►
Description
House Health Subcommittee - March 2, 2021 - House Hearing Room 2
A
A
A
D
Famous
chairman-
and
this
is
a
very,
very
simple
bill
and
I
would
like
to
say
I've
worked
very
closely
with
the
farm
bureau
on
this,
and
this
takes
care
of
an
issue
where
a
local
county
board
of
health
or
county
health
department
does
not
have
the
ability
to
regulate
agriculture
so
and
they
they
have
an
entire
department
that
handles
that.
These
health
boards
have
a
role
that
they
play.
A
A
We'll
move
on
to
item
number
two
house
bill
10
by
chairman
reedy
you're,
recognized
at
the
podium.
C
C
A
I'll,
let
me
make
a
reference
here.
There
were
two
bill.
Two
amendments
filed
the
my
discussion
with
the
full
committee
chairman
was
that,
as
we
trace
the
path
of
those
bills,
both
were
timely
filed
now.
I
I
asked
today
whose
name
was
on
them
and
the
your
name
was
on
the
first
one
that
was
filed
and
it
turns
out.
Your
name
was
on
the
second
one
that
was
filed.
So
so
you
have
your
freedom
of
choice
as
to
how
many
or
which
ones
that
you
want
to
deal
with.
A
We
have
a
proper
second
on
the
bill,
we're
on
the
bill
and
we
will
allow
you
to
make
a
designation
if
you
want
to
deal
with
both
of
these
amendments.
If
you
have
one
in
particular,
if
you
want
to
withdraw
one.
C
Well,
it
it
at
this
time,
mr
chairman,
in
committee.
I
I
want
both
amendments
to
be
considered
and
and
leave
it
at
the
will
of
the
committee.
I,
however,
I
I
do
ask
for
a
roll
call
vote
on
this.
This
bill
pertains
to
the
religious
exemptions,
especially
with
covet
bringing
it
to
our
attention
across
the
nation
and
many
of
our
members.
C
During
this
past
summer,
the
conversation
was:
can
the
governor
or
the
president
mandate
a
vaccination
in
a
time
of
an
epidemic,
and
then
I
had
a
constituent
of
the
state
of
tennessee,
bring
it
to
my
attention
and
he
calls
me-
and
he
says,
representative
reedy.
You
know
the
government
could
mandate
and
remove
our
religious
exemptions.
So
I
ask
for
more
information.
A
The
we
have
to
get
the
amendments
before
us
with
a
motion
in
a
second
for
him
to
address
those.
Yes,
sir,
if
you
want
both
of
the
amendments,
we'll
have
to
get
a
proper
motion.
Second,
on
both
amendments
and
do
either
of
the
men's
amendments
make
the
bill.
C
Yes,
one
one,
we
have
to
choose
one
or
the
other,
sir.
I
know
that
puts
us
in
a
in
a
bind,
but
but
the
drafting
came
from
me
it's
it's.
Mr
crane
has
been
helping
with
this
piece
of
legislation
and,
of
course
my
preferences
is
4043,
the
the
amendment
there
and
then
working
with
chairman
terry.
C
He
really
is
the
author
of
the
amendment
4134,
but
I,
through
an
agreement
with
me,
I
told
him
we
would
file
it,
but
there's
a
lot
of
conversation
in
what
is
the
right
direction,
but
I'm
comfortable
with
either
amendment,
but
I
certainly
want
the
committee
members
to
know
what
the
difference
of
those
two
amendments
are.
Okay,.
A
Let
me
the
there
is
a
there's,
a
mistake
on
one
of
the
amendments
here.
I
have
two
amendments.
C
A
We
we
need
a
proper
motion
in
a
second
on
your
preferred
amendment.
Yes,
sir,
and
and
we
will
discuss
that
amendment
out
of
session,
we
will
come
back
and
and
we'll
be
forced
to
vote
either
way
and
then
we'll
discuss
the
other
amendment.
A
Okay,
so
would
you
prefer
to
discuss
the
hostile
amendment
first
or
the
friendly.
C
A
We're
not
on
the
amendments
yet
without
a
motion
in
a
second:
let's
take
your
friendly
amendment
first,
which
is
4046.
yes,
sir
okay,
we
have
a
proper
motion
and
second
on
the
amendment.
A
Did
we
get
a
motion?
Okay,
we
have
a
motion
and
a
second
on
the
amendment,
so
we
will
let
you
discuss
the
amendment.
I
think
it's
4046
is
my
understanding,
make
sure.
B
A
C
Okay,
I'll
do
a
brief
description
of
what
the
amendment
with
the
bill
will
do
and
then
certainly
would
appreciate
to
hear
testimony
on
that.
So
in
the
bill
with
the
amendment,
it
removes
a
provision
that
prevents
various
individuals
to
object
to
vaccinations,
immunizations
or
other
medical
procedures
on
the
basis
of
religious
tenets
and
practices
during
an
epidemic
or
immediate
threat
thereof.
C
The
substantive
change
to
the
bill
through
this
amendment
is
to
establish
that
the
bill's
pro
regarding
medical
examinations,
immunizations
or
treatments,
do
not
apply
to
physical
agility
or
fitness
testing,
mental
health,
evaluation
or
testing
for
drugs
or
alcohol
use,
as
required
for
condition
of
employment
or
ongoing
assessment
of
job
performance
and,
of
course,
visiting
with
the
many
state
departments.
That
was
their
concern
and
that's
what
came
forward
in
the
amendment.
C
C
A
Well,
that's
it
do
we
have
any
questions
or
comments
on
the
amendment.
If
not,
we
will
no
objections.
We
now
let
me
state
the
status
that
we're
in.
We
have
a
motion.
Second,
on
this
amendment
and
on
the
bill
we
have
a.
We
have
a
request
for
a
roll
call
vote.
That's
on
everything,
that's
going
to
happen
here
today
on
this
bill.
A
Yes,
sir,
thank
you,
okay
and-
and
I
have
a
three-minute
limit
on
on
testimony
with
questions
I
understand
so
so,
if
no
objections
we
will
go
out
of
session,
we
will
entertain
testimony,
and
would
you
like
to
call
someone.
G
Chairman
ramsey
and
distinguished
members
of
the
house,
health
subcommittee,
I
appreciate
the
opportunity
to
be
with
you
today
to
address
what
I
regard
at
least
as
an
important
and,
if
not
vital,
protection
for
religious
liberty,
exemptions
in
tennessee,
based
on
what
we
know
as
house
bill
number
10.
in
the
legal
and
constitutional
context
of
this
bill.
Those
who
deal
in
this
area
of
the
law
oftentimes
see
it
in
terms
of
a
balancing
or
what
the
court
refers
to,
often
as
a
balancing
analysis.
G
In
other
words,
those
who
have
a
religious
base
sincerely
held
a
belief
that
they
need
to
exempt
out
of
a
government-compelled
mandate.
Those
rights
are
balanced
against
the
state's
interest
in
a
compelling,
essentially
a
right
that
overweighs
or
outweighs
those
those
beliefs
courts.
Often
we
see
put
this
in
the
terms
of
a
of
a
difficult
decision
of
whether
or
not
to
sacrifice
one's
core
religious
beliefs
or
comply
with
a
state
mandated
requirement,
but
exemptions
for
religious
liberty
and
for
conscience
even
are
like
the
one
you
have
before.
G
You
are
matters
of
long-standing
history
and
we
believe,
have
long-standing
recognition,
even
which
predate
our
tennessee
constitution
they're
a
vital
aspect
of
this
nation's
respect
and
its
deference
to
religious
liberty
as
an
inalienable
right.
In
fact,
many
of
the
early
colonial
charters
contained
such
express
reference
to
religious
exemptions
and
those
form
the
basis
of
what
we
now
know
as
the
free
exercise
clause.
G
Essentially,
the
state
currently
provides
some
type
of
exemption.
Every
state
provides
some
type
of
exemption
from
compulsory
vaccinations.
48
states
specifically
allow
exemption
for
compulsory
vaccination
based
on
religious
beliefs.
I
think
only
west
virginia
and
mississippi
are
the
only
two
that
do
not,
but
religious
exemptions
are
not
merely
a
matter
peculiar
to
state
law.
Of
course,
in
the
1960s
we
saw
our
supreme
court
carve
out
a
number
of
religious-based
exemptions
to
a
host
of
laws
dealing
with
compulsory
attendance
or
unemployment
benefits,
or
even
certain
types
of
religious
rituals.
G
G
Recently,
in
a
case
just
three
years
ago,
called
eeoc
versus
st
vincent
healthcare,
a
case
in
which
the
eeoc
itself
brought
suit
against
an
employer,
saint
vincent
healthcare,
because
it
refused
to
grant
religious
belief-based
exemptions
to
flu
vaccinations,
and
indeed,
in
that
case,
the
employer
granted
a
number
of
medical
exemptions
but
denied
all
of
those
based
on
religious
belief.
Ultimately,
the
eeoc
prevailed
in
that
case
and
saint
vincent
was
required
to
reinstate
all
of
those
employees
who
asserted
a
religious
based
objection.
A
Mr
crane
go
ahead
and
finish
briefly,
sir.
G
Yes,
sir,
the
amendments
proposed
today
assure
that,
while
taking
adequate
measures
to
to
protect
the
safety
and
well-being
of
citizens,
we
do
not
undermine
the
positive
importance
of
these
exemptions,
and
let
me
just
just
end
on
this
justice
douglas
the
supreme
court
said
we
are
a
religious
people
whose
institutions
presuppose
presuppose
a
divine
being.
I
urge
this
committee
to
pass
this
amendment
to
assure
that
basic
human
rights,
both
especially
the
right
of
religious
liberty,
are
given
the
protection
they
deserve
and
are
not
compromised
for
the
sake
of
expediency.
G
I'm
larry
crane,
I'm
an
attorney
in
nashville.
Actually,
my
office
is
in
brentwood
and
I
practice
in
the
area
of
constitutional
law.
I'm
here
today
at
the
request
of
representative
reedy
and
I
have
represented
a
number
of
individuals
affiliated
through
a
group
called
tennessee,
stands
on
this
issue.
E
G
A
For
the
questions
or
comments,
yes,
you
recognize
leader
marsh.
F
G
We
we
do
have
a
level
or
layer
of
protection
for
employers
who
employ
a
certain
number
or
threshold
number
of
employees
who
raise
objections
and
and
based
on
religious
beliefs.
Yes,
there
is
a
level
of
federal
protection
under
title
vii,
which
requires
an
accommodation
in
certain
instances
for
those
employees
who
have
sincerely
held
religious
beliefs.
G
Title
vii,
in
order
for
it
to
apply,
must
be
based
on
a
discrimination
claim
number
one
that
you.
You
must
be
able
to
prove
that
you're
on
a
protected
class
of
individuals
based
on
your
claim
of
the
exemption
and
that
you
are
somehow
being
discriminated
on
the
basis
of
that
and
not
offered
a
reasonable
accommodation.
G
H
Thank
you,
mr
chairman.
My
question
is
directed
toward
legal,
mr
king.
I
sent
on
february
the
second
to
the
bill,
sponsor
an
email
saying
that
I
wanted
to
support
this
bill,
but
I
had
one
concern
and
that
one
concern
I
still
have
concerns
about,
and
I
want
you
to
give
me
a
ruling
on
this
amendment
and
specifically
looking
at
how
this
amendment
is
written
for
section
50-3-4.
A
I
So
we're
spawning
up
the
correct
page
here,
all
right:
shirley
smith,
matt
king
from
the
office
of
legal
services,
the
the
amendment
that
we
are
considering
4046
in
section
3,
I
believe,
is
the
most
pertinent
section
of
this
amendment
to
your
question,
which
would
amend
53,
106
subdivision
10..
I
I
I
guess
it's
probably
best
if
I
just
read
it,
mr
chairman,
just
for
clarity.
The
way
it
currently
reads
in
subdivision
10
is
that
nothing
in
this
chapter
or
this
section
shall
be
deemed
to
authorize
or
require
medical
examination,
immunization
or
treatment
for
those
who
object
to
the
medical
examination,
immunization
or
treatment
on
religious
grounds,
except
where
the
medical
examination,
immunization
or
treatment
is
necessary
for
the
protection
of
the
health
or
safety
of
others.
I
That's
the
end
of
the
subdivision,
the
bill
and
the
amendment
remove
the
final
clause
of
that
subdivision,
which
reads,
except
where
the
medical
examination,
immunization
or
treatment,
is
necessary
for
the
protection
of
the
health
or
safety
of
others,
charlie
smith.
I
think
that
gets
a
bit
to
your
question,
whereas
a
daycare
center,
an
employer
like
a
restaurant.
I
The
amendment
4046
section
3.
While
it
retains
the
same
deletion
of
that
language,
about
health
and
safety
of
others,
it
adds
back
language
that
you
see
as
the
first
clause
of
the
new
language
here,
which
is
notwithstanding
physical
agility
or
fitness
testing,
mental
health
evaluations
or
testing
for
drugs
or
alcohol
use,
as
required
for
conditions
of
employment
or
ongoing
assessment
of
job
performance.
I
H
Thank
you.
Thank
you,
mr
king
and
chairman.
So
what
I'm
hearing
you
say-
and
this
is
not
rehearsed
in
case
someone
is
believing
that
we've
had
a
meeting
before
the
meeting.
What
I'm
hearing
you
say
is
that
the
pub
the
safety
of
the
public
has
been
removed
from
a
condition
of
employment.
I
Yes,
sir,
mr
king
chadley
smith,
I
would
I
would
answer
your
question
by
phrasing
it
that
the
reason
that
the
employer
could
require
such
an
immunization,
the
reason
that
would
be
based
upon
the
health
and
safety
of
others
is
being
removed.
I
A
A
If
none,
we
will
excuse
you
and
thank
you
for
your
testimony.
We
are
not
back
in
session
yet
do
we
have
anyone
else
that
wants
to
speak
on
this
amendment?
I
know
we
have
several
people
here
that
want
to
speak
on
the
bill
itself,
and
so,
if
anybody
else
wants
to
give
testimony
on
the
amendment
questions
on
the
amendment
from
many
of
the
witnesses,
if
none,
we
will
go
back
in
session
and
we're
on
the
amendment
as
described
and
and
discussed
any
questions
or
comments
to
the
sponsor
on
the
amendment.
A
J
E
A
A
E
Thank
you,
and
I
I
do
believe
this
is
a
friendly
amendment,
not
an
unfriendly
amendment,
as
I
had
spoken
with
the
sponsor,
and
it
explained
some
concerns
that
I
had
as
it
related
to
section
six
as
it
related
to
section
two
of
that
of
that
bill,
and
there
is
a
subtle
difference
in
this
with
it,
where
they
say
it's
subtle
difference,
but
I
do
believe
that
the
group
that
brought
this
legislation
has
been
working
with
representative
rudy
does
approve
of
this
amendment
thinks
that
it
does
fit
that
cause
and
the
difference.
E
The
issue
that
I
have
expressed
and
my
concern
is-
has
been
how
section
six
relates
to
section
two
and
while
somebody
I'm
supportive
of
religious
exemptions.
The
the
question
that
I
had
posed
was
in
section
six
could
a
a
student
whose
family
has
decided
that
they
could
not
did
not
want
any
treatment,
immunization
or
medical
examination.
E
E
What
and
you
have
so?
This
is
little
johnny
over
here,
that's
immunosuppressed
and
you
have
little
susie
who
is
not
vaccinated
or
for
what
whatever
outbreak,
that
there
is
with
the
broad
exam,
broad
definition
of
medical
medical
examination.
Could
the
lea
screen
that
child
to
ensure
that
they
weren't
going
to
infringe
and
put
the
other
child
at
risk,
and
so
what
this
amendment
does
is.
It
adds
to.
I
brought
that
language
that
you
had
and
expressed
that
to
legal
services,
and
they
agreed
that
that
was
an
issue.
E
Legal
services
agreed
that
that
was
an
issue,
and
so
what
this
amendment
does
is
it
adds
in
the
physical
agility
that
another
legislator
that
we
had
just
previously
just
discussed,
but
also
defines
medical
examination
not
to
include
a
routine
standard
or
non-invasive
screening,
and
it
has
a
couple
of
parts
below
that,
including
necessary
protection
of
health
and
safety
of
others
and
related
to
a
disease
which
was
an
immunization
epidemic
pandemic
outbreak
or
significant
health
public
risk
to
health.
And
so
it's
a
subtle
difference
in
how
we
define
medical
examination.
E
But
with
the
concern
that
legal
services
had
presented
to
me,
I
think
it
solves
that
issue.
I
think
it
gets
us
where
we
can
protect
both
little
johnny
and
little
susie,
and
you
know
with
that
I
mean
I'm
supportive.
H
For
the
southern
baptist
church
that
has
a
daycare
center
does
this
prohibit
a
daycare
center?
A
restaurant
and
again,
I
do
understand,
I
am
saved
by
the
blood
of
jesus
christ.
I'm
a
christian.
I
believe
we
have
religious
liberty
and
I
do
believe
we
need
to
fight
for
it.
That's
why
I'm
a
co-sponsor
of
bud
holzey's
bill,
that's
very
specific
for
covid
vaccine.
H
I
do
also
understand,
as
chairman
terry
articulated
last
week,
that
you
can
shadowbox.
You
can
turn
around
and
spin
and
have
your
whatever
you
want
to
do.
But
the
moment
that
you
touch
another
human,
that's
assault
and
we
have.
We
have
liberties
that
have
that
involve
more
than
just
one
one
group
of
people
in
looking
at
religions.
There
are
only
five
religions
that
enforce
and
teach
vaccine
objections,
and,
interestingly
enough,
it
seems
that
that
population
of
religious
and
adherence
has
grown
significantly.
H
H
So,
mr
king,
if
I
could
just
get
a
reading
to
understand,
because
I
want
to
support
your
bill
on
february
the
2nd
I
wrote
you
an
email,
and
I
said
I
want
to
support
this
bill,
and
I
received
a
response
from
an
activist
telling
me
how
wrong
I
was,
and
so
I
want
to
vote
for
this
bill.
But
it's
my
job
not
to
win
political
points.
It's
not
my
job
to
look
good
on
social
media.
It's
my
job
to
make
sure
that
we
protect
all
liberties
among
those
is
our
religious
liberty.
H
So,
mr
king
I'd
appreciate
your
recommendation
here.
I
Yes,
chilly
smith,
I
think
just
to
kind
of
reframe
the
question
or
to
make
sure
I
understand
the
question
correctly.
It's
going
back
to
the
subdivision.
We
were
just
speaking
of
a
moment
ago
dealing
with
employers
what
the
previous
amendment
and
the
bill
were
taking
away
with
regard
to
the
language
that
deals
with
for
the
health
and
safety
of
others.
I
I
Just
read
it,
mr
chairman:
if
that's
okay,
the
type
of
medical
examination
that
this
would
permit
an
employer
to
require
of
an
employee
would
be
a
medical
examination
that
is
limited
to
a
routine
standard
or
non-invasive
screening,
and
that
is
necessary
for
the
protection
of
the
health
and
safety
of
others
and
related
to
a
disease
for
which
there
is
immunization,
an
epidemic,
a
pandemic,
the
outbreak
of
a
disease
or
a
significant
risk
to
public
health.
If
the
examination
met
those
requirements,
an
employer
would
be
allowed
to
require
it
of
an
employee.
In
this
situation,.
I
Chile,
smith-
I
don't
have
a
citation
to
that.
I
can
certainly
locate
what
we
have.
However,
in
that
context,
we're
speaking
more
to
constitutional
provisions
than
we
are
to
a
specific
definition.
So
I
think,
if
we're
looking
for
a
definition,
I
don't
believe
we
have
one,
but
I
will
double
check.
I
Charlie
smith,
I
think,
because
we
don't
define
it,
I
can't
say
for
sure
that
that
is
how
a
court
would
interpret
it.
However,
speaking
generally,
there
have
been
court
opinions
that
used
similar
terminology
with
regard
to
religious
beliefs
and
equating
them
to
sincerely
held
beliefs.
H
Cheerleading
and
I
I
beg
the
committee's
indulgence,
but
you
know
there
is
another
bill
that
has
gained
a
lot
of
attention.
A
And
chairman
tier
you're
recognized.
E
Thank
you.
My
name
was
called
on
that,
but
I
did
want
to
ask
for
clarification
from
matt
king
on
this.
My
understanding
on
the
amendment,
even
though
it's
not
expressly
placed
in
the
amendment
that
a
essentially
a
doctor's
note,
it's
not
that
you're
required
to
have
them
do
a
medical
or
a
screening
or
receive
a
particular
treatment.
But
my
understanding
is
that
a
doctor's
note
would
suffice
in
this.
Is
that
correct.
I
K
Thank
you,
mr
chairman,
don't
mean
to
belabor
the
point,
but
just
to
clarify
so
in
the
baptist
church,
school
or
nursery.
K
I
The
portion
on
medical
examination
is
also
repeated
in
section
six
of
the
bill
where
it
states
that
the
medical
examination,
let
me
back
up
one
second
section:
six
is
the
state
and
local
preemption
section
where
it
says
they
could
not
by
rule
then
go
back
in
and
require
what
is
being
taken
out.
K
K
Thank
you,
mr
chairman,
just
a
comment
or
two
though
I
think
that's
reassuring,
then
I'm
failing
to
see
if-
and
that
is
great-
and
I'm
I'm
grateful
to
our
chairmen
one
on
each
side
of
me
who
have
worked
to
to
make
this
clarification
and
make
this
protection
possible
for
an
employee
or
a
child
that
needs
protection.
K
K
These
private
entities
cannot
do
can
do
so,
mr
king,
then,
what
about
pub
government
entities?
Can
they
not
do
that?
The
same
thing.
I
The
bill
is
speaking
to
the
medical
examinations
imposed
by
entitled
50
private
employers
also,
and
that
would
be
with
regard
to
the
employee
rights
section
that
we're
speaking
of
there
are
also
we've
created
that
carve
out
as
well
for
rules
regulations
imposed
by
government,
which
would
essentially
include
a
publicly
run
facility.
That
would
allow
them
to
require
that.
So
I'm
not
sure
if
that
answers,
your
question.
K
A
K
I
think
you
have,
and
we
really
appreciate
your
efforts
and
what
the
way
you're
explaining
things.
So
it
seems
that
if,
in
a
public
school,
there
is
a
child
who
is
immunosuppressed
and
there
is
a
child
who
comes
to
school
and
the
family
does
not
want
that
child
vaccinated
the
public
school
in
in
the
interest
of
protecting
the
immunosuppressed
child
can
ask
the
child
who
is
not
taking
vaccination
to
take
vaccination.
K
That's
section
one
well,
two
section:
two
child
school,
immunization
or
childhood
immunizations.
I
Here
what
would
be
permitted
is
that
they
could
require
an
examination
of
that
child
so
to
make
sure
that
that
child
who
had
not
had
the
examination
had
not
had
the
vaccination
type,
and
it
would
have
to
be
a
medical
examination
that
met
that
definition.
So
a
standard
routine,
non-invasive
screening
such
as
a
temperature
check
type
of
scenario,
so
they
have
to
meet
that
definition
of
standard
routine.
Non-Invasive
screening.
K
Well,
thank
you
that
that's
an
important
matter
in
the
sense
that
just
plain
routine
screening
may
not
be
completely
reliable.
My
test
this
morning,
screening
this
morning,
can
be
negative
and
I
can
get
infected
this
afternoon
or
tomorrow
or
day
after
so
those
screenings
not
being
reliable.
It
does
not
then
protect
the
immunosuppressed
child
in
that
environment.
K
I
can
state
that
again,
testing
is
not
moment
to
moment
accurate
and
even
if
my
test
is
negative
this
morning,
it
I
can
contract
the
condition
later
on
this
afternoon
or
tomorrow.
May
I
go
on
yes,
dr
kavanaugh.
Thank
you.
Thank
you
sincerely.
I
think
our
committee
and
my
colleagues
are
quite
torn
about
this
conservatism
and
liberty
are
in
our
dna.
All
of
us
want
to
support
liberty
and
that's
an
important
part
of
our
constitution
and
our
society
and
in
our
nation.
K
That
is
true,
and
we
we
go
far,
but
then
again,
as
has
been
explained
by
the
analogy
of
shadow
boxing,
that
extremism
should
not
put
others
in
harm's
way
or
potentially
stand
to
harm.
Others
in
the
middle
of
a
public
health
emergency,
there
is
threat
to
many
lives,
and
if
we
cannot
protect
those
lives,
then
we
are
failing,
although
we
are
doing
it
in
the
interest
of
liberty,.
K
At
the
end
of
each
bill,
we
pass
in
this
legislature.
There
are
words
that
are
really
valuable.
It
says
this
shall
become
law
on
this
particular
date:
public
welfare
requiring
it
public
welfare
requiring
it.
It
does
not
say
what
we're
changing
is
that
this
shall
become
law
on
this
date.
My
quest
for
liberty
requiring
it.
K
No,
it's
the
public
welfare
that
we're
here
to
vote
for
and
and
and
work
for,
and
it
is
the
public
we
are
at
large
who
we
are
representing.
Surely
we
accept
we?
We
protect
the
minority
as
well,
but
then
again
it
is
the
public
welfare
that
we
are
here
to
protect
and
not
to
sacrifice
in
the
quest
of
my
own
quest
for
liberty.
Thank
you,
mr
chairman.
I
Thank
you,
chairman
chilly
smith,
just
to
give
you
further
clarity
on
what
we
were
speaking
about
a
minute
ago
with
regard
yes
about
rights
of
conscience.
I
didn't
have
a
citation
at
the
time
I
can
read
to
you
now
from
the
tennessee
constitution,
article
1,
section
3
that
does
contain
that
language
and
before
I
read
that
I'll
just
say
that
a
search
of
tennessee
code
for
rights
of
conscience
did
not
produce
any
results
in
the
statutory
language.
A
F
Thank
you,
mr
chairman.
I
you
know,
this
is
difficult
for
me
and
you
know
I'm
all
for
religious
rights,
and
I
still
in
my
meager
mind,
do
not
see
really
why
we
we're
talking
about
this,
because
I
don't
know
anybody.
That's
mandating
they're
going
to
get
you
down
and
hold
you
and
give
you
a
vaccination.
F
F
So
I
ask
them
and
require
them
to
be
vaccinated
to
work
at
my
restaurant
and
they
say
they
don't
want
to
be
vaccinated
and,
what's
what's
my
recourse
is,
I
can
put
them
in
a
job
washing
dishes.
Maybe
that
doesn't
require
them
meeting
the
public
or
I
can
let
them
go
and
what
is
do
they
have
a
right
to
sue
me
for
letting
them
go
if
they.
A
E
I
think
that's
a
question
for
the
bill
whether
we
amend
it
or
if
we
don't
amend
it,
then
we
need
to
do
that
on
the
bill.
Thank
you.
A
We
have
further
comments
or
questions
on
the
amendment
as
discussed.
If
none
we
will
be
voting
on
this
amendment
four
one,
three,
four,
madame
clerk,
if
you
would
call
the
roll
a
vote,
yes,
is
to
approve
this
amendment
and
put
it
on
the
bill.
A
vote
no
is
to
deny
the
amendment.
A
The
motion
to
approve
fails
we're
back
on
the
bill
as
initially
filed
is
my
understanding.
I
don't
think
we've
amended
it
yet
have
we
okay
do
we
have
we
had
several
people
that
wanted
to
speak
on
the
bill?
A
E
Thank
you,
chairman,
and
just
before
we
vote
on
this
bill
again,
it's
a
difficult
issue.
I
have.
I
have
tried
it's
a
difficult
issue
but
appreciate
you
bringing
this
and
thank
you
very
much.
A
Sure
I
think
chairman
marsh
had
a
question
for
the
full
for
the
bill
as
has
filed
and
I'm
sorry
I
missed
you
on
that.
My.
F
C
A
A
A
A
I
think
chair
lady
littleton
was
going
to
address
that.
A
I
don't
see
her
okay,
we'll
roll
that
down
a
couple
of
spots
here
and
she
was
here
a
minute
ago
and
go
to
item
four
house
bill
598
by
chair,
lady
hazelwood,
you're
recognized
have
a
proper
motion.
Second
on
the
bill,
and
I
think
we've
got
an
amendment.
B
L
Thank
you,
mr
chairman.
Yes,
there
isn't
that
amendment
is
on
the
bill
or
I
would
like
to
have
it
on
the
bill.
I'm
not
sure
if
it's
true.
L
It
really
does
not
it's
a
technical
amendment.
It
just
says
that
this
task
force
that
we're
discussing
setting
up
can
conduct
their
meetings
by
conference
or
video.
A
L
Thank
you,
mr
chairman.
This
bill
and
I'll
be
brief.
L
This
can't
all
be
done
on
by
government
by
taxpayers.
We
need
to
get
businesses
involved
and
that
we
would.
This
task
force
would
look
at
how
we
streamline
coordination
of
state
departments,
and
this
is
a
it's
not
an
ongoing
task
force.
There
is
a
sunset
date
and
we
would
want
the
results
of
the
task
force
to
be
a
strategic
action
plan
that
we
could
really
work
at.
L
As
a
state,
again
public
and
private
partnerships
and
to
set
up
and
make
sure
that
we
do
have
quality
child
care
that
is
affordable
and
accessible
all
across
the
state,
it
would
give
the
task
force
the
ability
to
hire
and
oversee
a
strategic,
consulting
firm.
That
could
support
the
development
of
the
plan
and
it
would
identify
the
resources
across
state
government
again
that
we
could
that
we
already
have
that.
L
We
might
not
be
using
the
most
effectively
to
make
sure
that
all
of
these
departments
and
all
the
various
entities
involved
in
this
issue
are
working
together
again
to
make
sure
that
we
are
effectively
most
effectively
using
the
taxpayers
dollars.
So
there
is
the
task
force
would
be
comprised
of
members
in
the
business
in
industry.
L
Members
of
this
body
and
of
the
senate
appointed
by
our
speaker
and
lieutenant
governor
respectively
and
members
appointed
by
the
the
governor
and
the
various
departments,
would
have
membership
on
the
committee
as
well.
With
that,
I
would
stand
ready
to
answer
any
questions
you
might
have.
A
A
A
B
Thank
you,
mr
chairman
house,
bill
768
makes
significant
revisions
to
the
child
care
quality
rating
improvement
system,
the
mechanisms
for
conducting
quality
assessment
of
child
care
providers,
the
child
care
report
card
system
and
the
child
care
rated
licensor
systems.
The
new
assessment
system
will
replace
the
current
outdated
report
card
system.
Dhs
has
developed
an
assessment
tool
to
weave
the
quality
and
assessment
indicators
into
the
licensing
rules,
so
that
it
is
a
seamless
system
for
parents
and
providers
to
navigate.
A
K
A
They're
going
to
cover
that
that
substantial
fiscal
note
so
we're
in
good
shape
there
no
comments
or
questions,
we
will
be
voting
on
sending
this
to
the
full
committee,
all
those
in
favor
say
aye,
any
opposition
so
approved.
Thank
you.
A
D
Mr
chair
and
members,
and
if
I
could,
I
do
want
to
make
a
statement
and
then
we're
going
to
roll
the
bill
for
a
week
out
of
deference
to
to
the
administration
chairman
terry
has
a
similar
bill
that
he
is
working
on
as
well
with
with
governor
lee's
administration
and
chairman.
Terry
has
been
quite
busy,
as
evidenced
by
the
last
hour
and
some
odd
minutes,
working
on
some
other
issues.
D
So
we've
not
had
a
chance
to
have
as
broad
a
discussion
as
we
would
like
on
this
particular
concept,
but
that
I
would
like
to
make
a
statement
or
two.
Ladies
and
gentlemen,
about
a
year
and
a
half
ago,
we
were
more
broadly
made
aware
of
an
underutilization
of
temporary
assistance
for
needy
families.
Funding
that
we
have
in
the
state
of
tennessee
house
bill.
137
is
a
thoughtful
and
legislative
approach
to
invest
these
dollars
in
evidence-based
programming.
D
That
will
include
every
county
in
our
state
of
tennessee
in
order
to
strengthen
our
families
and
bring
them
out
of
poverty.
We're
not
looking
at
just
a
money
drop
on
this
particular
issue.
We've
got
underutilized
funds
that
are
out
there
that
are
going
to
be
used
to
help
families
and
we're
working
on
the
best
way
to
get
that
to
you
and
get
that
to
our
legislative
body.
D
So
with
that,
and
with
the
understanding
from
the
administration
that
they're
going
to
roll
their
administrative
bill
as
well
to
a
future
calendar,
I
would
like
to
roll
this
bill
for
one
week,
mr
chairman
and
members.
A
A
The
next
unveiling
thank
you
item
seven
house
bill
502
by
chairman
ruddy.
A
You
are
recognized
on
on
the
bill,
no
amendments
on
the
bill.
We
have
proper
motion
in
a
second
on
the
bill.
You're
recognized
thank.
J
You,
mr
chairman,
this
is
many
of
you
will
be
aware,
especially
those
that
have
been
on
the
health.
While
for
the
last
four
years,
I
have
been
working
with
the
administration
in
special
interests.
This
has
been
a
passion
of
mine
to
address
mass
acts
of
violence
and
the
mentally
ill
and
to
find
a
way
to
treat
them,
so
they
can
become
productive
citizens
and
are
not
a
danger
to
anyone.
What
this
bill
does
it
is.
J
It
puts
a
tool
in
the
toolbox
that
tennessee
judges
don't
have
right
now,
and
that
would
be
that
if
someone
is
repeatedly
threatening
to
kill
other
people
or
threatening
an
act
of
mass
violence
that
judges
now,
with
the
with
a
complaint
filed
from
the
immediate
family
or
from
legal
authorities
or
healthcare
professionals,
they
can
order
that
person
to
be
evaluated
to
see
if
they
need
to
be
treated
or
be
put
under
medication.
So
they
can
be
productive
citizens
and
that's
what
this
does.
We
have
drawn
into
the
bill
everywhere.
J
J
This
only
applies
in
the
14
counties
that
have
mental
health
care
courts,
and
this
is
the
same
bill
that
we've
care
we
were
carrying
last
year
that
covens
put
a
free
zone
except
after
the
nashville
bombing
at
christmas,
we've
included
the
words
threatening
ass,
ma
mass
act
of
violence
to
be
included.
J
The
fiscal
note
is
still
551
700
and,
as
many
of
you
know
when
I
started
this
journey
of
trying
to
write
this
and
getting
all
the
advocates
in
the
state
on
board
which
which
they
are
now
or
neutral,
that
I
started
out
at
17
million.
J
So
we've
got
that
down
to
551
000,
and
I
think
this
is
something
that's
needed
so
that
we
can
make
tennessee
safer
because
right
now,
if
anyone
is
threatening
to
kill
other
people
repeatedly
or
an
act
of
mass
violence,
it
takes
a
very,
very
lengthy
time
in
in
the
court
to
get
them
sometimes
a
year
and
a
half
or
more
to
get
them.
So
you
can
do
something.
Usually,
authorities
can't
act
until
they've
actually
committed
an
act
of
violence
and
then
it's
too
late.
K
A
K
A
A
Thank
you,
sir
and
item
eight
house
bill
743
by
chairman
vaughn.
You
have
proper
motion.
Second,
on
the
bill.
A
I
think
I
think
this
was
actually
on
a
on
a
consensus
calendar
in
another
body.
Wasn't
it
perhaps.
H
First
of
all,
thank
you
for
the
bill
and
I
just
want
to
put
into
the
record,
because
I
know
a
lot
of
calls
like
we
get
are
people
that
are
fearful
of
infringement
upon
scope
and
I'm
supportive
of
your
bill.
This
is
a
bill
and,
upon
passage,
this
would
just
permit
these
licensed
professionals
to
order
home
health.
Essentially,
if
they're,
if
there
is
a
patient
who
needs
home
health,
this
would
allow
them
to
write
for
an
order
for
home
health
and
ins
and
put
that
in
motion
is
that
correct
that.
C
A
K
C
A
A
You,
mr
sponsor,
we
move
on
to
item
nine
house
bill
666
as
if
anybody
would
vote
for
a
bill
666,
but
he
has
asked
to
roll
that
one
week.
I
think
he's
trying
to
get
get
the
title
of
the
bill
changed
so
how
item
10
house
bill
1275
by
chairman
leatherwood
you're
recognized,
have
a
proper
motion.
Second
on
the
bill.
A
If
none,
we
will
be
voting
to
send
this
to
the
full
committee,
all
those
in
favor
say
aye,
any
opposition
so
approved.
You
are
still
up
item
11
house
bill
1076..
M
You
this
bill
deals
with
the
tennessee
physical
therapy
practice,
and
last
year
there
was
a
more
comprehensive
bill
legislation
passed
and
this
bill
is
simply
just
trying
to
clean
up
an
omission
from
the
legislation
last
year.
M
A
M
A
A
bit
ominous,
we
move
on
to
item
12
house
joint
resolution
10
by
representative
parkinson
you're
recognized.
Thank
you.
B
Thank
you.
Thank
you,
mr
thank
you
committee.
I
was,
I
don't
want
to.
You
know,
tie
your
time
down
by
reading
this
entire
resolution
into
the
record,
but
the
american
medical
medical
association
recently
adopted
a
new
policy
recognizing
racism
as
a
public
health
threat
and
has
committed
to
actively
work
on
dismantling
racist
policies
and
practices
across
all
of
health
care,
and
what
this
resolution
is,
or
this
joint
resolution
is
doing,
is
adopting
adopting
the
same
ideas
in
tennessee.
A
B
B
B
Thank
you
committee.
I
appreciate
you
I'll.
A
We'll
move
on
to
house
bill
441
by
representative
lamar.
I
think
she
has
rolled
that.
A
One
week
move
on
to
item
14
house
bill
559
by
chairman
marsh.
I
think
we
rolled
that.
No,
we
don't
want
to
talk
on
it.
Oh
okay,
you
have
a
proper
motion.
A
second
you're
recognized
sir
thank.
F
You,
mr
chairman,
and
we
and
we
are
working
on
a
really
good
amendment
and
we
want
to
roll
it,
but
I
want
to
just
tell
you
a
little
bit
about
it.
So
if
you
have
any
more
questions
or
problems,
you
can
get
with
me
before
committee
meeting
next
week,
but
this
bill
deals
with
certified
medical
assistants
and
they
are
currently
in
current
practice
under
supervision
of
of
a
physician
at
a
physician-owned
office,
performing
whatever
task
is
delegated
to
them
by
the
medical
director.
F
Medical
clinic
or
outpatient
clinic,
so
what
we're
trying
to
do
with
this
is
say
that
these
certified
medical
assistants
that
now
work
in
physicians
offices
will
be
able
to
work
and
do
limited
amount
of
work
all
defined
in
these
hospitally
hospital-owned
clinics,
and
these
folks
have
to
be
certified
by
american
medical,
technologists
national
association
of
health
professionals
and
several
others.
So
this
is
just
making
it
where
they
can
work
in
these
clinics,
just
like
they
can
in
the
doctor's
office
and,
like
I
said,
we're
working
on
an
amendment.
F
A
Okay,
no
objections
we'll
roll
this
bill.
One
week,
I've
been
told
that
vanderbilt
and
the
department
of
health
are
working
steadily
with
you
house
item
15
house
bill
552
by
chairman
motion,
you're
recognized
on
the
bill
of
proper
motion.
In
second.
N
N
This
bill
will
not
change
the
definition
of
store
and
forward
in
title
56
as
such
and
will
not
change
reimbursement
standards.
This
bill
simply
removes
the
definition
of
reference
in
title.
63
to
title
56
and
restates
the
definition
of
store
and
ford
telemedicine
and
title
63
without
the
image
requirement.
With
that.
Mr
chairman,
I
renew
my
motion.
A
We
have
proper
motion.
Second,
anybody
have
any
questions
on
this
bill.
Chairman
marshall,
recognized.
F
F
N
H
We
made
a
a
commitment
to
stay
true
to
the
call
and
we
rejected
other
amendments,
and
so
I
want
to
thank
my
colleague
for
stepping
in.
I
know
that
the
telemedicine
was
a
contentious
bill
last
year
and
I
signed
on
in
the
second
slide
on
this,
to
make
sure
that
people
understood
that
this
is
a
friendly
technical
correction
that
we
really
wanted
to
fix
last
year
and
just
as
speaker
tim
marsh
mentioned,
you
can
afford,
it
doesn't
require
it,
but
there
are.
H
This
fits
within
the
world
of
more
wellness
and
maintenance
health
care,
as
opposed
to
some
of
the
crisis
and
chronic
management.
And
so
I
want
to
thank
the
chairman
and
let
everyone
know
that
this
it
was
intended
to
be
last
year
and
we
are
fulfilling
our
promise
to
move
this
forward
this
year.
Thank
you,
mr
chairman.
Thank
you.
A
And
thank
you
chair,
lady,
have
further
comments
or
questions
I
I
know
I've
got
a
glowing
comment
to
for
appreciation
too,
but
I'll
save
it
till
later.
Thank.
N
A
A
We're
we're
flying
here
now
now:
we've
got
problems:
item
16
house,
joint
resolution
85
by
chairman.
Our
pardon
me,
dr
kumar
you're,
recognized.
K
Neuropathic
pain,
so
those
four
conditions
it
has
been
approved
for,
although
fda
has
approved
it
for
those
four
conditions,
medically
and
synthetics-
are
available
for
use
in
these
conditions.
The
dea,
which
is
a
branch
of
the
same
government,
although
in
the
department
of
justice,
has
continued
to
classify
marijuana
as
a
schedule.
One
substance
schedule,
one
substance,
is
a
substance
that
has
no
potential
medical
benefit
and
high
possibility
of
abuse
and
addiction.
K
So
dea
says
this:
has
no
medical
benefit
and
has
addictive
properties.
Fda
says
it
is
good
for
these
four
conditions
and
has
been
approved.
This
is
in
contradiction
within
our
same
same
government
hierarchy
and
when
you
ask
dea
why
they
have
not
reclassified
marijuana
from
schedule,
one
to
other
schedules.
Their
answer
is
we
don't
have
enough
research?
Well,
the
point
is:
if
you
would
release
it
from
schedule,
one
we
will
be
able
to
do
research,
so
this
is
a
catch-22
that
is
really
a
contradiction
within
in
a
2018
lawsuit.
K
The
court
actually
rebuked
the
department
of
justice
and
attorney
general
barr
for
not
having
moved
on
this
and
reclassified
marijuana.
So
this
joint
resolution
asks
the
dea
to
reclassify
marijuana
instead
of
make
from
schedule
one
to
schedule
two
or
three,
so
it
it
can
be
studied,
it
can
be
researched
and
the
medical
benefits
of
it
can
be
made
available
to
people
for
the
conditions
for
which
fda
has
approved
it.
With
that,
I
would
be
happy
to
answer
any
questions.
Do.
A
A
A
Okay?
Dr
terry
has
offered
an
amendment
on
the
resolution.
A
K
K
A
E
On
the
amendment,
thank
you
chairman.
The
amendment
makes
the
correction
that
we
made
last
year
as
you
filed
this
the
bill
this
year.
The
issue
was
that
the
way
it's
written
it
says
we
encourage
the
dea
to
reschedule
marijuana
marijuana
as
a
schedule,
two
drug,
the
change
that
we
made
last
year
that
went
through
committee
is
we
just
removed,
schedule,
2
drug,
and
it
says
we
encourage
the
dea
to
reschedule
marijuana
under
the
controlled
substance
actions.
A
A
All
those
in
favor
of
the
amendment
on
the
resolution
say:
aye
aye,
any
opposition,
we're
back
on
the
resolution
as
amended
and
and
the
sponsor
is
very
happy
and
the
question
is
called
for
and
who
am
I
recognizing
to
call
for
the
question
I'll
call
a
question
I'll
get
I'll
get
spanx?
Who
did
this
nope?
Dr
terry,
you
called
the
question
okay
and,
and
so
we'll
be
sending
this
resolution
as
amended
to
full
committee,
all
those
in
favor
say
aye
aye,
any
opposition
so
approved.
Thank
you,
mr
chairman.
Thank
you,
sir.
A
We'll
move
on
to
item
18
house
bill
734
by
chair
lady
smith.
You're
recognized,
oh
17.
I'm
sorry,
hey
number
17
house
bill
18180
by
representative
hall,
you're
recognized.
B
B
A
A
You're
going
to
make
a
motion
on
it:
okay,
motion
properly,
moved
and
seconded.
I.
H
H
For
house
bill
374
and
that
amendment
is
drafting
code
2783,
mr
chairman.
H
A
H
During
covid,
unfortunately,
we're
approaching
the
one-year
anniversary
of
the
national
response
being
declared.
The
the
center
for
medicare
and
medicaid
services
issued
several
waivers.
Tennessee
thereupon
took
executive
orders,
14
and
15
and
created
a
temporary
nurses,
aid
designation
and
working
through
the
department
of
health
and
the
board
for
licensing
health
care
facilities.
H
H
This
legislation,
in
working
with
the
department,
along
with
the
board
for
licensing
health
care
facilities,
is
just
an
enabling
piece
of
legislation
that
would
permit
the
department
and
the
board
to
promulgate
rules.
There
are
over
1200
individuals
who
stepped
up
in
tennessee's
time
of
crisis,
took
the
online
test
and
was
able
to
work
in
this
temporary
nurse
aid
role
and
by
promulgating
rules.
H
It
will
be
a
determination
of
the
department,
as
well
as
the
licensing
board
as
to
how
best
to
possibly
take
the
hours
that
have
been
worked
and
potentially
use
those
to
make
these
people
qualify
for
a
permanent
licensure
as
far
as
a
program
that
they
can
study
to
become
a
certified
nurse
assistant,
so
that,
mr
chairman
I'll,
be
happy
to
stand
for
questions.
Okay,.
A
We
we
have
a
proper
motion.
Second,
on
the
bill.
If
you
have
any
questions,
it
sounds
like
a
very
worthwhile
effort
to
to
continue
some
of
the
great
programs
that
we've
started
during
the
pandemic.
We
may
receive
some
benefit
from
this
crazy
world
any
comments
or
questions
on
the
bill.
If
not
we'll
be
voting
to
send
this
to
full
committee,
all
those
in
favor
say
aye
aye,
any
opposition
so
approved.
Thank.
B
I
I
appreciate
that
glad
we
got
to
me
members
house,
bill
548
replaces
one
consumer
member
who's
not
affiliated
with
the
practice
of
chiropractic
on
the
board
of
chiropractic
examiners
with
a
member
who
is
a
chiropractic,
x-ray
technician
or
therapy
assistant.
G
A
If
not,
we
will
be
voting
on
the
hard
mode
chairman,
terry.
E
Thank
you
chairman
who,
if
you
don't
mind
me
asking
who
brought
you
this
legislation,
the
chiropractor
association
all
right.
Thank
you
appreciate
it.
A
Any
comments
or
questions,
if
not
we'll,
be
voting
to
send
this
bill
to
the
full
committee,
all
those
in
favor
say
aye,
any
opposition
so
approved
due
to
the
late
hour
and
the
fact
that
that
I've
never
had
a
short
bill
in
my
life,
I
I
guess
we're
gonna
be
we're.
Gonna
have
to
forget
this
one,
and,
and
these
will
be
rolled
without
penalty.
The
item
20
house,
bill,
239
and
and
142
will
be
heard
next
week
without
without
penalty
of
a
roll.
A
I
do
appreciate
everybody
being
in
here
today.
This
was
not
an
easy
day.
We've
all
been
bombarded
with
with
massive
public
efforts
to
sway
our
decision-making,
which
is
the
is
appropriate
in
in
this
world,
and
but
we've
we've
all
heard
the
the
cries
and
and
the
pleas
and
and
done
what
we
thought
was
right:
there's
probably
only
7
800
people
in
this
nation
that
can
do
what
what
you
do
here
on
this
subcommittee
and-
and
I
appreciate
your
diligence
and
and
your
loyalty
to
the
citizens.
Thank
you
very
much.
A
So
if
there
are
no
other
comments
and
and
chairman
sapiki
doesn't
have
anything
to
add
to
it,
we
will
we'd
stand
for
a
motion
to
adjourn
so
approved.