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B
Thank
you,
madam
chair.
Please
join
me
dear
God,
we
pause
before
you
for
just
a
moment
before
we
start
our
meeting
today,
just
honoring
you
and
making
sure
that
we
understand
that
you're
in
control
of
all
things,
and
we
thank
you
for
that.
We
thank
you
for
the
change
of
seasons,
the
cooler
temperatures.
We
just
appreciate
everything
and
we
appreciate
most
of
all,
you
sending
Jesus
to
die
for
our
sins
in
his
name,
amen.
C
A
A
quorum
fantastic
all
right
before
we
get
started.
I
just
want
to
give
a
quick
shout
out
to
Hillary
who
I
know
is
watching
at
home.
Wishing
you
a
speedy
recovery.
We
certainly
miss
you
in
person
and
look
forward
to
any
criticism
of
critiques.
You
have
today's
meeting
I'm
sure
you'll
have
them
for
us
next,
we'll
move
on
to
our
agriculture
development
board.
If
you
all
want
to
join
us
at
the
table,
Brian
and
Bill-
oh
I'm,
sorry,
my
apologies!
Let
me
do
more
approval
of
the
minutes
for
the
meeting
from
August
10th.
A
D
D
The
next
week
we
had
the
Farm
Bureau
Pro
country
ham,
breakfast
where
the
big
ham
is
is
sold,
and
we
saw
a
new
record
set
for
10
million
dollars
by
Joe
and
Kelly
craft
and
Central
Bank
when
they
purchased
the
same
again
for
10
million.
All
all
proceeds
of
both
of
these
auctions
going
to
to
charity,
but
I
was
sitting
with
Mr,
Hunt
and
I
told
him.
If
I
was
him,
I
would
have
his
ham
reappraised.
D
It
might
be
worth
a
little
bit
more
now
than
what
what
he
gave,
but
very
appreciative
of
all
the
the
bidders
and
everybody
involved.
In
that
doing
such
good
work.
The
state
fair,
was
back
to
to
to
crowds.
We
had
pre-pandemic
was
was
a
great
experience.
I
know
my
team
spent
a
lot
of
time
in
ag
land
got
to
see
a
lot
of
folks.
We.
D
There
we
go
had
some
had
some
notes
there,
other
other
items
that
happened:
Doug
Lawson
a
19-year
board
member
for
the
Kentucky
AG
Finance
Corporation.
His
term
was
up
for
reappointment
and
he
decided
after
19
years.
It
was
time
to
take
a
break
and
let
others
serve,
and
we
we
really
appreciate
all
the
Doug
brought
to
the
table.
A
very
strong
lender
of
Western
Kentucky
presence
was
very
pleased.
D
The
commissioner
reappointed
a
or
made
a
new
appointment
to
another
strong
Banker
from
Western
Kentucky,
but
Lori
Noll,
who
is
the
chief
credit
officer
and
Executive
Vice
President
for
FMB
bank,
was
recently
named
to
to
the
board
and
began
Service
last
week
was
with
her
first
board
board
meeting
and
it's
going
to
bring
a
lot
to
the
table.
I
have
worked
with
Lori
in
the
past
bill
as
well.
She's
been
a
big
supporter
of
the
program
from
from
the
bank.
There
we
also
last
week
had
our
annual
meeting.
D
D
Decisions
will
be
made
at
the
November
board
meeting
and
then
the
any
any
changes
will
take
place
for
the
24
calendar
year
as
it
starts
so
I
appreciate
again
our
our
partners,
with,
with
extension,
that
did
did
this
another
meeting
bill
and
I
were
part
of
was
with
Community
Ventures
yesterday.
They
have
received
a
grant
from
the
USDA
for
meat
and
poultry
processing.
This
can
be
utilized
in
loans
for
new
and
existing
facilities
and
even
have
a
provision
for
refinancing
existing
debt.
D
Moving
on
through
our
guide,
our
our
packet
we
put
together
for
you,
we
see
there
was
a
great
outing
by
by
members
of
the
tobacco
oversight
committee
with
with
representative
King
and
Roark
and
and
Senator
Webb
that
went
to
the
local
and
got
a
visit
with
a
recent
recipient
of
AG
development
funds.
Birch
Bragg
owner
there
and
I
hope
you
all
had
a
good
tour
and
when
I
saw
the
newsletter
and
I
shared
this
with
with
my
board
as
well.
So
they
saw
you
all
there.
D
I
wished
I
had
been
able
to
work.
My
schedule
to
have
joined
you,
so
maybe
we'll
have
to
do
another
one
at
some
at
some
point.
Okay,
I've.
Also
included
in
your
packet
the
the
agenda
for
what
will
be
our
next
joint
board
meeting
we'll
have
both
boards
AG
finance
and
AG
development
board
together
down
in
Christian
County,
for
what
we've
put
together
with
an
emphasis
on
several
projects,
both
from
loans
and
from
Grants
or
value-added
AG
processing,
we'll
be
making
stops
at
Seven
Springs
farms
in
in
Trigg
County
for
their
straw,
blankets.
D
They
you'll
see
construction
projects,
roadways
conservation
projects
where
you'll
see
these
big
straw,
blankets,
they're,
they're,
manufacturing
those
right
there
in
Katie's
Hampton
premium,
Meats,
one
of
our
meat
processors
that
we've
worked
with
and
new
ownership,
but
a
going
concern.
I
know
chairman
Doss
is
driven
by
it
for
for
years
I.
D
D
I'm
excited
about
this,
because
this
again,
where
I'm
from
and
and
and
really
and
proud
of
these
projects,
for
not
only
what
they've
they've
been
able
to
do
just
for
the
agriculture
Community,
but
what
they've
done
for
the
the
overall
Community
big
economic
impact,
that
is
on
Thursday
November,
the
16th
the
following
day,
the
17th
we'll
have
both
boards
together
for
for
a
board
meeting
next
I
have
a
list
of
all
the
upcoming
board
meetings
that
you
have.
The
ones
marked
in
yala
are
joint
board
meetings.
D
All
right,
the
the
next
sheet
in
your
packet
is
a
summation
of
all
of
our
August
loans
that
were
approved.
We
had
11
loans
in
total,
two
in
our
AG
infrastructure
program
and
nine
beginning
Farmers,
a
total
of
2.2
million
dollars
approved,
but
going
into
total
capital
investment
of
over
12
million.
You
know
we
normally
will
do
up
to
50
percent
of
a
project
for
for
four
out
of
our
five
loan
programs
up
to
a
Max
of
250
000.
D
Our
AG
processing
is
left
the
discretion
of
the
board
based
on
producer
impact.
So
you
know
we
we
lose
sight
often
that
we
think
we're
50
of
these
projects,
but
you
see
we're
we're,
definitely
a
smaller
percent
of
all
that's
going
in
and
that's
what
we
want
to
be
we're
we're
here
to
to
help
keep
the
the
lenders
making
these
loans.
D
We
want
to
be
significant
enough
that
the
the
producer
benefits
from
it
it's
worth
everybody's
time
to
do
it,
but
again
we're
trying
to
assist
lenders
in
keeping
Capital
moving
and
not
at
all
competing
with
with
lenders
and
I
regret.
Senator
Boswell
is
not
here
today
because
he
asked
a
question
that
last
month,
when
I
was
here
and
riding
back
home
back
to
the
office
with
Bill
I
said
I
I'm,
not
sure
I
I
I
answered
what
he
asked
me
on
that.
D
D
You
will
see
higher
demand
when,
when
the
interest
rates
have
have
increased
to
where
they
are
for
those
of
you
new
on
this
committee,
we
were.
We
were
not
seeing
this
level
of
of
request
each
month,
the
first
18
months,
I
was
here.
We
were
essentially
self-funding.
Our
portfolio
has
grown
to
the
point
now
we're
receiving
back
each
month
about
a
million
dollars
in
Return
of
principal
and
interest,
and
that
was
about
what
we
were
seeing
in
new
requests
coming
in.
D
That's
now
more
than
doubled
and
I
think
was
it
five
months
ago
bill
we
had
over
5
million
in
one
month,
so
we
will
see
higher
demand
when,
when
interest
rates
are
up,
but
the
the
philosophy
from
the
AG
development
and
AG
finances
again
we're
we're
here
to
to
have
a
nominal
rate
of
return.
Our
mission
is
to
keep
the
capital
moving
to
keep
taking
that
subordinate
position
and
and
helping
the
the
lenders
make
the.
E
D
F
Brian,
thank
you
very
much.
The
other
day
you
and
I,
and
the
commissioner.
We
were
texting
concerning
a
issue
that
was
brought
to
my
attention,
Monday,
because
it's
concerning
angular
Lee
spot
on
our
tobacco
and
we're
hearing
that
it's
quite
a
big
issue.
That's
hitting
in
Western
Kentucky.
Have
you
been
able
to
pick
up
any
information.
D
Actually,
good
things
about
our
Burley
crop
being
really
a
a
bumper
crop,
but
our
dark
tobacco
is
is
really
suffering
and
I
was
disappointed
to
hear
that,
as
that
one
has
been
a
bright
spot
and
a
lot
of
folks
Enterprise
budgets
to
the
level
of
damage.
At
this
point
we
don't
know
it's
still
being
harvested
and
cured
and
we'll
we'll
see
where,
where
we're
at,
but
it
it
will
take,
it
will
be
taking
some
Revenue
off
of
these
producers.
F
Thank
you,
Brian
and
I
appreciate
the
communication
that
we
had
the
other
day.
I
know
one
of
the
farmers
who
contacted
me.
We
were
discussing
whether
or
not
crop
insurance
how
that
was
going
to
affect.
He
said
that
they
had
seen
such
a
decrease
in
their
yields
over
the
last
couple
years
that
the
crop
insurance
is
based
off
of
what
those
yields
are.
So
that's
it.
It
may
pick
up
the
expense
of
of
planning
the
crop,
but
there
will
not
be
any
Revenue
coming
in
from
that.
F
F
We
don't
think
when
taking
a
consideration,
so
many
of
our
crops
are
dependent
upon
water,
but
tobacco
tends
to
grow
better
in
dry
weather
so
and
it
has
been
a
rough
year
but
I'm
glad
that
we
were
able
to
communicate
and
see
what
might,
if
there's
any
assistance
in
the
future
that
we're
aware
that
this
is
going
on.
Well.
D
I'm,
aware
of
any
assistance
now
but
I
think
it's
good
to
have
have
the
conversation
and
and
that
that
is
a
correct
statement
about
the
the
trend
yields
in
in
our
tobacco
have
been
declining
where
the
majority
of
our
crops
we're
seeing.
You
know
an
increase
over
over
time
in
our
our
yields
that
crop
insurance
is
established.
It's
based
on
historic
production,
and
when
you
see
that
going
down
then
you're
hopeful
it
covers
operating
expenses.
There
still
may
be
with
the
decline.
You
may
not
cover
all
those
and
that's
that's
crop
insurance.
D
E
Have
to
move
on
to
page
10
give
you
an
update
on
the
programs
approved
at
the
August
AG
development
board
meeting.
So
again
on
page
10,
we
can
see
that
there
was
nine
entities
approved
to
minister
the
cape
program,
County
Agriculture
investment
program
for
a
total
1.7
million
dollars
and
in
Mccreary
County
Credit
Crittenton
County
have
asterisk,
and
that
signifies
that
they
are
utilizing
their
state
money
was
allocated
to
County.
So
we've
updated
you
in
the
past.
E
E
The
general
assembly
approved
back
in
in
the
house
bill
611
in
2000
and
those
again
those
two
counties
didn't
have
any
Burly
tobacco,
so
there's
zero
and
then
it
goes
all
the
way
up
to
the
most
tobacco
dependent
county
is
Barron
County
and
it
was
well
over
three
hundred
thousand
dollars
they
received,
but
anyway,
there's
21
counties
again
it's
under
that
thirty
thousand
dollar
threshold.
So
you
can
see
Mercury,
County
and
Crittenden
County
they're,
going
to
utilize
their
money
and
obviously
Crittenton
County.
E
Capital
Improvements
on
on
the
on
the
farm
could
be
buildings
and
also
to
buy
a
breeding
livestock.
Moving
on
to
the
the
next
category
is
deceased
farm,
animal
removal,
17
500
approved
for
two
counties
and
then
the
next
Generation
program,
Scott
County,
is
going
to
commit
twenty
five
thousand
dollars,
and
this
is
targeting
your
beginning.
Farmer
defines
18
to
40
year
old
Farmers,
they
can
access
these
cost
share
funds
and
then
the
youth
program
we've
got.
Five
entities
were
approved
for
a
little
at
eighty
seven
thousand
dollars
to
Target
the
youth.
E
The
the
maximum
youth
can
receive
in
this
program
is
fifteen
hundred
dollars
and
that
can
be
allocated
on
a
pro-rated
basis
not
to
exceed
fifteen
hundred
dollars
and
in
page
11
we
have
two
entities
that
were
approved
to
amend
their
existing
Cape
programs.
The
Gallatin
County
Farm
Bureau,
which
is
administrating
entity,
was
approved
for
original
amount
of
80
000
back
in
May.
The
significance
of
the
of
the
May
2nd
2023
is
they've
got
12
months
from
that
date
to
disperse
the
funds.
E
The
22nd
for
270
000,
the
request,
an
additional
County
money
of
sixty
five
thousand
dollars
to
bring
it
to
a
total
of
three
hundred
thirty
five
thousand
dollars
to
offer
the
Kate
program
in
Clay
County
all
right.
That
concludes
our
report
on
programs.
So
next
we're
ready
to
go
into
the
projects.
Part
of
your
packet,
we're
on
page
12.,
The
Entity
that
was
approved
here,
is
Critter
Care,
Vet
Clinic.
E
E
The
total
cost
of
product
was
sixty
thousand
six
thirty
six
thousand
dollars
and
the
way
the
AG
development
board
structured
it
who
could
utilize
this
program,
County
and
state
money,
be
part
of
it
so
and
they
could
they're
eligible
for
75
percent
of
the
project
cost,
and
then
they
have
to
have
County,
Council
or
County
money
committed
to
it
on
to
leverage
five
dollars
of
estate
funds.
So
if
you
look
at
this
project,
30
a
little
over
thirty
six
thousand
dollars
so
27
000
of
it
of
the
project
cost
was
eligible.
E
Next,
they
have
to
get
County
commitment.
One
of
the
reasons
the
board
takes
approach
of
having
County
commitment.
Is
the
leadership
in
the
county?
Knows
the
landscape
better
than
the
AG
development
board
here
in
Frankfort,
so
they
like
to
have
participation
or
input
by
the
local
entity
in
the
County
Council,
and
then
they
can
leverage
State
money.
In
this
case,
it's
one
one
dollar
County
money
leverages
five
dollars
of
State
money,
so
twenty
seven
thousand
to
be
approved
for
twenty
seven
thousand
dollars.
E
They
would
have
to
have
four
thousand
five
hundred
eleven
dollars
in
County
money
committed
and
then
that
Leverage
is
twenty.
Two
thousand
five
hundred
fifty
five
dollars
in
state
money.
So
when
a
veterinarian
calls
us
and
asks
about
the
program,
how
much
County
money
do
we
have
to
have
so
what's
your
total
project
cost
well,
75
percent
of
it
and
divide
that
number
by
six
and
one
six
is
what
they
have
to
have
County
money
committed
to
leverage
the
the
the
the
five
six
of
the
state
money.
E
So
it's
a
little
bit
of
a
calculation
we
have
to
go
through,
but
in
this
case
they
were
approved
for
equipment
to
do
the
what
they
called
a
blood
chemistry
analyzer.
So
in
the
past,
Dr
Rogers
has
had
to
send
off
the
blood
sample
to
the
breathted
veterinarian.
Diagnostic
Center
takes
days
to
get
that
results.
Now
he
can
do
it
in
real
time
and
then
make
his
diagnosis
and
treat
livestock
quicker.
E
D
It
was
but
Bill
and
I
as
we
were
walking
in.
We
were
running
through
the
mental
list
of
the
the
ones
for
this
veterinary
program
that
we've
done
you.
You
start
back
this.
This
came
out
of
the
the
working
group
that
the
commissioner
put
together
to
start
addressing
this
situation,
and
we've
had
a
loan
program
since
the
existence
of
our
our
Loan
program.
But
we
we've
learned
through
these
working
group
meetings.
D
Now
every
remember
the
general
assembly
knows
that
we
we
fund
the
the
spots
and
our
Auburn
and
Tuskegee
for
students
and
have
the
reciprocity
agreement
with
that
and
very
thankful
for
you
all
and
your
colleagues
for
the
continued
support
of
that,
but
the
rising
cost
of
Education.
We
have
learned
that
the
average
student
coming
out
of
one
of
these
schools
that
again
we
have
the
reciprocity
so
they're
getting
the
the
state
rates
they're
coming
out
with
a
quarter
million
dollars
in
student
debt.
D
So
the
last
thing
some
of
these
veterinarians
need
is
additional
debt.
So
that
was
where
we
launched
the
grant
program
to
come
out
and
we
don't
have
a
a
requirement
for
a
certain
amount
of
your
practice
that
must
be
devoted
to
the
large
and
food
animal.
That's
why
we're
involving
these
County
councils.
We
want
the
local
producers.
D
They
know
that
if
this
this
veterinarian
is
providing
this
service
to
the
the
the
clients
in
there
to
be
involved
with
what
they're
doing
and
I've
been
fortunate
I've
set
into
a
couple
of
these
County
Council
meetings
where
they've
made
this
this
decision-
and
it's
it's
been
very,
very
widely
supported
and
with
enthusiasm
from
these
folks
that
that
what
we're
doing
bill
and
I
were
recapping
the
projects.
We've
done.
D
We've
seen
two
two
that
have
added
equipment
because
a
another
practice
in
the
area
ceased
or
limited
the
amount
of
practice
they
were
doing
to
the
large
and
food
animals.
We
saw
one
where
a
veterinarian
passed
away
and
had
somebody
buy
the
practice
to
keep
it
going
in
the
area
and
then
another
one.
D
We
had
a
veterinarian
that
was
able
to
buy
into
the
practice
and
and
and
get
an
equity
stake,
and
that's
that's
what
we're
hoping
is
with
with
that,
then
maybe
that
can
help
with
some
of
the
economic
imbalance
to
what
we're
doing
so.
It's
exciting
for
me
to
see
in
this
case
where
a
need
was
identified.
A
program
was
established,
guidelines
put
together
and
then
implemented
and
and
to
see
the
ability
of
the
AG
Development
Fund
to
have
that
type
of
flexibility
and
and
response
is
exciting.
B
Thank
you.
Madam
chair
I
was
going
to
say
this
question
for
our
next
agriculture
committee
meeting.
But
since
we're
on
the
topic,
I
thought
it
would
just
throw
this
out
in
case
you've
got
any
information,
am
I,
correct
in
understanding,
I
think
it's
Murray,
or
maybe
one
of
our
Kentucky
schools
is
looking
into
adding
a
veterinary
program.
B
G
D
All
right
page,
page
13,
our
next
project
was
the
it
was
a
county
level
project
Fayette,
County,
Farm
Bureau.
They
requested
twenty
five
hundred
dollars
in
Fayette
County
funds
to
purchase
grain
rescue
extraction
kit.
This
was
was
approved.
The
the
Lexington
Fayette
Urban,
County
Government,
was
providing
the
match,
and
these
are
a
great
great
programs.
We're
proud
to
see
these
done,
and
this
is
one
I've
worked
with
representative
Reed
on
to
to
relax
a
little
bit
of
our
reporting,
we're
pretty
good
on
our
compliance
at
doing
this.
D
D
D
My
career
I
first
served
five
years
as
a
a
a
farm
management
specialist
down
in
Hopkinsville
working
for
this
organization,
and
even
then
we
were
talking
about
what
the
future
of
this
program
is
going
to
look
like,
as
you
all
are
well
aware,
the
the
the
challenges
universities
have
and
having
to
reevaluate
every
every
dollar
they're
spending,
there's
always
been
a
discussion
as
to
the
balance
of
what
is
paid
for
by
the
producer.
What
is
paid
for
by
the
university,
and
they
continue
to
struggle
with
with
hiring
staff.
D
There's
been
a
vacancy
in
Bowling
Green
that
has
been
open
for
a
couple
of
years
and
working
to
try
to
fill
that
position
which
I
believe
it
is
now
field,
but
that
was
sort
of
the
Catalyst
to
where
the
board
looked
at.
Do
we
need
to
be
looking
at
the
future
and
what?
What
are
other
states
doing
about
this
program,
and
and
what
can
we
model
our
program
for
so
they
took
initiative
made
the
application
got
matching
funds
from
many
of
the
the
end
users
of
this
program.
D
You
may
not
remember
it,
but
it
was
at
the
Kroger
in
Hopkinsville
standing
at
looking
at
the
chips
aisle
and
and
you
you're.
We
have
a
very
good
mutual
friend,
Jeff
Davis.
He
was
the
first
farmer
I
called
on
in
Christian
County,
and
we
made
the
connection
through
that
and
20
23
years
later.
I
bet
neither
one
of
us
thought
we
would
be
sitting
here
today
in
Frankfort
having
this
discussion
about
it,
but
a
little
Nostalgia
as
I
I
was
prepping
for
this.
This
morning,.
F
Brian
I
do
remember
that
and
amazing,
when
you
brought
up
close
friend
of
mine,
Jeff
Davis
who's,
a
farmer
there
in
Pembroke.
He
goes
by
a
nickname
that
we
all
we
all
calling
by
there
at
homes
chubs.
We
had
a
partnership
in
a
potato
chip
franchise
for
about
four
years
and
actually
covered
a
big
portion
of
West,
Kentucky
and
Fort
Campbell
itself
and
in
Tennessee.
But
I
can
still
remember
that
day.
F
D
F
D
E
Moving
on
to
page
16.,
so
this
is
our
last
project.
It's
the
Marshall
County
extension
office
or
our
extension
board
was
the
is
the
applicant
was
approved
for
a
total
of
a
hundred
and
seventy
four
thousand
five
hundred
dollars
in
state
funds
and
ten
thousand
in
Marshall
County
funds
to
support
a
farmer's
market,
a
permanent
farmer's
market
Pavilion,
so
that
the
the
leadership
in
Marshall
County
has
been
talking
about
this.
E
With
this
whole
transition
of
being
able
to
connect
our
Farmers
with
consumers
and
farmers,
markets
is
one
one
way
of
doing
that,
so
we're
up
to
over
70
Farmers
Market
permanent
structures
they've
been
built
across
Kentucky,
so
that
this
finally
came
to
fruition.
When
the
extension
District
board
had
an
opportunity
to
buy
a
bacon
Church.
E
They
said
this
big
great
location
for
our
extension
office,
and
now
we
can
move
forward
on
this
farmers
market
project,
so
they've
got
all
their
chips
in
on
this
project
to
build
this
farmer's
market
they've
been
talking
about
for
some
time,
because
they've
been
operating
out
of
the
existing
extension
office
parking
lot.
So
this
will
give
them
a
permanent
structure
where
they
can.
They
can
connect
with
the
consumers
there
in
Marshall
County.
A
D
A
There
well,
we
will
work
on
that
and
get
back
to
you
next.
We
will
welcome
the
the
tobacco
prevention
cessation
program.
If
you
all
want
to
join
us
at
the
desk,
I
know
I'll,
let
you
introduce
yourselves
first,
so
we
know
exactly
which
one
of
you
is
which
I
apologize.
I've
not
met
either
of
you
so
to.
G
A
Well,
welcome
to
you
both
I
know.
You
all
were
notified
about
two
months
about
this
presentation
being
here
today,
so
I've
been
anxiously
awaiting
it.
I
actually
went
back
and
reviewed
all
of
September
2022
materials
because
we
gave
pretty
much
the
same
presentations
a
year
ago
and
I
was
just
kind
of
curious.
What
had
been
changed
from
then
until
now
I
do
want
to
share.
A
It
was
a
little
bit
frustrating
getting
the
materials
in
I
know
our
lrc
staff
does
a
phenomenal
job,
making
sure
they
have
a
process
in
place
and
getting
materials
in
and
going
through
their
due
diligence.
It
just
seemed
like
we
had
some
challenges,
maybe
on
the
other
side,
respect
for
both
processes
and
I
certainly
respect
the
executive
branch
needing
to
take
their
time
and
due
diligence,
but
we've
got
to
be
kind
of
respect
on
both
sides.
So
I
know
I
had
I
had
some
concerns
about
that
I
know.
F
Yes,
and
thank
you,
madam
chair
I,
do
want
to
express
my
concerns.
We
need
this
information
in
it's.
It
is
beneficial
not
only
to
us,
but,
more
importantly,
to
our
lrc
staff,
so
that
they're
not
overwhelmed
they're
handling,
so
many
different
committees,
it's
very
important-
that
we
get
get
this
information
in
in
a
timely
manner.
I
also
know
this
isn't
the
first
time
we've
run
into
this
type
of
issue
of
getting
information.
F
I
know,
while
I
was
serving
as
chair
of
the
budget
review
subcommittee
on
Personnel,
public
retirement
and
finance,
we
have
information
that
we
have
requested
from
the
Personnel
cabinet.
That
has
not
arrived
and
it
was
first
requested
in
July
of
2021.,
and
there
was
legislation
actually
had
to
be
passed
during
this
past
session
that
that
that
documentation
had
to
be
in
our
hands
before
the
1st
of
November
of
this
year.
So
it's
something
we
really
want
to
make
sure.
F
A
Thank
you
chair
and
again
that
may
not
be
necessarily
URLs
I'm,
also
responsibility,
but
when
I'm
asking
for
material
and
we're
not
getting
the
go-ahead,
it's
because
the
executive
branch
hasn't
been
able
to
share
it
with
the
lrc
staff
and
we're
24
hours
before
a
meeting,
we're
not
getting
it.
That's
really
disrespectful
to
their
process
and
that's
what
I'm
looking
for
is
respect
on
both
sides
and
I.
Just
we're
sharing
it
publicly
so
that
somebody
can
be
maybe
a
little
more
accountable
because
I'm
excited
about
this
information.
A
H
G
Let's
hear
it
so
I
absolutely
appreciate
your
excitement
to
hear
this.
We
are
always
excited
to
share
what
we're
doing,
because
we
know
that
it
works,
helping,
Kentucky
and
so
every
opportunity
we
get
to
share
this
information
with
you.
We
love
to
take
advantage
of
that.
So,
as
I
said,
I'm
Ellen,
cartmel
I'm
the
manager
of
this
program.
G
We
all
know
that
tobacco
use
is
bad
for
us,
so
I
won't
belabor
this
slide
and,
as
you
said,
it
is
a
slide
that
we
used
last
year,
but
I
want
to
draw
attention
to
the
fact
that
smoking
is
killing
more
kentuckians
than
alcohol
use,
drug
use,
car
accidents,
murders,
suicides
and
AIDS
combined,
but-
and
it
is
our
number
one
preventable
cause
of
death
in
the
Commonwealth.
However,
this
is
not
just
a
case
of
mortality,
it's
also
a
case
of
morbidity
because
it's
also
our
number
one
preventable
cause
of
disability
and
disease.
G
So
I
want
to
focus
now
a
little
bit
more
on
the
financial
toll.
This
has
been
updated
from
last
year
with
updated
metrics,
while
we're
bringing
in
about
496
million
dollars
a
year
in
tobacco
tax
revenue
for
the
state.
We're
immediately
spending
more
than
that,
just
in
Medicaid
expenses
to
address
smoking,
use
we're
spending
about
I
think
it
was
yeah,
634
million
just
in
Medicaid
expenses.
G
G
So
what
that
shakes
out
too
is
over
twelve
hundred
dollars
per
Kentucky
household
in
state
and
federal
taxes
from
government
expenditures
caused
by
smoking.
Again,
this
is
every
household,
not
just
households
that
have
someone
in
there
who
uses
tobacco
products.
This
is
also
having
a
greater
detrimental
effect
on
our
economy
overall,
because
in
addition
to
that
2.23
billion
that
the
state
is
spending
just
on
health
care
expenses,
we
also
have
employers
looking
at
over
3
billion
dollars
in
costs
of
employing
people
who
smoke
and
the
way
that
we
get
to.
G
So
we
are
really
really
fortunate
that
employers
do
see
this
as
an
issue,
and
they
are
looking
forward
to
trying
to
help
with
this.
So
we
have
two
guests
here
today
and
I
have
Ashley
badar
and
Dr
Heiss
from
The
Three
Rivers
District,
Health
Department.
They
they
graciously
drove
up.
Ashley
had
reached
out
to
Dorman
Products
in
Gallatin
County
and
said:
can
we
provide
smoking
cessation
classes
quit
smoking
classes
to
your
employees
and
Dorman
not
only
said
yes,
they
said
you
can
do
it
here
and
we
will
pay
the
employees
for
their
time.
G
G
Another
piece
of
good
news
is
that
88
of
Kentucky
smokers
say
that
they
want
to
quit
of
adults
and
that's
over
half
a
million
kentuckians,
which
is
really
really
exciting,
and
we
want
to
help
them.
Unfortunately,
fewer
than
half
of
them
know
that
we
have
a
service
to
help
them
called
1-800
quit
now.
G
It's
also
in
Kentucky
called
quit
now
Kentucky,
and
that
is
one
of
the
most
valuable
resources
that
we
can
provide
to
them,
and
I
say
that
for
two
reasons,
the
first
reason
that
I
say
that
it's
extremely
valuable
is
that
people
who
use
1-800
quit
now
are
twice
as
likely
to
be
able
to
quit
and
stay
quit
as
people
who
try
to
do
it
on
their
own
or
go
cold
turkey.
So
we
know
that
this
is
effective
and
that
it
works.
G
The
other
reason
why
it's
a
great
asset
for
us
is
that
it
has
a
good
return
on
investment,
so
you
also
have
in
your
packet
an
Roi
from
the
University
of
Kentucky
that
shows
that,
for
every
dollar
we
are
investing
in
quit.
Now
Kentucky.
We
can
expect
over
four
dollars
in
a
returned
future
cost
savings,
so
one
of
the
only
things
that
we
can
do
that
is
more
effective
than
the
Quit
Line
that
we
know
of
is
prevention.
So
there's
a
reason.
G
They
say
an
ounce
of
prevention
is
worth
a
pound
of
cure
if
we
can
keep
people
from
Ever
Getting
addicted
to
these
products.
That
is
the
way
to
go.
Now.
We've
mostly
focused
on
working
with
students,
because
the
vast
majority
of
people
who
are
adults
who
are
addicted
to
these
products
become
addicted
before
the
age
of
18
or
before
they
can
legally
purchase
these
products,
and
if
current
trends
continue,
we
can
expect
hope
not
to
see
but
expect
120
Kentucky
kids
to
ultimately
die
prematurely
from
their
own
smoking
down.
G
The
long
run
now
I
have
this
slide
again
from
last
year,
but
I
think
it
really
paints
an
excellent
picture
of
what
we're
dealing
with
here
when
it
comes
to
e-cigarettes,
because
when
these
came
on
the
scene,
it
really
changed
the
landscape
for
us.
You
can
see
we
had
all
of
these
to
back
different
types
of
tobacco
use
nationally
we're
trending
downwards.
G
So
in
addition
to
that
being
scary
on
its
own,
we're
also
concerned
that
this
can
lead
to
a
new
generation
of
smokers,
because
there
is
a.
There
are
several
studies
that
show
that
people
who
young
people
who
use
e-cigarettes
are
more
likely
to
start
using
traditional
combustible
cigarettes
a
year
later,
and
one
study
found
that
they
had
eight
times
higher
odds
of
currently
using
cigarettes
a
year
later.
G
So
this
is
a
big
issue
that
we're
seeing
in
our
schools
I
have
here
data
from
Infinite
Campus,
which
is
where
the
schools
house
information
on
what's
going
into
the
school
or
what's
going
on
in
the
schools.
We
have
this
from
the
2021-2022
school
year
and
you
can
see
of
all
of
the
categorized
Behavior
events
and
Infinite
Campus
for
Kentucky
nearly
40
39
percent
were
violations
of
tobacco-free
policies,
so
the
usually.
G
They
are
willing
to
report
students
for
this,
and
but
they
are
desperate
for
resources
to
on
how
to
address
it,
so
they're
constantly
reaching
out
to
their
local
Health
departments
reaching
out
to
us
and
want
to
know
what
they
can
do
so
right
now
we
have
three
answers
for
them
that
the
state
is
helping
provide.
So
the
first
is
my
life,
my
quit
the
way
I
talked
about
1-800
quit
now
and
quit
now
Kentucky
my
life,
my
quit
is
the
teen
version
of
that.
G
It's
for
anybody
under
18.,
the
other
big
difference
between
quit
now
Kentucky
and
my
life.
My
quit
is
quit
now
can
or
sorry
my
life,
my
quit
for
youth.
You
can
do
all
of
your
coaching
by
text
message
because
we
know
a
15
year
old
is
not
going
to
pick
up
the
phone
and
want
to
talk
to
a
coach,
but
if
they
can
do
it
all
over
the
over
their
texting
they're.
Much
more
likely
to
to
do
that,
and
this
just
like
1-800
quit
now,
is
offered
at
no
cost
to
the
person
who's
calling.
G
So
that's
not
a
barrier
for
them
and
it's
also
confidential.
So
we
are
trying
to
get
these
posters
and
this
information
into
schools,
youth
organizations
anywhere
else.
We
can.
We
also
have
a
curricula
from
American
Cancer
Society
that
we
promote
sorry,
not
American,
Cancer,
Society,
American,
Lung
Association
that
we
approach
promote,
which
is
in
depth.
It's
an
alternative
to
suspension
curriculum
for
schools,
so
that
primarily
for
first-time
offenders.
G
So
I
have
here
a
success
story.
I
know
that
one
partner
that
you
all
have
enjoyed
hearing
about
in
the
past
is
the
University
of
Kentucky's.
Hashtag
I
can
end
the
trend
program
which
sends
UK
college
students
to
high
schools
and
middle
schools
at
no
cost
to
talk
about
e-cigarette
prevention.
We're
still
doing
that,
it's
still
very
successful.
We
would
love
to
invest
more
in
it,
but
that
idea
is
also
spreading,
which
is
what
I
have
here.
G
We
had
four
students
from
Hardin
County
high
schools,
who
said
we
want
to
do
peer
education
here
in
our
high
school.
We
want
to
talk
to
our
peers
about
this,
so
they
reached
out
to
their
local
Health
Department,
which
is
a
Lincoln
Trail
district,
and
they
also
reached
out
to
us.
We
were
able
to
tell
them
here's
what
we
think
works.
Let
them
adapt
that
for
their
schools
for
their
peers,
the
people
they
know,
and
they
took
that
to
the
HOSA
State
leadership
conference
in
one
first
place.
G
G
So
with
our
Master
settlement
agreement
funds
that
we
received
in
the
biennial
budget,
we
are
funding
about
one-third
of
Kentucky
61
Health
Department,
so
those
are
the
ones
that
are
in
blue
are
the
ones
that
are
getting
funding
from
us
at
this
time
and
the
way
that
that
looks
when
we
look
at
just
our
two
million
dollar
budget
is
immediately
50
percent.
Half
we're
saying
we're
putting
this
into
local
communities.
G
The
other
half
about
30
percent
is
going
into
cessation
either
my
life,
my
quid
1-800
quit
now
or
other
cessation
Outreach,
like
we
work
with
the
American.
Sorry,
the
Kentucky
cancer
program
to
provide
Outreach
to
Veterans
working
with
hospitals
to
get
them
integrated
into
our
electronic
health
referral
system
Etc
and
then
the
other
20
on
other
prevention,
like
the
University
of
Kentucky
program
that
I
mentioned,
or
just
general
education
and
Coalition
building,
now
those
those
last
categories,
the
ones
that
are
not
Health
Department.
G
They
are
also
subsidized
by
CDC,
because
we
do
have
a
grant
from
CDC
for
1.6
million
dollars
per
year.
That
CDC
Grant
is
where
my
salary
comes
from
the
Personnel
costs
for
my
team,
and
it
also
pays
for
our
travel
and
supplies.
It
helps
support
the
quit
lines,
our
partners,
and
then
it
does
a
little
bit
with
media
I.
Don't
have
I,
have
media
just
a
little
a
between
MSA,
because
the
bulk
of
it
is
coming
from
CDC,
but
anything
that
we
can
put
from
MSA
into
promoting
prevention
and
promoting
the
Quit
Line.
G
We
want
to
do
so.
I
hope
that
this
shows
that
we
have
some
things
that
we
know
are
working
and
that
we
are
excited
to
share
about
and
according
to
the
CDC
for
every
dollar,
we
are
investing
in
a
comprehensive
tobacco
control
program.
Kentucky
can
expect
to
see
a
55
return
on
investment,
so
that
is
my
presentation.
I'm
happy
to
take
any
questions
now
or
after
Elizabeth
yeah.
We.
A
Do
have
some
questions
we'll
start
one
I
really
appreciate
the
presentation.
No
question
I
think
it's
15
kentuckians
are
diagnosed
every
day
with
lung
cancer,
eight
die
every
year
from
lung
cancer.
The
opportunity
cost
of
those
who
are
not
working
due
to
having
lung
related
diseases
is
astronomical
for
our
state.
So
this
is
a
huge
Initiative
for
me
personally.
I
have
a
lot
of
friends.
A
Who've
been
through
this
program,
and
I
have
kids
that
are
in
that
High
School
Middle
School
area,
so
The
Vaping
issue
is
absolutely
a
concern,
especially
when
they
can
do
it
so
easily.
So
without
anybody
seeing
it
and
you're
right
for
the
long-term
traction,
even
if
we
are
reducing
sensation
of
smoking
with
with
adults
who
want
to
choose
where
we
are
raising
a
generation
that
will
very
much
quickly
move
towards
that.
So
I'm
really
curious
about
a
couple
of
things.
One
you
mentioned
very
early
on
about
the
quit
now.
A
Kentucky
and
I've
been
promoting
that
and
when
I've
had
a
chance
to
talk
about
it
is
that
do
you
view
that
as
the
most
effective
way
of
because
it
for
me
that
88,
who
want
to
to
want
to
choose
to
have
better
tool,
is
to
quit?
I
think
is
your
most
area
of
opportunity,
and
so
it's
going
after
that
be
most
helpful.
How
do
you
view
that
program
being
effective
and
if
there's
ways
to
be
more
effective,
in
particular
with
that
moving.
G
Forward
sure,
so
the
most
effective
thing
that
you
can
do
to
quit.
Smoking
is
often
to
get
one-on-one
counseling.
If
you
can
meet
with
a
tobacco
treatment,
specialist
they're,
usually
in
a
clinic
and
there's
billing
for
it
so
1-800
quit
now
is
the
most
I
would
say,
cost
effective
thing.
We
can
do
to
reach
everybody
in
their
home
where
they
are.
G
We
do
know
that
the
recommendation
is
that
people
be
able
to
do
eight
calls
and,
unfortunately,
for
most
kentuckians
we
only
have
the
budget
to
five
calls,
and
we
also
know
that
the
other
thing
that
really
really
helps
people
quit
is
nicotine
replacement
therapy,
so
gum
patches,
lozenges
Nicorette.
The
things
that
you
hear
about.
We
are
able
to
provide
that
through
the
Quit
Line
to
many
people,
but
not
to
all
people.
G
So,
in
a
in
a
perfect
world,
we
could
make
the
Quit
Line
more
effective
by
being
able
to
provide
more
nicotine
replacement
therapy
being
able
to
provide
more
calls
and
just
making
sure
that
more
people
know
about
it,
because
a
lot
of
the
costs
when
we
look
think
about
that
Roi.
A
lot
of
the
costs
we
have
are
flat
costs
like
having
a
website
paying
for
the
counselor.
So
whether
we
have
a
thousand
callers
or
ten
thousand
callers.
A
I
agree:
that
was
what
I
was
kind
of
curious
about.
It
seems
like
the
materials.
Are
there,
the
infrastructure?
Is
there
it's
just
getting
more
people
to
see
it
know
it
providing
maybe
additional
funding
for
more
calls,
or
at
least
a
replacement
would
be
two
options
that
would
make
that
more
effective
and
no
question
the
ROI
is
there
and
then
on
the
I
was
really
interested.
I
did
a
little
bit
of
research
on
the
UK
program
in
the
peer-to-peer,
I
think
having
kids
in
those
ages.
I
can
say
it
all
day
long.
A
G
Yes,
I
would
say
primarily
funding
issue,
primarily
capacity,
so
they
list
at
the
beginning
of
each
semester.
They
publish
all
you
schools.
If
you
want
us
to
come
to
your
school,
let
us
know,
and
it
fills
up
so
quickly
their
calendar,
so
they
really
need
to
be
able
to
hire
more
students
so
that
they
can
go
to
more
schools,
I.
Think
within,
like
a
couple
of
weeks
of
putting
that
link
out
there,
they
already
had
a
wait
list,
so
it's
like
well.
G
A
G
A
She's
like
who
wants
to
get
on
board
with
this,
it's
very
limited
I
mean
just
where
we
are
at
UK.
If
we
can
have
other
universities
take
on
some
of
that
responsibility
and
reach
out
to
those
that
are
closer,
and
that
would
be
a
great
first
multiplier.
If
you
will
so
I
appreciate
both
those
I
know:
Senator
Webb,
you
have
a
question.
I
Please
I
am
I
I
want
to
thank
Ellen
I've
watched,
her
grow
up
and
I've
watched
her
grow
in
this
capacity
and
and
I
appreciate
the
job
that
you
do
and
you
know
you
I
look
at
I
was
texting.
Your
neighbor
in
Lewis,
County
superintendent
Weddington,
threw
out
this
presentation
because
we
have
such
an
issue
with
vaping
in
Lewis
County
schools.
B
I
A
very
high
level
of
frustration
and
I
think
we
need
to
acknowledge
and
realize
it's
not
just
tobacco.
These
kids
are
vaping
to
begin
with.
We
don't
know
what
they're
buying
at
the
convenience
store
or
who's
whipping
it
up
somewhere,
but
and
I've
always
asked
the
question
of
what's
in
this
stuff,
but
I
never
really
got
a
good
answer
from
anybody,
but
you
know
it.
I
These
kids
now
are
doing
it
and
it's
a
problem
in
our
schools.
It's
affecting
performance
and
graduation
rates
and
everything
else,
because
it's
not
just
tobacco
folks.
So
we've
got
to
come
up
with
this
policy
maker,
some
kind
of
mechanism
not
only
with
penalties
or
with
programs
or
something
prevention,
but
also
addressing
the
people
that
are
doing
it
so
I'm
going
to
get
on
my
soapbox
a
minute
here.
We've
got
to
do
some
things.
I
We've
got
to
do
it
pretty
quick
in
my
opinion,
because
it's
everywhere
and
and
I
appreciate
what
you
do,
but
if
we
could
have
discussions
about
how
to
maximize
in
these
deserts,
areas
that
are
in
white
either
through
Partnerships
with
maximizing
Health,
Department
participation
or
the
University
of
Kentucky
or
the
community
college
system.
I
think
would
be
kind
of
on
the
right
track
and
and
using
dollars
wisely.
But
thanks
for
listening
thank.
A
A
They
have
no
idea
what
they're
getting
two
of
which
were
laced
with
fentanyl
end
up
in
the
hospital,
because
these
13
15
year
olds
did
not
know
what
they
were
purchasing
and
it's
a
it's
a
huge
problem
and
that's
just
what
I
know
about
not
to
mention
those
who
I
know
are
spreading
it
to
your
point
of
having
not
just
e-cigarette
influence.
It's
it's
dangerous
on
a
number
of
friends,
so
I
think
I
know
you
hear
us
being
concerned
about.
We
want
to
help
you
in
that
for
sure
representative
Rourke.
J
G
I,
don't
think
I
have
anything
on
that
in
my
notes,
prepared,
but
I
would
be
happy
to
get
an
answer
to
you.
I
absolutely
I
wrote
down
anxiety
and
depression
because
I'm
glad
that
you
brought
that
up.
There
was
a
national
study
done
that
found
that
I
want
to
say.
81
of
Youth
who
started
using
e-cigarettes
said
that
they
did
it
because
they
had
this
mistaken
belief
that
it
would
help
with
anxiety
or
depression
or
stress,
and
that
we
see
that
with
college
students
a
lot
too
they're
like
well
this.
G
Maybe
this
will
help
me,
take
the
edge
of
what
I'm
trying
to
study
and
in
reality,
when
you're
addicted
to
those
products.
It
just
creates
a
vicious
cycle
of
withdrawal,
and
that
was
something
that
I
mean
I
fell
into
too.
As
a
college
student
I
was
like
well,
maybe
if
I
smoke
that'll
like
hell,
if
I
have
a
cigarette
that'll
calm
me
down,
it's
like
no.
No,
that
only
works
if
you're
already
addicted
to
nicotine,
because
it's
easing
your
nicotine
withdrawal.
G
If
you
aren't
already
addicted,
then
it
doesn't
calm
you
down,
it
actually
gives
you
a
buzz.
So
these
are
all
messages
that
we
are
trying
very
hard
to
get
out.
I
can
look
into
the
cost
difference
and
one
thing
that
we
talked
that
I'm
thinking
of
because
Senator
Webb
mentioned,
we
don't
know
what's
in
these
products,
and
you
talked
about
people
getting
addicted
really
quickly
is
the
amount
of
nicotine
in
an
e-cigarette
is
so
much
higher
than
what's
in
a
cigarette
and
you're
also
getting
more
of
it.
G
So
when
you
are
using
a
cigarette,
it's
going
to
burn
down
whether
you're,
inhaling
it
or
not,
you're,
probably
only
getting
one
to
two
milligrams
of
nicotine
from
a
cigarette.
An
e-cigarette
can
hold
much
much
higher.
I
want
to
say
that
the
study
I
found
When
I
Was
preparing
was
like
20
milligrams,
varies
from
three
milligrams
to
36
milligrams
in
just
one
e-cigarette,
and
it
only
it's
coming
all
to
you,
because
it's
activated
when
you,
when
you
use
it
so
definitely
a
big
concern
and
I'm
happy
to
look
into
the
cost.
Well,.
J
F
J
G
And
quit
now
Kentucky,
so
it
actually
does
have
a
protocol
that
is
for
people
who
are
under
24..
We
have
a
several
different
protocols.
So
if
you
call
quit
now,
Kentucky
1-800
quit
now
and
you
are
pregnant,
then,
instead
of
getting
five
calls,
you
can
actually
get
nine
calls,
because
that's
how
much
we
really
really
want
you
to
quit,
while
you're
pregnant.
If
you
have
a
diagnosis
of
a
behavioral
health
condition
like
another
substance,
use,
disorder,
depression,
anxiety,
PTSD,
you
can
get
I
think
eight
calls.
G
Instead
of
five
when
I
say
five
calls
that's
kind
of
like
the
standard.
That's
the
minimum
and
some
some
people
can
get
more.
But
yes,
we
have
definitely
noticed
that
there
is
this
kind
of
gap
between
18
and
20
24,
maybe
a
little
older
than
24.
you're.
Still
a
youth
you're,
not
a
teen,
but
you
still
have
some
of
those
mindsets.
Your
brain
is
still
developing
until
the
age
of
26,
and
so
they
have
some
more
text
capacity,
but
I,
don't
think
the
full
text.
Capacity
of
my
life
might
quit
yet
got.
A
H
Thank
you
very
much.
It
is
hard
to
follow
Ellen,
but
I
will
try.
I'm
Elizabeth,
Anderson,
Hoagland
and
I
am
the
section
supervisor
of
health
promotion
at
the
Kentucky
Department
for
public
health.
Let
me
move
this
a
little
bit:
I'm,
actually
Ellen's
supervisor.
So
the
health
promotion
program
includes
the
tobacco
provision
program,
the
state,
physical
activity
and
nutrition
program
and
the
lung
cancer
screening
program.
If.
A
H
Excuse
me,
while
I
shuffle
a
little
bit
so
I,
am
the
current
contact
for
the
lung
cancer
screening
program
at
the
department
for
public
health.
If
you
want
to
go
to
the
yep
go
for
it,
so
the
good
news
is
that
last
year
the
legislature
passed
a
bill
establishing
a
lung
cancer
screening
program
of
the
department
for
public
health
and
just
to
refresh
everyone's
memories.
It
has
three
broad
overall
goals,
which
is
to
increase
lung
cancer.
Screening,
reduce
morbidity
and
mortality
and
reduce
the
cost
of
treating
health
care
costs
of
treating
lung
cancer.
H
So
you
know
nice
easily
achievable
goals.
The
legislation
also
established
an
advisory
committee
with
the
goals
of
reviewing
relevant
data
clinical
guidelines,
best
practices
provide
recommendations
to
the
program,
establish
and
over
oversee
education
and
Outreach
campaigns,
and
provide
an
annual
report
to
the
legislature,
which
I
am
working
on
the
annual
report.
Right
now,
as
we're
talking
about
deadlines,
I'm
working
on
it,
I
promise
go
ahead.
H
The
other
good
news
is
that
we
do
have
good
guidance
about
lung
cancer
screening
and
we
also
have
insurance
coverage
so
Medicare,
Part,
D
and
Medicaid
both
reimburse
for
annual
preventive
low-dose,
CT
scans
for
eligible
kentuckians,
and
so
those
guidelines
are
ages
50
to
80
or
with
Medicare.
It's
50
to
77.
a
20-pack
year,
smoking
history,
which
pack
years
are
calculated.
If
you
smoke
a
pack
of
cigarettes
a
day
for
20
years,
that
is
a
20-year
pack
smoking
history.
If
you
smoke
two
packs
of
cigarettes
a
day
for
10
years,
that's
a
20-year.
H
20-Pack
year,
smoking,
history,
half
pack
a
day
for
40
years,
so
that's
kind
of
how
the
math
adds
up
and
then,
if
you
are
a
current
smoker
or
if
you've
quit
within
the
past
15
years.
So
if
you
meet
those
eligibility
guidelines,
you
are
eligible
for
that.
Low-Dose
CT
scan
until
you
kind
of
age
out
of
it,
and
we
do
want
to
emphasize
that
this
needs
to
be
an
annual
screen.
H
H
Sometimes
you
will
have
that
that
glow
dose
CT
scan,
and
sometimes
you
just
find,
lumps
and
bumps
like
a
lot
of
us
have
lumps
and
bumps
that
we
don't
want
to
think
about,
but
as
long
as
they're
just
hanging
out
and
they're
not
doing
anything,
then
it's
okay
just
to
keep
an
eye
on
them.
You
don't
have
to
over
treat
for
something
like
that
when
it
comes
to
risks
for
lung
cancer,
the
greatest
risk
is
cigarette
smoking.
H
We
know
that
about
80
percent
of
lung
cancer
cases
are
caused
by
someone's
own
smoking
and
about
one
in
five.
Kentuckians
are
currently
smoking
cigarettes
across
the
state.
The
other
major
cause
that
we
see
is
radon
exposure,
which
is
an
odorless
colorless
gas
that
is
naturally
found
in
some
rock
here
in
Kentucky
and
then
occupational
exposure.
H
So
the
most
obvious
one
is
firefighters,
because
they're
around
a
lot
of
smoke,
also
diesel
mechanics-
you
can
see
it
in
coal
miners,
those
really
nice
countertops
that
we
all
get
those
stone.
Countertops
like
that,
can
cause
some
risk.
So
that's
something
else
to
keep
an
eye
on
and
I
really
like
this
map.
Looking
at
radon
potential.
This
was
done
by
the
Kentucky
Geological
Survey
a
couple
of
year
a
couple
of
years
ago.
H
So
something
else
I
want
to
make
sure
to
emphasize.
Is
that
screening
really
does
make
a
difference.
We
know
that
if
we
catch
lung
cancer
in
that
early
localized
stage,
61
percent
of
patients
are
going
to
be
alive
within
five
years.
However,
if
we
get
to
that
distant,
you
know
where
you've
had
those
metastases
that
five-year
survival
rate
drops
to
seven
percent
and
unfortunately,
looking
at
stage
of
diagnosis.
Most
kentuckians
right
now
are
found
at
that
distance
stage,
where
their
survival
rate
is
the
lowest.
H
The
good
usually
Kentucky,
like
does
not
show
up
really
well
in
these
National
lists,
but
when
it
comes
to
lung
cancer,
screening
we're
doing
really
really
well
in
Kentucky
compared
to
all
the
other
states.
You
know
the
this
data
is
from
the
American
Lung
Association
and
they
are
updating
it
this
month.
So
it's
possible.
If
you
go
to
their
website
today,
they're
going
to
have
a
slightly
different
number.
This
is
the
2022
report.
H
You
can
see
that
14.6
percent
of
eligible
kentuckians
are
being
screened
for
lung
cancer
and
that
is
compared
to
the
National
rate
of
5.7
percent,
so
we're
doing
really
well
compared
to
the
National
perspective,
and
a
lot
of
that
is
due
to
some
of
the
work
going
on
already
in
Kentucky
UK
Marquee,
Cancer
Center,
the
leads
project,
the
Kentucky
cancer
Consortium,
the
Kentucky
cancer
program.
We've
had
like
a
really
lot
of
concerted
efforts
to
get
this
number
up.
H
It
was
laparoscopic
surgery,
they
just
went
in,
they
cut
it
out
and
that's
you
know,
I'm
not
going
to
say
it's
a
great
surgery,
but
it's
you
know
compared
to
some
of
the
treatments
for
cancers.
That
is
relatively
easy
and
they
just
got
to
keep
an
eye
on
him
for
the
next
couple
of
years,
and
you
know
that's
really
the
best
case
scenario
and
as
we
are
getting
new
surgical
techniques,
we're
getting
new
immunological
therapies.
H
We
expect
to
see
this
fall
further,
so
some
of
the
things
that
we
are
doing
as
a
program
we
did
get
our
full
advisory
committee
seated.
It
took
a
while
to
get
that
all
together.
I
do
want
to
thank
representative
Moser
and
Senator
Douglas,
who
are
our
legislative
Representatives
on
the
committee.
They
have
really
put
in
a
lot
of
time
and
effort,
especially
in
the
early
stages
and
I,
appreciate
that
I
know
they
have
a
lot
of
competing
priorities.
H
We
also
have
two
co-chairs
that
have
been
that
have
been
elected
to
the
committee,
so
that's
Dr,
Michael
gieske
from
St
Elizabeth
Healthcare
up
in
Northern
Kentucky
and
Dr
Timothy
mullet
from
UK
Marquis,
Cancer
Center.
They
are
both
really
well
known
across
the
state
as
well
as
Across.
The
Nation
I
will
even
say
even
internationally,
because
Dr
geiske
was
just
in
Singapore
for
the
world
lung
cancer
conference,
so
I
bug
them
multiple
times
per
week.
They
have
been
extremely
helpful,
so
I
really
appreciate
their
efforts
as
well.
H
We
are
currently
working
on
a
strategic
planning
process,
as
well
as
setting
up
an
avail
evaluation
for
the
program.
We
want
to
make
sure
that
we
are
using
our
resources
most
effectively
and
that
we
are
making
a
difference.
Since
this
is
the
leading
cause
of
cancer
death
in
Kentucky,
we
have
a
moral
imperative
to
move
that
needle
we
added
some
questions.
The
behavioral
risk
factor
surveillance
system,
which
is
just
a
survey
of
kentuckians
to
see
what
their
knowledge
and
attitudes
about
lung
cancer
are
the
1-800
quit
now
we
do
have
a
protocol
for
lung
cancer.
H
So
if
you
call-
and
you
are
eligible
based
on
the
intake
questionnaire-
they're
able
to
provide
additional
information
about
lung
cancer
screening
and
based
on
our
numbers-
that's
about
100
people
per
month
that
are
getting
that
additional
information
about
lung
cancer,
we're
also
working
on
some
public
education
materials
as
well
as
some
provider
education
materials.
You
can
see
right
here,
a
poster
that
we
just
created.
We
also
have
an
ad
running
and
we're
working
on
some
editorials
for
MD
update,
which
is
a
magazine
that
goes
out
to
healthcare
providers.
H
Things
we're
looking
forward
to
in
the
future.
Saturday
November
11th
is
national.
Lung
cancer
screening
day
I
did
not
choose
the
state.
I
know.
That's
Veterans
Day
I'm
not
quite
sure
why
they
chose
Veterans
Day,
but
they
did.
But
the
purpose
of
lung
cancer
screening
day
is
to
have
a
screening
Center
open
on
a
Saturday
or
even
evening
hours
during
the
week,
because
if
someone
works,
you
know
nine
to
five
Monday
through
Friday.
They
can't
always
get
off
for
a
health
care
provider
appointment.
So
we
want
to
expand
that
availability
for
people.
H
We
are
participating.
There's
a
couple
of
Health
Care
Providers
across
the
state
and
Hospital
systems
that
are
participating.
I
know
the
Lexington
and
Louisville
VA
systems
are
participating,
though
they're
not
doing
it
on
November
11th,
because
that
is
Veterans,
Day,
they're
moving
it
to
you
know
the
week
or
two
behind
we're
working
on
a
comprehensive
training
for
community
health
workers
about
cancer
screening,
so
that
when
they're
out
working
in
the
community,
they
have
information
about
various
cancers.
How
people
can
protect
themselves
and
get
checked
or
thinking
about
we're.
H
Thinking
of
a
couple
of
different
ways
to
increase
patient
Navigators
across
the
state,
patient
Navigators
have
really
been
shown
to
be
a
key
way
to
increase
lung
cancer
screening
and
then
to
get
that
annual
follow-up
and
also
looking
at
some
quality
improvement
initiatives.
You
know
a
good
screening
program
also
integrates
tobacco
cessation.
It
has
that
follow-up
to
make
sure
people
are
coming
back
time
and
time
again,
so
we're
looking
at
a
couple
of
different
options
for
here
in
Kentucky,
so
I
believe
that's
my
last
slide.
I
do
really
want
to
thank
the
advisory
committee.
H
They
have
been
wonderful
with
their
expertise
and
their
time
and
really
getting
this
program
up
and
established,
and
the
last
thing
I
will
say
is
that
we
are
looking
to
hire
a
permanent
position
to
run
this
program,
since
this
is
sort
of
my
second
job,
so
knock
on
wood
that
we
we
have
a
candidate
in
the
in
the
works,
so
hopefully
that
will
come
through
soon
and
with
that
I
welcome
any
questions.
Thank.
A
A
Fantastic
I
know
just
from
a
personal
story:
I've
had
two
extended
family
members
diagnosed
with
lung
cancer
this
year,
so
one
of
whom
was
diagnosed
at
stage
four
and
passed
away
within
five
months.
The
other
went
in
with
fatigue
and
maybe
not
sure,
what's
going
on
but
met
the
criteria
for
the
screening
was
screened
found
stage.
One
did
the
laparoscopic
and
you
know
their
their
Futures
are
very
different
because.
B
A
That
so,
ideally,
prevention
is
where
we
want
to
be,
and
when
we
can't
you
know,
we
need
to
make
an
effort
there.
We
also
need
to
respond
on
this
side
and
that
early
diagnosis
screening
is
so
important
to
catch
it
early
and
be
able
to
make
different
choices
moving
forward.
So
it's
critical
I
really
appreciate
both
y'all's
efforts
to
all
of
that,
are
there
any
questions
for
all
right,
so
you
know
they're
doing
a
great
job,
appreciate
your
service
very
much
and
you're
update.
Thank
you
all
right.