►
Description
Reuploaded to add the last few minutes of the meeting that were cut off
B
A
B
A
This
we
want
to
welcome
you
to
our
last
meeting
of
2022
of
the
tobacco
settlement
agreement
fund
oversight
committee
and,
as
we
begin,
I
would
like
to
take
a
moment
to
recognize
Senator
Dennis
Parrott.
This
will
be
his
last
meeting
serving
here
as
a
member
of
our
Senate
and
I.
Want
you
to
know
I
greatly.
A
C
C
You
know
any
anybody
that's
been
here,
you
know,
there's
there's
there's
good
and
bad,
but
it's
it's
still
a
it's.
It's
still
a
a
wonderful
Arena.
If
you
want
to
call
it
that
to
get
good
legislation
passed
and-
and
you
know
legislation
brings
this-
this
brought
forth
to
the
legislators
to
vote
on
and
and
discuss.
C
D
C
A
Well,
you're,
appreciated
and
I
want
you
to
know.
I
think
everyone
needs
to
remember
this.
We
as
a
legislative
body
are
only
as
good
as
those
members
that
serve
in
this
legislative
body
and
Senator
parrot.
You
are
one
of
the
fine
ones
that
I've
had
the
opportunity
serving
with
and
you're
greatly
appreciated,
and
you
have
always
been
so
open
and
welcoming
to
me
during
the
when
we're
in
session.
So
you
are
appreciated
greatly
and
Senator
Webb.
Would
you
like
to
add.
E
E
A
A
Time
and
but
our
fa
I've
always
said
our
families
are
the
ones
who
really
pay
the
price
for
our
service
up
here.
Our
job
is
even
though
it's
hard
they
their
their
job
at
home,
is
a
lot
harder
when
we're
not
there.
So
we
greatly
appreciate
your
service.
Thank
you.
Okay.
Now
we'll
move
on,
we
like
to
ask
the
clerk
to
call
the
roll.
Please.
C
D
A
C
A
F
F
F
I
I
really
want
to
thank
everybody
for
for
having
me
here.
It's
always
great
honor
to
come
and
talk
about
the
market.
Cancer
center
and
I
really
appreciate
all
the
support
that
this
committee
and
the
legislature
has
has
given
to
us.
I
will
try
to
be
fairly
brief.
Our
mission
at
the
Marquis
Cancer
Center
is
to
reduce
the
cancer
burden,
with
a
focus
on
Kentucky
and
its
most
vulnerable
populations.
F
The
research
prevention
treatment,
education
and
Community
engagement,
I
I,
don't
need
to
tell
this
audience
about
Kentucky
challenges,
but
we
do
face
a
number
of
challenges
here.
In
Kentucky,
one
is
poverty
about
17
percent
of
our
population
in
Kentucky
live
in
poverty.
We
have
45
counties
of
the
120
that
are
considered
as
persistent
poverty
and
those
are
predominantly
in
Eastern
Kentucky.
F
Other
significant
challenges
that
we
Face
include
smoking,
obesity,
low
education
attainment
as
well
as
cancer
burden.
So
we've
made
a
lot
of
strides
I
think
over
the
last
decade,
but
unfortunately,
our
cancer
burden
is
still
severe.
We're
number
one
as
a
state
in
all
cancer
incidents.
We're
also
number
one
in
all
cancer
mortality
and
as
bad
as
that
is
in
in
the
state
itself.
F
It's
even
worse
in
our
eastern
part
of
our
state
in
in
eastern
Appalachian
Kentucky,
where
we
have
cancer
races,
some
are
are
some
of
the
highest
in
the
U.S
at
the
Marquis
Cancer
Center,
we
have
focused
on
several
cancers
that
are
are
very
prevalent
in
our
state
and
are
also
in
the
top
five
that
we
rank
in
the
top
five
in
either
instance
of
mortality.
This
includes
long
colorectal,
head
and
neck
cervical,
as
well
as
melanoma.
We
also
have
a
number
of
risk
factors
that
we
consider
as
our
research
priorities.
F
F
So
I
just
want
to
briefly
talk
about
some
of
the
impact
that
the
state
funding
has
had
on
us
and
and
a
portion
of
the
tobacco
settlement.
Funds
went
toward
NCI
designation
to
help
us
achieve
that
status,
which
we
achieved
in
2013
and
I
have
to
say.
It's
been
an
amazing
Journey,
since
NCI
designation
with
the
number
of
patients
that
we've
seen
at
the
market
cancer
center
and
the
people
that
we've
been
able
to
touch
and
treat.
F
So,
just
a
just
a
little
bit,
because
it's
very
exciting
times
now
at
the
market,
Cancer
Center,
as
I
said,
we
initially
achieved
our
NCI
designation
in
2013.
every
five
years.
We
have
to
renew
our
application,
so
we
we
did
this
in
2018
and
with
this
renewal
that
we
just
submitted
in
October,
we
we
are
applying
for
comprehensive
status,
which
is
the
the
highest
Echelon
for
NCI
designated
Cancer
Centers.
F
So
we
have
our
site
visit
that
will
be
in
February,
with
with
a
number
of
NCI
experts
and
Specialists
who
will
be
visiting
us
at
that
time.
What
has
NCR
designation
meant
to
us?
Well,
first
of
all,
it's
it's
really
been
I.
Think
impactful.
In
terms
of
the
number
of
patients
that
we've
been
able
to
see.
We
have
a
number
of
affiliate
sites
throughout
Kentucky.
F
F
So
what
does
Comprehensive
Cancer
Center
status
means
when
I
talk
about
this
I
say
it's
taken
us
to
the
next
level.
It
means
that
we'll
achieve
more
funding
through
the
NCI,
which
really
equates
to
more
research,
more
cancer
screening,
more
prevention,
more
clinical
trials,
increased
straw,
patients,
more
Cutting,
Edge,
early
phase
clinical
trials
with
the
latest
Cancer
Treatments,
more
more
private
donations
Etc.
So
so
it
really
is
sort
of
taking
it
to
that
next
step.
So
to
speak.
F
So
I
just
want
to
talk
first
about
our
lung
cancer
screening
project.
So
some
of
this
work
was
started
with
tobacco
settlement
funds
and
I
have
to
say
I'm
really
proud
of
this
program.
This
is
led
by
Dr,
Tim
mullet,
and
basically
this
is
screening
those
kentuckians
who
are
at
most
risk
for
lung
cancer.
This
program
has
has
been
a
Statewide
program,
but
it's
achieved
success
beyond
my
wildest
expectations.
In
fact,
Kentucky
is
now
number
two
in
the
country
for
lung
cancer.
Screening
we're
just
behind
Massachusetts
and
just
think
about
that.
F
We
lead
all
of
the
Southern
States
in
in
lung
cancer
screenings
by
by
a
long
shot,
and
what
that
has
meant
is
that
we
have
seen
a
decrease
in
our
late
stage:
lung
cancer
rate
in
Kentucky
over
the
last
several
years.
It's
about
a
19
percent
drop,
it's
two
times
faster
decrease
in
Kentucky,
compared
to
the
U.S
as
a
whole
and
even
three
times
faster
in
Appalachian
Kentucky
compared
to
the
U.S.
In
addition,
we've
we've,
through
your
help,
have
had
a
number
of
policy
changes
which
have
further
helped
us
just
most
recently.
F
I
was
here
for
the
signing
in
July
of
the
Kentucky
lung
cancer
screening
program
that
was
created
by
by
you
all,
and
the
governor
I
also
want
to
just
say
that
colorectal
cancer
we're
we're,
also
have
very
high
rates
of
that
in
the
State
and
back
in
2000.
We
actually
ranked
49th
in
the
country
and
colorectal
cancer
screening
through
a
lot
of
efforts
on
a
lot
of
people's
parts
and
including
Dr
Tucker,
as
well
as
colleagues
at
the
University
of
Louisville
Brown
Cancer
Center.
F
We
also
have
a
cancer
moonshot
initiative
that
has
put
in
a
significant
amount
of
funds
to
help
us
with
some
counties
in
Eastern
Kentucky
that
still
have
very
high
cancer
rates
and
I
have
to
say
all
of
this
has
been
quite
significant,
because
what
we've
seen
is
a
30
percent
decrease
in
our
instance
of
colorectal
cancer,
as
well
as
a
34
percent
decrease
in
mortality.
In
fact,
Kentucky
is
no
longer
number
one
in
in
colorectal
cancer
incidents.
F
Sir,
we
have
a
number
of
programs
in
cervical
cancer
prevention
again
we're
high
in
this
particular
Cancer,
and
a
lot
of
this
is
due
to
human
papillomavirus
or
HPV.
So
there's
been
a
significant
amount
of
work
with
screening
for
cervical
cancer,
as
well
as
increasing
vaccinations
for
HPV
I
have
to
say
as
well
that
with
the
opioid
epidemic
we've
seen
surging
rates
of
hepatitis
c,
a
virus
in
the
state,
particularly
in
our
rural
Appalachian
population
and
hepatitis
C
viruses
is
Can,
can
down
the
road
cause,
cause
liver
cancer.
F
So
we're
seeing
increased
rates
of
liver
cancer
in
the
state
that
I
I
think
probably
secondary
to
our
increased
rates
of
hepatitis
C,
but
through
a
really
unique
program.
Jennifer
Havens
at
the
Marquis
Cancer
Center
is
working
with
folks
around
the
state.
There's
a
project
now
to
provide
free
medication
through
a
collaboration
with
the
NCI,
as
well
as
the
other
NIH
institutes
and
Gilead
Sciences.
F
That's
providing
about
50
million
dollars
worth
of
free
medication
to
treat
Perry
County,
that's
one
of
the
highest
counties
in
Kentucky
for
for
hcv
infections
and
and
what
Dr
Havens
is
has
noted
that,
with
the
almost
400
patients
that
have
been
treated
thus
far,
she
has
seen
a
93
percent
sustained
virologic
response,
which
means
that
93
percent
of
these
patients
are
cured
of
their
hcv.
So
again
we
we
see
this
as
a
really
wonderful
project.
F
It's
it's
helping
folks
and
it's
one
of
the
first
Trials
of
its
kind,
that
is
utilizing
funds
from
NCI
and
other
NIH
institutes
as
as
well
as
Gilead
Sciences
to
to
Really
provide
that
medication.
Another
thing
that
we've
been
working
on,
the
the
citizens
of
Martin,
County
and
Eastern
Kentucky
were
quite
concerned
about
their
water
supply.
They
had
a
major
spill
of
about
300
million
gallons
of
coal,
slurry
into
their
water
supply
and
so
through,
with
our
help,
and
also
help
from
from
from
NIH
sources
and
and
grants.
F
Dr,
unrein
and
Hoover
worked
with
citizens
in
Martin,
County
and
also
Letcher
County
to
test
their
water
supply
and
also
work
with
the
engineers
in.
In
that,
in
those
two
counties
to
actually
clean
up
the
water
supply,
this
is
another
example
again.
I'll
try
to
be
brief,
but
I'm,
just
so
proud
of
this
example
as
well.
F
So
the
education
attainment
in
Appalachian
Kentucky
is
much
much
lower
than
it
is
in
the
rest
of
the
U.S,
with
most
of
most
of
the
the
population
achieving
a
high
school
education
attainment
at
best,
but
but
not
many
going
on
to
college
or
at
least
a
lower
percentage
than
the
U.S.
But
we
have
a
program.
That's
called
action:
it's
to
train
Appalachian
students
in
cancer,
they're
trained,
they're
mentored.
F
They
understand
cancer
professions,
and
this
is
really
geared
toward
Appalachian
students
undergraduate
and
high
school
students
and
of
the
60
of
the
56
undergraduate
students
from
Appalachia
that
have
gone
through
this
program.
We
now
have
25
that
have
been
accepted
to
medical
school
or
going
to
medical
school,
three
that
are
in
pharmacy
school
one.
That's
a
graduate
school
three
and
Master's
programs,
so
just
again,
something
that
has
achieved
Excellence
beyond
my
wildest
expectations.
These
students
have
now
published
two
books,
actually
their
essays
of
basically
their
experiences
with
family
friends.
F
With
cancer
and
just
just
a
moving
portrayal
of
their
lives,
you
know
what
they
face
with
with
cancer
in
their
community.
So
again,
I'm
really
proud
of
this,
because
what
I'm
hoping
is
that
some
of
these
kids,
who
are
going
to
medical
school
now
will
come
back
to
Kentucky,
particularly
in
Eastern
Kentucky,
to
practice
and
with
that
knowledge
of
cancer,
and
what's
going
on
in
their
Community,
will
be
outstanding
Physicians
for
their
for
for
their
communities.
F
F
F
A
G
G
F
G
Okay
well
you've.
This
group
has
seen
this
slide
before,
but
I
I
want
to
reiterate
an
important
fact,
which
is
that
cancer
is
not
going
away.
In
fact,
the
epidemiologists
have
stated
that
that
we
will
see
about
a
50
increase
in
individuals
suffering
from
cancer
by
2040..
We
believe
it's
going
to
be
much
higher
than
that,
mostly
because
of
the
new
treatments
we
have
that
are,
are
trans
translating
into
long
life
spans
for
patients,
particularly
the
immunotherapies
and
the
good
news.
G
Even
though
cancer
incidence
is
up
and
expect
it
to
be
up
and
number
of
people
suffering
from
cancer
is
going
to
be
up,
the
good
news
is
that
mortality
is
dropping
significantly
and
and
Dr
Evers
mentioned
that
the
reduction
in
stage
four
lung
adenocarcinoma
that
we're
experiencing
right
now,
that's
due
to
immunotherapies
and
their
effectiveness,
and
you
can
see
on
this.
This
slide.
G
One
of
the
most
important
things
that
our
patients
experience
here
is
the
the
access
to
multi-disciplinary
cancer
clinics.
These
are
cancer
clinics
that
are,
you
know
that
are
that
emphasize
one
type
of
cancer
have
radiation,
oncologists,
surgical,
oncologists,
medical
oncologists,
who
focus
on
that
type
of
cancer
and
work
together
towards
the
common
goal
of
making
sure
their
patients
live
into
their
90s
instead
of
dying
early
of
cancer
and
the
impact
of
having
a
50
year
old,
very
successful,
individual,
very
productive,
individual
raising
a
family
pass
from
cancer
cannot
be
overstated.
G
Many
think
of
us,
as
as
the
Louisville
cancer
center,
but
we're
not
the
Louisville
Cancer
Center.
We
have
patients
who
actually
come
from
every
County
in
Kentucky
to
to
Louisville
to
get
treated
and,
and
so
the
last
time
I
gave
this
talk.
I
I
showed
the
actual
numbers
and
I
will
admit
that
several
of
the
counties
just
have
one
or
two
patients
that
are
distant.
G
G
If
you
look
at
all
the
other
counties
in
Kentucky,
it
was
just
over
five
thousand
so
about
fifty
thousand
were
treated
here
for
cancer
and
and
the
funding
that
we
get
makes
the
the
cancer
registry,
the
nurse
Navigators,
the
social
workers,
the
financial
counselors,
all
those
folks
who
are
involved
in
trying
to
make
sure
that
patients
get
the
best
care
have
access
to
the
best
clinical
trials.
I
get
it
no
matter
where
they
live
in
Kentucky
and
I.
G
I
need
to
mention
three
names:
It
Centers
me
personally,
I
think
it'll
Center,
everyone
who's
listening
to
me
right
now.
This
is
Owen
McMasters,
who
was
11
when
he
had
a
sore
throat
and
it
was
pretty
bad
and
his
dad
Kelly
brought
him
to
the
hospital
with
it
with
it
and
and
his
white
count
turned
out
to
be
quite
high
and
it
turned
out.
He
had
acute
lymphoblastic
leukemia
Kelly
McMasters
is
the
chair
of
surgery.
G
Here,
Dr
Evers
knows
him
well:
Owen
underwent
an
bone
marrow
transplant
and
and
and
did
well
for
about
four
years,
but
then
recurred
and
and
passed
away
when
he
was
only
16
years
old
and
and
he's
why
I
come
to
work
every
day.
We
cannot
accept
having
children
die
of
cancer
in
the
United
States
anymore.
G
This
is
Steve.
Tompkins
Steve
had
melanoma
when
he
was
52
Steve
graduated
from
Trinity,
which
is
a
local
Catholic,
High
School
here
and
went
on
to
play
baseball
at
the
uofl,
and
then
he
coached-
and
he
really
you
know
that
was
his
claim
to
fame
coaching
at
Trinity
and
was
loved
by
the
community
and
and
went
on
multiple
clinical
trials
over
10
years
and
ultimately
passed
from
his
his
melanoma.
G
Not
too
long
ago
after
receiving
several
of
our
cellular
therapies,
and
then
this
is
Laura
McGregor
Laura
was
Laura
was
diagnosed
in
2007.
You
know
the
in
the
the
point
of
including
her
is
is
to
just
State
the
fact
that
cancer
affects
the
whole
lifespan
and
Laura
was
only
30
and
she
was
pregnant
with
her
second
son
and
found
it.
G
What
we
are
seeing
in
these,
these
young
and
middle-aged
adults
in
Kentucky.
One
of
the
key
initiatives
that
has
been
supported
by
your
funding
has
been
the
cellular,
immunotherapy
program.
You've
heard
about
this
program
before
the
tumor
infiltrating
lymphocyte
program
or
tills
for
short
I
I.
We
have
now
become
the
top
till
Center
in
the
country.
G
Md
Anderson,
Cancer
Center
in
Houston
Texas
is
sending
us
patients.
The
National
Cancer
Institute
in
Bethesda
is
sending
us
patients.
The
University
of
Michigan
is
sending
us
patients
and
so
on
and
so
on,
and
it's
because
of
the
funding
that
we're
getting
that's
supporting
the
great
research
that's
happening
at
the
University
of
Louisville.
The
therapy
is
pretty
complicated.
G
It
involves
a
surgeon
like
Dr
Evers,
taking
out
a
tumor
and
then
Cellular
immunologists
in
the
lab,
isolating
the
immune
cells
from
the
tumor
and
expanding
them
literally
a
billion
fold,
and
then
we
reinfuse
those
cells
into
the
patient
after
we
deplete
their
own
immune
system
and
then
follow
it
with
a
growth
factor.
So
it
involves
three
to
four
weeks
in
in
a
bone
marrow
transplant
unit.
G
We're
now
testing
it
in
melanoma,
long
head
and
neck
cervical
cancer,
we're
hoping
for
FDA
approval
soon
for
the
melanoma
patients,
and
this
is
just
a
a
dramatic
example.
In
my
opinion,
we
just
published
this
I
think
a
week
or
two
ago,
each
one
of
these
little
bars
or
columns
on
the
on
this
waterfall
plot
are
an
individual
patients.
Tumor
Mass
and
anything
that
goes
up
is
the
tumor
grew
in
in
that
individually.
G
So
this
was
a
treatment
that
turned
out
to
be
very
effective
and
very
durable,
and
we
thus
have
patients
coming
from
across
Kentucky
and
the
country
to
receive
it,
and
the
durability
shown
here
in
what's
called
a
swimmer's
plot,
with
the
ongoing
patients
having
a
response
with
little
triangles
at
the
end
of
the
the
column
and
and
I
have
an
example
of
a
patient.
I
wish
it
was
from
Kentucky,
but
she
agreed
to
have
her
name
splattered
all
over
the
Internet.
G
I
think
how
blessed
I
am
to
be
able
to
hear
that
be
here
to
see
this
and
how
many
people
have
been
told
they
wouldn't
be
here
for
long
and
have
not
had
the
chance.
I
have
had
and
Val
is
alive
and
well.
I
I
love
this
picture,
because
every
time
I
do
a
Telehealth
with
her
because
she
lives
in
Nashville.
Now
that
dog
gets
in
front
of
her
face
and
I
can't
see
her,
but
she
she
she's
alive
and
well,
like
so
many
other
of
our
patients,
and
none
of
this
would
happen.
G
This
is
another
patient
who
who
agreed
to
have
her
name,
release,
Jan,
Phillips
and,
and
she
had
cervical
cancer,
which
is
terminal.
There's
no
FDA
approved
options
once
it's
stage
four.
She
received
the
cell
therapy
here
in
Louisville
from
Knoxville,
Kentucky,
I'm,
sorry,
Knoxville,
Tennessee,
and
then
this
lady
is
from
the
south
end
of
Louisville
Adrian,
Adrian
Baker
and
she
had
lung
cancer.
It
was
it
progressed
after
she
received
all
the
FDA
approved
options
and
she's
now,
I
think
about
a
year
and
a
half
out
with
no
evidence
of
disease.
G
So
the
the
the
funding
that
we
get
from
the
tobacco
Master
settlement
agreement
is
literally
saving
lives.
We
would
not
be
able
to
be
doing
these
Cell
Therapy
programs
here,
if
it
weren't
for
that
funding-
and
this
is
just
this-
is
just
a
slide.
It's
it's
a
little
bit
outdated,
but
it
shows
where
all
the
patients
are
coming
from
just
demonstrating
that
they're
coming
from.
G
Basically
the
eastern
half
of
the
state
of
the
country,
obviously
in
Kentucky
we're
seeing
the
majority
of
the
patients
I
didn't
include
that
on
on
this
slide,
but
this
funding
isn't
just
for
cancer
research.
It's
for
cancer
screenings
and
Dr
Evers
went
through
in
some
detail
the
success
that
Kentucky
has
experienced
as
a
result
of
the
initiative
with
colonoscopies.
G
We
we
believe
that
another
key
area
of
concern
is:
is
lung
cancer
were
the
number
one
state
because
the
tobacco
smoking?
We
have
a
abysmal
rate
of
lung
cancer
screen
like
the
rest
of
the
country,
it's
less
than
10
percent
of
eligible
smokers.
It's
in
that
compares
to
mammography
and
colonoscopy,
which
is
60
to
70
percent
of
those
eligible.
So
we've
worked
pretty
hard
to
improve
lung
cancer
screening.
Just
like
UK
and
Marquee
has.
G
We
did
see
a
significant
drop,
unfortunately,
during
the
pandemic,
as
this
slide
shows
in
20
and
21,
but
I'm
pretty
proud
that
this
was
year
to
date.
So
we're
this
isn't
the
actual
number
1646,
but
year
to
date,
about
a
week
ago,
we
had
beat
our
2019
numbers,
and
this
screening
involves
a
five
second
low-dose
chest.
Ct,
no
IV
contrast
the
patient
gets
in
the
hardest
part
about
getting.
G
The
screen
is
making
it
to
the
to
the
image
Imaging
Center
to
get
it
done,
but
I
can't
tell
you
how
many
patients
we've
detected
with
early
stage
lung
cancer
that
can
be
cured
with
a
surgeon's,
a
scalpel
alone,
which
is
which
translates
which
will
translate
into
further
reductions
in
the
lung
cancer
death
rate
in
Kentucky
that
Dr
Evers
already
brought
up
I.
We
also
do
basic
research
here
that
I
haven't
brought
up
yet
and
and
I'm
very
proud
of
this.
This
scientist,
his
name's
Junior,
he
was
trained
here.
G
He
did
his
postdoc
here.
He
went
to
Yale
University
for
his
first
faculty
job
and
then
came
back
here
for
his
next
one,
and
now
he's
the
director
of
our
cancer
and
Immunology
program
and
he's
the
chief
of
the
division
of
immune
therapy
in
the
department
of
surgery.
He
has
four
two
million
plus
dollar
Ro
ones.
He
routinely
publishes
Cutting
Edge
research
in
the
top
journals,
including
this
one.
G
This
is
nature
Immunology,
one
of
the
top
journals
currently
related
to
cancer,
immunology
and-
and
the
pictures
you
see,
are
pictures
of
of
Mouse
lungs
on
at
the
top
under
PBS.
It
says
you
know,
that's
the
the
placebo
and
you
can
see
all
the
black
that's
melanoma,
that
has
spread
from
a
primary
melanoma,
and
then
he
has
a
new
treatment
that,
based
on
an
old
idea,
called
beta
gluclan.
That
is
essentially
prevented.
G
Dr
Evers
brought
up
education
and
how
important
that
was
to
him.
Likewise,
it
is
for
me,
we
are
all
getting
older
and
if
Kentucky
doesn't
train
the
next
generation
of
cancer
doctors
and
researchers,
then
there's
going
to
be
a
problem
pretty
soon,
and
so
we
we
use
a
portion
of
the
funding
related
to
cancer
research,
to
support
the
the
training
of
graduate
students
and
postdoctoral
fellows
who
focus
on
cancer
research
as
well
as
medical
oncologists,
surgical
oncologists
and
radiation
oncologists.
G
G
But
a
lot
comes
from
the
Leukemia
Lymphoma
Society,
the
American,
Cancer
Society
other
foundations,
and
you
can
see
that
that's
the
the
majority
of
our
funding,
but
we
would
not
be
able
to
bring
66
million
dollars
in
research
funding
into
the
state
of
Kentucky
if
it
weren't
for
the
key
other
sources
of
revenue
that
are
listed
here
and
the
the
two
million
is
donations.
They're.
B
G
G
A
big
Pharma
I
supports
us
with
just
over
a
million,
but
the
tobacco
Master
settlement
agreement
with
the
3.4
million
dollars
that
money
translates
into
infrastructure
that
enables
us
to
do
the
research
that
will
ultimately
lead
to
cures
in
cancer
and
leads
to
extramural
funding
from
federal
federal
grants,
as
well
as
foundations,
and
that's
a
key
point,
and
so
this
is
my
last
slide
your
funding.
We
would
not
be
successful
without
this
funding.
G
B
Sorry,
I'm
out
of
practice
on
committees
here
for
a
second,
the
holidays.
Thank
you
for
your
presentation.
There
was
one
chart
early
on
on
the
cancer
death
rates
and
and
them
dropping,
which
is
all
really
really
encouraging.
But
when
I
look
at
this,
the
female
incidence
rates
are
still
they're
ticking
up
overall
over
time
and
I'm
wondering
if
you
can
give
us
any
insight
into
why
you
think
the
female
rates
may
be
ticking
up
on
the
overall
and
the
male
incidents
are
ticking
down.
G
So
I
personally
I,
we
don't
know
for
sure,
but
personally
I
believe
it's
it's
a
combination
of
better
early
detection.
Women
tend
to
do
a
better
job
with
their
health
than
men,
so
we're
we're
detecting
cancer
earlier
in
them
and
number
two:
the
Aging
population.
There's
no
question
well,
a
common
question
that
I
receive
is
okay,
the
cancer
death
rate
so
that
we
usually
Express
those
numbers
in
a
percentage
of
the
population
right.
G
So
it's
the
number
of
deaths
per
hundred
thousand,
but
as
the
population
ages,
the
number
one
risk
factor
for
cancer
is
age.
So,
as
as
we
see
the
bubble
from
the
baby
boomer
population,
we
are
seeing
currently
a
bubble
from
in
in
cancer
patients.
So
I
I
think
it's
it's
a
combination
of
those
two
issues.
G
A
A
Once
again
want
to
thank
you
both
for
being
here.
Thank
you
now,
next,
we'll
have
the
reports
from
our
AG
development
board
and
we'll
ask
Brian
Lacefield
he's
executive
director
of
the
Kentucky
office,
AG
policy
and
Bill
McCloskey,
the
deputy
executive
director.
If
they'll,
please
come
up
introduce
themselves
and
do
your
presentation
please
it.
H
H
I
was
looking
back
over
the
calendar
happening
at
the
office
of
AG
policy
and
after
our
meeting
on
the
10th,
we
we
had
our
second
of
the
stakeholder
meetings
that
the
commissioner
has
put
together
with
with
stakeholders
involving
the
large
and
food
animal
veterinarians
and
the
the
shortage
that
we
see
across
the
state,
especially
in
our
Rural
and
underserved
communities,
and
had
this
meeting
in
conjunction
with
the
North
American
Livestock
Show
over
in
in
Louisville,
and
we
had
between
50
and
60
folks.
There.
At
that.
H
That
meeting
again
continuing
to
address
the
the
issues
and
looking
at
what
what
can
be
done
about
this
I
was
able
to
to
speak
and
outline
the
new
program
that
we
have
launched
at
the
office
of
AG
policy
with
a
grant
program.
In
addition
to
our
pre-existing
program
for
low
interest,
subordinate
loans
for
any
practices
that
are
wanting
to
to
establish
a
large
animal
practice
by
into
an
existing
practice
or
by
any
equipment
that
is
specific
to
large
and
food
animal
veterinary
medicine.
H
From
this,
these
two
meetings
were
establishing
a
working
group,
a
vested
stakeholders.
That
will
continue
to
look
for
other
other
ways
that
we
can
continue
to
address.
This
we'll
add,
as
an
aside
that
bill
and
I
did
have
first
conversation
with
with
the
practicing
veterinarian
for
both
the
same
practice,
looking
at
one,
adding
in
a
new
practicing
veterinarian
becoming
a
partner
and
then
expanding
their
operation.
So
hopefully
that
will
translate
into
an
application
and
then
can
present
that
to
you,
after
it
is,
it
is
approved
and
funded.
H
We
had
the
following
week:
was
our
joint
AG
finance
and
AG
development
board?
Meeting
I
spoke
about
the
agenda
that
last
time
I
was
visiting
with
you,
so
I
will
spare
you
a
recap
of
every
stop
we
made,
but
it
was
the
first.
It
was
a
two-day
event
and
the
first
day
was
spent
visiting
numerous
projects
that
were
funded
by
both
AG
development
dollars
and
with
ag
finance
and
had
our
joint
meeting
the
following
down.
H
But
we
had
a
great
chance
doing
that
and
that
class
was
for
Dr
will
Snell,
who
we
all
often
get
to
come
and
speak
to
our
our
committee
meetings,
and
it
was
a
great
experience
and
every
time
I
do
that.
I
get
excited
about
about
the
future.
We
had
had
several
that
actually
were
had
participated
or
their
families
had
into
some
of
our
our
county
level.
H
H
This
will
be
the
first
time
we've
crossed
that
threshold
and
Senator
Webb.
You
go
back
into
the
days
where
we
were
established.
We
were
at
Agri
seats
of
three
and
a
half
billion,
and
we
were
looking
towards.
Can
we
get
to
that
5
billion
and
egg
receipts?
At
that
time?
Tobacco
was
accounting
for
25
percent
of
those
AG
receipts.
H
My
experience
in
that
program
I
would
not
have
had
the
opportunity
to
to
serve
in
the
last
position
with
the
Farm
Service
Agency
or
for
sure
this
position
here
and
and
think
about
all
the
the
other
interactions
we
had
through
the
AG,
Business
Association
of
Kentucky
and
other
other
other
groups,
and
what
you've
done
so
I
I.
Thank
you
for
your
your
service
to
to
Kentucky,
specifically
to
Agriculture
and
and
to
these
funds
so
best
of
wishes
and
your
your
next
Endeavor
I'm.
Also
very
thankful
for.
For
my
colleagues.
H
I've
got
at
the
Kentucky
office
of
AG
policy.
We
have
got
a
tremendous
team,
all
fully
staffed
right
now
and
hoping
we
can
roll
through
2023
the
the
same
way,
but
thankful
for
what
they're
able
to
do
to
help
get
these
funds
and
and
delivered
our
our
partners
with
with
UK
and
Kentucky
State
Extension,
our
different
administrating
entities
that
we
partner
with
and
the
county
funds,
but
but
specifically
want
to
thank
the
general
assembly
for
for
22
years
of
directing
these
funds
for
for
the
work
they've
done.
H
Seeing
the
the
presentation
before
was
very
inspiring
to
see
the
the
work
coming
on
from
the
medical
community
and
then
to
see
what
is
able
to
be
accomplished
in
our
agriculture
Community
as
well,
it
it
is
inspiring
and
so
I.
Thank
you,
your
colleagues,
for
the
continued
support
of
these
funds
throughout
thankful.
H
H
That
we
want
to
see
highlighted
in
in
the
future
year
and
I
would
be
remiss
if
I
didn't
compliment
both
of
our
interns
that
we
had
this
Summer.
That
I
brought
a
couple
of
the
oversight
committees
because
they
did
a
line
share
of
the
writing
on
on
this,
as
well
as
jessalyn
Watson.
Our
communication
director
that
we
have
at
the
office
policy.
H
The
last
thing
I
want
to
mention
is
a
recap
of
our
loans
that
we
had
as
I
continue
to
share
with
you
each
time
I
come
we're,
seeing
a
increase
in
in
activity
with
Kentucky
AG
Finance.
As
you
all
are
aware,
our
loans
have
a
fixed
interest
rate
and
we
don't
have
to
worry
what
the
10-year
treasury
is
doing.
Our
rate
since
Inception
have
been
loaned
out
at
two
two
percent
and
we
allow
all
of
our
participating
lenders
to
add
75
basis
points
or
three
quarters
of
a
percent
on
top
for
servicing
fee.
H
So
the
fixed
rate
to
all
of
our
borrowers
that
are
utilizing.
This
program
is
2.75
largely
below
the
market
rate
and
and
and
significantly
so
as
rates
continue
to
move
and
we're
seeing
a
lot
of
our
other
long-term
rates
on
the
other
part
of
the
loans
in
the
the
eights
to
nine
percent.
So
we're
seeing
what
had
been
about
a
million
in
new
obligations
each
month
approved
were
up
over
2
million
and
this
this
past
year
or
this
past
month
for
the
November
loans.
H
We
had
one
under
our
infrastructure
program,
one
under
AG
processing
and
the
the
others
were
beginning
farmer,
programs
representing
beef,
grain
and
poultry
2.2
million
of
AG
Finance,
but
we're
able
to
leverage
that
for
for
nearly
8
million
in
in
total
capital
investment
that
we
saw
and
I'll
give
you
a
little
spoiler
for
for
next
month.
We
had
another
two
million
that
was
approved,
but
this
time
we're
we're.
A
smaller
percentage
of
the
overall
was
close
to
16
million.
H
So
the
use
of
these
funds
are
really
there
to
keep
the
capital
moving
to
get
our
partnering
lenders,
whether
they're
there
are
Community,
Banks
or
AG
credits,
or
you
see
in
this
case
metco
from
from
Jefferson
County
there.
One
of
our
government
lending
institutions
are
able
to
to
leverage
our
funds,
taking
that
subordinate
position,
the
lower
interest
rate
and
then
getting
their
their
funds
out
and
I.
H
I
Moving
on
to
our
projects,
we'll
start
on
page
three
of
the
Kentucky
Horticulture
Council.
Staying
with
the
theme
of
again
investing
in
programs,
it
helps
our
farmers
in
Kentucky
transition
into
other
Enterprises.
The
Horticulture
industry
probably
represents
the
the
most
significant
opportunities
going
going
forward
and
the
Kentucky
Horticulture
Council
was
approved
for
one
million
848
395
dollars.
This
is
two
years
of
funding
working
with
the
University
or
land-grant
universities,
University
of
Kentucky
and
Kentucky
State
University,
and
they
also
in
this
budget
Senator
Parrott.
I
They
have
some
funding
available,
earmark
to
work
and
do
some
different
field
trials
at
Berea,
Eastern,
Kentucky,
University,
Morehead,
more
worry
as
well
as
Western,
Kentucky
University.
So
obviously,
representative
Roberts
is
a
significant
amount
of
money.
We
do
have
oversight
over
these
type
of
projects,
including
beef,
Network,
Department
of
Agriculture
and
Kentucky
Dairy
Development
Council.
I
In
that
we
have
a
committee,
we
call
recipient
Review
Committee
that
reviews
of
a
four-month
report
that
these
entities
like
Horticulture,
are
required
to
submit
so
every
four
months
they
submit
a
progress
report
and
board
members
review
and
then
give
a
give
an
update
to
the
board.
So
it's
an
ongoing
review
of
these
programs.
I
Next,
moving
on
to
page
four
Hampton
Premiere
meets
representative
Dawson
I
know
you're
familiar
with
this
meat
processing
entity
in
Hopkinsville.
They
were
been
in
existence
over
over
40
years
under
new
new
leadership.
But,
as
you
recall,
we
have
updated
you
on
investments
of
the
AG
development
board
and
meat
processors
across
the
state.
We've
identified
40
of
the
80
meat
processors.
They
were
able
to
provide
funding
to
help
them
expand
their
Harvest
capacity,
and
we've
reported
you
over
seven
million
dollars
in
ag
development
funds
has
been
been
investing
these
processing.
I
If
we
include
the
Loan
program
on
the
Kentucky
AG
Finance
Corporation,
another
two
million-
so
we're
probably
talking
about
nine
million
dollars,
invest
in
a
meat
processor
subsequent
to
the
funding.
The
board
approved
the
food
safety
efficiency
incentives
program
where
processors
again
realize
and
there
need
to
be
some
technical
assistance
with
these
meat
processors
going
forward
startups
and
existing.
I
I
A
I
The
previous
owners
represent
Dawson
as
well,
and
so
is
Brian
was
Ernie
Hampton
and
he
saw
he
sold
it
to
the
principal.
Our
manager
is
Chris
Milam,
who
used
to
be
the
extension
agent
for
Logan
County,
and
then
he
works
with
a
group
of
investment.
Investments
investors
that
operated
metal
sheep
business
there
in
Russellville
and
they've
helped
him
fund
that
project.
Okay,
okay
and
his
his
sons
are
in
working
in
the
business
too.
I
Right
moving
on
to
page
five,
we'll
talk
a
little
bit
about
the
Kentucky
State
Beekeepers
Association,
so
you
can
see
they're
approved
for
106
thousand
dollars
to
help
promote
market
and
education
of
be
keeping
industry
or
business
and
honey
products.
Now
one
of
their
initiatives
is
to
to
identify
and
certify
honey
produced
in
Kentucky
as
Kentucky
honey.
Now
they
they
realize
that
there
is
honey
that
comes
from
out
of
state
and
in
his
is
marketed
as
Kentucky
honey.
I
So
what
the
Kentucky
State
Beekeepers
Association
is
has
a
luscious
initiative
with
funding
from
the
AG
development
funds
to
test
honey
from
Kentucky
honey
producers
and
Market
it
under
a
certified
honey
label.
So
this
is
an
example.
If
you
can
see
in
this
brochure
brochure
certified
Kentucky
honey
producers.
So
if
Kentucky
honey
producer
or
go
through
the
protocol
of
being
certified
as
honey
produced
in
Kentucky,
they
work
with
some
scientists
over
the
Bluegrass
Community
Technical
College.
They
have
been
funded
with
active
development
funds
to
purchased
equipment.
I
Any
questions
on
that
all
right.
Next
we're.
On
page
six,
the
Kentucky
Department
of
Agriculture
was
approved
for
two
thousand
or
two
million
eight
hundred
seventy
six
thousand
dollars
to
continue
to
to
Market
Kentucky,
proud
labels.
So
if
you
look
at
the
five
different
areas
that
they're
planning
to
fund
a
point
of
purchase,
so
that's
using
funds
promote
promotional
expenses
for
advertising
marketing
and
reaching
consumers
at
the
point
of
purchase.
I
There
is
an
annual
limit
of
eight
thousand
dollars
and
thirty
six
thousand
dollar
lifetime
limit,
and
this
is
the
category
where
our
our
Farmers
that
are
developing
direct
to
consumer
marketing
programs
can
access
money
to
help
them
with
their
marketing
programs
targeted
to
consumers
under
branding
and
advertising.
This.
This
funding,
which
is
the
biggest
part
of
the
funding,
is
just
to
continue
to
Market
and
promote
Kentucky,
proud
label
by
local.
E
I
Category
is
funded
to
Target
food
service
providers
that
seek
to
see
Kentucky
proud
food
products
for
their
for
their
menus.
That's
a
way
to
pay
for
the
cost
of
doing
that,
retail
there's
just
thirty
thousand
dollars
a
year,
so
this
is
designed
to
work
with
Distributors
and
Retail
change,
their
marketing
to
Consumer
just
help
with
their
marketing
program
and
the
last
one
is
Farm
to
Fort.
Fork
just
provides
funding
organization
to
host
family
style
meals
using
fresh
Kentucky.
D
I
Next
we're
on
page
seven,
the
Marion
County
Public
School.
So
we
update
you
almost
monthly
about
County
funds
being
used
or
invested
to
to
support
Greenhouse
production
in
the
county,
so
I
think
we're
over
70
greenhouses
that
have
been
that
have
received
funding
at
the
grade
school
middle
school
and
high
school
level,
so
helping
our
our
youth
get
exposed
to
Horticulture
production
and
that
wraps
up
our
update
on
our
project
and
program.
Funding
for
November
18th
board
meeting.
A
Thank
you
both
very
much.
We
greatly
appreciate
you
being
here
and
doing
the
presentation
to
our
members
right
here.
Just
to
let
you
know
we
will
not
be
meeting
in
January,
so
we
will
not
see
each
other
again
together,
as
a
group
until
April
I
believe
is
correct,
do
want
to
say
Merry
Christmas
and
Happy
New
Year,
to
Years
to
all
of
our
members
and
to
our
staff,
because
we
are
very
blessed
with
the
staff
that
we
have
working
here
so
to
Stefan,
Hillary
and
Kelly
and
Rachel.
A
Thank
you
all
for
what
I
said.
Stephanie
I
didn't
forget
him.
Stefan
and
I
were
on
the
conference
call
this
morning,
while
I
was
on
the
road
coming
from
Hopkinsville
to
here,
so
you're
all
greatly
appreciated.
We
we,
we
can't
tell
you
how
much
we
we
appreciate
your
help
with
that
being
said
once
again,
Bill
Bryan,
thank
you
for
being
here
and
do
I.
Have
a
motion
to
adjourn.