►
Description
House Health Subcommittee - February 8, 2022 - House Hearing Room 2
A
A
Thank
you
very
much
and
anybody
have
any
personal
orders.
I
I
have
some
introductions
this
morning,
but
or
this
afternoon
I
guess
officially,
anybody
have
any
personal
orders.
If
not,
I
would
like
to
take
this
opportunity
to
recognize
the
tennessee
medical
association
doctor
of
the
day,
and
that
would
be
dr
katrina
greene,
an
er
physician
in
nashville.
A
Congratulations
and
if
you
want
to
take
part
at
any
time
you
let
us
know
yes,
I
would
recognize
leader
cheryl.
Thank
you
hey.
We
want
to
say
a
very
much
welcome
to
all
of
our
folks
here
today
with
our
medical
ems
that
works
for
us.
We
appreciate
you
very
much
and
we
do
want
to
just
give
you
a
shout
out
this
time.
A
A
I
appreciate
that
we
and-
and
some
of
you
folks
came
by
my
office
today
and
I
think
you've
been
sharing
your
information
with
the
other
members.
The
president
of
taesa,
rick,
valentine,
is
with
us
today
welcome,
sir.
I
appreciate
you
and
it
was
explained
to
me
that
pretty
much
all
of
the
membership
is
made
up
of
ems
emergency
service
members
across
the
state.
Am
I
correct
in
that
directors
of
the
ems
programs?
A
I
want
to
say
how
much
I
appreciate
what
you've
done
for
us
this
year.
I
was
told
that
we
have
massive
shortages.
This
is
essentially
a
calendar
for
ems.
Today,
I
think
the
three
remaining
bills
we
have
on
here
affect
you
in
some
way
positively,
and
I'm
told
that,
even
in
in
the
east
tennessee
region,
around
blount,
county
and
knox
county,
there
are
107
unfilled
positions
and
we're
going
to
try
to
make
that
better.
A
For
you,
we've
had
some
issues
that
you
guys
have
filled
the
gap
in,
and
I
want
to
thank
each
one
of
you
for
your
service
and
and
say
how
appreciative
we
are
that
you're
here,
helping
us
with
our
information
today
and
have
helped
us
in
this
past
emergency
of
the
last
two
years.
So
thank
you
all
very
much
further
comments
or
questions.
Yes,
dr
kumar
you're
recognized.
C
Thank
you,
mr
chairman.
I
would
also
like
to
acknowledge
that
vanderbilt
flight
life
flight
people
are
visiting
us
today
and
they
perform
an
incredible
service
over
the
years
in
transporting
people
who
are
critically
ill
or
traumatized.
I
do
not
see
mr
kevin
nooner
in
the
room
here,
but
it
was
good
to
have
them
visit.
Thank
you,
sir.
A
D
A
D
It
codifies
the
use
of
ambulance
operators
and
clarifies
that
a
for-hire
endorsement
is
not
needed
to
operate
an
ambulance,
as
has
been
allowed
by
the
emergency
rule
and
executive
order.
During
the
cobit
19
pandemic,
the
tennessee
ambulance
service
association
has
worked
with
the
emergency
medical
service
board
and
the
department
of
safety
to
remove
this
unnecessary
endorsement.
D
Ambulance
services
have
been
consistent,
workforce
shortage
before
the
pandemic,
and
that
shortage
has
been
exaggerated
by
the
pandemic.
This
legislation
will
codify
the
use
of
non-licensed
and
entry-level
personnel
to
operate
an
ambulance.
These
non-licensed
and
entry-level
operators
will
have
no
medical
contact
with
patients
above
their
scope.
D
D
D
An
emr
can
perform
basic
life
support
skills
such
as
cpr
oxygen
administration,
limited
medical
administration,
splinting,
emotional
immobilization
and
patient
assessment
upon
employment
as
a
emsa
or
emr,
or
license
or
licensure
as
an
emr.
The
employee
has
12
months
to
enter
into
a
higher
level
of
training.
With
that.
Mr
chairman
I'll
answer,
any
questions.
F
F
D
F
F
G
Thank
you
chairman,
thank
you
speaker
for
bringing
this
bill,
and
I
do
appreciate
the
clarification
on
the
emsa
being
able
to
lift
the
patient.
That
was
one
of
the
concerns
that
I
had
was
that
I
know
in
taking
care
of
patients.
I've
been
in
the
operating
room
before,
and
I've
asked
somebody
to
lift
an
arm
or
something
they're
like.
I
can't
touch
anything
can't
touch
anybody
and
so
having
somebody
there
that
can
help
assist
you
guys
in
in
the
job
that
you
perform.
A
Thank
you
for
the
comments
or
questions
of
the
sponsor.
If
not
we'll
be
voting
to
send
this
bill
to
the
full
committee,
all
those
in
favor
say
aye.
Any
opposition
so
approved
we'll
go
on
to
item
two
which
is
house
bill
1956
by
chairman
crawford.
He
asked
us
to
roll
that
to
the
hill
until
he
could
be
here
and
if
he's
not
here,
I
signed
on
to
the
bill.
So
we
need
to
send
it
to
full
as
quickly
as
we
can.
A
A
H
A
G
For
that,
sir,
thank
you
for
bringing
this
bill
at
this
point
in
time.
I'm
going
to
withhold
support
for
this
from
a
standpoint
from
a
fiscal
standpoint,
you
know
we
have
our
budget's
going
to
be
an
additional
10
billion
dollars,
which
this
bill
is
obviously
or
should
probably
going
up
in
a
behind
the
budget,
and
so
that's
going
to
be
part
of
the
discussions
on
what
we
do
support
what
we
don't
support.
G
One
of
my
concerns
that
I
have
is
you
know
that
budget
increase,
there's
not
a
tax
cut
on
there.
Professional
privilege
tax
is
one
of
those
issues
that
we
have,
particularly
for
some
health
care
providers
that
was
supposed
to
be
phased
out.
You
know
three
years
ago
when
that
was
in
the
discussion,
so
I
get
where
you're
going
with
this.
A
And
and
chairman
hicks,
I
would
recommend,
if
you
know
anybody-
that's
influential
in
the
budget
committee
that
that
maybe
a
lot
of
people
are
upset
after
the
state
of
the
state
by
the
increase
in
the
budget.
But
I'm
certainly
for
your
bill.
No
question:
do
we
have
any
other
comment,
dr
kumar
you're
recognized.
C
H
You,
mr
chairman,
and
to
chairman
terry,
I
guess
I
would
say
this.
I
and
I
totally
understand
where
you're
coming
from,
and
I
do
not
disagree
at
all
one
thing.
I
would
ask
you,
though,
as
we
go
through
this
to
just
just:
let's
just
look
at
the
merits
of
this
bill,
and
just
ask
yourself:
are
you
for
this
particular
marriage
to
the
bill,
and
I
promise
you
those
discussions.
Just
like
you
mentioned
about
those
tax
cuts
and
about
the
spending
that
we've
seen
in
this
budget.
H
I
can
assure
you
those
conversations
are
going
to
happen,
but
I
would
ask
members
as
well
as
mr,
mr
chairman,
there
just
to
consider
the
merits
that
we're
looking
at
just
you
know.
The
800
training
supplement
is
already
given
to
police
and
firefighters,
volunteer,
firefighters.
They
actually
received
600
and
the
other,
the
previous
folks
that
I
just
mentioned,
actually
receive
800,
and
so
really
all
we're
trying
to
do
with.
This
is
just
level
the
playing
field,
and-
and
so
I
would
ask
again
just
just
look
at
the
merits
and
we
will.
H
A
At
it,
but
I
don't
think
you're
going
to
have
to
beg
with
this
crowd
further
comments
or
questions.
If
none,
we
will
be
voting
to
send
this
to
full
committee,
all
those
in
favor
say
aye
aye,
any
opposition
so
approved.
Thank
you
committee.
Thank
you,
sir,
and
we're
back
to
the
rolled
item
house.
Bill
1956
by
chairman,
crawford
you're
recognized,
have
a
proper
motion.
Second,
on
the
bill,
you
can
explain
the
bill.
Thank.
E
You,
mr
chairman,
good
afternoon
committee.
This
is
house
bill
1956,
which
is
dealing
with
the
emt
training
centers.
This
started
back
in
2018,
where
we
passed
the
very
first
bill
that
allowed
this
to
happen,
and
we
did
it
as
a
pilot
program
in
my
area
and
it's
made
a
huge
difference,
but
it's
not
completed.
E
We've
still
got
the
problem
of.
We
are
ambulances
and
ambulance
services
that
can't
provide
services
to
our
constituents
simply
because
they
don't
have
the
people
trained
to
do
that.
What
this
bill
does
is
it's
going
to
increase
what
we
did
last
year
last
year
we
allowed
15
different
programs
this
year.
We
want
to
move
that
up
to
30.,
so
we'd
have
30
classes
in
a
year's
time,
we're
moving
it
up
from
10
students
to
class,
to
20
students,
a
class
and
also
it
would
allow
them
to
teach
instead
of
two
classes
a
year.
E
E
G
G
This
is
something
that
you've
worked
hard
for
and
in
the
in
the
past,
I
think
you've
actually
had
to
you
contract
or
contracted
this
to
begin
with,
to
get
something,
and
then
people
have
looked
at
it
and
see
how
value,
but
it
valuable
it
is,
and
now
we're
trying
to
expand
it
a
little
bit
further,
and
so,
with
your
perseverance,
I
think
you
know,
with
the
the
body
of
the
the
committee
will
hopefully
be
moving
this
forward.
But
again
I
just
want
to
commend
you
for
the
effort
that
you've
put
forth.
F
Number
one
thank
you
chairman
you
and
I
have
been
working
on
this
from
the
very
beginning
because
of
shortages
with
emts
one
question
just
for
the
public
to
understand
how
would
let's
say
a
county
wants
to
go
about
doing
this?
Is
it
their
county,
ems
that
would
qualify
or
for
a
site
and
then
allow
their
volunteer
fire
departments
and
and
how?
How
is
this?
How
is
this
going
to
be
implemented
and
what
what
does
it
look
like
real
time?
The.
E
Emergency
services
board
is
the
one
that
you
have
to
get
the
permission
from
and
they
make
sure
that
the
classes
are
certified
classes
that
they
meet
all
the
state
requirements
to
become
an
emt,
our
or
an
advanced
emt.
So
it
saves
us
money
in
our
communities
because
sometimes
they
had
to
drive
in
my
area
from
say
mountain
city.
They
had
to
come
to
nashville
to
get
that
training
and
vice
versa.
The
west
tennessee
guys
had
to
drive,
so
it
allows
them
to
teach
those
classes
within
the
community.
E
It
also
takes
a
lot
of
pressure
off
of
our
tbr
systems
at
first
they
were
a
little
concerned
about
it,
but
over
the
years,
they've
seen
the
value
that
it's
put
in
our
communities
and
it
allows
them
to
focus
more
on
the
paramedic
training.
So
they
are
supportive
of
this
and
understand
the
importance
of
us
getting
more
people
trained.
So
that's
what
it's
about?
Saving
money
for
our
community
and
getting
more
people
trained
in
the
less
period
of
time.
C
E
That's
a
good
question.
I
think
some
departments
actually
pay
for
their
members
to
to
do
that,
because
there
is
a
requirement
at
some
that
a
lot
says
that
before
they,
when
they
become
a
member
of
let's
say
a
volunteer
fire
department
or
someone
that
provides
ambulance
service,
then
they
have
to
be
hired
before
they
can
get
into
this
class.
C
A
For
the
comments
or
questions
yeah,
I
think
this
is
going
to
help.
As
I
made
reference
before
I
was
told
this
morning
we
had
107
unfilled
positions
for
ems
and
just
the
eastern
region
around
knox
and
blount
county.
So
this
will
help
that
we
will
be
voting
to
send
this
to
full
committee.
All
those
in
favor
say
aye
aye,
any
opposition
so
approved.