►
Description
House Health Subcommittee - April 6, 2021 - House Hearing Room 2
A
Okay,
everybody
come
forward.
We'll
convene
this
recessed
meeting
we'll
go
back
into
session.
We
don't
need
to
call
the
roll.
Unless
there's
no
objections,
we
don't
so.
We
will
proceed.
I
think
we
were
on
item
23
house
bill
184,
which
I
think
we're
going
to
no
objections.
We
will
roll
that
to
the
heel
house
bill
1284
by
ramsey.
I
think
I'll
turn
it
over
to
chairman
terry
for
just
a
moment.
B
All
right,
we
are
on
item
number
24,
chairman
ramsey.
You
are
recognized
on
house
bill,
1284.
A
Thank
you
the
I
think,
mr
chairman.
This
is
a
minute
caption
bill
during
the
pandemic,
as
so
many
things
that
we've
learned
positive
lessons
from
in
dentistry,
we
learned
that
we
were
able
to.
A
B
Any
questions
on
amendment
4418.,
okay,
seeing
none-
we
are
voting
to
add
4418
to
house
bill
1284,
all
those
in
favor
say:
aye
aye,.
A
B
Okay
eyes
have
it:
we
are
back
on
house
bill
1284
as
amended
any
questions
for
the
sponsor
of
the
bill
c.
None.
We
are
voting
on
house
bill
1284.
As
I
mentioned,
all
those
favors
say:
aye
opposed
eyes.
Have
it
bill
goes
on
to
full
committee.
A
Thank
you,
mr
chairman.
Ladies
and
gentlemen,
we
move
on
to
item
25
house
bill
1202
by
speaker,
sexton
that
has
been
always
taken
off
notice.
We
move
on
we've,
taken
care
of
item
26
item
27
house
bill
967
by
representative
carringer
you're
recognized
on
house
bill,
9
67..
We
have
proper
motion
and
second
on
the
bill.
C
A
Okay,
do
we
have
any
questions
or
comments
of
the
sponsor?
If
none,
we
have
a
request
from
the
department
of
health
for
testimony.
If
there's
no
objections
we'll
go
out
of
session.
Pardon
me:
oh
okay!
Okay,
that's
that's
the
switch!
That's
a
switch
sir
anytime
you're
good!
I'm
that
the
sun
may
not
come
up
tomorrow,
the
so
we
will
not
go
out
of
session
and
we
will
stand
for
any
questions
or
comments
to
the
sponsor.
A
Questions
have
been
called
no
objections
to
the
question
we'll
be
voting
to
send
this
bill
to
full
committee.
All
those
in
favor
say
aye.
Any
opposition
so
approved
we'll
move
on
to
item.
Thank
you.
Thank.
D
You,
mr
chair,
for
the
leader
position.
I
appreciate
it.
Yes,
sir,
so
and
and
thank
you
members,
I
think
this
I've
been
before
health.
You
know
more
times
in
the
last
few
days,
last
couple
of
weeks
than
I
have
honestly
in
11
years,
I've
been
here.
I
don't
think
I've
ever
had
a
bill
before
held,
but
I'm
honored
to
be
here-
and
I
appreciate
your
indulgence.
What
this
bill
will
do
is
well.
D
What
I'm
trying
to
do
is
give
the
nurses
in
our
state
an
opportunity
to
have
their
nursing
fee
weighed
for
one
year
or
throughout
covet,
but
there
is
an
amendment
that
mr
chair,
if
we
can
get
it
on
that,
actually
rewrites
the
bill,
and
and
does
it
a
little
bit
differently,
so
I
can
reduce
the
fiscal
note
on
the
on
the
bill.
Okay,.
A
A
Unless
there's
an
objection,
we
will
accept
that
amendment,
but
I
don't
know
that
we've
got
it,
we
don't
have
it.
It's
never
been
filed
even
even
untimely.
D
Okay,
maybe
she
sent
the
wrong
one.
I
got
a
copy
right
here.
Is
that?
Okay,
if
I
get
this
to
to
the
committee,
I'm
sorry
for
I'm-
for
let
me.
A
Let
me
let
me
roll
you
to
the
hill.
Yes,.
D
A
And
let
me
roll
you
to
the
hill
and
we
we've
not
had
a
chance
to
look
at
it
and
we'll
we'll
there's
several
flags
on
this
bill
and
have
been
ever
since
it.
It
came
to
us,
and
so
I
I
think,
it's
incumbent
that
we
pay
a
little
particular
attention
to
it.
Yes,
let
me
row
you
to
the
hill
and
we'll
we'll
look
at
it
in
thank.
A
Moments
and
and
make
sure
you
get
our
get
it
to
our
legal
staff.
Here.
Okay,
we
move
on
to
item
29
house
bill
920
chairman
terry.
If
you
would
gavel
me
along
on
that
all.
A
A
Yes,
sir,
and
that
essentially
it
what
this
bill
has
always
addressed
is
is
the
adding
of
cerumen
which
to
to
all
of
us
here
in
the
medical
industry,
that's
earwax,
so
it
adds
earwax
management
to
the
authorized
scope
of
practice
to
be
performed
by
licensing
hearing
instrument,
specialists
and
inside
this
great
amendment
that
the
that
was
sent
to
us.
A
It
requires
that
that
the
instrument
specialists,
follow
regulations
established
by
the
council
of
instrument
specialists
and
regarding
the
cerumen
management,
carry
appropriate
professional
liability
and
maintain
proper
infection
control
along
with
a
a
very
comprehensive
list
of
requirements,
as
far
as
as
referral
for
certain
issues
and
and
courses
overseeing
the
courses
that
are
that
are
carried
out
by
physicians
and
consists
of
six
hours
and
practicing
techniques
for
these
hearing
instrument
specialists.
A
You
recognize
chairman,
we
we
had
looked
into
that.
There
is
no
code
for
that
in
in
the
hearing
instrument,
specialists
and,
and
the
situation
is
we
have
in
so
many
one
in
three
adults,
65
to
74
can
benefit
from
hearing
aid
management,
and
what
happens
is
these
some
most
of
them
are
put
in
by
all
audiologists
or
instrument
specialists
and
in
the
process
of
doing
that
they
have
to
make
impressions
and
and
refit
and
and
maintain
these
devices.
A
If
you've
ever
had
one,
you
have
to
go
back
and
back
and
back
and
what
happens
the
cerumen
builds
up
and,
and
they
have
to
be
able
to
in
in
simple
cases,
be
able
to
remove
it,
and
they
wanted
that
in
their
scope.
There's
not
a
code
for
reimbursement
on
that
that
they
have
and
we've
we
looked
into
it
and
didn't
see
one
so
I'm
sure
with
the
otolaryngologist.
E
Thank
you.
I
I
think
it's
a
needed
service
and
I
appreciate
you
thank
you.
B
All
right
any
further
questions
for
the
amendment.
Okay,
saying
none.
We
are
voting
on
amendment
six,
two
zero.
Three,
all
those
in
favor
say
aye
aye
opposed
eyes
have
it.
We
are
back
on
house
bill
920
as
a
minute,
any
further
questions
all
right,
seeing
none.
We
are
going
to
vote
on
house
bill
920,
all
those
in
favor
say:
aye
aye
opposed
eyes.
Have
it
bill
goes
on
to
full
health.
A
Thank
you
chairman,
terry
and
that'll
bring
us
on
to
item
30
house
bill
880,
which
I
think
has
an
amendment
you're
recognized,
sir.
B
Promotion
in
a
second
on
the
bill
before
we
get
to
the
amendment,
I
want
to
tell
everybody
my
intent
on
this
bill
and
the
the
bill
without
an
amendment
is,
does
what
it
says
it
does.
It
has
the
department
of
health
study
on
the
licensure
regulation
of
cannabis,
for
medical
use
in
the
surrounding
states
and
provide
that
information
back
to
us
by
december,
15
2021,
my
intent
on
this
bill,
as
I
said
last
week,
was
to
have
the
senate
take
action
and
they
have.
They
will
be
hearing
this
in.
B
I
believe
next
tuesday,
in
the
judiciary
committee
in
the
senate,
and
so
we
would
know
by
next
wednesday
in
the
full
committee
what
their
action
was.
So
I
can
either
run
this
bill
as
is
or
run
an
amendment,
but
if
we
run
it
as
is,
we
will
know
what
the
action
that
has
been
taken
in
the
senate
before
we
take
any
further
action
on
the
bill
to
amend
it.
Okay,
so
I'm
at
the
will.
The
committee
of
that.
A
B
The
bill
as
it
as
as
it
is,
amend
er
without
the
amendment
has
department
of
health
study.
The
cannabis
in
various
states
report
that
back
to
us
what
the
senate
is
doing
with
this
bill
is
looking
at
decriminalizing.
B
The
possession
of
cannabis
for
patients
in
tennessee,
it
does
not
set
up
a
program
for
growing,
does
not
set
up
a
program
for
dispensaries.
What
they're,
what
they're
looking
at
it
and
what
they
have
already
passed
in
the
health
committee
over
there
is
a
decriminalization
bill.
A
Kumar
any
any
further
questions
or
comments.
What
we're
going
to
do
is
is
discuss
this
bill,
send
it
on
the
full
committee
and
if
indeed
there
is
a
request
that
that
the
sponsor
had
an
amendment
we
can
do
that
there
any
questions
or
comments,
if
not
we'll,
be
voting
to
send
this
bill
to
the
full
committee,
all
those
in
favor
say
aye
all
right,
any
opposition
so
so
approved.
If,
if
you
want
to
be
recorded
as
a
node
just
to
let
the
clerk
know,
thank.
A
Yes,
sir,
we'll
move
on
to
item
31
house
bill
577
by
chairman
reagan,
you're
recognized,
sir,
have
a
proper
motion
in
second
on
the
bill.
I
think
there's
an
amendment
on
it.
A
F
A
F
Thank
you,
mr
chairman
committee.
The
purpose
of
this
bill
is
to
ensure
that
the
family
life
curriculum
information
meets
state
standards.
Additionally,
it
allows
a
parent
of
a
student
to
request
to
review
the
information
and
opt
a
student
out
of
any
portion
of
the
family
life
curriculum
without
penalty.
This
bill
does
not
change
the
state
requirements
concerning
contraception
information,
in
other
words,
that's
still
aligned.
The
information
must
still
emphasize
that
abstinence
is
the
only
method
that
removes
all
risk
of
sexually
transmitted
disease
and
pregnancy,
but
the
other
information
remains
unchanged
as
well.
A
Yes,
representative,
freeman
you're
recognized.
C
Thank
you,
chairman
sponsor,
as
you
read
this,
would
this
apply
to
colleges
or
just
high
schools?
Just
tell
e
is:
can
you
explain
that.
A
The
do
we
have
any
further
comments
or
questions
on
the
bill,
as
amended
with
the
amendment
that
makes
the
bill.
A
Okay,
I
don't
think
we
have
any
speakers.
So,
let's
we'll
go
ahead.
No
objections
we'll
be
voting
to
send
this
to
the
full
committee.
All
those
in
favor
say
aye
all
those
opposed.
C
Okay,
chairman
the
eyes,
have
it
five
six
eyes,
two
nays
one
abstaining,
one
president,
not
voting.
A
Okay,
moves
on
to
full
committee.
Thank
you,
mr
chair
and
committee.
Okay,
you
have
another
bill
item
32
house
bill
575
thank.
F
A
Motion
and
on
the
bill
itself,
promotion
and
second,
we
have
a
proper
motion
on
the
amendment.
Does
the
amendment
make
the
bill?
You
said
yes,
sir:
it
rewrites
it
rewrites
it.
Okay,
let's
go
ahead
and
put
the
amendment
on
the
bill.
All
those
in
favor
of
amending
575
say
aye,
any
opposition,
we're
back
on
the
bill
as
amended.
If
you'd
like
to
explain
it
to
us.
F
Thank
you,
mr
chair
sections.
One
through
five
of
the
amendment
is
basically
cleanup
language
for
the
bill.
This
body
has
already
passed
a
bill
which
these
claim
these
cleanup
portions
are
addressing,
and
these
were
actually,
I
think,
brought
to
us
by
the
department.
F
F
It
also
puts
the
definition
of
quarantine
into
the
tennessee
code
that
already
exists
in
rule.
This
bill
simply
moves
it
into
statute
section
six,
which
is
what
the
bill
is
really
about,
is
essentially
saying.
State
government
may
not
require
a
mandate
that
private
businesses
require
proof
of
vaccination
against
covert
19
as
a
condition
of
entering
a
business
or
using
its
services.
F
F
C
I'll
kick
it
off
again.
Thank
you
chairman.
So
clearly
this
has
happened
somewhere.
There
is
a
regulation
that
someone
has
passed
that
requires
this
today.
C
Chairman
freeman,
so
so,
and
and
if
this
passes
we
would
be
telling
private
businesses
what
they
can
and
can't
do
in
regards
to
who
can
and
can't
come
into
their
facilities.
Is
that.
F
Chairman
reagan,
just
the
opposite:
the
government
cannot
tell
a
private
business
based
on
this,
that
they
must
mandate
a
vaccine
passport,
so
in
other
words,
the
county
government
under
discussion
was
trying
to
tell
private
businesses
that
they
had
to
do
that.
This,
this
bill
says
that
no
state
entity
and
by
the
way,
counties
and
cities
or
sub-units
of
state
government,
can
mandate
a
vaccine
passport.
C
B
Thank
you,
chairman,
and
just
to
kind
of
follow
up
on
that
and
the
way
this
reads.
A
state
or
local
government
official
entity,
department
or
agency
shall
not
require
or
mandate
that
a
private
business
require
proof
of
vaccination
against
coven
19,
but
it
doesn't
say
that
a
business
on
their
own
can't
require
some
sort
of
proof
before
you
enter.
Is
that
correct?
You.
B
Okay,
could
you
please
read
the
governor's
statement
back
chairman.
F
I
quote
from
governor
bill
lee:
I
oppose
vaccine
passports.
The
coveted
19
vaccine
should
be
a
personal
health
choice,
not
a
government
requirement.
I
am
supporting
legislation
to
prohibit
any
government
mandated
vaccine
passports
to
protect
the
privacy
of
tennesseans
health
information
and
to
ensure
this
vaccine
remains
a
voluntary
personal
decision.
End
quote.
B
All
right,
thank
you.
I
just
the
the
cons
I've
supported
I've
signed
off
on
this.
The
concern
that
this
bill
does
not
address
that
I
would
like
to
see
addressed
is,
and
of
course
this
goes
back
to
the
the
debate
about
personal
property
and
a
business.
B
F
F
For
example,
I
have
a
little
necklace
here.
Some
people
wear
a
bracelet.
I
have
a
medical
condition,
which
is
why
I
wear
this.
Instead
of
a
mask
and
several
several
times,
I've
gone
in
places
and
they've
said,
would
you
wear
a
mask
and
I
said
no,
I
have
a
medical
condition
and
that's
the
end
of
it.
Don't
worry
about
it.
There's
not
been
any
problem
with
that.
B
Thank
you
for
the
explanation.
Thank
you
chairman
again.
I
I'm
supportive
of
the
the
bill.
I
just
think
that
there's
some
more
steps
that
we
might
need
to
take
with
this.
So
thank
you
very
much.
F
Chairman,
I
think
you
might
need
stay
on.
F
C
Speak
louder,
chairman.
The
only
concern
that
I
have
is.
A
Have
further
comments
or
questions
dr
kumar.
F
F
So
a
blanket
approach
in
the
future
would
not
be
based
on
this
precedent.
F
E
Thank
you,
I'm
concerned.
Really.
We
live
in
these
unprecedented
times
these
illness.
This
illness
has
taken
a
lot
of
lives
caused
problems.
We
don't
know,
what's
down
the
road
we
don't
know
someday,
we
are
going
to
be
looking
at
a
biological
attack
against
our
society
and
our
country,
and
I
really
think
that
the
current
situation
is
not
doing
any
harm
our
country
has
is
recovering
and
things
are
getting
better
and
I
think
restricting
authorities
at
this
time
I'm
hesitant
about
it,
but
thank
you.
A
Okay,
have
you
sold
the
car
and
well
cheerlady
smith?
Has
he
sold
the
car.
C
Thank
you,
chairman
ramsey,
and
thank
you
chairman
reagan,
for
bringing
this
bill.
I
think
that
we
have
found
you
know
we
we've
sat
through
hours
of
testimony
on
covered
vaccine
and
vaccine,
religious
exemptions,
et
cetera
and
and
in
response
to
a
colleague's
question.
Have
we
found
an
issue?
Well,
you
know
it's
the
biden
administration,
that's
talking
about
making
a
passport
vaccine
passport
required.
C
So
I'm
glad
to
be
a
co-sponsor
of
this,
but
I
would
also
tell
you
I
do
think
there
is
a
way
to
make
this
a
little
better
in
in
talking
with
dr
terry,
about
making
sure
that
any
hipaa
information
is
not
required
upon
entry
of
any
business
because
again
that
sets
up
any
sorts
of
discrimination
on
another
front.
But
thank
you,
sir
I'll,
be
supporting
your
bill.
A
We
have
further
comments
or
questions,
and-
and
I
will
say
that
the
original
bill
had
several
flags
on
it.
The
governor
submitted
this
language,
and
so
I
I
think
the
original
bill
just
gave
no
options
for
quarantining,
and
this
this
new
language
has
changed
that
and
I
think
it.
It
also
was
intended
to
supply
certain
amount
of
protection
that
the
chairman
zachary's
bill,
missed
in
its
scope.
So
you.
F
A
A
I'll
take
the
keys
anytime,
so
further
comments
or
questions.
If
none
we'll
be
voting
to
send
this
to
full
committee
as
amended,
all
those
in
favor
say
aye,
any
opposition
so
approved.
Thank
you,
mr
committee.
Yes,
sir
and
dr
kumar,
we
have
item
33
house
bill,
829,
you're,
recognized.
E
Thank
you,
mr
chairman.
This
is
house
bill
829.
It
is
also
called
the
solemn
covenant
of
the
states.
The
idea
is
that
that
medicine
today
offers
a
lot
of
treatments,
but
no
cures
which
the
cures
are
more.
The
treatments
are
more
profitable
than
the
cures,
and
this
is
an
exceptional
bill.
It
was
brought
to
us
by
speaker,
jim
butler,
who
is
a
former
speaker
pro
temper
of
the
ohio
state
of
representatives.
E
E
E
To
to
market
it
to
other
states,
just
like
a
corporation
would
this:
this
will
not
become
operational
until
six
states
sign
it.
As
I
said,
ohio
has
developed
it
and
12
other
states
are
considering
it,
and
mr
butler's
hope
was
that
tennessee
could
be
also
one
of
those
states.
There
is
no
expense.
There
is
no
action
to
take,
except
for
us
to
say
when
six
states
have
joined
five
states
have
joined.
This
compact
tennessee
will
join
that
compact
and
once
again
there
are
no
costs
or
other
obligations.
E
A
Okay,
do
we
have
any
questions
or
comments
of
on
this
bill?
B
Thank
you
chairman.
Thank
you,
jeremy
kumar,
for
bringing
the
legislation
the.
I
think
the
fiscal
note
is
unknown
due
to
the
multiple
factors
that
are
out
there.
When
I
first
heard
of
this,
I've
had
been
supportive
and
it's
a
very
unique
concept.
You
know,
of
course,
the
unknown
factors
that
are
out
there,
but
it's
it's
a
very
unique
concept
and
it's
a
way
to
incentivize
cures.
So
I'm
supportive,
I
just
again
don't
know
the
cost
so,
but
thank
you
for
bringing
it
well.
A
Do
we
have
further
comments
or
questions?
I
I
know
there
was
when
the
bill
was
first
introduced.
There
were
several
folks
that
came
by
my
office.
One
of
them
was
from
vanderbilt.
They
said
there
was
a
some
of
their
issues
with
some
of
the
publications
that
they
have.
I
don't
know
exactly
why,
but
I've
heard
nothing
since
so
my
opinion
is
that,
were
there
any
negatives
about
it,
somebody
should
come
and
talk
to
us.
So
with
that,
no
further
questions
we'll
be
voting
to
send
this
to
the
full
committee.
A
E
Thank
you,
mr
chairman.
This
is
a
public
safety
and
protection
bill
that,
when
a
prescriber
is
indicted
for
offenses
related
to
controlled
substance
or
sexual
offenses.
At
that
time,
the
chair
of
the
governing
board
will
immediately
restrict
the
licensure
of
that
prescriber
regarding
the
use
of
controlled
substances.
If
later
on,
the
prescriber
is
acquitted.
Of
course,
his
license
will
be
restored.
If
he
is
convicted,
then
the
license
will
be
revoked
going
beyond
the
restriction
alone.
E
With
the
built-in
consequences,
do
we.
A
E
A
Have
comments
or
questions
and
I'll
tell
you
my
sense
of
the
bill
when
we've
spoken
to
advocates
on
both
sides.
A
Second,
okay,
so
this
is
the
this
is
the
amendment
that
makes
the
bill.
Yes,.
A
Okay
and
so
let's
go
ahead
and
put
this
amendment
on
all
those
in
favor
of
the
amendment,
as
stated,
which
we've
already
had
described
to
us,
say:
aye,
any
opposition,
we're
back
on
the
bill
as
amended,
and
then
we
have
amendments.
A
Okay,
the
the
other
amendment
is
6677,
which
apparently
makes
the
bill.
A
Oh
I'm
sorry,
it
makes
the
bill
much
more
realistic.
As
far
as
the
impact,
I
think
one
of
the
big
issues
was
due
process
in
in
an
indictment
situation
that
seldom
that
we
ever
have
grave
consequences.
A
Conviction
is
a
different
aspect,
but
on
indictment,
the
consequences
were
very
grave
and
I
think
that
this
amendment
was
placed
to
mitigate
that.
So
do
I
have
a
motion.
Second,
on
the
second
amendment,
so
we
will.
Would
you
like
to
address
the
amendment
dr
kumar.
E
A
A
A
A
A
You
heard
it
so
this
this
is
the
status
and
and
we
we
have
this
bill,
we
have
this
bill
and
there's
no
amendment
filed
the
so
I
I'll
leave
it
to
the
leave
it
to
the
decision
of
the
committee.
Yes,
sir
you're
recognizing.
D
Thank
you,
mr
chair,
and,
and
so
let
me
just
if,
if
you
will
just
give
me
a
second
to
explain
so
we
had
an
original
amendment
file
this
one.
I
believe
it's
four
six,
three,
nine
that
one
should
have
been
filed
are
you
showing
that
is
that.
D
Now
and
and-
and
I
I
honestly
let
me
apologize
first
of
all-
I
don't
know
what
happened
with
this
last
amendment,
but
it
it
it
should
have
been
filed.
That's
the
amendment
that
we
had
called
about
and
asked.
Could
we
get
it
on
if
it
was
possible?
So
if,
if
I
can
explain
the
original
amendment
that
was
filed,
which
rewrite
which
rewrites
the
bill
right
and
and
and
I
don't-
I
don't
mind
getting
this
amendment
on
there,
but
but
at
some
point
you
know
if
we
can
move
the
bill
forward.
A
The
chair
will
stand
for
motion
and
second
on
the
amendment
have
a
proper
motion.
Second,
on
the
amendment
we'll
be
voting
to
put
the
amendment
on
the
bill
that
makes
the
bill
all
those
in
favor
say:
aye
any
opposition,
we're
on
the
bill
as
amended.
Please
explain
the
bill
and
maybe
tell
us
a
little
bit
about
what
you
want
to
do.
Thank.
D
You
thank
you.
Thank
you
for
your
for
your
grace,
dr
ramsey
and
representative
ramsey
and
members.
What
we're
doing
is
running
this
legislation
to
show
appreciation
to
our
nurses
that
have
worked
hard
through
this
period
of
covet
and
you
know
in
the
pandemic,
and
so
what
we
wanted
to
do
was
to
give
waive
their
licensing
fee
for
one
year
or
throughout
the
the
rest
of
covet,
whichever
one
is
longer
according
to
this
amendment.
D
Now
what
the
other
amendment
does
the
one
that
you
have
that
I
didn't
get
in
in
time
says:
whichever
is
shorter
kovit
I
mean
I'm
sorry
one
year
or
the
pandemic,
and
that's
all
we're
trying
to
do
and-
and
I
wanted
to
you
know,
move
this
bill
forward.
D
I
know
if
we
move
it
forward,
it
will
go
behind
the
budget,
but
I
actually
got
a
meeting
with
the
governor
tomorrow
and
I
wanted
to
discuss
the
possibilities
of
him
considering
funding
this
legislation,
so
we
can
show
appreciation
to
our
nurses
that
are
operating
in
the
state.
The
other
difference
between
this
amendment.
That's
on
the
that
you
put
on
the
bill
now
and
the
other
amendment.
It
says
for
those
nurses
that
are
actually
working
in
a
health
care
facility
right
now
as
we
speak.
Yes,
that's
the
only
difference
between
them.
D
A
And
and
I'm
sure,
if
you
go
to
the
governor
and
and
we
have
not
passed
your
bill,
that
will
be
a
very
short
conversation.
That
would
be
very,
very
so.
A
Right
so
I'm
I'm
guessing
that
and
I'll
leave
it
to
the
will
of
the
committee.
Did
the
department
of
health
need
to
speak
on
this?
If
there
are
no
objections,
we'll
go
out
of
session
and
recognize
representatives
from
the
department
of
health.
G
I
just
figured
you
all
have
not
heard
enough
from
me
today,
patrick
powell,
with
department
of
health,
the
department-
and
I
have
not
seen
the
newest
amendment
from
representative
parkinson.
The
department
has
been
flagged
philosophically
and
fiscally
on
this
approach.
It
is
not
that
we
don't
want
to
help
nurses.
Obviously,
representative
ramsey's
bill
had
a
1500
stipend
that
has
a
fiscal
flag,
but
not
a
philosophical
flag.
G
If
that's
the
case,
we
would
have
to
possibly
be
violating
one
law
to
obey
another
that
creates
obviously
a
problem.
If
the
board
was
to
actually
be
put
into
the
red,
you
actually
could
have
an
unintended
consequence
of
having
to
raise
the
fees
later
on,
which
would
then
be
actually
detrimental
to
nurses.
G
So
it's
more
about
the
approach,
not
necessarily.
Obviously,
everybody
wants
to
help
our
healthcare
practitioners,
but
this
could
actually
have
unintended
consequences
that
hurt
practitioners
in
the
long
run
and
again
would
put
the
board
having
to
violate
one
statute,
possibly
to
abide
by
another.
So
for
that
reason
the
department
has
been
a
philosopher
philosophical
flag.
A
Do
we
have
comments
or
questions
of
our
witness?
If
not,
we
will
certainly
take
that
into
account.
Thank
you
very
much.
We'll
go
back
into
session
and
you're
recognized.
Thank.
D
You
thank
you,
mr
and,
and
you
know
I
wish
that
the
department
would
have
came
and
had
a
conversation
with
me,
because
I
would
have
told
them
that
my
my
ask
from
the
governor
is
to
fund
this
so
that
the
the
board
would
not
go
in
the
red
and
so
and
that's
the
intent.
D
You
know
to
see
where
the
governor,
if
he
can
pull
money,
to
make
sure
that
the
board
does
not
go
into
red,
which
would
have
addressed
the
commissioners
or
the
you
know
the
concerns,
and
so
that's
my
goal
I'll
meet
with
the
governor
in
the
morning.
I
mean
I'm
sorry
tomorrow
afternoon
and
I
I
just
wonder
if
we
can,
you
know
just
get
this
bill
through
and
if
he
says
he'll
you
know
we'll
find
a
way
to
make
it
happen.
D
Then
I
think
we're
good
and
if
he
says
he
can't
tomorrow,
then
we'll
take
the
bill
off
notice
in
the
next
committee.
That's
my
goal.
That's
my
intention.
So.
A
A
I
don't
think
there's
much
question,
sir.
I
don't
think
your
bill
is
going
to
move
forward.
A
Yeah,
okay,
so
give
me
a
moment
of
of
personal
privilege,
and
this
is
house
bill.
184
item
23
and
if
you
give
me
maybe
a
couple
of
minutes
of
recess
here
and
I'll
turn
it
over
to
chairman,
terry
and
and
let
you
guys
know
that
I
I
take
my
defeats
as
a
man.
B
B
A
The
if,
if
you
just
allow
me
a
moment
to
to
say
a
couple
of
words
about
this
bill,
we've
we've
been
at
this
a
long
time,
the
and
and
I'd
like
for
you
to
take
your
eyes
off
of
me
and
the
bill
and
and
look
at
our
state.
The
healthcare
is
the
second
largest
industry
in
tennessee,
and
one
in
five
of
our
citizens
have
inadequate
access
to
primary
care.
It's
very
unfortunate
and
that's
not
changed.
That
statistic
is
the
same.
It's
been
since
1996..
A
But
in
and
typically
2014
was
a
typical
year
we
graduated
740
medical
graduates
and
only
had
540
residencies
in
tennessee.
A
It's
legislators,
like
you
and
I,
and
state
and
federal
positions.
It's
insurance
companies,
actuarials
hospital
boards,
I.t
programs,
we've
already
proven
that
that
information
technology
robots
can
can
be
much
more
accurate
than
in
detecting
cancer
on
imaging
than
humans
can
transportation
telehealth.
All
of
these
things
define
medical
care.
A
So
we
don't
look
at
anybody
and
say
they're
to
blame,
but
if
we
don't
move
forward,
if
we
don't
make
advances
in
in
providing
these
rural
areas,
150
areas
that
that
have
been
declared
deficient,
if
we
don't
make
some
progress,
it's
it's
going
to
be
our
fault.
So
I'm
not
pointing
a
finger
at
anybody
that
came
before
us,
but
I'm
I'm
pointing
a
finger
at
us
and
so
with
that
that
long
die
tribe
and
and
heartfelt
sorrow
of
having
this
bill
move
to
the
first
calendar
of
next
year.
E
No
dr
ramsey,
the
the
philosophy
and
the
ideas
you
put
forth
really
have
merit.
I
think
the
matter
needs
to
be
looked
at.
It
has
not
been
possible
to
do
that
for
some
reasons
over
the
years
and
remember
we
had
a
task
force
and
all
they
came
up
was
instead
of
calling
we're
going
to
call
it
collaboration,
except
instead
of
supervision
or
something
like
that,
and
there
was
a
truth
for
three
years
that
this
was
not
going
to
be
discussed
anymore.
E
I
really
think
that
if
there
was
a
commission,
a
meeting
or
a
task
force
that
would
get
together
on
it,
evaluate
the
training
of
advanced
practice
nurses
and
see
where
there
is
satisfactory
performance
where
the
holes
are
and
try
to
make
it
better
and
then
reach
an
understanding
that,
after
adding
this
much
to
the
training
or
adding
this
aspect,
they
are
able
to
have
independent
practice
authority.
E
A
A
A
I
I
did
not
strike
the
gavel.
We're
going
to
roll
that
to
the
first
calendar
of
19
or
2000,
and
probably
1922
that'd,
be
great
2022.
If
there
are
no
objections,
we
will
make
that
move.
A
So
any
personal
orders
any
you
appreciate
all
of
you
in
the
audience,
those
that
that
hate
me
and
those
that
like
me,
but
yes,
sir
you're
recognized
chairman.
C
B
I
I
do
want
to
thank
you
again
for
chairing
this
committee.
It's
you
know.
We
try
to
run
an
efficient
committee
and
try
to
get
as
much
work
done
as
we
can
in
the
for
the
citizens
of
the
state
of
tennessee
in
a
timely
manner,
that's
good
for
their
health
care.
I
appreciate
you
taking
leadership
in
this
and
and
your
role
that
you've
done
for
this
committee.
Thank
you.