to
find
ways
to
normalize.
How
can
we
live
with
cobit
cobin
go
on
with
our
lives,
not
have
it
disrupt
us
the
same
way,
but
still
be
responsible,
so
we're
not
knowingly
infecting
people.
E
These
tests
are
not
as
reliable
as
a
pcr
test.
The
pcr
tests
almost
never
have
a
false
positive
and
almost
never
have
a
false
negative.
They
are
incredibly
sensitive
and
reliable.
These
tests
may
miss
people
who
are
either
very
early
in
the
illness
or
very
late
in
the
illness
when
the
viral
load
is
lower,
but
that's
okay,
for
what
we're
trying
to
do.
E
E
You
don't
have
covet,
because
if
you've
got
that
many
symptoms,
it
should
find
it
and
if
it's
negative
you're
not
likely
if
you've
collected
the
sample
raw
you're
not
likely
to
have
covalent
spreading
around,
you
probably
have
a
common
cold
or
something
else.
So
at
this
point,
if
we
make
these
widespread
available
at
a
very
low
cost
or
free,
then
the
whole
focus
changes.
It's
not
about
finding
every
single
person
who
has
the
disease.
E
E
B
E
Was
its
own
gravity
as
a
lab?
Does
its
own
thing
university
of
kentucky?
So
when,
when
we
did
this
arrangement
with
the
two
universities,
uofl
and
uk
uofl
said
hey,
if
you
can
just
help
support
our
staffing
costs,
you
know
to
collect
the
specimen
process,
it
inform
the
patient
we'd
rather
just
send
the
specimens
out
to
gravity
and
they
could
run
it,
and
so
we
did
it.
That
way.
With
uk
uk
said,
hey
we'll
just
take
care
of
it.
E
Ourselves
is
that
okay,
we'll
provide
the
full
service,
and
we
said
yes
and
the
way
they
ended
up
doing
it.
They
started
running
it
themselves
and
then
I
think
they
had
wild
health
started,
helping
them
and
then
wild
health
did
a
really
good
job,
and
so
they
ended
up
subcontracting
with
wild
health
to
provide
the
service.
So
that's
so
we
don't
have
a
direct
testing
contract
for
general
community
testing
with
wild
health.
It's
university
of
kentucky
and
and
they're
a
sub
to
uk
for
us.
E
Well,
so
we
had
these
three
different
companies.
One
of
them
was
a
big
disaster
relief
company.
Another
one
was
a
testing
company
out
both
out
of
state
but
but
really
large
enterprises
and
then
wild
health.
The
three
of
them
offered
a
proposal,
the
other
two
offered
unsolicited
proposals
and
then
wild
health
offered
one
and
we
lined
all
those
up
and
looked
at
the
cost
and
what
they
were
offering
and,
quite
frankly,
we
would
have
had
to
pay
a
fortune
to
those
other
two
companies
for
for
little
to
no
work
at
times.
E
If
people
didn't
show
up
so
wild
health
assumed
all
the
risk,
if
no
one
came,
they
had
already
demonstrated
their
ability
to
provide
services
through
testing
because
they
were
doing
that
in
a
variety
of
places
already,
and
they
were
a
local
in-state
provider
familiar
with
the
territory
with
the
workforce
and
state.
We
were
worried
some
of
those
other
vendors
would
over
promise
and
under
deliver
because
they
were
going
to
have
to
go
out
and
recruit
a
workforce.
I
think
we
all
know
how
hard
it
is
to
find
these
individuals
to
do
this
health
care
work.
E
B
B
E
B
Wild
health
is
becoming
a
competitor,
and
there
was
some
concern
about
that.
But,
as
I
understand
it,
the
rfp
has
been
opened
up.
So
a
any
physician
who
has
services,
maybe
where
they
go
into
business
industry,
to
provide
health
care
services,
they
would
have
the
ability
to
apply
to
be
a
provider.
Now
also,
is
that
correct.
E
E
So
there
is
an
open
rfp
for
pers,
for
you
know
for
entities
who
want
to
provide
testing
in
the
k-12
setting.
So
if
a
physician
office
wanted
to
provide
testing
specifically
in
the
k-12
testing,
yes,
that
rfp
is
still
open
and
they
can
still
do
it.
We
have
an
fqhc
in
eastern
kentucky
who's
doing
exactly
that.
We
have
an
fqhc
down
in
the
cumberland
lake
cumberland
district
area.
That's
doing
this,
so
we
have
fqhcs
who
are
doing
exactly
that,
sir,
and
are
providing
testing
in
the
schools
under
that
open
rfp.
E
Just
like
these
other
vendors,
we
have
testing
contracts
for
the
nursing
homes
for
long-term
care
facilities
and
if
a
physician
practice
were
able
to,
you
know
wanted
to
go
in
and
do
that
and
the
nursing
home
said
we
want
to
use
that
entity
as
our
partner.
They
could
apply
for
that.
But
I
want
to
be
honest
about
it.
I
mean
it'd
be
challenging
for
a
small
physician
office
to
provide
all
the
testing
to
like
a
nursing
home.
E
If
they,
you
know,
if
you
have
80
residents
and
all
the
staff
and
have
to
do
twice
weekly
testing,
but
they
could
apply
for
those,
but
in
general
they
we
don't
have
just
open
tests
per
se
to
go
and
test
anyone.
You
want
to
or
just
your
own
medical
practice
the
grant
requirements
have
required
us
to
make
it
available
to
the
general
public
for
anyone
who
wants
it
or
to
specific
settings
like
jails
or
nursing,
homes
or
schools,
so
that
the
rfps
are
described
for
the
population
that
the
funding
is
allowed
to
be
used.
For.
B
B
Do
you
feel
like
we
could
have
made
and
should
make
more
efforts
to
to
get
the
vaccines
to
primary
care?
Physicians
that
really
do
have
relationships
with
their
patients?
That
would
perhaps
make
them
much
more
comfortable,
taking
the
vaccine
hearing
it
from
their
own
doctor
and
being
administered
by
their
own
doctor.
E
Well,
having
people
with
their
own
doctor
senator
is
absolutely
a
high
priority
and
I
I'm
a
physician
and
practice
medicine
right
up
to
this
job.
So
absolutely
we
agree
with
that.
One
of
the
challenges
in
the
very
beginning,
if
you
remember
there
was
only
pfizer
and
moderna
and
the
pfizer
was
only
shipped
in
in
increments
of
1170
doses
and
we
might
only
get
13
or
14
000
doses.
So
that's
only
you
know
11
or
12
shipments.
So
so
it
was
not
possible
to
distribute
it
widely.
E
We
couldn't
even
get
it
to
all
the
hospitals
who
wanted
it
because
we
couldn't
break
it
down
and
separate
it.
The
moderna
was
a
little
easier,
but
not
much,
and
then
there
was
the
storage.
We
don't
have
those
problems.
Now
we
could
ship
the
folks,
I
think
the
biggest
impediment
now
is
a
lot
of
doctors,
so
doctors
offices
can
sign
up
and
we
have
doctor's
offices
who
have
signed
up.
We
have
over
600
individually
registered
vaccination
sites
in
the
commonwealth.
E
The
problem,
the
biggest
problem
is,
I
see
it
is
the
federal
government
because
they
have
solely
purchased
all
these
vaccines
and
distribute
them
at
no
cost
to
anyone
receiving
them
have
very
specific
requirements
that
a
vaccine
site
has
to
sign
in
order
to
participate.
It
requires
daily
and
or
weekly
inventory
reporting.
E
It
requires
reporting
your
your
doses
to
the
vaccine
registries
and
it
requires
very
strict
compliance
with
temperature
monitoring
and
other
things
for
the
vaccine
to
ensure
integrity
and
those
requirements
which
are
all
federal
are
actually
quite
burdensome,
and
so
I
think
a
lot
of
small
physician
practices
have
looked
at
that
and
said,
there's
no
way.
I
can
take
that
on
I'm
already
overrun
and
busy
as
it
is.
I
can't
take
it
on
so
that
is
an
impediment
and
we
continue
to
talk
with
the
medical
association.
E
You
know
in
other
professional
associations.
Certainly
fqhcs
and
rhcs
have
all
pretty
much
taken
this
up
and
are
doing
it,
but
senator
we,
we
agree
with
you.
We
need
to
get
this
better
and
better
into
doctor's
offices
so
that
regular
physicians,
who
patients
trust,
who
can
sit
down
and
answer
their
questions
and
help
them
to
feel
comfortable
with
their
own
personal
choice,
can
have
that
dialogue
with
them,
so
we're
aligned
in
that.
It's
it's
just
that
the
federal
requirements,
I
think,
are
difficult
for
versus
smaller
operations
to
comply
with.
F
You
thank
you,
mr
chairman,
dr
stock
up
a
quick,
a
quick
question.
I
know
you've
gone
through
a
laborious
process
and
trying
to
juggle
so
so
many
aspects,
and
I
just
want
to
look
at
as
your
question
for
down
the
road,
and
that
is
given
where
you
are
at
this
point
and
the
things
you've
learned.
How
are
how
do
you
stand
right
now
in
terms
of
when,
hopefully,
this
won't
happen,
but
something
else
comes
down
the
pipe
a
year,
two
years
down
the
road
or
maybe
10
years
down
the
road?
F
How
you
position
yourself
in
terms
of
in
terms
of
distribution
of
the
vaccines,
the
testing
communications
with
all
the
health
providers
and
so
forth?
Could
you
give
me
a
give
us
an
assessment
on
how,
on
our
situation,
how
we
can
prepare
prepare
for
the
next
one?
Are
we
going
to
be
blown
away
that
we
did
last
time
or
do
you
feel
that
we
made
significant
process
even
though
it
might
not
be
perfect?
We
would
be
much
better
positioned
to
handle
the
situation.
E
Well,
representative,
I
think
it's
a
really
it's
a
good
question.
I
thank
you
for
it.
The
this
has
been
unprecedented
and,
I
think,
anyone's
living
memory.
For
this
kind
of
response,
I
mean
you
have
to
go
back
to
1918,
really
to
see
a
pandemic
of
this
impact,
and
so
there
will
certainly
be
things
we
look
back
on
and
wish
could
have
unfolded
differently.
I
think
the
biggest
challenge.
E
I
don't
think
it's
the
science
and
the
medicine.
That
was
the
problem.
I
think
it's
it's
human
behavior
and
you
can
read
shakespeare
or
you
could
read
homer
and
you
know
or
any
of
the
greek
tragedies,
and
you
could
see
that
behavior
is
just
part
of
who
we
are
as
human
beings.
That's
the
bigger
challenge.
But
let
me
let
me
encourage
you
all.
If
you're
open
to
this,
we
just
submitted
yesterday
a
20-page
report
that
was
required
by
the
legislature.
E
E
We
have
essentially
had
to
build
an
entire
testing
infrastructure
for
a
single
disease
that
didn't
exist
before
we
did
this
and
it
had
to
evolve
over
times
of
scarcity,
differential
funding
sources,
different
types
of
testing
different
settings.
We
had
to
then
deploy
vaccines.
Now
remember
this,
even
though
there's
just
over
60
percent
of
kentuckians,
you
know
are
vaccinated
at
the
moment.
You
know
fully
vaccinated.
E
Think
about
60
of
kentuckians
are
fully
vaccinated,
as
we
sit
here
today,
and
it
was
just
two
days
ago
that
the
very
first
vaccine
ever
was
available
in
the
world,
and
so
we
had
that's
what
almost
killed
me
quite
frankly,
gentlemen-
and
ladies
was
was
the
the
vaccine.
Deployment
was
trying
to
figure
out
how
to
deploy
that
december
january
february
march
april
last
year
and
get
it
to
all
the
places
that
we
needed
to
when
there
was
nowhere
near
enough
to
go
around.
E
We
now
deploy
monoclonal
antibodies,
and
now
we
have
the
merck
pill.
That's
coming
out
and
there'll
be
the
pfizer
pill
shortly
after
it,
so
the
little
department
of
public
health,
in
partnership
with
the
local
health
departments
and
all
of
our
hospitals
and
fqhcs
and
ric's
we've
had
to
essentially
run
very
complex
small
business
startups
over
and
over
and
over
again
to
build
systems,
build
teams
and
find
ways
to
deploy
all
of
this.
E
E
If,
if
I
could
do
something
different
going
forward,
I
sure
would
hope
we
could
find
a
way
at
the
very
beginning
to
not
make
personal
or
political
some
of
the
basic
public
health
science,
because
I
find
ourselves
tearing
at
each
other
for
things
that
are
that
we
should
generally
agree
on
and
to
save
our
energy
to
fight
about
other
stuff
and,
and
so
that
would
be
the
biggest
thing.
It's
the
human
sociology
and
psychology,
not
the
science.
F
The
other
point
I
think
you're
spot
on
and
that's
the
human
behavior
and
people
react
quite
differently
and
it's
hard
to
control
that
and
given
the
chaos
and
the
uncertainty
in
the
beginning
of
that
to
try
to
control
the
narrative-
and
I
use
the
word
control
loosely,
it's
very,
very
difficult
because
everybody
wants
to
know
and
we're
becoming
to
an
instant
gratification
society
to
try
to
get
that
information
out
there
and
accurately
it's
very
difficult.
So
I
do
appreciate
the
effort
shall
go
through.
F
I
think
this
committee
and
other
folks
recognize
that
there's
a
stress
and
strain
on
this
on
the
system,
but
we
do
appreciate
which,
which
you
go
through
and
yes,
some
we
we
are.
Some
of
us
have
been
harsher
than
the
others,
but
we
understand
with
the
bottom
line.
I
think
we're
all
in
this
together
to
try
to
find
the
optimal
solution.
So
I
do
appreciate
a
lot
of
the
efforts
you're
going
through
and
I
know
feel
confident.
B
B
I
remember
we
had
a
lot
of
discussion
about
numbers,
positivity
rates,
that
type
of
thing,
and
I
know
that
you
all
admitted
that
there,
some
of
the
information
you
were
getting
was
incomplete.
You
weren't,
getting
all
the
test
results
was
that
was
that
information
coming
from
labs
out
of
state
or
what?
In
retrospect,
what
was
that
difficulty.
E
Yeah
and
so-
and
let
me
tie
this
back
into
what
the
representative
just
asked
like-
will
we
be
better
off
next
time?
I
hope
in
some
ways
we
will
so
so
this
is
a
very
pointed
response
for
the
representatives
question
in
your
senator
carol.
The
a
lot
of
labs
were
not
set
up
with
our
kentucky
health
information
exchange
to
submit
laboratory
results
electronically.
E
E
A
lot
of
labs
were
coming
in
from
either
a
fax
on
paper
or
efax,
so
people
were
sending
it
from
a
computer
in
an
efax,
and
some
other
human
at
the
other
end
had
to
look
at
it
and
then
type
it
back
into
another
computer
to
take
the
data,
as
you
can
imagine,
you're
processing
hundreds,
thousands
or
tens
of
thousands
of
tests.
You
can't
keep
up
with
that,
and
so
what
we
did
do.
This
is
a
incredible
success.
E
Those
vendors
have
to
support,
submit
data
through
the
health
information
exchange
which
which
enables
us
to
get
the
information
electronically
for
to
more
quickly
get
to
a
local
health
department
to
know,
there's
a
positive
test
and
they
have
to
do
take
some
action
and
actually
to
help
us
educate
and
inform
the
patients,
so
that
system
has
been
improved
substantially
and
yes,
if
we
were
to
have
another
pandemic
yeah,
I
hope
not.
I
mean
I
hope
it's
the
next,
commissioner.
E
I
hope
it's
15
commissioners
after
me
has
to
deal
with
this,
but
if
there's
one
down
the
road
labs
are
already
hooked
up
with
us,
and
so
theoretically
we
should
start
getting
information
more
quickly.
More
accurately,
at
a
much
earlier
stage,
we
had
to
build
that
whole
system
in
the
beginning,
so
that
was
a
big
part
of
the
challenge.
E
B
Very
good:
let's
talk
a
little
bit
about
the
monoclonal
antibodies.
You
know
there
was
a
lot
of
discussion
about
some
perception
that
this
this
treatment
was
not
being
utilized
enough
and
which
obviously
the
the
legislation
we
had
during
special
session
kind
of
addressed.
That
and
commissioner,
I
kind
of
feel
like
today,
even
that
it's
still
not
being
used
like
it
should
and
case
in
point
a
young
lady,
I
know
lives
in
the
bowling
green
area
she
was
diagnosed
with.
Covid
was
very
sick.
B
B
It
seems
like
and
correct
me
if
I'm
wrong,
that
there
were
people
that
died,
that
perhaps
those
infusions
could
have
saved
their
lives,
and
it
almost
seems
like
that
that
particular
treatment
in
itself
became
a
political
issue,
because
governor
desantis
was
pushing
it
so
hard
and
and
then
the
federal
government
took
control
of
the
supply
and
and-
and
it
seems
like
in
kentucky
that
we
that
just
wasn't
a
priority
for
us
a
lot
of
questions.
A
lot
of
statements
in
that
can,
can
you
please
respond.
E
Sure,
no,
I
appreciate
it
so
the
the
monoclonals
they
have
been
useful
they've
been
useful
from
the
start.
I
don't.
I
don't
think
that
the
pushback
on
them
is
utility.
It
was
if
people
were
seeing
that
as
an
alternative
to
vaccination
and
and
the
vaccination
prevents
you
from
getting
severely
sick.
You
have
to
actually
get
sick
to
get
the
monoclonal,
so
you
kind
of
you
intervene
at
a
later
stage,
so
you
actually
take
more
risk.
E
E
You
know
for
the
for
the
vaccine
cost
monoclonal
the
current
price,
the
federal
government's
paying
for
is
2100
bucks,
a
dose
so
so
you're
talking
about
a
much
more
expensive
way
to
do
it
as
well
and
then
the
other
part
is
vaccines
are
abundant
now,
but
the
monoclonals
the
supply
is
not
sufficient.
So
the
reason
the
federal
government
intervened
was
when
the
delta
surge
came
now.
No,
I'm
sorry,
sir,
but
you're
asking
a
good
question.
E
So
you
you
cut
me
off
if
I'm
telling
you
more
than
you
want,
but
but
I
love
to
share
this
information
for
folks,
and
so
I'm
grateful
for
the
chance
the
before
the
delta
variant
showed
up,
and
so
in
kentucky
that
was
around
june.
There
may
have
been
a
little
bit
in
there
late
may
but
june
and
then
into
july
july
was
full
swing
in
delta
variant
in
may
in
in
april.
E
If
you
were
fully
vaccinated,
you
were
almost
bulletproof
to
covet.
It
worked
that
well,
it
was
like
almost
a
complete
protection
against
the
earlier
variant,
which
was
the
british
variant
and
the
original
one.
Then
delta
came
along
and
it
was
more
vicious
and
it
was
it
hit
people
harder
and
it
hit
younger
people
more,
and
so,
when
that
happened,
the
the
vaccines
were
still
very
effective.
E
But
you
started
to
see
a
little
bit
more
of
the
breakthrough
cases
and
there
was
younger
people
who
were
not
vaccinated
who
were
getting
sick,
so
the
monoclonals
and
then,
of
course
you
you
mentioned
governor
desantis
and
he
and
others
you
know,
rose
the
prominence
of
that.
We
started
consuming
so
many
monoclonals.
E
It
used
to
be
that
the
sites
could
just
order
the
monoclonals
directly
through
the
distributor
they
stopped,
that
there
was
a
week
and
a
half
or
two,
where
really
nothing
was
going
out
and
then
they
said
the
states
have
to
step
in
and
essentially
apportion
or
ration
the
limited
amount
and
figure
out
how
to
distribute
that.
And
then
that
was
around
the
time.
The
special
session
was
happening
and
then
what
we
did-
and
I
do
think
this
was
an
improvement,
and
we
did
this
because
of
the
legislation.
E
E
E
We
work
with
hospitals,
fqhcs
are
in
there
there's
some
smaller
medical
practices
and
like
buffalo
trace
only
has
one
one
provider,
but
then
again
it's
a
much
more
sparse
area
as
far
as
the
healthcare
infrastructure,
but
but
they
they
all
participate
with
us,
and
I
would
agree
with
you,
sir.
We
would
like
to
make
sure
everybody
who
needs
it.
Everyone
who
meets
the
eligibility
criteria
and
there's
a
lot
of
people
who
meet
the
eligibility
criteria.
E
I
don't
have
an
answer
for
that,
so
there's
there's
three
of
them
available
currently
and
I
think
they're,
three
different
pharmaceutical
companies
who
manufacture
them
and
these
are
complex
synthetic
proteins.
So
they
got
to
have
I'm
sure
special
laboratory
equipment
and
manufacturing
processes,
and
you
have
the
entire
nation.
You
know
essentially
seeking
these
in
large
numbers.
So
I
you
know,
I
I
don't
know,
but
I
suspect
it's
just
normal
manufacturing
science
production-
I,
I
suspect,
there's
just
difficulties
producing
so
much
so
fast,
but
I
I
don't
know
for
sure.
B
Okay,
so
before
the
legislature
appropriated
the
funding
to
step
up
these
efforts,
were
there
not
other
funding
resources
that
the
cabinet
could
have
used
to
to
access
more
of
these
treatments
and
I'd?
I
can
remember
a
previous
committee
meeting
we
had
maybe
in
health
and
welfare,
where
there
was
really
not
much
data
on
on
the
monoclonal
antibody
treatments
and
in
my
mind
it
led
me
to
believe
that
not
much
emphasis
or
importance
was
being
put
on
those
treatments.
B
So
help
me
understand
that
I
mean
I
have
heard
story
after
story
of
people
taking
these
treatments
and
24
hours
later
they've
gone
from
deathly
ill
to
feeling
100
better.
So
do
you
feel
like
that?
We
were
late.
Getting
on
board
with
this
are.
Were
there
other
funding
sources
that
we
could
have
used
to
to
step
up?
Those
programs.
E
Well,
so
I
there's
two
or
three
questions
you
had
in
there,
the
the
the
one
about
funding
sources.
Let
me
do
that.
First,
the
only
funding
source
we
could
have
possibly
tapped
for
this
might
have
been
fema
funding,
because
we
had
no
other
dedicated
grants.
We
didn't
have
any
more
cares
funding
for
it.
We
hadn't
we
had
not
had
any
appropriations
for
arpa
funding
and
and
fema
funding
is
tricky.
E
Fema
funding
requires,
if
we're
going
to
use
it
for
something
like
this,
that
we
are
doing
daily
site
inspections
at
every
site
that
we're
doing
this.
It's
it's
incredibly
laborious
and
it's
not
easy
and
we
we
don't
have
any
infrastructure
to
go
visit
all
of
these
sites
and
scrutinize
them
like
you
would
have
to
now,
and
then
you'd
have
to
set
up
a
very
large,
multiple
regional
hubs
to
do
this
kind
of
stuff
and
senator.
I
don't
want
to
sit
here
and
tell
you
it
can't
be
done.
E
We've
done
it
for
testing
we've
done
it
for
vaccination.
We've
done
it
for
a
lot
of
things.
I
would
just
say
there
is
there's
just
only
so
much
bandwidth
and
only
so
many
health
care
providers
in
the
state,
and
so
even
when
we
now,
when
you
gave
us
the
resource
with
arpa,
and
then
you
know
the
special
session,
we
were
able
to
make
use
of
hospitals,
health
systems
fqhcs
in
a
much
more
distributed
network
which
made
it
possible.
E
But
if
we
had
to
go
stand
up
eight
large
mega
regional
sites
and
do
this,
we
we
just
don't
have
the
health
care
workforce
in
the
state,
and
that
was
that
was
an
impediment
to
do
this.
As
far
as
the
effectiveness
of
the
treatment,
I
don't.
I
don't
dispute
that
with
you.
It
is
an
effective
treatment,
it's
a
very
useful
treatment
and
if
we
had
more
of
it,
we
would
get
more
of
it
and
then
prior
to
say
september
of
last
this
year
there
were
already
104
sites
who
were
already
registered
and
receiving
monoclonal.
E
E
Where
can
I
look
and
then
go
essentially
look
at
a
shopping
mart
and
find
a
place,
but
we
were
already
giving
it
throughout
communities
all
over
the
state
in
104
different
sites,
so
we
were
using
it,
but
I
guess
we
weren't
using
it
in
his
high
profile
way,
whereas
in
certain
other
states
they
made,
you
know
they
promoted
very,
very
prominently
what
they
were
doing
in
different
places.
We
were
making
sure
the
sites
had
it.
E
It
was
getting
used,
but
but
I
would
agree
with
you
that
that
it
helps
now
for
the
public
to
have
the
plate
a
place
to
go
and
say:
hey,
I
don't.
I
don't
have
a
doctor
who
does
this,
so
how
can
I
get
it
now?
They
can
go
and
look
and
if
supply
is
sufficient,
they
should
be
able
to
get
it,
but
supply
is
not
sufficient,
which
is
the
you
know,
big
problem,
okay,.
B
I
you
know,
I
fear
that
that
we
should
have
promoted
it
more
than
what
we
did
and
we
didn't
because
of
what
you
just
said
in
fear
that
it
would
not
that
it
would
lead
to
people
not
getting
vaccinated
and
depending
on
the
treatments.
But
with
that
being
said,
I
wonder
if
there
are
lives
that
could
have
been
saved
had
we
pushed
those
treatments
more
than
we
did
just
in
one
final
question
related
to
these
lines.
B
E
E
Oh
no,
so
the
the
merck
pill
mole
new
pirovir
that
pill
that
the
final
data
that
came
out-
it's
not
nearly
as
effective
as
they
had
hoped.
They
thought
it.
It
reduced
like
hospitalization
and
severe
illness
by
about
50
and
and
then
the
final
data.
When
it
came
out,
it
probably
reduces
risk
of
hospitalization
or
progression
from
mild
moderate
to
severe
disease
by
about
30,
still
useful,
still
valuable,
but
it's
not
it's
not
like
the
monoclonals.
The
monoclonals
have
like
a
75
plus
effective
rate.
This
is
much
lower.
Now
the
pfizer
data.
E
Now
that's
still
preliminary
too.
That
shows
a
much
higher
effective
rate.
It's
it's
probably
close
to
89
is
what
they
were
initially
saying,
but
but
the
challenge
with
these
two
pills,
the
pfizer
pill,
has
to
be
given
within
three
days
of
your
symptom
onset.
So
you've
got
to
act
quick
as
far
as
the
mono
pure
beer,
the
merc
pill.
E
You
have
to
start
it
within
five
days
of
your
symptoms
and,
unfortunately,
there's
all
sorts
of
concerns
about
you
can't
be
pregnant
or
soon
gonna
get
pregnant,
and
you
also
you
have
to
be
concerned
about
some
medication
to
medication
interactions
and
you
have
to
have
a
positive
test.
You
know
to
confirm
that
you're.
So
there's
a
lot
of
logistical
challenges
with
that
and
then
the
quantities
again.
Believe
me
any
frustration
you
share,
sir.
I
will
match
you
with.
I
want
to
get
out
of
the
pharmaceutical
business.
I
hope
you
understand.
E
I
want
to
get
out
of
the
pharmaceutical
distribution
business
and
let
the
for-profit
companies
that
do
this
for
a
living
who
have
all
these
systems
to
it.
It
would
be
really
appreciated,
but
very
tiny
quantities
to
give
out.
So
it's
going
to
it's
going
to
be
hard
to
find
initially,
and
all
of
us
have
groused
about
that.
You
know
who
do
my
kind
of
job
across
the
country.
B
Okay,
I
am
very
curious
on
the
monoclonal
treatments
about
that
process
and
the
time
frame
to
produce
those
treatments.
If
they
are
that
effective,
I
would
think
that
needs
to
be
a
major
priority
to
get
the
supply
of
those
drastically
increased
it
in.
Commissioner,
if
you
can
find
any
information
on
that
as
far
as
how
long
it
takes
to
produce
whatever
number
to
kind
of
put
that
in
perspective,
I
would
very
much-
and
I
think
this
committee
would
very
much
appreciate
that
information.
E
A
Thank
you,
mr
chairman
and
dr
stack.
Thank
you
so
much
for
your
leadership
throughout
these
last
couple
of
years.
My
question
is
the
new
strain
that
omicron
strain
that
we're
seeing
here
in
the
united
states
and
what
things
we
should
be
prepared
for
and
looking
to
and
will
these
same
treatments
be
effective
against
that
strain.
E
Right,
so
thank
you.
The
the
omicron
is
not
as
we
sit
here
today.
It
is
not
a
big
thing
in
kentucky
at
the
moment,
but
that
could
change.
Literally
in
weeks.
I
think
you
saw
the
news
coverage,
perhaps
with
some
of
the
colleges
or
universities
in
the
new
england
area,
that
omicron
has
reached
them
in
the
federal
government.
They
were
saying
all
the
way
up
until
last
week
that
more
than
99
of
all
virus
in
the
united
states
for
covid
was
delta.
E
Now
it's
three
percent
is
omicron
and
is
what
I
was.
You
know
heard
on
a
recent
briefing.
They
they
report
that
the
virus
may
double
every
two
days,
which
means
that
you
know
three
percent
can
go
to
six
to
twelve
to
twenty
four
and
there's
your
only
twelve
days.
What
is
that?
It's
four?
It's
eight
days,
eight
days
into
it,
you
could
go
very
quickly
to
be
one.
Fourth
of
all
the
virus
in
a
community,
so
omicron
clearly
appears
to
spread
much
more
rapidly
or
effectively
than
some
of
the
other
strains.
E
It's
not
yet
clear
that
it's
more
serious,
though,
and
in
fact,
if
it's
a
little
less
serious,
that
could
be
helpful.
But
if
large
numbers
of
people
get
infected,
it
still
can
cause
a
problem
as
far
as
the
vaccines.
The
early
data
shows
that
if
you
have
a
if
you're,
fully
vaccinated
recently
after
your
second
dose
or
boosted,
if
you're
more
than
six
months
after
your
mrna
vaccine,
that
the
vaccines
still
should
have
very
good
protection
for
severe
disease
and
death,
but
they
they
may
not
protect
you
from
getting
very
mild
illness.
E
You
know
or
incredibly
scarce
if
it
undermines
the
effectiveness,
and
I
don't
have
any
firm
decisions
from
the
federal
government
on
that
yet,
but
we're
watching
that
carefully
and
then,
as
far
as
the
merc
pill
and
the
pfizer
pill,
those
work
in
a
very
different
way,
and
so
those
should
still
work,
whether
it's
omicron
or
whether
it's
delta,
because
those
block
a
specific
like
enzyme
inside
the
cell.
You
know
that
works
with
the
virus,
and
so
that
should
not
be
impacted,
whether
it's
omicron
or
delta
so
represent.
E
I
hope
that
helps
answer
your
questions
and
the
things
that
work.
Folks,
we
are
not
last
year,
no
one's
no
one's
saying
you
can't
go
to
work,
no
one's
saying
we
can't
do
activities
no
one's
saying
we
should
not
enjoy
the
company
of
our
friends
and
family
at
christmas
and
that
new
year's
and
other
holidays
in
this
this
month.
E
We
should
all
still
be
thoughtful,
and
careful,
though
I
mean,
if
we're
going
to
go
out
in
public
places,
try
to
do
it
outdoors
if
we
can
try
to
keep
some
space
between
each
other
if
you're
sick
by
all.
Please
please.
If
you're
sick,
if
you
have
a
fever,
a
cough
or
runny
nose
a
sore
throat,
please
don't
go
to
parties
and
gatherings.
E
If
there's
one
thing
we
could
all
hopefully
do
is
not
knowingly
spread
disease,
whatever
the
type
of
disease
it
is.
I
think
if
we
just
exercise
some
extra
care
improvements
wash
our
hands.
Often
that's
not
even
a
mask
I'm
talking
about
yet
and
then,
if
you
are
around
a
whole
lot
of
people,
you
don't
know,
the
masks
are
still
helpful.
E
D
E
Well,
it
may
be,
but
if
you,
if
60
of
kentuckians
are
vaccinated-
and
you
know
it,
then
then
you
start
to
get
where
the
only
you
know.
If
you
have
80
people
vaccinated.
Well,
then
just
about
everybody
who
gets
it
is
going
to
have
been
vaccinated
right
so
so
that
could
very
well
be
true,
and
it's
consistent
with
what
I
just
said.
I
think
this
virus
spreads
much
more
effectively.
I
don't
know
that
it's
more
dangerous,
it
spreads
much
more
effectively,
and
that
is
a
risk.
E
D
E
E
E
We
could
shut
a
lot
of
this
down
because
it's
not
going
to
spread
as
easily
and
and
then
we're
going
to
have
less
and
less
propagation
and
less
opportunity
to
mutate.
So
no
I
mean
whether
it's
smallpox
or
whether
it's
pertussis,
you
know
the
whooping
cough
or
whether
it's
polio
or
in
this
case
whether
it's
covet
the
vaccines,
are
the
way
we
get
it
under
control,
but
but
the
in
what
the
vaccines
we
hope
the
most
for
is
that
they
prevent
people
from
dying
and
having
severe
or
disabling
illness
right.
E
Those
are
the
those
are
the
highest
priorities
and
they
still
work
very
very
effectively
for
that.
We
show
that
data
at
the
press
conference
each
week.
It's
on
the
website,
too,
the
ky
covert
website.
If
you
look
at
data,
it
says
kdph
data
on
the
data
page,
there's
this
chart
pack
we
put
and
and
I'll
just
use
the
mortality
one
for
this
one.
If
you
are
under
60
and
you
have
died
from
covid
since
july,
1st
95
of
those
people
are
unvaccinated.
E
It's
almost
entire
covet
death
under
the
age
of
60
is
almost
entirely
a
preventable
problem.
If
you
are
over
60
at
73
percent
of
the
deaths
for
persons
over
60
in
kentucky
from
covid
were
unvaccinated.
That's
since
delta
came
on
the
scene
in
july
1st,
when
it
really
was
the
predominant
strength,
so
I
agree
with
you.
B
Commissioner,
we
had
some
testimony
in
health
and
welfare
about
testing
of
the
immune
system
for
the
presence
of
neutralizing
antibodies
and
quantifying
that
level,
and
I've
read
recently
that
that's
that's
not
something
that
the
cdc
recommends
as
far
as
even
if
you
do
have
what
x
level
of
neutralizing
antibodies
within
your
system,
they
still
do.
They
still
recommend
the
vaccination.
E
Senator
it's
possible
and
there
are
diseases
where
we
do
that,
for
so
some
of
the
hepatitis
vaccines
you
get
for
like
hepatitis
b,
you
can
go
in
and
get
a
test
and
see
if
you
have
sufficient
protection
to
determine
whether
you
need
to
be
boosted
or
not.
So
when
I
got
my
hospital
privileges
at
the
veteran
affairs
hospital,
I
had
to
have
us
a
titer
to
determine
if
I
was
still
adequately
protected,
so
it's
theoretically
possible
that
that
could
be
the
case.
We're
not
there.
E
Yet
I
don't
know
what
the
typical
time
frame
is
and
what
kind
of
data
the
scientists
need
to
determine.
Remember
we.
We
are
just
one
year
or
two
days
ago
from
the
very
first
approved
vaccine,
and
we
are
only
you
know
less
than
two
years
still
from
the
time
that
this
disease
impacted
us
hepatitis
has
been
around
for
for
a
very,
very
centuries,
you
know
or
longer,
so
we
had
years
to
build
up
that
data
and
make
those
determinations.
I
think
that's
why
we
don't
have
some
of
that
now.
E
E
It
is
incredibly
more
cost
effective
to
just
boost
the
individual
if
it's
safe
than
it
is
to
do
those
tests
which
may
cost
150
or
more
because
a
neutralizing
antibody
test
is
a
more
complex
test
than
just
do.
You
have
the
presence
of
an
antibody
or
not
so
so,
there's
more
cost
associated
with
it,
but
but
yeah.
I
think
there
is
quite
possibly
a
time
when
those
tests
will
get
better
and
we'll
have
better
information
about
it.
Okay,.
B
I
just
wish
that
people
were
as
comfortable
with
the
the
vaccine
for
covet
as
they
are
for
the
tetanus.
That's,
I
think,
that's
really.
The
whole
point
in
what
we
have
failed
on
miserably
is
to
to
make
sure
the
public
is
comfortable
and
trust
what
they're
being
given
and
and
unfortunately,
with
a
lot
of
population.
We
just
haven't
senator
thomas.
You
have
a
question,
sir.
A
I
do
and
let
me
say
dr
stack,
I
always
appreciate
your
wise
and
informative
counsel.
You,
you
know
you've
been
one
of
our
heroes.
You
know
through
this
whole
pandemic.
Through
this
whole
struggle,
I
mean
I've
had
so
many
people
come
up
to
me
and
and
and
and
just
talk
about
what
an
outstanding
job
and
and
how
you
know.
You
know
just
just
wisdom
and
and
good
advice
you
provide
to
the
citizens
of
kentucky.
E
Senator
I
first
of
all
thank
you
for
your
kind
words
and
second
of
all,
I
want
boy.
Do
I
want
this
to
be
over?
We
we
all
want
this
dude
right.
Look
it'd,
be
nice
to
have
us
argue
about
other
things
right,
wouldn't
it
be
fun
just
for
a
difference
just
to
spar
over
some
different
stuff
and
not
have
life
impacted
by
this.
So
I
agree.
I
actually
almost
senator
carol
almost
made
me
want
to
say
we
should
have
bourbon
and
celebrate
that
we
agree.
E
Wouldn't
it
be
nice
if
people
are
as
comfortable
with
the
covid
vaccine
as
the
tetanus
booster,
but
senator
thomas.
I
have
not
lost
my
confidence
that
this
will
that
this
will
become
more
normalized
and
not
impact
our
lives
the
same
way
and-
and
so
you
know,
we've
got
the
whole
continent
of
africa.
Remember
we
would
talk
about
the
commonwealth,
but
but
I
hope
it
gives
a
little
sense
too.
We
actually
have
to
look
at
the
whole
world.
We
got
the
nation
and
we
got
the
world,
but
we
got
the
whole
continent
of
africa.
E
We
got
to
get
their
immunizations
up
right.
So
that's
where
the
newest
variants
arrive
arose
from
in
a
very
low
vaccinated
community,
but
we
could
go
to
counties
in
kentucky
and
find
very
low
vaccinated
rates
right.
So
what
we
need
to
do
is
hope
that
that
the
number
of
people
get
vaccinated
coupled
with
whatever
protective
value
there
is
from
recovering
from
infection,
and
there
is
some
if
you
have
been
infected,
you
should
have
mounted
immune
response,
and
hopefully
you
do
have
some
protection.
E
E
Is
that
over
time
that
the
population
will
develop
enough
of
protection,
that
the
virus
no
longer
threatens
or
endangers
whole
hospitals
being
overrun
and
collapsing
and
crowding
out
other
types
of
care,
and
if
we
get
to
a
situation
where
covet
is
more
like
the
flu,
because
remember
in
a
bad
flu
season,
we
can
still
have
thousands
of
people
die.
You
know
from
from
tens
of
thousands
nationally
every
year
from
the
flu.
E
If
we
got
to
that
level,
it
would
still
be
very
sad,
but
society
will
move
on
and
we
will
have
reduced
the
risk
to
a
level
that
society
will
be
able
to
accept
and
tolerate.
Even
if
we
don't
like
it,
we
still
tolerate
it.
We
move
on
we're
not
there,
yet
we
were
all
hoping
that
we
get
through
this
delta
surge
that
we
wouldn't
have
another
thing,
and
then
oops
here
comes
this
omicron
variant,
so
we
got
to
have
to
push
ahead.
E
Keep
trying
to
get
people
vaccinated
that
plus
the
combination
of
all
these
other
folks
who
keep
getting
infected,
which
does
include
some
of
the
vaccinated
that
hopefully
there's
enough
protection
and-
and
then
we
get
through
this
now,
when
will
that
happen?
I
think
that
I
know
that
his
name
is
polarizing,
but
that's
where
someone
like
fauci
who's
in
his
80s
who's
been
doing
this
for
decades,
could
probably
give
a
different
kind
of
perspective.
E
From
my
sense,
I
would
say
you
know
next
year
should
progressively
still
look
more
and
more
normal
and
it,
but
it
may
not
be
until
we
get
later
in
the
year
or
even
into
the
early
next
year,
where
we've
totally
moved
past
any
attention
to
this,
and
it's
just
part
of
the
regular
background
noise,
but
but
I
think
we're
we're
gradually
moving
better
look
at
all
the
activity.
That's
happening
now
right,
even
when
the
hospitals,
unfortunately,
were
so
distressed.
E
If
you,
if
you
you
didn't
know,
if
you
were
in
kroger
stadium,
watching
the
uk
football
team
play,
you
had
no
knowledge
if
you
were
in
that
stadium
or
tailgating
outside
that
the
hospital
across
the
street
had
the
national
guard
in
it
because
it
was
on
the
brink
of
not
being
able
to,
you
know,
sustain
the
work
it
had
to
do
right,
so
the
rest
of
society
looks
normal,
so
I
just
want
to
put
in
context.
I
think
we
have
made
a
lot
of
progress.
B
B
Thank
you
any
other
questions,
any
other
comments
seeing
none.
This
is
obviously
the
last
meeting
of
this
committee
for
the
interim.
It
is
likely
that
we
will
meet
during
the
session,
and
I
would
ask
members
that
if
you
have
topics
that
you
feel
need
to
be
and
reviewed,
we
may
be
able
to
do
that.
Staff
is
requesting
additional
topics.
B
B
You
represent
this
commonwealth
in
the
lrc
very
well,
and
you
are
very
much
appreciated
members.
Thank
you
all
for
your
attention
and
your
attendance
during
these
meetings
and
next
interim
you're,
probably
going
to
see
some
significant
changes
in
the
way
we
operate
and
we
will
start
getting
into
more
of
the
investigative
side
of
the
changes
that
were
made
to
this
committee
and
looking
forward
to
that
and
looking
forward
to
digging
into
some
issues
and
spending
a
lot
of
time
on
certain
issues.