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From YouTube: House Health Committee- April 21, 2021
Description
House Health Committee- April 21, 2021
A
A
A
A
A
A
Okay,
sing?
None
we've
got
a
pretty
robust
calendar,
the
plan
we
have
this
room
until
a
criminal
full
committee
needs
it.
So
that
means
we
may
have
it
until
3
30
or
later
in
the
event
that
they
come
in
at
3
30
and
we
have
not
finished
our
calendar,
then
we
will
recess
and
come
back
after
they
are
after
they
have
concluded
to
finish
our
calendar
this
evening.
So
with
that
we
have,
like,
I
said,
a
robust
calendar,
I'm
going
to
pull
up
since
we
have
the
attorney
general
here,
pull
up
house
bill.
D
C
A
A
B
Thank
you,
mr
chair,
this.
This
this
this
bill
does
two
things:
it
utilizes
alternative
methodologies
for
reimbursement
rates
for
child
care
providers,
and
it
also
encourages
shared
services
to
improve
the
quality
of
these
facilities.
B
It
authorizes
the
dhs
to
develop
new
strategies,
encourage
shared
services
that
will
help
our
child
care
facilities,
keep
their
doors
open
every
year,
university
of
tennessee,
the
boys
center
for
economic
and
business
research
is
recruited
to
conduct
those,
and
so
it
it
what
what
this
bill
was
a
lot.
B
What
I'll
do
is
allow
them
to
use
all
alternate
methodologies
that
that
take
in
consideration
things
like
the
weekends,
if
they're,
keeping
kids
on
the
weekends
or
keeping
kids
overnight,
trying
to
help
them
create
a
better
environment
for
our
childcare
facilities
and
again,
as
I
said,
they
can
share
some
costs,
maybe
have
a
centralized
kitchen
counting
services,
things
of
that
nature
for
centers
of
a
certain
size
less
than
50,
and
so
that
that
just
that
that,
in
in
a
nutshell,
this
bill
helps
them.
A
A
A
Thank
you.
That
brings
us
to
item
number
six
house
bill.
996,
representative
love.
You
are
recognized.
You
have
a
motion,
a
second
there's,
an
amendment
I
believe
amendment
drafting
code,
5799.
Yes,
sir,
okay,
I
need
a
motion.
Do
you
have
a
motion?
A
second
on
the
amendment
you
are
recognized.
Thank
you,
mr
chairman.
When.
E
C
E
C
On
the
website,
an
overview
of
child
care
services
and
the
methodology
used
to
issue
payments
to
providers
of
child
care
services
with
that,
mr
chairman,
hopefully
any
questions.
Okay,.
A
Any
questions
on
the
amendment:
okay,
seeing
none
we're
going
to
vote
on
amendment
577
5799,
all
those
in
favor
say
aye
opposed
eyes
have
it.
We
are
back
on
the
bill
as
amended
any
questions
for
the
sponsor,
seeing
none.
We
are
voting
on
house
bill
996
as
amended.
All
those
in
favor
say
aye
opposed
eyes.
Have
it
bill
goes
on
to
calendar
and
rules?
Thank
you,
mr
chairman
committee
members.
Thank
you.
That
brings
us
to
item
number
seven
house
bill.
1088,
representative
hakeem,
you
are
recognized.
You
have
a
motion
in
a
second
thank.
E
You,
mr
chairman,
we
do
have
an
amendment
on
the
bill.
47.97.
A
E
Okay,
thank
you.
Thank
you.
What
we
have,
mr
chairman
and
members,
is
that
homeless
persons
have
dispersed
from
shelters
and
other
places
of
that
nature
because
of
covet
and
as
a
result,
that
disbursement
can
create
problems
when
it
comes
to
using
new
needles,
and
that
spreads
the
process
in
regards
to
hiv
and
hepatitis,
and
what
this
bill
would
do
is
to
afford
approved
syringe
exchange
services
providers,
an
opportunity
to
assist
these
assists
these
persons
and
it
they
do
have
mobile
facilities.
E
Mr
chairman,
and
I
will
say
that
the
city
of
chattanooga
administration,
also
the
chief
of
police,
have
not
expressed
any
concerns
or
problems
in
regards
to
this.
In
fact,
the
police
department
said
that
instead
of
you
know
having
to
pick
up
a
lot
of
needles
which
creates
a
problem
for
officers.
You
know
this
exchange
process
is
very
good.
E
I
know
of
this
is
just
dealing
with
the
four
major
cities
and
no
concerns
have
been
expressed
in
regards
to
from
the
four
major
cities
and
and
as
you
said,
mr
chairman,
this
has
passed
in
the
senate
with
that.
I
ask
that
we
move
forward
on
this.
Sir.
A
F
Thank
you
chairman
and
my
colleague
who
lives
in
chattanooga,
and
I
share
much
of
this
same
area.
I
just
you
know,
maybe
I'm
the
the
lone
ranger
here,
but
I've
been
stuck
by
needles.
I've
had
to
get
shots
in
the
hospital
because
I've
been
stuck
by
needles.
I
have
a
concern
about
exchanging
needles
and
creating
an
incentive
in
public
spaces
for
homeless
to
come
and
exchange
needles,
rather
than
having
a
fixed
location
where
you've
got
your
sharps
containers
where
there
are
there's
not
the
possibility
of
having
children
or
the
public
exposed.
F
E
Thank
you,
mr
chairman,
my
understanding
of
this
process.
It
says
in
parks,
but
we
know,
entities
like
in
chattanooga
coolidge
park
or
miller
park.
This
would
probably
not
be
feasible,
but
what
we're
saying
is
that
the
entities
the
exchange
services
will
go
to
where
the
people
are
and
at
this
time
where
they
are,
is
in
encampments,
my
understanding
from
the
police
and
administration.
There
are
no
encampments
around
miller
park
or
coolish
park
and
with
the
exchange
services.
E
A
F
Thank
you,
mr
chairman,
and
you
know
my
colleague
again
made
the
point
that
I
was
hoping
to
hear
that
you
know
there
are
homeless
folks
that
are
very
unfortunate
in
their
stay
state
of
homelessness
and
they're
they're
living
in
encampments.
F
This
bill
lim
this
bill
lifts
the
prohibition
of
a
needle
exchange
program
to
be
within
a
thousand
feet
of
a
school
within
a
thousand
feet
of
a
park,
and,
and
so
and
again
I
don't
want
to
relegate
the
homeless
anywhere,
but
I
certainly
don't
want
to
create
an
incentive
for
them
to
suddenly
be
within
a
thousand
feet
of
our
schools
within
a
thousand
feet
of
our
parks,
and
so,
unless
I
hear
something
remarkable,
I'm
I'm
unfortunately
going
to
have
to
vote
against
your
bill.
Thank
you,
sir.
E
King,
thank
you,
mr
chairman.
As
I
said,
there's
been
no
concerns
expressed
to
me
for
from
the
other
major
cities
nor
from
the
city
of
chattanooga.
It
has
passed
in
the
senate
and
I
would
hope
that
we
give
consideration
to
pass
it
here
in
the
house.
Thank
you,
sir.
All
right,
mr
speaker,.
A
Thank
you
vice
chair,
leatherwood,
you're
recognized.
F
Thank
you,
mr
chairman,
and
actually
shared
the
same
concern
and
had
the
same
questions
where
I
believe
we
ought
to
be
working
to
move
this
away
from
the
parks.
You
know
if
there
are
encampments
there
to
reposition
those-
and
I
do
have
concerns
with
encouraging
the
activity
in
the
parks
where
our
children
should
be
free
to
play
without
the
hazards
of
needles
or
people.
You
know
using
the
drugs
that
we
apparently
are
giving
them
the
needles
to
use.
F
We
should
be
doing
all
we
can
to
yes
help
these
people,
but
to
move
all
this
activity
from
our
public
parks,
so
that
concerns
me
is
as
well,
and
you
know
I
would
think
the
thousand-foot
range
at
this
point
would
be
good
and
should
not
be
removed.
Thank
you.
E
Okay-
and
I
think
that's
what
we're
saying
representative
leatherwood-
is
that
the
thousand
foot
limit
is
still
in
place
and
in
addition
to
that,
there's
a
mobile
aspect
to
this,
for
you
know
for
this
to
happen,
not
in
we'll
say
in
the
open
in
the
parks.
To
my
knowledge,
that
has
nothing
been
said
that
will
encourage
this
to
take
place
in
the
parks
with
the
mobile
aspect.
F
E
Thank
you,
mr
chairman.
I
would
ask
legal
to
to
give
us
this
clarification.
C
All
right,
zach
brown,
legal
services-
yes,
so,
representative
hakeem,
let
me
just
I
guess,
looking
at
your
at
your
bill,
number
1088
this
bill,
a
men's
section,
681
136
by
deleting
subsection
g,
which
deals
with
the
with
the
distance
limits
of
for
for
parks
and
schools
and
looking
there
at
a
section
one
two
of
the
bill.
C
Looking
at
the
code,
681
136,
which
is
the
section
that's
being
amended
g2,
there
reads:
the
program
established
pursuant
to
this
section
shall
not
conduct
an
exchange
within
1
000
feet
of
any
school
or
public
park.
So
again,
your
bill
removes
the
the
provision
that
a
park
is
is
limited
in
its
in
its
relation
to
a
exchange.
E
C
Well,
sir
representative
keem,
there
is
a
there
is
a
limitation
for
parks,
parks
and
schools
outside
of
certain
counties,
the
sort
of
big
four
counties
so
to
speak.
However,
your
bill
changes
changes
that
limit
for
those
specific
counties
and
removes
parks
from
that
limit.
A
So
there's
still
it
for
clarification
within
those
counties,
there
is
still
a
limitation
for
1
000
yards
for
a
school
for
a
school,
but
there
is
not
a
limitation
for
a
park.
E
E
A
G
G
H
E
Thank
you,
mr
chairman.
I
would
have
to
say
that,
because
of
the
concept
of
the
mobile
piece,
that
it
would
not
be
I'll
use
the
term
just
any
place
within
the
park,
but
it'll
be
centralized
location
that
really
would
be
on
the
edge,
I
would
believe
would
be
on
the
edge
of
the
park.
G
Thank
you.
Thank
you.
Thank
you,
mr
chairman.
I
think
there
is
a
little
bit
of
a
discomfort
about
understanding
it
completely,
but
thank
you.
Thank
you.
A
Okay,
thank
you
chairman
vaughn.
You
recognize
yes,
sir,
mr
chairman,.
D
When
I'm
reading
this,
I
I
think
I
understand
what
is
trying
to
be
done
with
the
program
to
be
able
to
move
it
from
one
place
to
another,
to
better
to
get
into
a
higher
density
of
users
to
where
we
can
basically
do
this
needle
exchange
program
for
the
good
of
those
addicts,
and
I
understand
that's
a
worthy
goal
and
what
I,
but
my,
what
gives
me
heartburn
is
the
fact
that
we
are
allowing
these
to
go.
D
Basically,
the
the
distance
buffer
between
the
parks
has
been
cast
out
in
this
effort
to
make
it
to
where
we
these
these
programs
are
relocated
to
I
I'm
as
it's
written.
Unfortunately,
we
can't
we
can't
vote
on
the
nobility
of
the
cause,
but
on
the
words
on
the
paper,
and
so
when
we're
looking
at
it,
I
would
I
don't
necessarily
think
the
cause
is
all
bad,
but
I
think
opening
up
our
parks
to
needle
exchange
programs.
D
D
I
would
suggest-
and
I
know
we're
up
against
a
little
bit
with
this
being
the
last
meeting,
but
if,
if
you
roll
this
to
the
first
calendar
of
next
year
and
get
some
safeguards
where
you
can
address
mine
and
my
colleagues
concerns
about
it,
while
still
allowing
this
program
to
get
the
mobility
that
it
needs
to
to
go
to
meet
the
need,
that's
there.
I
would
sure
feel
a
whole
lot
better
about
me
personally.
But
that's
that's
my
perspective.
D
G
D
Thank
you,
miss
chair
and,
and
I
know
a
lot
of
people
they
they
move
it
to
the
next
calendar
next
year.
Mr
chairman,
you
you
give
us
guidance
here.
I
think
if
he
just
took
it
off
notice,
then
he
wouldn't,
if
he's
not
prepared
on
the
first
calendar
next
year,
he
hasn't
had
a
chance
to
talk
with
some
people
that
he
can
just
put
it
on
calendar
again
and
he
won't
won't,
have
wasted
a
calendar
notification.
C
A
A
Okay,
with
without
objection,
I'm
going
to
call
for
a
brief
recess.
E
A
Okay,
so
for
clarification
there
are
this.
Bill
has
been
calendared
three
times,
and
so
we
have
two
options.
It
either
passes
out
of
this
committee,
or
it
goes
to
the
special
calendar
it
cannot
be
rolled
to
next
year
cannot
be
put
on
first
calendar
next
year,
so
we
either
pass
it
or
it
goes
to
the
special
calendar,
which
would
be
heard
at
the
end
of
today,
at
which
point
we
either
pass
it
or
it
goes
to
the
clerk's
desk.
D
Mr
chairman,
would
would
would
it
be
in
line
if
we,
you
know
if
we
go
to
this
afternoon,
we
get
an
amendment
drawn
up
to
correct
this
situation.
The
sponsors
run
into.
B
My
good
friend
over
here
in
the
black
colored
linen
suit,
and
I
were
having
a
discussion
and
I
do
believe
if
we
kill
this
bill
and
just
vote
it
down,
then
then
that
is
also
an
option
and
then
he
could
take
it
back
up
in
the
back
half
of
the
session.
Is
that
not
correct?
Because
it
fails.
A
That's
the
clarification
that
we've
gotten
chairman,
you
recognized
if
it
goes.
A
E
King,
thank
you,
mr
chairman.
I
want
to
firstly
express
a
great
appreciation
and
thanks
to
all
of
you,
for
your
willingness
to
try
to
work
with
me
on
this,
but
it
may
be
I'm
making
it
more
complicated
than
it
should
be,
and
what
I'd
like
to
do
is
what
was
that
put
it
on
the
clerk's
desk,
hold
it
on
the
desk.
A
I
G
You
heard
me
sing
phrases
of
medical
science,
especially
in
the
united
states.
There
are
tremendous
advances
and
we
have
a
lot
of
treatments
for
a
lot
of
conditions
and
diseases
and
medical
science
always
comes
through
almost.
However,
we
don't
have
cures.
G
I
have
the
honor
of
having
with
me
today
speaker
pro
tempore
of
the
ohio
state
representative,
mr
jim
butler,
and
he's
going
to
testify.
G
The
idea
is
to
it
is
his
initiative
to
create
an
interstate
compact
where
various
states
join
and
create
a
compact
together
and
define
what
are
the
conditions
where
a
cure
is
needed.
Then,
if
a
person
or
a
corporation
comes
up
with
a
cure,
they
will
be
entitled
to
after
approval
by
this
compact
of
various
states.
That
person
or
corporation
will
be
entitled
to
all
the
money
that
the
state
would
have
saved
in
taxes
for
a
period
of
five
years.
G
In
return,
the
compact
will
own
the
intellectual
property
rights
and
all
rights
to
the
cure.
Again
it
will
not
be
a
treatment,
it
will
be
a
cure.
The
compact
cons
consists
of
commission
that
will
be
established
and
each
state
gets
to
nominate
one
representative
to
the
commission.
The
state
of
ohio
passed
this
in
2019
12.
Other
states
are
considering
it
at
this
time
and
it
will
become
operational
when
at
least
six
states
have
joined
the
compact.
G
This
will
help
make
cures
to
be
widely
available
again,
rather
than
just
just
treatments
of
disease
and
with
that
introduction,
mr
chairman,
if
it's
okay
with
you,
I
would
like
speaker,
jim
butler,
from
ohio,
who
has
traveled
here
today.
The
news
that
he
brought
are
also
in
dayton.
Ohio.
There
was
three
inches
of
snow
this
morning,
but
it's
very
kind
of
him
to
come
and
travel,
and
I
would
like
to
request
that
we
go
out
of
session
and
hear
from
him.
A
H
Thank
you
very
much,
dr
kumar,
chair,
terry
and
vice
chair,
leatherwood
members
of
the
committee.
My
name
is
jim
butler,
I'm
the
former
state
representative
from
ohio,
so
we
have
term
limits
in
ohio,
and
so
I
term
limited
out
the
end
of
december,
but
it's
an
honor
to
be
here.
I
appreciate
you
going
out
order,
mr
chair,
so
I
can
testify
and
as
as
dr
kumar
mentioned,
this
bill
creates
a
multi-state
compact
that
offers
future
taxpayers
savings
as
an
incentive
to
any
entity
that
develops
a
cure
for
disease.
H
That
would
result
in
actual
savings
to
the
states
and
to
their
state
budgets.
And,
mr
chairman,
I'm
going
to
go
off
of
my
written
comments
here
and
I
know
I
understand
that
the
need
for
speed
here
and
just
start
with
what
the
what's
the
problem.
Why
do
we
need
this
bill
and
the
the
the
answer
to
that
is,
as
dr
kumar
mentioned,
our
current
system
incentivizes
treatments
over
cures
and
that's
because
the
government
for
all
the
money
that
they
spend
through
nih
and
all
the
charities.
H
All
of
that
money
goes
for
basic
science
research.
None
of
that
ever
develops
into
a
new
product.
They
don't
do
human
clinical
trials,
just
the
private
sector
does
that
and
because
the
only
the
private
sector
does
human
clinical
trials
for
new
products,
then
they're
guided
as,
of
course,
they're
companies
they're
looking
for
whatever
it's
going
to
incentivize,
economically
incentivize
them
the
most
because
it's
it's,
it
costs
a
lot
of
money
to
develop
a
new
drug,
so
they
choose
treatments
because
it's
more
lucrative
to
develop
treatments
instead
of
cures.
H
So
this
happened
and
I'll
tell
you
just
real
quick
personally.
Why
I'm
so
passionate
about
this?
Both
of
my
parents
passed
away
of
cancer
in
their
50s,
my
mother,
breast
cancer
at
51
and
my
father,
breast
cancer
58
or
pancreatic
cancer
at
58,
and
I
went
to
go
look
for
clinical
trials
as
so
many
other
people
do
with
so
many
other
diseases,
alzheimer's,
multiple
sclerosis,
so
many
different
diseases
and
I
didn't
see
anything
once
their
cancer
spread
that
might
save
their
life,
just
something
that
might
prolong
their
life.
H
You
know
a
couple
weeks
or
a
month,
and
I
didn't
know
why,
at
the
time
and
now
now
I
have
after
many
years
of
looking
at
this
and
it's
because
of
what
I
just
mentioned,
and
so
that's
the
problem.
This
bill
is
the
solution.
This
bill
offers
that
savings
and
I
can
go
over
the
mechanics
if
anyone
asks.
But
again
it's
in
my
written
comments,
there's
no
risk
to
the
taxpayer,
because
only
the
actual
savings,
and
only
if
actual
savings
happen.
That's
the
only
thing
that's
shared
from
the
compacting
states.
H
There's
no
appropriation
to
this
other
than
normal
multi-state.
Compact
dues.
So
there's
no
risk
in
doing
this,
and
it's
completely
permissive
for
companies.
If
they
want
to
claim
the
reward
they
can,
which
would
be
tens
of
billions
of
dollars
for
most
major
diseases
well
over
what
potentially
somebody
could
might
make
for
a
for
a
treatment
so
that,
but
the
the
benefit
of
this
it
could
be
massive.
H
Maybe
it
won't
work,
but
if
it
doesn't
work
it
didn't
cost
anything,
but
if
it
works
it
could
save
millions
of
lives
and
and
what
a,
what
a
great
thing
that
we
could
do
together
if
we
can
do
that,
unintended
consequences
would
be
few
again
because
the
way
the
bill,
the
mechanics
of
the
bill
works,
the
risk
is
outsourced
to
both
contract
manufacturers
in
terms
of
any
products
liability
that
might
happen
and
also
to
banks
they're
the
ones
that
would
actually
provide
the
money
for
the
reward
and
then
they
would
then
take
the
risk
that
the
savings
would
actually
materialize
with
the
states.
H
So
with
that
again,
I
want
to
thank
dr
kumar
and
the
members
of
the
committee
for
your
consideration
happy
to
answer
any
questions.
D
H
You're
recognized
thank
you,
mr
chair.
Whoever
wants
to
come
forward
and
claim
the
reward
would
be
the
owner
of
the
intellectual
property
and
the
patent,
whoever
developed
that
that's
usually
a
combination
with
research,
universities
or,
in
you
know,
private
companies
that
would
develop
it.
That's
the
way
it
is
now
for
for
anything,
that's
developed,
so
that
doesn't
really
change
it's
it's
just,
but
it's
if
they
want
to
come
forward
and
claim
the
reward
and
they
get
it
up
front.
So
they
get
a
check
from
the
bank.
H
That's
part
of
the
mechanics
and
that's
actually
more
of
an
incentive
than
having
to
sell
it
over.
You
know
seven
or
eight
years
of
the
remainder
of
the
patent,
so
that's
who
would
receive
the
reward
if
they
wanted.
A
Any
further
questions,
while
we
are
out
of
session
seeing
none
thank
you
for
traveling
to
our
state,
and
this
isn't
your
first
time
here,
but
a
fascinating
concept
appreciate
your
work
on
this
and
looking
forward
to
continue
to
work
with
you.
Thank
you.
Thank
you,
mr
chairman.
Thank
you,
members
of
the
committee.
Without
objection,
we
are
back
in
session
chairman
kumar.
Are
you
recognized.
A
A
Back
to
item
number
four
house
bill:
five:
six
five
remember:
dixie
you're
recognized.
H
E
Right,
thank
you.
So
this
bill
is
going
to
give
allow
dentists
the
ability
to
give
vaccinations.
Dentists
can
already
get
they
give
shots
in
our
mouth,
so
we
want
to
try
to
get
them
any
vaccination
as
we
can
in
arms
as
we
can
so
this
bill.
I'm
doing
the
subcommittee
discussions
agreed
to
rewrite
the
bill
to
remove
some
of
the
blood
bank
language
and,
as
a
result,
this
only
applies
to
dentists
and
replaces
and
replaces
the
remaining
language
under
the
dental
practice
act.
E
At
the
request
of
the
department
of
health,
the
appropriate
training
will
be
based
upon
the
center.
The
cdc
and
prevention
guidelines.
Dentists,
currently
have
authority
to
administer
covet
19
vaccines
in
28
states.
By
putting
this
authority
into
statute,
dentists
will
no
longer
depend
on
a
federal
action
or
executive
order
and
could
begin
planning
an
implementation
of
continuing
education's
plan,
including
ordering
storage
types
of
vaccinations,
administration
and
possible
side
effects
along
with
accompli
with
compliance
with
our
regulatory
and
reporting
requirements.
A
A
Okay,
you
have
a
motion.
Second,
on
the
amendment.
Okay,
do
we
have
any
questions
on
that
amendment?
Okay,
okay,
seeing
none
we're
gonna
vote
on
amendment
six,
nine,
eight
zero,
all
those
in
favor
say
aye
opposed
eyes.
Have
it?
Okay,
we're
back
on
the
bill
as
amended
any
for
the
comments?
No
okay,
chairman
williams,.
B
Thank
you.
So
where
did
this
bill
originate?
I
guess
is
a
question
I
it
seems
to
me
like.
We
have
plenty
of
people
or
plenty
of
practitioners
in
our
local
health
departments
that
are
distributing
vaccines
and
some
instances
they're
plenty
of
opportunity
to
do
that.
I
guess
what
is
the
the
premise
or
who's
driving
the
bus?
B
E
Oh,
oh,
dr
bob,
do
you
want
to
take
okay?
Well,
I'll
answer
a
question.
I
have
we're
really
good
friends
that
are
dentists
and
one
of
my
dentists,
she's
running
a
vaccine
program
from
harry
medical
college.
Right
now,
and
she
said
we
can
do
a
lot
of
things,
but
we
can't
give
shots
and
she
was
like
we
could
help
give
put
a
little
bit
more,
be
a
little
bit
more
expedient
in
getting
the
vaccinations
to
people
who
want
them,
and
so
that's
how
this
bill
came
about.
J
Yes
and
we've
actually
had
bills
of
this
nature.
For
several
years,
the
tennessee
dental
association
had
gotten
interested
when
the
vaccines
came
out
for
human
papilloma
virus,
the
of
course
being
involved
and
that's
where
some
of
the
symptoms
show
up.
First
as
a
in
the
oral
area,
so
we
had
been
interested
in
pursuing
this
ability
to
give
vaccines
for
several
years.
J
The
coven
virus
has
kind
of
lit
the
fire
again
and-
and
so
we
actually
had
a
bill
last
year
to
do
the
covet,
and-
and
this
is
just
the
continuation
of
that
but
the
the
effort
and
the
focus
is
that
at
some
point
we'll
be
able
to
give
vaccines,
multiple
vaccines,
not
just
the
code
yeah.
Thank
you.
A
E
A
B
A
B
Thank
you,
chairman
of
members
house,
bill.
980
is
a
derivative
of
some
challenges
that
are
going
on
in
my
district
back
home.
You
have
a
question
a
second.
This
bill
would
allow
for
the
removal
of
the
cln
for
those
psychiatric
or
mental
health
treatment
and
substance
abuse
facilities
in
rural
tennessee,
with
the
idea
that
we
could
facilitate
the
growth
of
these
services
in
our
community.
B
Currently,
if
you
present
in
a
at
cooper
regional
medical
center
in
the
er,
it
sometimes
can
take
four
to
six
days
if
you're,
a
medical,
if
you're
in
a
mental
health
crisis,
if
you're
required
to
stay
in
a
bed
in
the
hallway
for
four
to
six
days,
waiting
on
a
place
to
get
mocks
and
bends
very
difficult.
Mental
health
services
in
rural
tennessee
is
a
growing
need,
and
I
believe
that
this
bill
would
allow
us
to
facilitate
that.
I
will
say
that
there
is
a
bill
prior.
B
That's
left
this
committee
already
that
which
eliminates
certificate
of
need
statewide
for
these
services,
and
so
the
the
idea
with
this
bill
is
if
there
were
something
to
happen
to
that
bill,
because
it's
more
comprehensive
that
this
could
be
a
backup
plan
to
that,
and
so
I
asked
the
members
for
their
support
today.
I
also
do
have
legal
has
asked
me
to
adopt
an
effective
date
amendment
I
think
we've
timely
filed
with
the
committee.
A
We
have
two
amendments,
so
we
have
not
adopted
the
first
amendment,
which
was
five
eight
eight
six
is
that
okay
and
that's
the
one
that
makes
the
bill
and
then
the
second
amendment
would
be
the
one
for
your
effective
date.
Is
that
correct?
Yes,
sir?
Okay?
So
without
objection,
let's
vote
on
five,
eight,
eight
six,
all
those
in
favor
say
aye,
aye
opposed
eyes,
have
it.
A
Okay,
now
we
are
on
the
bill
is
amended
or
we're
on
the
second
amendment,
seven,
four,
five,
two:
okay,
you
have
a
motion
second,
and
that
makes
the
effective
date
when.
A
B
Thank
you,
chairman
members.
The
those
amendments
make
the
bill
happy
to
answer
any
questions
that
members
might
have.
A
Any
further
questions
sing:
none.
Okay,
we
are
going
to
vote
on
house
bill
980.
All
those
in
favor
say
I
opposed
eyes.
Have
it
bill
goes
on
to
finance
ways
and
means?
A
Okay,
I
am
going
to
hold
on
go
out
of
order
here
and
take
a
chairman's
privilege
before
we
get
into
some
of
the
what
maybe
more
lengthy
discussions
and
go
to
item
number
16
house
bill.
582,
I'm
going
to
pass
the
gavel.
F
We
have
a
motion
and
a
second
on
the
bill
chairman
terry.
F
A
Thank
you.
As
many
members
know.
Several
years
ago
we
passed
the
ten
together
legislation
and
by
the
end
of
this
year
we
will
be
getting
a
report
from
the
department
of
health,
and
so
what
this
amendment
will
do
is
it
will,
as
part
of
their
report
on
how
the
opioid
legislation
the
teen
together
legislation
has
worked.
It
will
be
adding
some
information
to
that
on
how
the
covid
pandemic
has
impacted
the
team
together
legislation,
in
particular
what
it
has
the
covid
pandemic,
has
done
to
lawfully
prescribe
usage
of
opioids
in
the
state.
A
Unlawful
diversion
of
opioids
in
that
state,
including
you
know,
have
symptoms
related
to
covet
or
delayed
care
related
to
the
pandemic,
increase
the
amount
of
opioids
being
used
or
prescribed,
and
has
that
led
to
any
decreased
diversion.
A
The
ability
for
the
department
to
collect
the
data
to
determine
the
impact
and
effects
of
the
restrictions
limitations
established
in
the
section
and
whether
the
impacts
or
effects
from
covet
have
impacted
the
what
we
were
trying
to
get
out
of
the
sunset
on
the
team.
Together,
it's
tan
together,
set
to
sunset
on
july
1st
2023,
and
we
want
to
know
whether
or
not
the
goal
of
decreasing
the
mmes.
The
decreased,
diversion
and
decreased
over
overdoses
has
been
impacted.
A
The
trajectory
of
that
teen
together
by
the
op
by
the
coveted
pandemic.
So
with
that
I'll
move
passage
ready
to
answer
any
questions.
G
Thank
you,
mr
chairman.
Well
no,
I
thank
you
for
bringing
this,
because
really
we
do
need
to
follow
up
and
keep
track
of
the
effects
of
tn
together,
which
was
a
major
piece
of
legislation,
and
I
know
you
were
involved
in
it.
I
thank
you
again.
Thank
you,
mr
chairman.
F
Chairman
kerry,
thank
you
for
the
comments,
any
other
questions
saying
none
any
objection
to
question
on
the
amendment.
All
right,
we'll
be
voting
on
amendment
5536,
all
those
in
favor
say
aye,
all
those
opposed
eyes
have
it
so
now
on
the
bill.
582
as
amended
chairman
terry
appreciate
your
support,
any
questions
scene,
nine,
all
right,
question
on
the
bill,
we'll
be
voting
on
house
bill
582
as
amended
all
those
in
favor
say:
aye
aye,
all
those
opposed
eyes
have
it.
The
bill
will
be
moving
on
to
calendar
and
rules.
Thank
you.
A
Thank
you
for
the
committee
for
that
bit
of
indulgence.
That
brings
us
to
item
number
10
house
bill.
920,
chairman
ramsey,
you're
recognized.
J
Second,
thank
you,
mr
chairman.
Ladies
and
gentlemen,
this
is
a
hot
sticky
issue
that
affects
us
all
and
what
what
this
bill
does
is
adds
cerumen
management
to
the
australized
scope
of
practice
to
be
performed
by
licensed
hearing
instrument
specialists
under
the
council
of
hearing
instrument
specialists.
J
A
We
have
amendment
number
six
6203.
Is
that
correct.
J
And
essentially
the
the
amendment
makes
the
bill
and,
and
it
has
requirements
in
it,
for
safety
sake
for
following
regulations,
requires
the
licensed
hearing
instrument
specialist,
to
follow
regulations
established
by
the
council
regarding
cerumen
management,
carry
appropriate
professional
liability
and
maintain
the
universal
infection
controls,
as
well
as
criteria
that
address
the
training,
that's
necessary,
which
will
be
conducted
by
a
medical
doctor
otolaryngologist
and
are
one
of
the
other.
J
So
with
that
pending
any
questions,
I
I
renew
the
motion
on
the
amendment.
A
A
I
see
none
we're
voting
on
house
bill
920
as
amended.
All
those
in
favor
say
aye
opposed
eyes.
Have
it
bill
goes
on
to
counter
and
rules
all
righty
chairman.
If
you
would
just
bear
with
me
I've
it's
we
have
another
member,
that's
not
on
this
committee.
That
has
a
a
bill
here
to
to
be
heard
and
without
objection,
I'm
gonna
pull
that
up
and
and
bring
him
up
here.
That
would
have
been
item
number
one
house
bill,
1421,
representative
grills.
A
C
You
thank
you,
mr
chairman,
and
I
was
talking
to
some
folks
out
there
in
the
lobby,
and
I
said
I
feel
like
ray
stevens
song.
It's
me
again,
margaret
back
before
this
committee,
but
we
we've
had
some
conversations
over
the
past
couple
of
weeks.
So
I'm
back
here,
I
believe,
there's
I
believe
that
the
chairman
ramsey,
I
think
he
had
an
amendment
that
he
was
willing
to
file.
That's
the
way
I
understood
things
that
he
has
of
yesterday.
C
C
Thank
you,
mr
chairman
and
representative
grills.
You
have
done
yeoman
work
on
this.
I
just
want
to
tell
you
you
know
we
we
have
a
term
in
the
army.
Call
you
got
put
in
a
do
loop.
C
B
C
To
include
covet
19,
20,
21
23
is
the
longer
this
takes.
But
again
I
appreciate
the
work
on
this
and
I
appreciate
your
intent.
I
don't
think
any
of
us
wants
to
mandate
a
vaccine,
especially
one
created
in
emergency
use,
but
with
that,
mr
chairman,
I'm
gonna
make
a
motion
that
we
move
this
to
summer
study.
B
A
parliamentary
question:
yes,
so
sending
this
to
summer
study.
Many
of
you
may
know,
15
bills
is
a
is
a
limit
that
the
house
puts
on.
I
guess
the
question
is:
if
he,
if
we
send
this
to
summer,
study
he'd
have
to
file
another
bill
next
year.
If
we,
if
we
send
it
to
the
next
calendar,
I
don't
think
he's
on
the
third
row.
He
could
at
least
not
have
to
refile
another
bill
next
year.
I
guess,
can
somebody
confirm
since
I've
been
wrong?
A
A
Okay,
we
do
have
a
proper
motion.
The
question
before
we
vote
on
that
I
would
ask
the
sponsor:
would
you
be
amenable
if
to
taking
this
bill
off
notice
so
that
you
would
have
a
bill
available
for
next
next
session?.
C
Thank
you,
mr
chairman.
I
worked
pretty
hard
on
this
and
tried
to
work
with
the
committee
as
best
as
possible,
and
I
understand
that
the
posture
that
we're
in
now
is
there's
there's
some
hesitancy
here
and
I
don't
want
to
see
the
bill
die.
But
you
know
we've
had
lots
of
conversation
and
we
put
ourselves
on
the
line
over
and
over
again
and,
like
chairman
whitson
said
we
we've
kind
of
like
the
cat
chasing
his
tail,
we're
running
around
in
circles,
we're
not
going
anywhere.
C
But
if,
if
that
would
be
the
pleasure
of
the
committee,
I
would
be
willing
to
work
with
a
committee
to
do
to
do
that
because
you
know
we
have
a
committee
process
here
in
the
house
and
I
want
to
work
with
each
and
every
one
of
you
the
best
way
possible.
So
if
that
would
be
the
pleasure
of
the
committee,
I
will
I
will
subject
to
their
recommendation.
C
Thank
you,
mr
chairman.
The
sponsor
do
I
understand
that
you're
going
to
take
it
off
notice,
if
that's
the
best,
if
this
is
the
best
route
and
that's
what
the
committee
recommends,
that's
what
I
would
do
chairman
whitson
question.
Can
the
committee
recommend
it
be
taken
off
notice,
chairman
terry,
I
would
like
to
take
if
he
will
rescind
his
motion.
I
would
like
to
take
this
off
notice.
Okay,
good!
That's
what
I
want
to
be
clear.
Okay,
thank
you.
A
Okay,
the
motion
is
withdrawn.
At
the
request
of
the
sponsor
house,
bill
1421
has
been
taken
off
notice.
Thank
you.
C
A
J
J
A
Let
me
before
we
get
to
that,
so
we
have
a
a
an
amendment
from
the
subcommittee.
Does
this
amendment
that
you're
wanting
to
run
rewrite
the
bill
as
well?
It
does
it
reads
all
language
all
right.
So
we
are,
we
are
on
amendment
7326..
Yes,
sir,
okay,
you
have
a
motion.
A
second.
J
And
what
what
we
have
is
the
amendment
allows
and
and
speaks
more
clearly
to
the
use
and
dentistry
of
in
examinations,
and
the
intent
of
it
would
is.
The
original
bill
was
to
allow
all
dental
proficiency
examinations
to
use
non-live
patients,
specifically
through
the
use
of
3d
computer
models,
and,
of
course
this
is
a
bill
like
many
of
the
others,
like
that
wonderful
bill
about
mixed
drinks
to
go
today.
J
That
extends
things
that
we
learned
during
the
pandemic.
So
that's
what
this
does
is
is
open
the
opportunity
for
dental
examinations
to
be
done
on
live
patients
or
mannequins
of
specific
types
with
with
including
3d
computer
models.
A
Okay,
any
questions
for
the
sponsor
on
the
amendment.
Okay,
seeing
none
we're
going
to
vote
on
amendment
7326,
all
those
in
favor
say:
aye
opposed
eyes.
Have
it
okay.
That
brings
us.
We
are
on
the
bill
as
amended
any
questions
for
the
sponsor,
as
amended
all
right
questions
been
called
for
without
objection.
We
are
voting
on
house
bill
1284
as
amended.
All
those
in
favor
say
aye
aye
opposed
eyes.
Have
it
bill
goes
on
to
counter
rules?
A
A
J
The
I
think
yeah
that
is
correct,
sir,
yes,
okay,
all
right,
you're
recognized.
J
And
this
this
amendment,
what
it
does
is
is
qualify
specific
hours
that
are
spent.
What
this
bill
originally
intends
to
do
is
require
the
department
of
health
to
give
a
one-time
stipend
of
fifteen
hundred
dollars
within
one
month
of
the
effective
date
to
help
health
care
professionals
who
provided
health
care
service
during
the
state
emergency
and
the
the
amendment
trims
that
down
to
a
certain
number
of
hours
that
were
worked
in
in
first
responder.
J
J
I
guess
sense
of
accomplishment
for
the
folks
that
that
were
involved,
but
with
with
that
explanation
and
pending
any
questions,
it's
just
a
matter
of
funding.
It.
A
Okay,
seeing
none
we're
gonna
vote
on
amendment
six,
six,
eight,
eight,
all
those
in
favor
say
aye
opposed
eyes
have
it.
We
are
back
on
the
bill
as
amended
any
further
questions
for
the
sponsor
of
the
bill.
A
A
A
There
are
well
you
wanna,
go
ahead
and
speak
there
like.
There
are
three
amendments
here,
but
if
you
go
ahead
and
you're
recognized,
thank.
G
A
With
okay
item
or
amendment
number,
five,
two
seven,
four,
you
have
motion.
Second,
you
reckless.
G
In
addition,
if
a
physician's
assistant
or
advanced
practice,
nurse
is
working
with
an
understanding
of
agreement
with
a
physician
supervising
physician,
but
they
are
practicing
without
such
an
agreement.
Then
again,
they're
license
fully
suspended
until
they
get
the
agreement
in
order.
A
G
Amendment.
Thank
you,
mr
chairman.
This
one
instead
of
saying
that
the
person
who
has
been
indicted
of
wrongdoing
based
on
prescription
or
sexual
conduct
would
is
not
allowed
to
prescribe
not
all
controlled
substances,
but
only
schedule.
Two
substances,
the
high
level,
narcotics
and
opioids.
A
G
A
If
this
bill
passes,
I
would
ask
that
legal
roll
all
these
amendments
into
one
amendment
for
the
purposes
of
the
floor.
So
without
objection
we
will
roll
those
into
one
amendment.
So
we
are
back
on
the
bill
as
amended.
G
It's
basically
again
a
public
safety
and
protection
measure
in
which
it
was
a
concerning
to
see
people
who
have
been
indicted
of
misuse
of
opioids
and
prescript
and
control
substances
are
able
to
continue
to
and
practice
and
still
prescribe
them
once
they
have
been
indicted
that
legal
action
has
been
initiated.
G
This
will
go
into
effect
to
restrict
their
license,
not
restrict
or
not
suspend
their
license
to
practice.
And
similarly,
people
who
are
work
are
expected
legally
to
have
a
collaborative
arrangement
that
they're
working
on
their
physicians
supervision,
and
they
do
not
have
that
in
place,
but
are
working
again.
Their
license
will
be
restricted
or
suspended
until
they
are
in
order
and
have
a
proper
agreement
in
place.
A
Thank
you
and
thank
you,
representative
clemens.
You
recognize
thank
you,
mr
chairman.
C
From
the
sponsor
on
one
of
the
amendments
we
put
on
with
regards
to
simply
limiting
their
ability
to
prescribe
schedule,
two,
as
opposed
to
any
controlled
substance,
why
would
we
not
want
to
limit
their
ability
to
prescribe
any
controlled
substance
if
they've
committed
a
crime?
Your.
A
G
Thank
you,
I
think
you're
right
initially,
that
was
the
plan.
Apparently
there
was
difficulties
in
the
senate
and
they
adjusted
that,
and
I
think
the
idea
was
to
a
lot.
We
are
threading
into
territory,
a
person
has
been
indicted
but
have
not
been
convicted,
and
how
far
can
we
going
to
restrict
their
ability
to
practice
and
lesser
substances?
Schedule
3,
4
and
5
were
considered
relatively
safe
and
mainly
restrict
their
ability,
because
most
of
these
offenses,
almost
all
of
these
offenses,
occur
on
schedule.
C
Yeah
well,
thank
you.
I
appreciate
that
explanation
and
I
I
just
I
don't
want
to
defeat
your
what
I
understand
your
intent
to
be
here
with
that
compromise
with
the
senate,
because
you
know
if
someone
has
shown
that
propensity,
even
though
they're
only
indicted
as
opposed
to
convicted,
it
seems
like
there's
a
issue
that
we're
dealing
with
here,
obviously
we're
limiting
their
ability
to
schedule
two.
So
I
just
wondered
if
we're
contradicting
ourselves
or
not
accomplishing
our
ultimate
objective
by
amending
that,
but
I
understand
why
you
compromised.
Thank
you.
G
A
All
right,
chairman
williams,
recognized.
B
Yeah
I
had
another
conversation
going
on
there.
My
apologies,
the
dr
kumar.
I
appreciate
the
the
tenant
here,
so
I
just
want
to
make
sure
I
understand
this
because
I'm
not
in
the
subcommittee
and
I
haven't
been
able
to
follow
it.
But
what
you're
saying
here
is
that
someone
has
not
been
convicted
of
a
crime.
They
have
been
charged
or
indicted
with
crime
and
we're
going
to
as
it
relates
to
how
they
provide
their
family,
we're
going
to
limit
their
ability
to
provide
for
their
family
until
such
time
that
that
case
is
adjudicated.
G
Thank
you,
mr
chairman.
It's
a
matter
of
balancing
the
protection
of
the
public
and
yes
putting
restrictions
on
somebody
who
has
not
been
formally
convicted
in
this
case,
because
their
license
is
not
suspended.
They
will
continue
to
practice.
They
would
not
just
not
be
able
to
prescribe
the
schedule
2
and
hard
narcotics
everything
else,
antibiotics
or
milder
pain,
medications
and
so
on.
They
will
continue
to
do
so.
B
How
comfortable
as
a
clinician
are
you
a
physician?
Are
you
that
someone,
a
subordinate
or
someone
in
your
office
could
charge
you
or
or
testify
against
you
as
if
some
criminal
indictment
or
one
of
your
persons
in
your
office
write
prescriptions
without
you?
Knowing,
I
guess
my
concern
would
be?
Is
that
is
this
charred?
You
know.
Is
this
violating
the
idea
of
you
know
guilty
into
until
proven
innocent?
I,
I
guess
that's
my
biggest
concern
really
with
the
with
the
current
language.
G
Thank
you.
I
appreciate
concern
in
the
sense
that
the
due
process
has
not
occurred.
On
the
other
hand,
there,
a
grand
jury
has
issued
an
indictment,
so
there
is
probable
cause.
We
cannot
really
suspend
that
person's
license
and
take
away
their
ability
to
make
a
living,
but
at
the
same
time
we
have
an
obligation
to
protect
the
public
and
this
bill,
or
this
law
would
work
towards
allowing
a
person
to
practice
but
restrict
the
most
potentially
harmful
thing
they
could
do.
G
That
would
be
to
be
prescribing
hard,
narcotics
and
so
on
and
and
the
other
thing
on
a
personal
note.
You
know
what
we
have
learned
that
since
this
opioid
crisis
and
we
passed
tn
together
bill
and
restricted
the
use
of
opioids,
it's
amazing
how
well
you
can
practice
without
using
opioids
much.
It's
really
been
remarkable.
G
Where
a
patient
coming
in
to
have
surgery,
we
used
to
give
them
routinely
30
pills
to
go
now.
We
don't
give
them
any
or
give
them
two
or
three
days
at
most.
Other
alternatives
are
available
and
well
they
have
been
available.
We
just
learned
to
use
them
better,
so
I
think
these
people
are
able
to
practice.
A
All
right
any
further
questions
on
the
bill
as
amended:
okay,
seeing
none,
we
are
going
to
vote
on
house
bill,
10
45
as
amended.
All
those
in
favor
say
aye
opposed
eyes.
Have
it
bill
goes
on
to
counter
rules?
Thank
you,
mr
chairman,
in
committee,
all
right,
thank
you.
That
brings
us
to
item
number
15
house,
bill
880.
That
is
my
bill.
I'm
going
to
pass
the
gavel
to
chairman
ramsey
for
this
bill.
J
A
This
amendment
for
house
bill
880
makes
it
a
decriminalism
decriminalization
bill
for
patients
who
possess
non-smokeable,
non-vapable,
non-edible,
cannabis
based
medicines
and
what
it
does
is.
It
simply
removes
the
simple
possession
charge
for
patients
who
comply
with
the
provisions
of
the
bill.
This
amendment
I
have
worked
on.
I
have
worked
with
the
speaker
on
that
and
he
said
that
I
could
say
that
he
supports
the
amendment.
A
What
it
does
is.
It
sets
up
some
bookend
studies
that
directs
the
department
of
health
to
conduct
a
baseline
study
of
medical
cannabis
licensure
in
contiguous
states
by
the
end
of
this
year,
and
a
follow-up
study
by
that
that
it
will
include
positive
negative
impacts
of
medical
cannabis
from
section
two
of
this
bill,
and
that
would
be
that
study
would
be
conducted
by
december
2024..
A
This
bill
establishes
that
a
patient
must
have
a
bona
fide
patient.
Physician
relationship
must
exist
and
they
must
have
an
attestation
letter
of
their
of
diagnosis
and
that
the
letter
is
valid
for
one
year
and
it
provides
a
list
of
qualifying
diseases
of
11
diseases,
and
it
limits
to
the
forms
of
medical.
Cannabis
can
be
in
a
ointment:
lotion,
transformative,
patch
suppository,
a
spray,
a
nasal
buckle,
sublingual
spray,
an
aerosol
tincture
oil
or
capsule.
A
It
limits
the
amount
that
someone
may
possess
to
2
800
milligrams
and
that
amount
equilibrates.
Also,
if
you
have
a
half
an
ounce
of
marijuana,
which
is
a
simple
possession
charge
and
that
has
20
thc,
that
is
the
amount
that
they
it
correlates
with
that.
So
that's
why
that's
in
there
this
bill
does
not
allow
for
any
smoking
or
vaping
of
cannabis.
A
This
bill
says
that
there's
no
impact
on
the
drug-free
workplace
program,
so
they
can
still
be
subject
to
that
and
dui
laws
can
still
be
enforced.
J
And-
and
I
would
like
to
say
this
is
this-
is
a
small
departure
from
typical
policy
in
the
committee
that
I
would
be
handed
the
gavel.
However,
this
is
a
very
sensitive
issue.
It
it's
a
kind
of
a
mirror
of
the
bill
that
I
had
in
here
for
doug
gunnell's
son,
which
he
passed
away
when
we
were
presenting
it
in
full
committee.
J
J
J
Yeah
I
gave
it
so,
do
we
have
any
questions
or
call
yes,
sir,
chairman
williams,.
B
Thank
you
for
the
chairman
been
a
long
time
since
you
chaired
health
committee.
I
was
a
young
freshman
member
when
you
were
doing
that.
B
I
would
offer
verbal
amendments
since
you
said
that
we
used
to
do
them,
but
I
won't
do
that.
The
I
I
will
say
this
subject
matter
is
really
important
to
me.
B
It's
something
that
I
believe
is
something
we
should
all
consider,
and
particularly
if
you're
like
me
and
and
my
wife,
when
we
walked
a
a
long
road
with
someone
with
terminal
illness.
It's
a
dramatic
different
view.
I
will
say
chairman
terry.
One
of
the
concerns
that
I
have
has
is,
with
these
types
of
bills
are
what
the
diagnoses
the
acceptable
diagnoses
would
be.
There
are
some
that
I
feel
like
personally
are,
are
acceptable
and
some
that
are
not,
and
it
usually
determines
my
support
or
or
thoughts
about
it.
A
A
Obviously,
there
are
others
that
could
be
out
there,
but
this
is
working
with
the
senate
and
with
the
speaker,
alzheimer's,
amyotrophic,
lateral
sclerosis,
als
cancer,
including
and
there's
that's
limited
in
to
some
of
those
symptoms,
inflammatory
bowel
disease,
including
crohn's
disease
and
ulcerative,
colitis
epilepsy,
or
seizures
glaucoma,
multiple
sclerosis,
parkinson's
disease,
post-traumatic
stress
disorder,
hiv
or
aids,
and
sickle
cell
disease.
B
Thank
you,
chairman
chairman
terry,
and
I
have
discussed
it's
a
great
length.
The
two
on
that
list
that
that
give
me
great
concern
are
ibs,
as
it
is
a
debilitating
disease,
but
not
one.
That
is
what
I
would
interpret
to
be
terminal
and
then
the
other,
as
you
and
I
have
discussed
probably
multiple
times,
is
the
the
diagnosis
of
ptsd.
B
My
concern
about
ptsd
is
that
we
would
have
the
same
thing
in
tennessee,
but
I
would
like
to
see
us
narrow
it
to
those
veterans
who
have
served
in
in
active
duty
as
it
relates
to
ptsd
instead
of
an
open-ended
ptsd
diagnosis,
and
so
as
much
as
I
appreciate
the
the
chairman
and
the
members,
it's
because
of
those
two
reasons
that
that
I
won't
be
supporting
this
today.
Thank
you,
chairman.
A
Terry,
thank
you.
I
appreciate
your
comments
on
that.
A
I
just
would
like
to
point
out
that,
for
somebody
to
get
a
diagnosis
of
ptsd
again,
they'd
have
to
go
through
a
bonafide
patient
relationship
during
the
course
of
which
the
practitioners
completed
an
assessment
of
the
patient's
medical
history
and
current
medical
disease
or
condition,
including
an
appropriate
examination
confirmation
of
the
patient
having
that
qualifying
medical
disease
or
condition
the
dsm
5
requires,
I
believe,
10
steps
to
get
that
qualified
medical
condition
and
the
attestation
letter
from
that
from
the
practitioner
has
to
attest
that
the
patient
has
received
conventional
methods
of
treatment
for
the
patient's
qualifying
medical
disease
or
condition,
and
those
methods
have
insufficiently
addressed
the
patient's
disease.
A
And
so
it's
not
just
going
to
be
somebody.
That's
just
getting
a
rubber
stamp
on
this
there's
a
process
by
which
we
have
that
to
the
point
on
the
inflammatory,
bowel
disease.
Again,
there's
a
lot
of
research
out
there.
That's
that's
on
that,
but
I
would
point
out
that
some
of
the
medications
that
are
that
some
of
these
patients
that
get
from
inflammatory
bowel
disease,
high
dose
steroids
or
some
of
these
biologics
that
cost
anywhere
from
100
to
100
000
dollars
to
you,
know
30
to
100
thousand
dollars.
G
G
G
Two
one
very
important
part
of
medical
is
that
there
is
it's
medical
there's.
A
doctor
involved.
Patient
is
under
monitoring
here,
who's
going
to
tell
the
patient.
When
the
time
comes,
hey
watch
it
you're
using
so
much
of
it.
You
should
not
be
driving.
There
is
no
monitoring
built
in
here.
It's
basically
you're
going
to
get
a
letter.
Now
you
can
process
it.
Also
we're
going
to
create
a
letter
writing
industry.
G
Letters
are
going
to
come
from
the
same
doctors
who
over-precise
opioids.
So
my
problem
is
that
we
are
creating
a
new
definition
of
marijuana
which
is
not
medical.
It's
not
under
monitoring
of
a
physician,
there's
no
mention
of
it.
There
is
no
mention
of
even
age
limit
in
this,
and
we
know
on
the
teenage.
Developing
brain
marijuana
is
harmful.
It
will
slow
things
down
by
way
of
iq
the
and
the
most
major
problem.
As
chairman
williams
mentioned,
is
the
number
of
conditions
you
pick
out.
G
There
has
to
be
some
degree
of
a
scientific
evidence
for
it.
I
took
the
liberty
of
sending
out
a
table
from
the
2017,
the
most
comprehensive
study
about
indications
for
marijuana
from
the
national
academy
of
sciences.
It's
very,
very
complete,
and
in
that
again
there
are
five
conditions,
for
it
is
help
for
which
it
is
helpful
and
the
rest
of
the
condition,
there's
a
maybe
column
and
there's
a
no
good
column
and
there's
a
harmful
column,
so
it
has
its
own
complications
and
harms.
Alzheimer's
is
under
the
no
good
column.
G
Similarly,
a
lot
of
the
other
for
inflammatory
bowel
disease
know
scientifically.
There
is
no
evidence.
I
practice
a
long
time.
I
treat
inflammatory
bowel
disease.
No,
there
was
no
scientific
benefit
from
it.
Parkinson's.
Also
things
are
iffy
in
some
people.
It
would
help
in
others
it
would
not
and
ptsd,
depending
on
the
psychological
conditions
connected
with
it.
It
can
really
make
matters
worse.
It
can
be
really
dangerous
in
that
situation.
G
So,
given
the
dangerous
use
of
these
substances
in
unproven
conditions,
I
really
feel
concerned
about
the
possibility
of
this
bill
passing.
J
Oh,
I'm
sorry
chairman
terry
you're
recognized
right.
A
Thank
you.
I
appreciate
those
comments
and-
and
you
know
I've
had
conversations
on
this.
I
just
like
to
point
out.
You
know
speaking
from
age
limit.
You
know
there
are
kid
children
that
have
seizures,
and
it's
I've
spoken
about
this
on
several
occasions
about
someone
that
I've
come
to
know
and
know
their
family
and
and
by
age.
Seven.
She
began
having
seizures
by
age.
Nine
she'd
been
on
30,
different
fda,
approved
regimens,
and
at
that
point,
in
time
her
family
was
given
the
option
by
their
doctors.
A
You
can
either
have
an
experimental
brain
surgery
or
try
another
medication
that
was
fda
approved
that
could
have
killed
her
liver
or
killed
her
bone
marrow
or
you
can
move
to
colorado
and
enroll
in
a
in
a
program
and
and
see
about
getting
cannabis
relief
there,
and
so
they
did
that
she's
been
seizure
free.
Since
then,
she
takes
oils
twice
a
day.
A
A
A
I
mean
we
have
a
it's
a
1.5
billion
dollar
illicit
market
here
in
the
state
of
tennessee,
and
we
have
patients
cancer
patients
going
to
the
street
to
try
to
decrease
the
amount
of
opioids
that
they're
taking
I've
had
to
take
care
of
patients
in
surgery
that
have
had
bowel
obstructions
because
of
the
amount
of
opioids
that
they're
taking.
So
again,
we
use
things
off
label.
A
We
have
an
ag's
opinion
that
says
that
the
dea,
which
is
part
part
of
the
department
of
justice,
has
also
not
made
it
a
policy
to
suspend
or
revoke
the
authority
of
physicians
or
pharmacists
to
prescribe
and
dispense
controlled
substances
under
federal
law
as
a
result
of
a
medical,
professional's
participation
in
a
state
medical
cannabis
program,
and
this
is
just
an
attestation
letter.
This
is
not
participating
in
a
major
program
where
they're
prescribing.
A
So
with
that,
I
you
know.
I
appreciate
the
comments.
G
G
G
If
it's
not
based
on
medical
science
and
proven
indications,
there
are
four
or
five
proven
indications,
and
it's
not
medical
if
it's
not
being
monitored
by
a
physician,
a
physician.
Just
writing
a
letter
is
not
really
participating
in
medical
marijuana
and
I
think
that
the
monitoring
is
very
important
and
these
people
are
going
to
be
on
medical
marijuana
for
a
long
period
of
time.
Thank
you,
mr
chairman.
I
I
Frankly,
I
wish
quadriplegia
was
involved
in
that,
but
I'll
I'll
take
one
step
at
a
time,
but
these
diagnoses
and
I'll
have
to
disagree
with
with
dr
kumar
and
that
when
you
pick
a
diagnosis
out
and
it's
not
and
I'll
just
pick
one
out
of
parkinson's,
it's
not
going
to
just
because
you
have
parkinson's
doesn't
mean
you
know
you're
going
to
have
this,
it
should
be
a
case-by-case
basis
and
the
physician
will
recognize
that
I
do
not
think
it
can
equate
to
california
and
where
you
can
smoke
it
and
edibles
and
everything
else
to
abuse
it.
I
That's
not
what
this
bill
does
it's
not
what
it's
intended
to
do.
You
know.
38
states
have
said
okay,
we're
wide
open
on
this.
We
are
very,
very
narrow
on
how
we're
doing
this
and
we're
very
narrow
on
the
diagnosis
that
can
be
opened
up
it.
I
think
the
chairman
is
just
asking
for
a
little
bit
of
empathy
for
some
of
these
folks
to
relieve
their
pain
and
suffering
and
ask
for
some
legislative
relief
on
this.
I
I
I
disagree.
I
mean
I
understand
where,
where
law
enforcement
comes
in
because
it's
a
schedule
one-
and
this
does
not
open
up
the
doors
to
anything
but
helping
those
that
need
help,
and
I
implore
you
and
I-
and
I
I
can't
tell
you
when
you're,
at
least
in
my
case
now,
I've
testified
in
the
subcommittee
of
what
it
you
know,
the
the
the
spa,
the
heart
spasms
that
I
have
at
night
for
being
in
a
chair
for
14
hours,
that
I
can't
try
something
like
this
and
I
hope
in
the
future.
I
I
I
disagree
with
dr
kumar
that
yeah
medical
science,
it's
what
a
doctor
does
at
the
end
of
the
day
a
doctor
is
prescribing
this
and
saying
yes
in
your
particular
case,
it's
going
to
help
you
and
that's
what
we
want
to
do.
Please
give
some
relief
to
some
of
these
folks.
I
I
I
I'll
be
supporting
you
bill.
Thank
you
for
being
vigilant
on
this
for
constantly
bringing
it
back.
I
G
Thank
you,
mr
chairman
jernigan.
You
disagree
with
me,
but
I
actually
agree
with
most
of
your
statement,
except
for
the
last
one,
and
that
is
you're
saying
a
doctor
is
prescribing
it
he's
not
doctor
is
not
a
part
of
the
picture
except
giving
a
letter.
Doctor
is
not
prescribing
he's
not
able
to
that's,
not
legal.
They
would
run
into
problems
with
the
dea
license.
You
know,
doctors
have
two
license
one
to
practice
in
tennessee
the
other
to
prescribe
control
substances
that
comes
from
the
federal
government.
They
will
run
into
problems
with
that.
G
As
far
as
treating
the
situation
you
and
I
have
talked
about
your
condition-
everybody
loves
you,
and
so
do
I,
and
we
want
you
to
be
well,
but
remember
your
own
doctor
said
that
the
stuff
that
you
bought
these
over-the-counter
or
stuff
that
we're
buying
from
other
states
there
is
very
little
regulation.
There
is
very
little
knowledge
about.
What's
in
that
bottle,
their
dosages
differ
from
lot
to
lot.
That
is
why
it's
not
medical,
it's
not
supervised
by
the
fda.
G
To
say
that
there
is
so
many
milligrams
of
the
substance
in
it,
and
I
remember
your
own
doctor's
remarks
were
you
said
everything
loosened
up
and
you
were
having
difficulty
with
it
and
your
doctor
said
well,
gee
darren
you
could
have,
you
might
have
gotten
castor
oil.
There
is.
That
was
those
were
his
words
there
are.
There
is
no
control
on
these
substances
and
the
dosages
in
it.
So,
but
really
again,
there
should
be
scientific
evidence.
G
We
should
not
be
picking
our
diagnosis
out
of
the
hat
and
conditions
out
of
a
hat,
it
should
be
under
medical
care
and
it
should
be
under
medical
monitoring.
Now
that
is
actually
possible,
because
synthetics
approved
by
the
fda
are
on
the
market.
Any
physician
with
a
license
can
prescribe
it
and
the
studies
have
shown
to
be
them
to
be
equally
effective.
So
in
that
sense,
medical
marijuana
in
the
right
context
is
available
again.
G
I
Thank
you.
I
will
concede
on
the
prescription
part.
I
was
wrong
on
that.
The
doctor
is
involved,
but
I'll
also
say
this,
dr
kumar
and
my
own
doctor,
but
until
you
both
have
my
condition,
I
really
don't
consider
your
scientific
evidence
when
I
live
it
every
day.
Thank
you.
J
For
the
comments
or
questions
we're
going
to
be
voting
on
putting
the
amendment
on
the
bill,
all
those
in
favor
say
aye
any
opposition
we're
back
on
the
bill
as
amended.
We
have
questions
or
comments
on
the
bill
chairman.
D
Chairman,
I
wear
that
I
wear
that
title
with
pride.
Thank
you.
Thank
you,
chairman,
the
and,
and
really
this
I'm
not
I'm
not
wanting
to
engage
anybody
in
debate,
but
I
just
want
to
share
my
feelings
on
this
and
I
say
thank
you,
dr
terry.
D
If
you've
had
a
friend,
that's
died
of
cancer
that
has
been
trying
to
stay
conscious
to
spend
their
last
days
with
their
family
so
that
they
won't
be
stricken
by
opioid
by
being
knocked
out
by
opioids
that
want
just
a
chance
to
be
with
their
family,
and
today's
science
and
and
practices
would
not
allow
that.
Then
you
can
understand
why
people
would
support
this
bill
and
that's
why
I'm
supporting
it
and
again
I
don't
require
a
debate.
I
don't
require
response,
that's
just
where
I
am
on
this
bill.
Thank
you.
A
So
item
that
is
item
1088,
so
bear
with
me
just
for
one
second,
here.
A
Okay,
so
this
sponsor,
is
it
your
intention
for
us
to
send
this
to
the
clerk's
desk.
A
A
I
will
tell
you
I.
I
truly
appreciate
everybody
on
this
committee.
This
has
been
of
the
years
that
we've
been
up
here.
This
has
been
one
of
the
most
thought
provoking
debates
that
we
have
had
several
debates.
We've
had
on
multiple
different
issues.
A
I
thank
you
guys
for
that.
Thank
you
for
your
hard
work.
I
think
we've
done
some
significant
work
this
year
and
appreciate
you
guys
working
with
me
and
is
there
any
further
business
speaker
march,
join
us.