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From YouTube: Budget Review Subcommittee on Human Resources (7-6-22)
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A
You're
on
my
career
mouse
should
good
morning
welcome
to
meeting
number
one,
the
budget
review
subcommittee
on
human
resources.
As
a
reminder,
we
have
new
meeting
protocols
in
place
for
2022
interim
session.
No
remote
attendance
by
members
is
permitted
by
the
2022
interim
session.
All
members
must
attend
in
person
to
be
recorded.
As
present
the
meeting
materials
were
put
online
earlier
this
week
and
made
available
for
downloading.
C
A
A
D
Blake
christopher
also
at
the
office
of
the
attorney
general
okay,
so.
A
Chairman
petrie
over
the
budget
came
came
to
me
and
he
said
we
need
to
get
this
information
out,
so
the
public
would
know
what's
going
on.
So
that's
the
reason
we've
called
you
in
here
this
morning,
so
at
this
time
I
I
reckon
chris
you'll
be
starting.
E
Great
well,
thanks
for
the
committee
for
having
us
here
today
start
off
with
a
slide.
I
believe
it's
slide
three
of
our
presentation
with
the
big
three
johnson
and
johnson.
Please.
E
That's
my
phone:
my
apologies
chris
lewis,
the
office
of
the
attorney
general,
so
the
first
slide.
That's
up,
you'll
see
the
big
three
johnson
johnson
settlement.
Of
course,
when
we
say
big
three
we
mean
amerisource,
burger
and
cardinal
health
and
mckesson
pharmaceuticals.
E
That's
resulted
in
a
combined
total
of
478
million
dollars
that
will
be
coming
to
the
commonwealth
as
a
result
of
a
26
billion
dollar
global
settlement.
With
the
vast
majority
of
the
states
and
territories
in
many
of
their
political
subdivisions
house
bill.
Sorry
go
ahead.
No!
You
can
advance
looking
at
just
the
distributor
settlement.
It's
important
to
remember
that
these
are
two
separate
settlements,
even
though
we've
kind
of
talked
about
them
as
one
because
they
were
done
as
a
package
deal.
E
The
distributor
settlement
provides
for
a
total
of
388
million
hundred
and
thirty
thousand
dollars
and
changed
the
commonwealth
because
of
the
legislation
that
was
passed.
That
is
split
fifty
fifty,
so
the
portion
going
to
the
cities
and
counties
will
be
194
million
dollars
in
change
and
the
same
will
go
to
the
opioid
commission
abatement
commission
that
was
created
by
statute.
E
There
is
a
larger
payment
in
the
first
in
the
first
year,
mainly
because
it
will
all
be
received
in
july
and
august,
so
that's
16
million
589
and
the
17
million
434
will
all
be
coming
at
about
the
same
time
once
the
administrator
has
worked
out.
You
know
the
process
of
getting
the
checks
out
the
door
it'll
vary
by
year
after
that
years,
two
through
three
we'll
see
17
million
in
change.
E
E
They
are
giving
us
the
first
four
years
of
payments
in
one
payment
so
years,
one
through
four
will
be
paid
up
front
and
that'll
be
an
initial
funding
of
47
million
47
close
to
48
million,
coming
in
total
to
the
state,
23
million
847
in
change
going
to
the
commission
and
the
same
amount
to
the
cities
and
counties
the
kicker
with
that
they
are
paying
those
first
four
years
up
front
they're,
not
taking
a
discount
for
early
payment,
but
we
will
not
see
another
payment
from
the
johnson
johnson
settlement
until
2025..
E
So
this
slide
shows
the
combined
settlement
totals.
This
is
johnson
and
johnson,
and
the
distributor
settlement
together
and
you'll
see
in
july
of
2022
that
initial
payment
with
the
combined
will
be
the
32
million
564
000
as
the
50
and
that
8.294
million
above
it
will
arrive
at
approximately
the
same
time,
and
this
lays
out
over
time
how
those
payments
will
will
carry
forward
you'll
notice
that
the
amounts
get
smaller
beginning
in
2031
2032.
That's
because
johnson
johnson
is
paying
out
over
11
years,
whereas
the
distributor
settlement
is
paying
out
over
18..
E
So,
as
we
discussed
before,
50
of
these
funds
will
go
to
local
governments,
the
other
50
to
the
commonwealth.
The
settlement
checks
will
be
issued
by
the
national
administrator,
who
was
selected
as
part
of
the
overall
national
settlement.
A
list
of
the
cities
and
counties
qualifying
for
direct
payments
will
be
submitted
to
them.
Those
checks
will
flow
directly
from
the
administrator
to
those
local
governments
same
with
the
check
that
comes
to
the
commonwealth,
22rs
senate
bill
90.
E
So
that
would
be
one
of
the
first
expenditures
that
rolls
out
of
the
of
the
states
portion
of
the
settlement,
all
funds,
whether
their
local
government
funds
or
the
commission,
have
to
be
used
for
opioid
abatement
under
the
under
the
settlement
and
local
government
recipients
of
commission
funds
and
actually
local
government
recipients
of
funds
from
the
settlement
will
be
submitting
annual
reports
to
the
committee
to
track
how
that
spending
is
going,
how
it's
being
used-
and
you
know,
hopefully,
to
track
some
of
the
outcomes.
F
F
This
commission
will
oversee
the
commonwealth's
50
share
of
the
settlement.
Proceeds
its
composition
is
set
by
statute
includes
11,
total
members.
Nine
are
voting,
two
are
non-voting.
The
voting
members
serve
two-year
terms
after
initial
staggered
terms
and
the
non-voting
members
serve
with
the
pleasure
of
the
senate.
President
and
speaker
of
the
house,
the
members
of
the
commission.
We
have
been
appointed
by
attorney
general
cameron
or
dr
jason
roop
of
campbellsville,
who
represents
victims
of
the
opioid
crisis
van
ingram
of
frankfort,
who
represents
drug
treatment
and
prevention.
F
Karen
kelly
of
somerset
was
appointed
by
president
of
the
senate,
but
I
received
her
resignation
yesterday
evening
late
and
she
is
going
to
be
replaced
by
mr
carlos
cameron.
We
also
have
dr
sharon
walsh
of
lexington
appointed
by
uk's
healing
community
studies,
team
and
then
chfs
secretary,
eric
friedlander
or
his
designee.
F
In
terms
of
the
commission's
work
for
the
remainder
of
this
year,
going
into
next
year,
we
will
have
meetings
and
listening
sessions
in
late
summer
through
the
fall
to
take
place
in
locations
throughout
the
state.
The
first
meetings
that
will
address
drafting
and
publishing
of
regulations
with
the
first
meeting
occurring
on
july,
the
12th
krs
15
291,
will
allow
the
commission
to
issue
regulations
on
an
emergency
basis,
and
we
expect
to
have
an
online
application
process
ready
by
the
end
of
2022,
with
applications
submitted
for
review
and
awards,
starting
in
2023.
G
Good
morning,
gentlemen,
thank
you
for
this
presentation.
I
had
a
chance
to
hear
it
last
week,
but
a
lot
of
good
information
in
there
that
I
want
to
follow
up
on.
After
that
initial
meeting,
I've
I've
received
some
feedback
from
local
officials,
specifically
a
city
official,
I'm
sure
county
officials
may
be
reaching
out
at
some
point
as
well.
G
Is
there
a
way
for
them
if
they've,
if
they've
engaged
in
an
activity
that
is
properly
documented,
that
they
can
provide
the
the
receipts
and
other
prop
other
documentation,
you
know,
can
they
apply
that
to
the
to
the
settlement
cost
and
and
recoup
that
money,
and
I
was
wondering
if
one
of
you
could
address
that
for
me,
please.
D
So
I
think
the
the
best
answer
to
that
is
probably
to
say
it
will
depend
on
the
kind
of
past
expenditure
house
bill
427
provides
that
the
commission
and
the
local
governments
can,
generally
speaking,
spend
opioid
settlement
dollars
on
opioid
abatement.
That
is
in
two
categories.
One
of
those
is
future
projects,
and
the
other
is
for
reimbursements.
D
I
would
suspect
that
there
will
be
there
may
be
further
detail
in
terms
of
what
the
reimbursement
requests
look
like
what
documentation
may
be
necessary
that
may
come
in
the
form
of
regulations
in
the
the
near
future.
In
terms
of
how
far
back
you
can
go,
what
kind
of
documentation
you
need,
so
I
I
suspect
the
commission
may
have
an
opportunity
to
address
that
via
the
regulations.
G
D
Just
just
to
be
sure
we
don't
run
into
any
conflicts,
I
think
you're
fine
to
send
them
to
chris
or
I
either
one
and
and
we
can
help
direct
answers
from
there.
E
If
it
happens
to
be
one
of
the
litigating
subdivisions,
they
probably
need
to
go
to
their
council
first,
because
there
would
be
a
conflict
of
interest
with
us,
giving
them
advice
related
to
this,
while
they're
still
represented
by
council.
If
they
were
a
non-litigating
subdivision,
we're
happy
to
talk
to
them
and
answer
their
questions.
H
Thank
you,
mr
chair.
My
question
comes
from
how
the
settlement
was
derived
like
what
what
numbers
did
you
all
bring
to
the
table?
As
far
as
you
know,
the
cost
of
the
commonwealth,
the
cost
of
local
governments
where,
where,
where
was
the
starting
point
on
that
and
then
kind
of?
Where
did
you
ultimately
land
on
an
agreeable
figure.
E
It's
a
little
complicated.
The
way
this
all
worked
out.
The
the
formula
that
was
arrived
at
was
originally
arrived
at
within
the
mdl
judge,
pollster
up
in
cleveland,
who
was
handling
all
the
local
government
settlements.
All
the
private
party
settlements
appointed
a
committee
to
look
into
the
overall
cost,
as
as
best
they
could
attribute
it
across
the
the
united
states
as
a
whole
and
within
particular
jurisdictions.
They
looked
at
the
amount
of
opioids
that
were
sold
in
the
area,
the
amount
of
deaths
resulting
from
opioids.
E
The
other
factor
that
was
taken
into
account
was
the
population
of
each
state,
so,
for
example,
kentucky
usually
under
population
based
settlement
in
a
national
settlement
would
qualify
for
about
1.09.
E
In
this
particular
settlement,
we
were
up
over,
I
believe,
2.1
or
2.3
percent,
because
of
those
enhancing
factors
because
of
the
concentration
of
the
opioid
epidemic
in
kentucky
the
additional
lives
lost
and
everything
else,
and
so
that
that
entitled
us
and
several
other
states
to
a
larger
share,
whereas
some
of
the
states
where
it
wasn't
as
intense,
actually
gave
up
a
percentage
of
their
settlement
so
that
money
could
be
shifted
to
the
states
where,
where
that
incurred
more
damages,.
D
I'll
just
add
to
that
real
quickly.
If
I
may-
and
chris
can
correct
me
if
I
misstate
any
of
this
but
427
itself,
I
think
played
a
role
in
if
not
the
ultimate
number,
certainly
in
the
distribution
of
that
number,
and
he
he
mentioned
up
front
that
427
allowed
us
to
get
at
the
very
least
that
j
and
j
portion,
the
first
four
years
paid
in
one
lump
sum:
there's
no
disc
discount
to
j
and
j.
For
that.
H
Okay,
so
it's
more
derived
from
just
basically
the
the
amount
of
opioids
in
a
region
in
an
area
not
so
much
the
actual
local
government
costs
to
what
they
were.
You
know
having
to
increase
in
corrections
and
in
policing
that
type
of
work.
E
That's
part
of
the
severity
factor
that
was
taken
into
place
as
far
as
submitting
actual
numbers
from
that,
because
this
was
a
abatement
public
nuisance
type
case.
It
wasn't
necessary
to
pull
all
of
that
together.
It's
really
what
is
the
cost
of
trying
to
solve
this
going
forward?
Had
it
been
a
straight
toward
action,
then
yeah,
all
those
numbers
would
have
to
be
brought
together
to
kind
of
justify
the
underlying
damages,
but
under
the
public
nuisance
abatement
theory,
it's
a
little
different.
B
I
worked
with
dr
dorado.
Thank
you.
It
all
sounds
assignment.
It
works
good.
Gentlemen.
Thank
you
for
your
presentation
just
really
quickly.
I'm
always
curious
when
these
kind
of
I
know
these,
these
distributions
come
out.
What,
if
any
of
these
stakeholders,
I
guess,
if
any
of
the
distributors,
the
manufacturers
go
bankrupt,
what
happens
in
terms
of
funds?
Is
there
some
protection
for
that,
but
if
they
declare
bankruptcy
in
the
midst
of
all
this,
I
mean
I
would
imagine,
we're
one
of
many
states.
B
E
Always
forget
to
hit
the
button
if
they
do
declare
bankruptcy.
I
believe
there
are,
and
I'd
have
to
look
back
at
the
individual
settlements,
because
again
they
are
two
different
settlements.
There
are
provisions
that
try
to
address
that.
I
mean
ultimately,
it's
going
to
be
up
to
a
bankruptcy
court.
It
it's
not
as
big
a
concern
with
the
distributors
in
jnj,
because
they
are,
you
know
such
deep
pockets.
E
There
are,
of
course,
others
inside
our
other
defendants
and
some
of
our
opioid
cases
where
it
is
a
it,
is
a
concern
whether
or
not
they'll
end
up
in
bankruptcy.
Of
course,
we
know
purdue
pharmacism
bankruptcy.
E
We're
participating
in
that
have
a
proof
of
claim
on
behalf
of
the
state,
that's
still
being
worked
out
in
the
second
circuit
court
of
appeals.
Malinkrat
was
another
company
that
went
into
bankruptcy,
that
bankruptcy
has
been
finalized
and
the
effective
date
has
occurred
and
that's
going
to
result
and
again,
these
are
all
a
little
different
in
the
malinchrock
case
there
is,
there
are
three
options
for
malinkrat
to
pay
out
of
the
bankruptcy.
One
is
an
eight
year
plan,
in
which
case
over
eight
years,
the
state
receive
21.8
million
dollars.
E
Another
is
a
year
and
a
half
plan
in
which
the
case
will
receive
15.9
million.
They
also
have
the
option
to
pay
off
in
year,
one
after
they
emerge
from
bankruptcy,
which
would
be
15.3
million,
so
that
one
actually
does
take
a
time
value
of
money
into
into
account,
and
they
were
a
much
smaller
player
in
the
market.
So
that's,
I
think,
the
kind
of
thing
we
can
expect.
If
we
end
up
in
bankruptcy,
there
will
be
some
provision
with
the
liquidation
of
the
assets.
E
If
it's
a
you
know,
complete
liquidation
of
the
company
or
in
the
restructuring
it'll
be
much
like
malinkrat,
where
the
monies
that
are
still
owed.
They'll
have
to
come
up
with
a
payment
plan
for
that,
for
the
payments
remaining
in
the
states
and
that'll
be
a
matter
of
financing
as
they
emerge
from
from
the
bankruptcy
process.
D
Senator,
if,
if
I
may
add
to
that,
and
thanks
to
the
general
assembly
last
session,
there's
a
piece
of
legislation
that
became
law
that
will
ensure
that
no
matter,
whether
it's
through
a
bankruptcy
proceeding
or
through
a
regular
settlement
like
we
had
with
the
big,
four
or
big
three
and
johnson
johnson
here
that,
broadly
speaking,
that
money
will
be
spent
the
same
way
right
and
go
according
to
the
same
plan
in
427.
D
E
So
there
were
private
lawsuits
and
private
lawsuits
are
a
separate
part
of
the
overall
settlement.
It's
not
a
part
of
the
commonwealth
settlement,
so
you
know
to
those
that
had
claims
that
filed
claims.
There
is
a
provision
for
that
that
is
outside
of
the
26
billion
dollar
settlement.
That
was
done.
It's
for
the
private
plaintiffs
parties
that
were
out
there,
but
that
that
is
not
part
of
the
portion
of
the
money
that
that's
coming
to
the
commonwealth.
C
That's
very
good
to
know
another
question.
Yes,.
A
C
Will
these
dollars
that
come
in?
Will
they
be
funding
any
treatment
programs
that
are
currently
in
place
or
will
new
ones
be
built,
or
do
you
have
an
answer
to
that.
F
So,
as
we
discussed
at
the
outset,
half
of
this
money
will
go
to
the
cities
and
counties
for
the
specified
purposes
set
forth
in
the
statute
that
established
this
commission,
and
that
is
opioid
abatement
in
a
very
broad
sense
that
certainly
encompasses
treatment.
Treatment
will
be
encompassed
within
the
mission
of
this
commission,
in
so
far
as
it
will
be
reviewing
grants
for
the
distribution
of
these
funds
to
address
the
ills
that
have
come
with
this
mess.
C
I
I
know
we've
had.
I
can't
even
imagine
how
many
treatment
programs
that
have
opened
up
over
the
last
seven
or
eight
years,
and
I'm
very
hopeful
that
I
know
many
of
the
treatment
programs
are
wonderful
and
there
are
great
outcomes
at
some
point.
I
would
think
this
addiction
would
be
diminished
in
number,
but
I'm
wondering
if
we
would
be
expanding
programs.
C
F
In
so
far
as
this
commission's
resources
are
finite,
medicaid
provides
coverage
for
many
of
these
addiction
services
for
the
population.
That
statistics
bear
out
is
ground,
zero,
demographically
for
this
problem,
and
in
safaris,
that
is
the
focus
of
our
efforts.
That
money
should
continue
to
be
there
unless
there
is
some
unforeseen
change
to
medicaid
coverages.
That
would
inexplicably
disqualify
that
treatment.
C
Well,
I
have
to
say
that
it's
deeply
encouraging
to
me
that,
10
years
ago,
if
people
died
of
an
overdose,
their
families
were
mortified
and
shamed,
they
were
embarrassed.
It
was
something
you
didn't
talk
about
and
now
it's
a
topic
that
people
freely
discuss
and
learn
about,
so
they
can
be
aware
of
what's
happening
in
their
own
community
or
their
own
families.
C
It's
refreshing
to
know
that
something
so
horrible
can
have
some
good
outcomes
for
the
public,
and
I
think
we
have
seen
that
we
still
have
a
lot
of
growth
to
go,
but
it'll
be
very
interesting
to
see
the
outcomes
as
time
goes
on.
Thank
you.
Thank
you.
I
Thank
you,
chairman,
bentley,
appreciate
you
guys
being
here
this
morning.
My
question
deals
with
the
50:
that's
going
to
city,
county
urbans
and
I'm
reading
specifically
from
the
bill
here.
It
says
that
the
proceeds
will
be
distributed
in
accordance
with
an
agreement
reached
among
them
that
incorporates
the
criteria
them
being
city
county
urban
group.
What's
the
vehicle
for
for
bringing
these
folks
together?
Is
that
going
to
be
done
to
the
caico
kentucky
league
of
cities
or
how's
that
how's
that
work.
E
I
I
think
that
section
has
been
modified
in
the
new
bill,
senator
if
I
recall
correctly,
the
the
distribution
under
the
bill
that
was
passed.
This
past
session
actually
uses
the
national
metrics
to
determine
what
the
allocation
will
be
to
each
of
the
litigating
subdivisions.
It
set
a
threshold
that
any
subdivision
that
was
receiving
less
than
30
dollars
out
of
a
single
settlement
would
have
its
money
roll
up
into
the
county
government.
E
For
that
you
know
particular
locale,
and
so
that
is
being
worked
out
into
what's
called
exhibit
g,
which
is
to
both
settlements,
exhibit
g
list,
the
specific
local
government
entities
that
are
entitled
to
receive
direct
payments.
That
is
something
we
are
still
working
on
to
answer
your
question.
E
We
have
been
working
with
caico
and
klc,
along
with
the
plaintiff's
attorneys,
who
represented
individual
governments,
to
come
up
with
an
agreement
as
to
how
that
rolls
up
given
the
given
the
statute
and
that
thirty
thousand
dollar
threshold,
it
has
presented
a
quick
problem
that
we're
trying
to
work
out
in
that
exhibit
g
lists,
local
governments
that
are
entitled
to
receive
direct
payments.
E
However,
they
can't
receive
those
direct
payments
until
they
have
signed
a
participation
agreement
with
the
with
the
settling
parties,
because
we
expanded
the
number
of
local
government
entities
that
would
receive
direct
payments.
I
believe
we
have
about
77
who
never
signed
participation
agreements
and
we're
working
to
get
those
finalized
now,
so
they
can
receive
the
direct
payments,
but
it
has
all
been
a
combination
of
work
with
the
litigating
attorneys
for
subdivisions,
caico
and
klc
to
kind
of
come
to
that
agreement
as
to
what
that
exhibit
looks
like
in
which
entities
will
receive
those
direct
payments.
I
Mr
chairman,
follow
up
please.
Yes,
sir,
I
would
think
once
this
has
all
been
established.
I
can
envision
maybe
just
an
onslaught
of
requests
for
reimbursement,
and
I
think,
probably
you're
going
to
have
a
tsunami
of
requests
for
funds.
Would
that
be
on
a
first
come
first
serve
basis.
Is
there
a
per
capita
limit
for
for
these
political
subdivisions
or.
E
Well
now,
the
subdivisions,
of
course,
will
have
their
own
funds
if
they
choose
to
allocate
some
of
that
to
reimbursement.
I
believe
they
can
do
that.
You
know.
They'll
have
to
be
careful.
One
interesting
thing
about
this
settlement
is
since
so
many
local
governments
are
receiving
direct
payments.
I
It
looks
like
there's,
you
know,
just
a
heck
of
a
lot
of
work.
That's
going
to
have
to
be
done
to
to
get
this
into
place,
and
it's
part
of
that.
Is
there
any
accountability,
because
you
said
what
bothers
me
is
the
claw
back.
Is
you
know,
we've
done
this,
but
but
now
we're
going
to
take
the
funds
back
and
I
mean
I
appreciate
we
have
all
this
money
and
certainly
we
want
to
see
this
problem
addressed.
D
One
is
the
you
know
the
commission
will
have
the
opportunity
if
it
wishes
to
issue
some
right
guidance
through
regulation
on
on
the
reimbursement
issue
now,
largely
speaking,
that
will
be
about
the
commission's
side
right,
but
could
certainly
provide
some
guidance
to
counties
and
cities
indirectly
right
on
on
the
kind
of
reimbursements
that
that
you're
talking
about
the
other
thing
is
an
accountability
is
an
extraordinarily
important
issue
here,
and
you
know
we
want
to
make
sure
not
just
for
purposes
of
keeping
the
settlement
intact,
that
the
money's
going
where
it's
needed,
but
also
because
it's,
I
think,
quite
frankly,
a
matter
of
life
and
death
that
these
monies
get
to,
where
they're
needed
most
and
get
there
directly
and
aren't
wasted
that
everybody
is
good.
D
Stewards
of
these
of
these
resources
and
they're
they're
used
in
the
best
way
to
do
the
most
good.
D
The
the
statute
lays
out
a
specific
process,
at
least
initially
for
for
that
accountability
to
take
place
and
that's
through
the
regular
certifications
that
even
the
local
governments
have
to
submit
so
every
recipient
of
the
commission's
dollars
and
every
local
government
that
receives
money
directly
from
this
settlement
as
part
of
their
50
share,
will
have
to
submit
a
regular
certification
to
the
commission.
Saying
here
like
generally
speaking.
This
is
what
we
spent
the
money
on,
and
this
is
how
it's
related
to
opioid
abatement
and
the
commission
will
have.
D
I
D
I
It
does,
and
I
would
probably
encourage
the
commission
taking
a
broader
role
in
this,
because
there's
kind
of
an
inherent
conflict
of
interest,
I
think,
with
the
cities
and
counties
because
they're
going
to
want
the
money.
Obviously
and
many
are
desperate
for
money
and
I
think,
to
have
any
kind
of
independent
review
of
this.
It'd
almost
have
to
be
from
the
commission
itself
rather
than
in
that
group,
but
I
guess
we're
open
for
discussion
consideration
at
this
point
because
nothing's
been
finalized,
but
another
thing
I
don't
want
to
do
is
create
a
bureaucracy.
E
And
I'll
add
senator
another
layer
to
that
the
money
that
is
being
provided
as
it's
spent
there
has
to
be
reporting
to
the
national
administrator
in
the
overall.
That
is,
you
know,
working
for
oversight
nationwide,
so
they
will
be
tracking
how
the
money
is
spent
if
it's
being
spent
for
the
you
know
agreed
upon
purposes
and
if
any
money
is
allocated
for
anything
other
than
abatement,
there
has
to
be
a
specific
filing
with
that
national
administrator
explaining.
I
That
pending
bureaucracy
is
starting
to
scare
me
just
a
little
bit
and
I'm
afraid
we
may
be
spending
a
lot
of
resources
just
trying
to
comply
without
really
understanding
what
we're
complying
with.
But
again
I
understand
this
is
a
process
that's
being
developed,
so
I'll
be
anxiously
waiting
to
see
where
we
go
with
this,
but
thank
you.
F
If
I
may
add
one
line
or
two
to
what
my
colleagues
here
have
had
to
say,
and
so
far
as
the
commission
can
play
a
constructive
and
helpful
advisory
role
to
the
localities
as
they
figure
out
what
that
money
should
be
used
for
and
can
be
used
for
to
gain
its
maximum
impact,
we
will
absolutely
take
that
role.
The
one
thing
we
don't
wish
to
see
is
either
an
expenditure
of
resources
for
naught
unnecessary
replication
or
a
failure
to
cooperate
among
localities
who
are
strapped
for
resources.
I
J
Thank
you,
mr
chairman,
gentlemen,
thank
you
for
the
presentation.
Most
of
my
questions
were
just
answered.
You
know
the
the
concern
through
all
of
the
the
issues
with
opioid
and
the
state's
approach
is,
is
the
coordination
of
efforts
and
being
able
to
monitor
the
success
of
the
efforts
that
are
ongoing
this?
This
is
a
little
bit
scary,
that
money
going
to
cities
and
counties
and
doesn't
really
sound
like
that.
J
There's
an
overall
plan
and
an
overall
coordination
with
these
new
efforts
and
with
the
current
efforts
to
ensure
that
these
are
the
best
investments
we
can
get
and
they're
on
data
driven
practices.
Programs,
and
can
you
all
speak
to
that
a
little
bit
of
the
overall
efforts
in
the
commonwealth
to
fight
the
opioid
epidemic
and
how
the
existing
efforts
will
be
coordinated
if,
at
all,
with
with
the
funding
from
these
settlements,
it's
a
little
concerning
that
it's
it's
too
piecemeal
and
too
fragmented.
D
So
if,
if
I
understand
the
question
correctly,
it's
maybe
two
parts,
one
is
how
do
we?
How
do
we
measure
results
right?
So
how
do
we
determine
if
a
if
a
project
is
working
right
or
not
and
ensure
that
money's
going
to
projects
that
are
working
and
then
the
second
question
is:
how
do
we
make
sure
that
money
is
being
spent
efficiently
by
making
sure
there's
no
replication
and
things
of
that
nature?
So
I
I'll
talk
about
the
second
question
first,
which
is
to
some
extent
right.
D
The
the
50
50
split
is,
I
would
imagine,
I
won't
speak
for
the
legislature,
but
to
sort
of
empower
local
communities
to
provide
local
solutions
right,
because
what
may
work
for
louisville
or
lexington
right
in
terms
of
opioid
abatement
might
not
work
for
where
you
know
brian
and
I
are
from
eastern
kentucky,
and
so
I
think,
that's
part
of
the
driving
force
there
is
to
provide
ground
up
local
solutions
to
the
local
problems
that
cities
and
counties
are
experiencing.
D
D
On
the
other
hand,
I
think
there
is
absolutely
an
opportunity
to
for
the
commission
to
provide
a
sort
of
counseling
sort
of
role
here
and
connect
ideas
and
people
together
and
to
do
big
things
instead
of
piecemeal,
piecemeal
approaches
right
to
to
connect
people
who
have
big
ideas
with
other
people
who
have
needs
for
big
ideas.
There's
also
going
to
be,
I
imagine
future
settlements
that
will
come
in
to
the
427
plan
that
will
have
to
be
spent
on
regional
appropriations.
D
So
it
will
like
be
part
of
the
settlement
where
money
is
spent
in
bigger
geographical
areas
and
on
larger
geographical
basis
right
than
just
individual
municipalities.
But
I
absolutely
think
the
commission
can
to
extend
it.
It
desires
to
play
a
role
in
connecting
like
hey
we've
received
an
application
for
this.
We've
also
received
an
application
for
this.
These
two
people
should
get
together
and
get
in
a
room
and
figure
out
a
way
to
put
it
into
one
to
cover
a
larger
area
and
do
so
more
efficiently.
D
I
think
the
same
way
same
thing
can
happen
right
with
information
sharing
among
cities
and
counties
with
the
commission
and
with
the
commission
to
cities
and
counties
to
ensure
that
a
grant
is
not
being
given
to
do
a
project,
that's
already
being
done
on
the
state
level
right
that
can
be
done
by
through
the
application
form
right
in
making
disclosures
and
say
where,
where
are
these
projects
currently
taking
place?
Have
you
asked
for
money
from
the
cities
and
counties
before
coming
to
the
commission
and
vice
versa?
D
So
I
think
there
are
mechanisms
to
handle
that
if
that
helps
answer
answer
your
question
and
then
the
reporting,
I
think
to
your
initial
first
part
of
the
question
on
how
do
we
ensure
that
the
projects
are
working?
I
think
that's
done
through
the
reporting
mechanism
right
where
we
can
put
on
that
reporting
form
that
disclosure
form
here's
what
you
got
money
for.
D
F
F
If
there
is
anything
that
y'all
may
wish
to
look
at,
it
is
the
degree
to
which
you
would
wish
to
inject
yourself
into
the
oversight
of
expenditures
by
the
cities
and
counties.
Now
again,
this
commission
does
not
have
any
enforcement
mechanism
to
insist
on
the
expenditure
of
money
one
way
or
the
other.
What
we
can
insist
upon
is
a
steady
and
regular
flow
of
expenditure,
information
which
assures
that
we
have
answers
as
to
where
the
money
is
going
with
verified,
certified
expenses
to
ensure
that
there
is
transparency.
F
C
Wow,
you've
really
got
your
work
cut
out
for
you
and
I
don't
think
you
have.
I
know
your
eyes
are
open,
but
what
might
be
revealed
to
you
will
be
horrifying.
I've
been
in
the
general
assembly
now
this
is
my
24th
year
and
you
talk
about
fighting
corruption
in
this
state.
C
C
I
am
wondering
if
there's
any
entity,
that's
public,
that
I
trust.
I
trust
our
public
health
departments
that
are
woefully
underfunded.
That
might
be
a
good
source
of
revenue
streams
and
I
also
trust
our
universities.
There
are
so
many
eager
students
with
brilliant
minds
that
would
do
studies
just
for
for
grade
credits.
If,
if
you
really
needed
some
some
in-depth
research,
our
universities
would
have
students
that
would
be
screaming
to
have
the
opportunity,
so
they
could
start
building
their
own
future
profession
through
their
degrees.
C
F
You've
not
offended
anybody
at
this
table,
and
I
would
go
so
far
as
to
say
that
from
the
outset
and
at
the
very
beginning
of
this
process,
beginning
next
tuesday,
when
we
have
our
first
commission
meeting.
All
of
us
have
to
be
very
cognizant
of
the
tremendous
erosion
of
public
confidence
in
public
institutions.
That
has
unfolded
to
a
dramatic
degree
over
the
past
30
years.
F
K
The
opioid
crisis
is
such
a
multi-dimensional
problem
right,
there's
the
public
health
aspect
and
behavioral
health
and
human
services
and
academic
science
and
research,
public
protections,
policing,
there's
so
many
different
pieces,
and
so
many
different
ways
to
attack
this,
and
I'm
just
curious.
If,
if
the
commission,
if
the
ag's
office,
if
there's
a
particular
philosophy
that
one
approach
is
better
than
another
or
that
there
needs
to
be
a
balanced,
multi-dimensional
approach
or
how
all
those
you
know,
ways
of
attacking
this
problem
will
be
balanced
in
your
recommendations.
F
F
I
Thank
you,
chair
bentley.
It's
follow
up
to
senator
carroll's
concerns
as
well
as
representative
westrom.
I
F
G
Thank
you,
mr
chairman,
mr
hubbard,
you
mentioned
just
a
few
minutes
ago
that
the
first
advisory
council
meeting
is
next
week.
Yes,
sir,
is
that
meeting
open
to
the
public?
Yes,
sir?
Absolutely
and
what
time
will
they
be
meeting
and
where
will
they
be
meeting.
F
The
first
meeting
will
be-
and
I'll
just
say
it
all
out
here-
so
everybody's
got
it
down.
It
will
be
on
tuesday
july,
the
12th
at
1
pm
at
10,
24
capital
center
drive,
suite
200
conference
room
a
and
it
is
scheduled
to
go
from
1
pm
all
the
way
until
5.
there
will
be
a
public
notice
of
the
meeting
put
on
the
office
of
attorney
general
website
as
well
as
the
agenda.
Is
that
right,
mr
christopher,
and
it
will
be
a
kickoff.
F
A
I'll
get
to
okay
representative
western
go
ahead.
C
This
is
my
question,
for
you:
can
you
and
the
senate,
chair
of
this,
of
the
health
and
human
services
committees,
recommend
that
a
few
members
of
the
general
assembly
attend
these
meetings
to
kind
of
be
an
eye
and
ear
to
keep
us
all
apprised
of?
What's
going
on?
That
would
be
very
helpful.
I
think.
A
I
don't
think
so,
but
we're
about
ready
to
run
out
of
time,
so
I'm
gonna
make
a
few
comments
and
they're
a
little
different.
Of
course,
I
helped
structure
that
bill
427.
A
So
if
you
get
a
chance
to
read
it,
there's
29
funding
projects
or
29
listings
that
we
put
on
there
everything
from
home-based
wrap-around
services
to
public
education.
So
all
those
things
to
be
that's
what
you
were
interested
in,
that's
in
the
bill
and
then
in
the
back
part
of
that
bill.
It
tells
what
the
commission
can
do,
it's
additional
duties
and
responsibilities.
A
So
I
tried
to
be
really
thorough
when
we
worded
that
and
there's
six
of
those
for
the
commission,
I
have
several
points
here
and
they're
all
different,
so
I've
shipped
another
gear,
as
my
wife
says
back
when
the
oxycontin
was
out
there,
and
I
was
a
pharmacist-
a
real
practicing
pharmacist
at
the
time
I
asked
purdue
frederick
how
much
they
did
in
oxycontin
80
milligram
the
worldwide
gross
sales
of
oxycontin
80
milligram
was
more
than
the
whole
horse
business
in
kentucky.
A
A
The
accountability
is
also
in
427
and
right
now
you
guys
are
already
booked
to
be
back
here
in
a
year
and
you
got
a
big
responsibility.
I
know
and
even
a
r
you
have
to
go
to
the
cabinet.
You
have
to
report
to
a
r,
so
there's
a
lot
of
accountability
there
and
we
need
to
see
outcomes
or
severals
on
this
committee
are
tired
of
spending
money
and
not
seeing
outcomes.
A
So
that's
that's
one
of
the
things
that
we
really
want
is
accountability,
measurable
outcomes
too.
You
were
talking
about
the
universe,
putting
people
from
the
university
on
there,
representative,
westrom
and
wilner.
You
know
dr
morris
she's
on
there
I
mean
she's,
head
of
the
whole
shooting
shebang
over
there,
but
the
covet
crisis
made
the
opioid
crisis
more
severe.
A
You
know-
and
I
was
reading
about
some
other
things-
the
other
day
even
marijuana.
During
the
covet
crisis,
people
were
separating
those
60
thcs
to
see
which
one
was
most
powerful
and
thcp
is
stands
on
the
receptor
side
about
31
times
longer,
so
this
black
market
that
we
deal
with
and
all
these
derivatives.
A
You
know
we
got
to
be
ahead
of
them.
We
got
to
change
the
whole
lifestyle
up
where
I
live
in
eastern
kentucky.
You
know
homes
and
work,
and
education
and
rehab
are
very
important
to
me.
So
I
thank
you
all
for
coming
today
in
your
presentation.
Anyone
else
have
any
comments.