Call to Order and Roll Call
The May meeting of the Administrative Regulation Review Subcommittee was held on Thursday, May 11, 2017, at 1:00 PM, in Room 149 of the Capitol Annex. Senator Ernie Harris, Chair, called the meeting to order, and the secretary called the roll.
Present were:
Members: Senator Ernie Harris, Co-Chair; Representative Ken Upchurch, Co-Chair; Senators Perry B. Clark, and Alice Forgy Kerr; Representatives Mary Lou Marzian, Jason Petrie, and Tommy Turner.
Guests: Ben Boggs, Lisa Lang, Education Professional Standards Board; Nathan Goldman, Board of Nursing; Gabe Jenkins, Kyle Sams, David Wicker, Department of Fish and Wildlife Resources; Oran McFarlan, Department of Corrections; Ann Dangelo, Rick Taylor, Transportation Cabinet; Chandra Venettozzi, DJ Wasson, Office of Health Benefit Exchange; Laura Begin, Margaret Jones, Hollie Sands, Department for Public Health; Brit Anderson MD, Sheena Burch, Michelle Cardwell, Erika Calihan, Bethany Clark, Jennifer Evely, Ashley Kennedy, Tracy Kielman, Michelle Malicote, Kara Meredith, Sally OBoyle, Mary Delodder, Pat Purcell MD, Jonathan Sayat MD, Patty Swiney MD, Sue Violette, Jamie Bloyd, Pediatric Cancer Research Trust Fund, Jill Hunter, Donna Little, Steve Miller, Department for Medicaid Services.
LRC Staff: Sarah Amburgey, Emily Caudill, Betsy Cupp, Ange Darnell, Emily Harkenrider, Karen Howard, and Carrie Klaber.
The Administrative Regulation Review Subcommittee met on Thursday, May 11, 2017, and submits this report:
Administrative Regulations Reviewed by the Subcommittee:
EDUCATION AND WORKFORCE DEVELOPMENT CABINET: Education Professional Standards Board: As-assessment
16 KAR 6:020. Assessment requirements for occupation-based career and technical education teachers. Lisa Lang, general counsel, and Benn Boggs, director of educator preparation assessment internship, represented the board.
GENERAL GOVERNMENT CABINET: Board of Nursing
201 KAR 20:056. Advanced practice registered nurse license and certification requirements. Nathan Goldman, general counsel, represented the board.
A motion was made and seconded to approve the following amendments: (1) to amend the RELATES TO; STATUTORY AUTHORITY; and NECESSITY, FUNCTION, AND CONFORMITY paragraphs to correct citations; and (2) to amend Sections 1, 6, and 7 to comply with the drafting requirements of KRS Chapter 13A. Without objection, and with agreement of the agency, the amendments were approved.
201 KAR 20:057. Scope and standards of practice of advanced practice registered nurses.
TOURISM, ARTS, AND HERITAGE CABINET: Department of Fish and Wildlife Resources: Game
301 KAR 2:075. Wildlife rehabilitation permit. Gabe Jenkins, deer and elk coordinator, and David Wicker, general counsel, represented the department.
In response to questions by Co-Chair Harris, Mr. Jenkins stated that captive cervids subject to rehabilitation were required to be released after 180 days. Kentucky had not had a case of chronic wasting disease.
A motion was made and seconded to approve the following amendments: (1) to amend the RELATES TO paragraph to add citations; and (2) to amend Sections 2 through 5 to comply with the drafting requirements of KRS Chapter 13A. Without objection, and with agreement of the agency, the amendments were approved.
301 KAR 2:083. Holding and intrastate transportation of captive cervids.
301 KAR 2:178. Deer hunting on Wildlife Management Areas, state parks, other public lands and federally controlled areas.
A motion was made and seconded to approve the following amendments: (1) to amend Section 6 to make a technical formatting correction; and (2) to amend Section 7 to remove Perryville Battlefield State Historic Site from the list of state deer hunting opportunities in November. Without objection, and with agreement of the agency, the amendments were approved.
JUSTICE AND PUBLIC SAFETY CABINET: Department of Corrections: Office of the Secretary
501 KAR 6:040. Kentucky State Penitentiary. Oran McFarlan, staff attorney, represented the department.
In response to questions by Co-Chair Harris, Mr. McFarlan stated that this administrative regulation represented the annual amendment to the Kentucky State Penitentiary policies. Requirements among the different institutions were generally consistent; however, there were institution-specific requirements due to differences in the populations and facilities.
A motion was made and seconded to approve the following amendments: to amend Section 1 and the material incorporated by reference: (1) to comply with the drafting requirements of KRS Chapter 13A; and (2) for consistency with other departmental policies. Without objection, and with agreement of the agency, the amendments were approved.
TRANSPORTATION CABINET: Department of Vehicle Regulation: Motor Carriers
601 KAR 1:018. Special overweight or overdimensional motor vehicle load permits. Ann D’Angelo, assistant general counsel, and Rick Taylor, deputy commissioner, represented the department.
In response to questions by Co-Chair Harris, Mr. Taylor stated that the fee related to the overweight or overdimensional vehicles transporting aluminum was established, not in this administrative regulation, but in the statute. The department needed to follow up this amendment with another amendment in the future to address HB 184 2017 GA changes to the overweight or overdimensional vehicles transporting metal commodities. This administrative regulation included an amendment to address HB 265 2017 GA, which revised the definition for “nondivisible.” This administrative regulation also established provisions for self-propelled specialized mobile equipment, such as self-propelled cranes.
A motion was made and seconded to approve the following amendments: to amend Sections 2, 5, 6, 8, and 15 through 18 to comply with the drafting and formatting requirements of KRS Chapter 13A. Without objection, and with agreement of the agency, the amendments were approved.
CABINET FOR HEALTH AND FAMILY SERVICES: Office of the Kentucky Health Benefit and Information Exchange: Kentucky Health Benefit Exchange
900 KAR 10:041. Repeal of 900 KAR 10:040 and 900 KAR 10:050. Chandra Venettozzi, health data administrator, and D. J. Wasson, division director, represented the exchange.
Department for Public Health: Division of Epidemiology and Health Planning: Communicable Diseases
902 KAR 2:060. Immunization schedules for attending child day care centers, certified family child care homes, other licensed facilities which care for children, preschool programs, and public and private primary and secondary schools. Laura Begin, regulation coordinator; Margaret Jones, nurse service administrator; and Hollie Sands, MPG, epidemiologist, represented the department. Brit Anderson, MD, pediatrician; Tracy Kiel-man, director, Kentucky Immunization Coalition; Stephanie Lyndsey, CEO, Signature Healthcare of North Hardin; Michelle Malicote, registered nurse, Madison County School District; Kara Meredith, CEO, Signature Healthcare of North Hardin; Pat Purcell, MD, American Academy of Pediatrics: Kentucky Chapter; Jonathan Sayat, MD, pediatrician; and Patty Swiney, MD, Kentucky Academy of Family Physicians, appeared in support of this administrative regulation. Sheena Burch, citizen; Michelle Cardwell, parent; Erika Calihan, parent; Beth-any Clark, parent; Mary Delodder, parent; Jennifer Evely, parent; Ashley Kennedy, Kentucky Vaccine Rights Coalition; and Sally O’Boyle, parent, appeared in opposition to this administrative regulation.
In response to a question by Co-Chair Harris, Ms. Begin stated this administrative regulation established immunization requirements for school and day care entry. The current version of this administrative regulation required a medical provider’s approval for a parent or guardian’s religious exemption to immunization. Less than one (1) percent of Kentucky children had a religious exemption; however, it was a serious issue that needed to be addressed. The department received three (3) main complaints that precipitated the proposed amendments to this administrative regulation. The complaints included requiring a medical provider’s approval for what should have been the parent or guardian’s religious decision. The requirement for a medical provider’s approval seemed to exceed KRS 214.036, which required a written, sworn statement of religious objection to immunization. Another complaint regarding the required medical provider’s approval was that a co-pay for an appointment was often required to obtain the medical provider’s consent. A third complaint was that it was difficult to find a medical provider willing to consent to the religious exemption to immunization. As a result of the complaints, the department formed a work group, consisting of individuals from the Kentucky Immunization Program, the Division of Maternal and Child Health, the Kentucky Department of Education, and school nurses. The work group developed amendments to this administrative regulation over a two (2) to three (3) year period to address complaints related to the religious exemption to immunization. After filing the proposed amendments, the department received 141 public comments. In response to those public comments, the department proposed further amendments to this administrative regulation, which among other changes clarified that the Commonwealth of Kentucky Parent or Guardian’s Declination on Religious Grounds to Required Immunizations form may be obtained online, shall be completed in the presence of a notary, and shall be submitted upon enrollment to a school or day care. The revised declination form included a list of each immunization so that a parent or guardian had the option of only declining certain ones and included informed consent (risk of exposure) language about each type of immunization. Confusion regarding the forms was most likely related to the current effective version, versus the proposed version being amended at this Subcommittee meeting. Once the final version became effective, the discrepancies should end, and the form should be easily attainable. The department also received public comments from some physicians who stated that the mandate to use the electronic immunization registry was too burdensome at this time; there-fore, the department further amended this administrative regulation to remove that requirement. There were public comments that it would be difficult to comply with this administrative regulation during the current school year; therefore, the department further amended this administrative regulation to delay the effective date until 2018.
Dr. Purcell stated the American Academy of Pediatrics: Kentucky Chapter strongly supported this administrative regulation. The immunization against meningitis for sixteen (16) year olds was especially important to prepare students for the socialization activities of adolescent high school and college life, such as sports and camping.
In response to questions by Representative Petrie, Ms. Begin stated that the Commonwealth of Kentucky Parent or Guardian’s Declination on Religious Grounds to Required Immunizations form was the form incorporated by reference in this administrative regulation for the purpose of declining immunization. KRS 214.036 required a written, sworn statement of religious objection to immunization. KRS 214.036 did not require that the written, sworn statement include language regarding informed consent. The department opted to include that language after the removal of the requirement for a medical provider’s approval. The rationale was that the informed consent language would replace information that may have otherwise been provided by a medical provider during the approval process. The department agreed to amend this administrative regulation at this Subcommittee meeting to revise the notary language to include after “sworn to,” “or affirmed under oath,” in order to provide for individuals who may be morally opposed to swearing an oath. The department preferred a standardized form in order to relieve the administrative burden of different forms of the sworn or affirmed statement. A parent or guardian with a religious objection to immunization was required to submit this form; however, there wasn’t language in this administrative regulation that explicitly required a school to accept this form, rather than another written, sworn or affirmed statement.
In response to questions by Ms. O’Boyle, Ms. Begin stated that the sworn statement in the presence of a notary included swearing that the selected information on the form was truthful, not merely notarizing for the purpose of affirming identity of the parent or guardian. The department agreed to amend this administrative regulation at this Subcommittee meeting to revise the notary language to include affirmation, as an option in lieu of swearing.
In response to a question by Senator Clark, Co-Chair Harris stated that Subcommittee Staff indicated that the exemption due to religious objection was the only non-medical option for declining immunization be-cause that was the only reason authorized by KRS 214.036. Senator Clark stated that a parent or guardian should be able to decline for any conscientious objection, not only on religious grounds.
Representative Marzian stated that, as a nurse of thirty-eight (38) years, the matter of immunization was extremely important. When the first polio immunization became available, many families rushed to have the immunization to prevent the serious and potentially deadly disease that was polio. Polio had been nearly eradicated; however, polio was now making a comeback because of immunization exemptions. There had been other incidents of outbreaks. For example, California had recently experienced an outbreak of measles due to immunization exemptions. The religious exemption provided a good balance, but the informed con-sent was an important component of the exemption process. It was also important to remember that all drugs included potential side effects, even an aspirin. Immunizations had been carefully researched and verified.
Co-Chair Harris explained the amendment that had been agreed to by the department. In addition to revision to the sworn oath, as already discussed, the amendment also changed the informed consent language for each immunization type. In lieu of “I have been informed that by not receiving this vaccine, my child will be at increased risk . . .,” which may be construed as self-incriminating language, the amended language stated: “I acknowledge that there are increased risks associated if exposed to this disease. Serious symptoms . . .” include . . .
Ms. Calihan stated that, as a mother of three (3) children, it was her responsibility to ensure that her children were cared for in the best way possible. She would not sign the Commonwealth of Kentucky Parent or Guardian’s Declination on Religious Grounds to Required Immunizations form, including with the amendments to the form made at this Subcommittee meeting, because the form violated parents’ freedom of con-science in that it indicted the parent who signed. God, not the state, established rights. The form compelled self-incrimination by requiring a sworn statement as to the risks of disease exposure, without a similar statement regarding the risks of immunization; therefore, the form was unbalanced. The informed consent language included on the form went above and beyond what was required by KRS 214.036. The form should be amended to either remove the informed consent language altogether or counterbalance language regarding the risks of exposure to disease with language regarding the risk of immunization. An example of language pertaining to the risks associated with immunization, might include for example: “I also understand that by vaccinating my child, I am injecting him or her with known toxins, as well as aborted human DNA, and placing him or her at risk for side effects, such as but not limited to, as stated on the vaccine insert: the disease for which he or she is being vaccinated, encephalitis, allergies, asthma, chronic arthritis, anaphylaxis, Guillain-Barre syndrome, death, etc.” While western medicine had made great strides for humanity, our accomplishments had created in us an arrogance. We exempted pharmaceutical companies from lawsuits by children harmed from immunization, which placed an onus on parents to be vigilant regarding immunization. Ms. Calihan asked the Subcommittee not to allow this administrative regulation to trample parents’ God-given rights.
Ms. Delodder stated that she agreed with all of the comments made by Ms. Calihan and had additional concerns regarding the Commonwealth of Kentucky Parent or Guardian’s Declination on Religious Grounds to Required Immunizations form. The current form was available on the Department of Education’s Web site; however, there was also a form on the Cabinet for Health and Family Services Web site. The two (2) forms were very different, and there was confusion among parents, schools, and health departments as to which form to use.
Ms. O’Boyle stated that she agreed with the comments made by Ms. Calihan. KRS 214.036 allowed parents or guardians, based on religious grounds, to decline immunization for children. The statute required only a written, sworn statement, not the informed consent language or even a standardized form. This administrative regulation should not require more than what is required by the authorizing statute. If a form with informed consent was required, it should include language regarding the risks associated with immunization. In response to questions by Ms. O’Boyle, Representative Petrie stated that a notary had at least two (2) possible functions. One (1) function was to verify identity as an official witness. Another function was to administer an oath, which was synonymous with swearing.
Ms. Burch stated that she appreciated the religious exemption to immunization. Informed consent was the cornerstone of healthcare; however, the informed consent language in the form should be more informative and objective and less accusatory and subjective. An example of language pertaining to the risks associated with immunization, might include for example: “I have been informed of the benefits and the serious risks that accompany vaccinations.” To truly constitute informed consent, language should be included regarding the risks associated with declining immunization as well as the risks of immunization. The Commonwealth of Kentucky Parent or Guardian’s Declination on Religious Grounds to Required Immunizations form should be easily available, and the correct version of the form should be evident to avoid the confusion that has occurred over availability and different versions.
Ms. Clark stated that she could not legally or morally sign the Commonwealth of Kentucky Parent or Guardian’s Declination on Religious Grounds to Required Immunizations form, including with the amendments to the form made at this Subcommittee meeting. She was authorized a religious exemption by KRS 214.036; however, this administrative regulation then coerced an agreement to language to which she could not agree.
Ms. Evely stated that she agreed with the comments that had been made by other parents at this Sub-committee meeting. One (1) of her daughters was in the process of overcoming an injury from pediatric immunization, and another daughter was battling leukemia. The informed consent language in the declination form was incriminatory to the parent or guardian and did not include the risks of immunization, which were many. Because of her daughter’s leukemia, it was dangerous for either child to receive immunizations of live viruses, and the family opposed immunization on religious grounds.
Ms. Malicote stated that there was a pertussis outbreak in Estill County, which had resulted in several cases in neighboring Madison County. This administrative regulation established the mandatory immunization schedule for school and day care attendance and allowed for religious exemption from immunization. Kentucky was finally following the Centers for Disease Control recommendations for a second meningococcal immunization for sixteen (16) year olds and a hepatitis A immunization. This administrative regulation also established that eventually all providers shall use the Kentucky Immunization Registry. The registry has been an important resource to verify that all students have been immunized. The registry was an important tool for ensuring immunization coverage by consolidating immunization information from multiple providers. Immunization coverage was necessary for protecting children from illness and for healthy communities.
Ms. Cardwell stated that after one (1) of her three (3) children was acutely injured by immunization, she educated herself regarding the related issues. The essential issue was a matter of science. There were numerous peer-reviewed medical journals that raised concerns regarding immunization schedules. In an advanced pharmacology class, Ms. Cardwell learned that each patient should have a medical review to determine appropriate medical decisions and prescriptions. The pharmaceutical industry was exempt from lawsuits regarding immunization. The only other industry with these sorts of exemptions was nuclear waste disposal. Some immunizations contained aborted diploid fetal cells; strains of viruses from monkey renal cells; formaldehyde; polysorbate 80, which crosses the blood – brain barrier and loosens tight junctions allowing viruses to enter; and retroviruses, the long-term effects of which were essentially unknown. After learning of some immunization components, Ms. Cardwell became opposed to some immunizations based on scientific, safety, and religious concerns. Immunizations have been a benefit to humanity, but a one (1) size-fits-all approach did not take into account individual medical situations. The large number of immunizations risked the effectiveness of the immunization system as a whole. The United States was a democracy, not a paternalistic control state. It was important to ensure that democracy through religious rights and the right to bodily integrity in the healthcare system.
Representative Petrie stated that, outside of the argument of whether immunization was beneficial or not, the relevant statues, among other provisions, established that a provider shall not be required to immunize a child if the parent or guardian has a religious objection. KRS 214.036 required only a written, sworn statement of religious objection to immunization. Informed consent was not a component of the authorizing statutes; therefore, this administrative regulation exceeded its statutory authority. A motion was made by Representative Petrie to find this administrative regulation deficient. There being no second to the motion, the motion to find this administrative regulation deficient failed.
Co-Chair Harris stated that Kentucky should be proud to have recognized a religious exemption from immunization. The same principal of parental decision making applied in the case of religious exemption from immunization as it applied to other issues, such as home schooling. This administrative regulation would move on to the second committee, which would most likely be the Interim Joint Committee on Health and Welfare.
A motion was made and seconded to approve the following amendments: (1) to amend Section 8 to up-date the edition date for the Commonwealth of Kentucky Parent or Guardian’s Declination on Religious Grounds to Required Immunizations form; and (2) to amend the form to: (a) revise the notary language to include after “sworn to,” “or affirmed under oath;” and (b) for each immunization type, in lieu of “I have been in-formed that by not receiving this vaccine, my child will be at increased risk . . .,” insert “I acknowledge that there are increased risks associated if exposed to this disease. Serious symptoms . . .” Without objection, and with agreement of the agency, the amendments were approved.
Division of Prevention and Quality Improvement: Programs for the Underserved
902 KAR 21:030. Pediatric Cancer Research and Treatment Grant Program. Laura Begin, regulation coordinator, and Jamie Bloyd, president, Kentucky Pediatric Cancer Research Trust Fund, represented the division.
In response to a question by Co-Chair Harris, Ms. Bloyd stated that this administrative regulation was the result of efforts that began in the fall of 2014. This administrative regulation was of personal importance to Senator Wise and Ms. Bloyd because both were the parents of sons who survived neuroblastoma. This administrative regulation established the application process for determining fund allocations. The fund raised $13,000 in the first year, which was a small start but the fund had significant plans for the future. It was important in funding the research and treatment of pediatric cancer to establish criteria to ensure purposeful al-location of resources. The fund’s criteria was aligned with the State Cancer Action Plan. In Kentucky, approximately 200 children each year were diagnosed with pediatric cancer. Most were male and averaged approximately six (6) years of age at diagnosis. Kentucky had a nationally high incidence of pediatric cancers, especially central nervous system tumors and retinoblastoma. One (1) goal of the fund was to research why Kentucky had such a high incidence of these pediatric cancers. Another goal was to get access for children diagnosed with pediatric cancer to treatment at Children’s Oncology Group Hospital because pediatric cancer patients treated in pediatric hospitals tended to have better outcomes than those treated in hospitals that were not specifically equipped to treat children. Governor Bevin, Kentucky’s First Lady, Senator Wise, and many others were involved in the important efforts of the fund. The objective of the fund was pediatric cancer re-search and treatment that would be innovative and effective.
A motion was made and seconded to approve the following amendments: to amend the NECESSITY, FUNCTION, AND CONFORMITY paragraph and Sections 3 through 5 to comply with the drafting and format-ting requirements of KRS Chapter 13A. Without objection, and with agreement of the agency, the amendments were approved.
Department for Medicaid Services: Division of Policy and Operations: Medicaid Services
907 KAR 1:065. Payments for price-based nursing facility services. Jill Hunter, deputy commissioner; Donna Little, regulatory compliance senior policy advisor; and Steve Miller, commissioner, represented the department.
A motion was made and seconded to approve the following amendments: (1) to amend Sections 1, 4, 6, 7, 8, and 11 to comply with the drafting requirements of KRS Chapter 13A; and (2) to amend Section 5 to establish that a change in designation from: (a) rural to urban shall take effect on July 1, 2017; and (b) urban to rural shall not take effect until July 1, 2018. Without objection, and with agreement of the agency, the amendments were approved.
The following administrative regulations were deferred or removed from the May 11, 2017, Subcommittee agenda:
GENERAL GOVERNMENT CABINET: Board of Pharmacy
201 KAR 2:074. Pharmacy services in hospitals or other organized health care facilities.
Office of Occupations and Professions: Board of Psychology
201 KAR 26:125. Health service provider designation.
201 KAR 26:130. Grievance.
201 KAR 26:140. Procedures for disciplinary hearings.
201 KAR 26:145. Code of conduct.
201 KAR 26:155. Licensed psychologist: application procedures and temporary license.
201 KAR 26:160. Fee schedule.
201 KAR 26:165. Inactive status.
201 KAR 26:171. Requirements for supervision.
201 KAR 26:175. Continuing education.
201 KAR 26:180. Requirements for granting licensure as a psychologist by reciprocity.
201 KAR 26:185. Requirements for granting licensure as a psychologist to an applicant licensed in another state.
201 KAR 26:190. Requirements for supervised professional experience.
201 KAR 26:200. Education requirements for licensure as a psychologist.
201 KAR 26:210. Educational requirements for licensure as a licensed psychological associate.
201 KAR 26:215. Nonresident status.
201 KAR 26:225. Renewal and reinstatement.
201 KAR 26:250. Employment of a psychological associate.
201 KAR 26:280. Licensed psychological associate: application procedures and temporary license.
201 KAR 26:290. Licensed psychological practitioner: application procedures.
Board for Licensing for Marriage and Family Therapists
201 KAR 32:050. Code of ethics.
201 KAR 32:060. Continuing education requirements.
Board of Interpreters for the Deaf and Hard of Hearing
201 KAR 39:001. Definitions for 201 KAR Chapter 39.
201 KAR 39:030. Application; qualifications for licensure; and certification levels.
201 KAR 39:050. Renewal of licenses, extension of temporary licenses and reinstatement.
201 KAR 39:070. Application and qualifications for temporary licensure.
Board of Medical Imaging and Radiation Therapy
201 KAR 46:040. Medical imaging technologist, advanced imaging professional, radiographer, nuclear medicine technologist, and radiation therapist licenses.
201 KAR 46:060. Continuing education requirements.
201 KAR 46:070. Violations and enforcement.
201 KAR 46:090. Complaint process and administrative hearings.
ENERGY AND ENVIRONMENT CABINET: Office of the Secretary: Administration
400 KAR 1:001. Definitions for 400 KAR Chapter 1.
400 KAR 1:031. Repeal of 400 KAR 1:030.
400 KAR 1:090. Administrative hearings practice provisions.
400 KAR 1:100. General administrative hearing practice provisions relating to matters brought under KRS Chapters 146, 149, 151, 223, and 224.
Department of Environmental Protection: Division of Air Quality: Environmental Protection
401 KAR 100:011. Repeal of 100:010.
Department of Natural Resources: Division of Mine Reclamation and Enforcement: Surface Effects of Noncoal Mining
405 KAR 5:095. Administrative hearings, informal settlement conferences, and general practice provisions relating to a mineral operation.
General Provisions
405 KAR 7:092. Administrative hearings and assessment conferences relating to matters brought under KRS Chapter 350 relating to surface coal mining and reclamation operations, and coal exploration operations.
405 KAR 7:093. Repeal of 405 KAR 7:091.
EDUCATION AND WORKFORCE DEVELOPMENT CABINET: Department of Workplace Development: Office of Employment and Training: Unemployment Insurance
787 KAR 1:070. Reasonable time for protesting claim.
The Subcommittee adjourned at 2:30 p.m. until June 13, 2017, at 1 p.m.