►
Description
House Health Subcommittee - March 22, 2022 - House Hearing Room 2
A
A
A
B
A
B
All
right
well,
thank
you,
mr
chairman
and
committee
members.
I
what
this
bill
will
do
it's
already
in
law
and
statute,
that
tennessee
and
tennessee.
We
do
not
do
tele-health
chemical
abortions,
and
so
we
did
notice
that
we
didn't
put
any
teeth
into
it.
So
what
this
bill
will
do
is
add.
It
creates
a
class
e
felony
for
anyone
and
who
intentionally,
knowingly
or
recklessly
violates
this
act
and
I'll
keep
it
short
in
case.
There's
questions
or.
A
B
C
A
A
A
A
D
A
A
D
Thank
you
chairman,
so
this
bill
is
already
passed
in
the
senate
already
on
passed
through
the
senate
floor
already.
But
what
this
bill
specifically
would
do
would
urge
our
practitioners
to
discuss
with
our
patients
that
our
minors
or
emancipated
minors
and
their
parents
when
they
are
prescribed
opioid
drugs.
A
B
A
B
Rajul
bejoy
office
of
legal
services.
From
my
understanding,
the
committee
just
adopted
amendment
number
15240
on
house
bill
2259
and,
as
a
result,
the
amendment
number
of
15393
no
longer
fits
on
the
bill
as
amended.
It
does
fit
on
the
original
language
of
the
bill,
but
the
language
it's
referencing
in
15393
that
language
no
longer
appears
on
the
bill
as
amended.
A
D
A
A
So
what
I'll
do
is
is
withdrawal
yes,
so
I
stand
for
a
motion
to
withdraw.
The
amendment
have
proper
motion
in
a
second
all,
those
in
favor
say
aye,
any
opposition
so
approved.
So
we're
back
on
the
untimely
filed
amendment,
which
we
have
a
motion
and
second
on,
do
you
have
the
drafting
code
for
the
untimely
filed
amendment?
There's.
A
D
A
D
So
we
had,
you
recognize
sure,
thank
you
chairman,
and
so
we
did
have
some
slight
pushback
on
the
amount
of
paperwork
that
it
would
cause
a
doctor
to
have
to
do
when
it
comes
to
actually
telling
a
patient
about
why
this
drug
could
be
harmful.
So
we
had
to
make
some
some
altercation
alterations,
but
there
are
some
doctors
that
still
would
like
to
be
able
to
tell
this
information
so,
instead
of
requiring
it,
we
are
urging
it
now.
B
A
D
B
B
So
it
is
standard
practice
and
I
think
you
want
to
urge
patient
doctors
or
prescribers
to
go
ahead
and
explain
that,
but
I'm
glad
that
you're
not
making
it
mandatory
because
it's
not
necessary
because
then
we'll
be
regulating
the
practice
of
medicine
absolutely
and
with
that
posture,
I
think
it's
a
reasonable
thing
to
do.
Thank
you.
A
D
Harris
thank
you
so
much
for
saying
that
so,
of
course,
the
original
I'm
going
back,
I
keep
going
back
to
the
original
bill.
We
did
make
a
change
based
off
of
current
law
that
we
already
have
in
practice.
So
that
way
we
weren't
requiring
additional
work
for
our
medical
providers,
but
it
did.
The
original
amendment
was
specifically
just
for
minors
and
emancipated
minors,
and
so
now
that
we're
just
specifically
sticking
to
just
urging
we're
just
keeping
it
to
overall
everyone.
So,
okay.
C
B
The
risks
associated
with
a
drug
being
prescribed,
including
the
risks
of
addiction
and
overdose
associated
with
opioid
drugs
and
the
dangers
of
taking
opioid
drugs,
alcohol,
benzodiazepines
and
other
cns
depressants.
The
reasons
why
the
prescription
is
necessary.
Alternative
treatments
that
may
be
available
and
risks
associated
with
the
use
of
the
drugs
being
prescribed,
specifically
that
opioids
are
highly
addictive.
B
This
bill,
as
it's
now
amended,
doesn't
change
that
section
at
all,
so
that
requirement
still
stands
and
those
provisions
in
63164
still
stand.
This
adds
a
new
section,
urging
practitioners,
in
all
cases,
with
all
patients
to
provide
the
following
information,
but
it
doesn't
establish
a
mandate.
Dr.
C
C
In
fact
he
was
chair
of
health
when
that
came
through
this
past
year,
we
had
a
part
of
part
of
that
legislation
came
forth
with
a
review,
a
mid,
a
mid
ten
together
review
and
the
whole
purpose
of
the
three-day
notice
was
to
get
less
prescription
or
get
more
prescriptions
under
three
days
and
not
get
them
into
that
four
five,
seven
day:
prescriptions
where
the
the
risk
ends
up
going
up
that
slope
and
again
you
did
mention
earlier
that
there
was
some.
You
know:
paperwork
this
that
and
the
other
and
oftentimes.
C
You
know
in
practice
this
may
not
change
what
somebody
does,
but
the
concern
for
me
would
be
that
you
know
well,
you
were
urged
to
do
this
and
you
didn't
now
explain
explain
that
you
know
in
a
court
or
whatever.
So
I
understand
why
you
bring
the
bill
knowing
what
that
we've
put
into
it.
I'm
not
going
to
be
able
to
support
this,
but
I
understand
why
you
brought
it.
Thank
you.
A
B
Thank
you,
mr
chairman,
and
sponsor.
I
appreciate
your
passion
for
this
and
your
willingness
to
amend
the
bill
to
accommodate
the
stakeholders,
but
every
once
in
a
while,
as
you
amend
the
bill,
you
water
it
down
to
the
point
that
it
doesn't
really
do
anything,
and
in
this
case
I
think
we're
almost
to
that
point
now
and
and
we're
putting
something
into
statute.
B
That
just
urges
something,
and
I
wondered
if,
if
you
really
want
to
urge
something,
if
maybe
you
might
want
to
do
a
resolution
or
something
and
just
take
this,
I
mean
that
would
be
my
recommendations.
Perhaps
take
this
off
a
notice
and
and
do
a
resolution
to
run
it
to
the
floor
and
pass
it
that
way,
I'm
not
sure
that
the
bill
really
does
anything
anymore
and
then
having
that
in
statute.
As
chairman
terry
implied,
it
could
cause
issues
if
there
were
ever
a
court
case
or
anything.
So
that's
just
a
recommendation.
D
A
A
B
Thank
you,
chairman
members
of
the
committee,
so
this
is
a
house
joint
resolution
that
would
create
a
constitutional
amendment
for
the
cultivation,
the
growth
cultivation,
usage
and
sale
of
medical
marijuana
in
the
state,
four
percent
of
the
revenue
from
that
our
medical
cannabis.
Four
percent
of
the
revenue
from
that
would
go
towards
veterans
health
care.
B
So
you
know
I
know,
there's
another
bill
that
I'm
also
favored
and
support,
but
I
think
that
ultimately,
I'd
like
to
see
this
move
forward,
just
as
a
backup
plan,
because
I
know
if
the
legislature
continues
to
not
be
able
to
pass
a
true
medical
cannabis
program.
I
think
this
is
our
best
effort
is
to
have
a
constitutional
amendment
and
ultimately,
let
let
the
voters
decide
and
put
this
in
front
of
the
voters
to
to
have
a
constitutional
amendment
for
medical
cannabis
in
the
state
of
tennessee.
Without
renewing
my
motion
have
any
questions.
A
D
C
A
C
C
We
have
an
amendment
zero,
zero,
five,
four,
six,
eight!
I
need
a
motion.
You
have
a
motion,
a
second
okay
amendments
properly
before
us.
Do
you
want
us
to
put
that
on
the
yes,
sir?
Okay,
without
objections
go
ahead
and
vote
on
amendment
zero,
zero,
five,
four,
six,
eight,
all
those
in
favor
say
aye
opposed
eyes.
Have
it.
We
are
back
on
the
bills
committed
you're,
recognized.
A
A
A
A
A
This
bill
is
amended,
would
change
the
current
law
to
allow
minors
to
receive
preventive
treatment
as
well.
So
essentially,
what
this
does
is
is
add
the
the
new
language
for
being
able
to
provide
consultation
and
prevention
moving
us
toward
treating
fewer
and
fewer,
hopefully
teen,
std
cases
in
tennessee.
So
with
that
explanation
pending
questions,
I
would
ask
that
you
renew
the
motion.
C
A
C
Zero
one
four,
zero,
four,
seven,
okay,
I
need
a
motion.
You
have
motion
seconds,
probably
before
us.
Do
you
want
us
to
put
that
on
the
yes,
of
course,
okay,
without
objection
we'll
be
voting
on
amendment
zero,
one,
four,
zero,
four
seven,
others
in
favor
say
aye
opposed
eyes.
Have
it
bills
back
on
the
bill
as
amended.
You
are
recognized.
A
Thank
you
very
much,
mr
chairman,
we're
in
the
middle
of
nationwide
of
a
mental
health
counselor
crisis,
part
of
that's
because
of
the
pandemic,
causing
so
much
more
stress
in
the
united
states.
77
percent
of
counties
have
a
severe
counselor
shortage.
20
percent
of
these
counselors
that
we
have
are
leaving
their
jobs
each
year
and
we've
made
some
advances
like
telehealth,
salary
increases
license
reciprocation,
but
marie
williams,
our
commissioner
of
tennessee
department
of
mental
health,
has
asked
for
70
million
dollars
in
in
the
next
short
term,
future
and
300
million
for
future
programs.
A
Knowing
that
we
need
to
do
all
we
can
to
improve
the
situation.
This
this
bill,
as
amended,
was
brought
to
me
by
the
tennessee
licensed
professional
counselor
association
and
was
drafted
in
consultation
with
the
licensing
board's
attorney
the
update.
What
it
does
is
update
or
delete
language
in
the
code
that
is
either
archaic
or
has
been
placed
in
regulations.
A
A
A
It
removes
the
list
of
mental
health
providers
because
the
list
is
provided
in
the
regulations
from
the
board,
the
term
master
degree
and
the
third
section
is
changed
to
postgraduate
degree
and
in
the
fourth
section
it
cleans
up
language
concerning
temporary
licenses
and
changes
the
term
until
the
board
grants
or
denies
to
at
the
discretion
of
the
board
and
and
adds
a
one
year
from
three
to
four
years
on
the
span
of
a
temporary
license.
With
that
explanation
and
pending
any
questions,
I
would
ask
you
to
renew
the
motion.
All.
C
C
We
have
zero
one,
five,
seven
one
four,
you
have
a
motion
in
a
second.
Do
you
want
us
to
go
ahead
and
put
that
on?
Everybody
writes
the
bill.
Yes,
sir.
I
would
appreciate
that
without
objection,
all
those
in
favor
say
aye
aye
opposed
eyes.
Have
it.
Okay,
we
are
back
on
the
bills
amended
chairman
you're,
recognized.
A
Thank
you,
mr
chairman,
and,
and
we
all
are
seeing
the
the
facts
from
bill
after
bill.
Drug
overdoses
continue
to
climb
by
50
percent
a
year
in
tennessee.
Tennessee
is
the
fourth
40th
highest
in
fatal
drug
overdoses.
In
the
population,
the
our
average
is
52
overdose
deaths
per
100,
000
citizens
and
the
u.s
average
is
30.
So
we're
almost
twice
that
in
tennessee
in
2017
drug
abuse
and
fatal
overdose
should
I
dance.
A
A
They
they
tend
to
be
able
to
put
together
a
lot
of
information
that
ordinarily
wouldn't
be
available
from
providers,
and
they
just
to
give
an
example
of
this.
This
kind
of
program
permissive
program
was
set
up
in
maryland
and
in
maryland
they
discovered
that
that
a
vast
number
of
their
fatality
overdoses
happened
in
motels.
A
C
Any
questions
for
the
sponsor
of
the
bill,
all
righty-
and
I
do
agree
with
you
that
sometimes
these
fiscal
notes,
we
call
them
faulty
fiscal
notes,
there's
some
there's
a
little
bit
more
to
them,
but
all
righty.
Without
objection,
we
are
voting
on
house
bill
2272,
all
those
in
favor
say
aye
opposed
eyes.
Have
it
bill
goes
on
to
full
health
committee.
A
C
Amendment
zero
one,
six,
one,
nine
one.
I
need
a
motion
give
motion
a
second
okay.
You
want
us
to
put
that
on
the
yes,
I
do,
sir.
Okay.
Without
objection,
we
will
vote
on
amendment
zero,
one,
six,
one,
nine
one,
all
those
in
favor
say
aye
opposed
eyes.
Have
it
we're
back
on
the
bills
amended
chairman
you're,
recognized.
A
A
This
this
bill,
the
the
legislature's
work
tirelessly
in
the
last
10
years
to
try
to
deal
with
these
issues
and
making
sure
that
that
accidental,
open
opioid
overdoses
are
avoided
in
every
way
that
we
can
this.
This
will
be
a
tool
to
help
ensure
patients
are
fully
aware
of
risk
and
increasing
the
access
to
opioid
reversal
medication,
commonly
known
as
naloxone.
A
A
A
The
three
situations
that
it
covers
is,
let's
see
here
the
if,
if
the
prescriber
offers
over
a
three-day
supply
of
an
opioid,
if
the
doctor
also
writes
a
prescription
for
a
benzodiazepine
which
is
a
anti-anxiety
medication
like
valium
or
if
the
patient
has
a
known
substance,
abuse
disorder
or
a
history
of
overdose,
so
that
that
is
that
that
the
patient
discloses
patients.
Don't
always
tell
the
truth,
and
in
that
case
the
the
doctor
is
is
not
liable.
A
But
with
with
that
explanation,
and
and
I
checked,
I
know,
some
people
had
had
voiced
the
the
issue
that
there's
a
black
market
for
naloxone
for
narcan,
and
so
I'm,
I
kind
of
inquired
of
my
pharmacist
at
home,
and
he
told
me
that
nobody
ever
comes
to
get
narcan.
There's
a
standing
order
from
the
commissioner
of
health
with
collaborative
pharmacies
that
you
can
go
in
and
get
it
over
the
counter
whenever
you
want
it,
and
so
he
told
me
that
nobody
ever
does
that
he
said
the
only
times
that
they
get.
A
It
is
when
a
pain
management
specialist
sends
an
opioid
prescription.
He
will
send
also
a
note
that
says
no
narcan,
no
pills,
and
so
that's
that's
pretty
much.
What
what
they
see
so
essentially
we're
trying
to
to
extend
the
loop
of
protection
for
folks
that
are
under
some
sort
of
peril
and
and
that's
what
the
intent
of
this
bill
is
so
with
pending
further
questions,
I
will
ask
you
to
renew
your
motion.
Okay,.
B
A
B
C
A
C
You
have
motion
second
amendment,
zero,
one,
five,
four,
seven
five!
You
recognize
you
want
us
to
go
ahead
and
put
that
on
the
yes,
sir.
Okay,
without
objection,
we
are
voting
on
zero,
one,
five,
four,
seven,
five,
all
those
in
favor
say
aye
aye
opposed
eyes.
Have
it.
We
are
back
on
the
bills
admitted
you're,
recognized.
A
This
this
has
become
as
amended.
This
bill
would
authorize
dentists
to
administer
vaccinations
for
the
human
papilloma
virus.
Hpv,
as
a
vaccine
is,
is
effective
in
preventing
oral
pharyngeal
cancer
and
mouth
cancer,
which
dentists,
of
course,
seeing
you
several
times
a
year.
Will
check
for
many
patients
visit
their
dentist
twice,
as
often
as
they
do
primary
care
providers
so
allowing
the
dentist
to
administer
hpv,
provides
additional
safety
and
and
more
convenient
opportunities
to
discuss
the
prevention
and
and
the
possibilities
of
risk
with
patients.
A
C
A
A
I
think
over
the
pandemic,
we've
seen
that
that
issues
have
just
gotten
out
of
hand,
staff
issues
and-
and
we
receive
shrinking
coverage
in
rural
areas-
and
I
know
if
nurses
get
full
practice
coverage
they're,
not
all
going
to
go
to
to
rural
areas,
but
some
will
and
and
the
ones
that
I've
visited
so
far
do
a
fabulous
job
and
and
they
deserve
the
opportunity
to
to
move
forward.
We
have
lots
of
discussion
about
that.
They're
not
capable
and-
and
this
bill
has
nothing
to
do
with
changing
their
scope
of
practice.
A
They're
not
going
to
be
allowed
to
do
surgery
they're
going
to
be
allowed
to
do
exactly
what
they're
doing
now
in
clinics
walk-in
clinics,
which
most
of
you
see
them
when
you
go
there.
So
what
happened?
This
bill
was
referred
to
a
task
force
in
the
senate,
we're
going
to
have
whether
you
call
it
a
summer
study
or
a
task
force
we're
going
to
do
that
this
summer,
and
so
with
that
explanation
and
and
hope
that
you'll
be
be
cognizant
of
the
importance
of
it
watch
the
proceeds
and
and
next
year.
C
A
Does
anybody
have
any
personal
orders?
I
certainly
do.
This
has
been
a
a
very
eventful
two
years.
We're
gonna
leave
here
with
with
some
people
not
liking
us,
and
some
people
loving
us,
but
you
guys
have
done
a
great
job.
This
has
been
a
fabulous
committee
to
work
with
we've
never
had
to
break
for
a
lack
of
a
quorum
at
any
time
and
you've
all
been
very
astute
and
diligent,
and
I
appreciate
you
so
much.
The
questions
have
been
to
the
point
honorable
and
and
very
personable.
A
B
A
All
right,
thank
you
and
I've
got
I've
got
hats
here.
It
says
it
says:
house,
docs,
health
subcommittee,
112th
general
assembly,
so
you
guys
are
welcome
to
them.
I'm
going
to
save
a
couple
of
these
pink
ones
for
the
the
clerk
staff
and
send
one
to
robin
smith.
So
everybody's
welcome
2-1
when
we're
finished.
Yes,
sir.
C
Thank
you.
I
I
do
want
to
echo
the
sentiments
of
chairman
jernigan.
It's
been
a
pleasure
having
you
as
our
committee
chair.
I
don't
think
that
a
lot
of
the
public
or
a
lot
of
people
in
the
audience
may
not
know
getting
some
of
these
bills
into
into
shape.
I
know
I've
been
subcommittee,
chair
and
I've
had
to
deal
with
and
get
in
shape.