Kentucky
General Assembly

03/04/14	introduced in House
03/05/14	to Health & Welfare (H)
03/06/14	posted in committee
03/13/14	reported favorably, 1st reading, to Calendar with Committee Substitute
03/14/14	2nd reading, to Rules taken from Rules placed in the Orders of the Day
03/17/14	floor amendment (1) filed to Committee Substitute
03/19/14	3rd reading, passed 95-3 with Committee Substitute, floor amendment (1)
03/20/14	received in Senate
03/24/14	to Appropriations & Revenue (S)
03/25/14	reassigned to Health & Welfare (S) taken from Health & Welfare (S) 1st reading returned to Health & Welfare (S)
03/26/14	reported favorably, 2nd reading, to Rules with committee amendments (1-title) and (2) as a Consent Bill
03/27/14	posted for passage in the Consent Orders of the Day for Thursday, March 27, 2014 committee amendments (1-title) and (2) withdrawn 3rd reading, passed 38-0
03/28/14	received in House enrolled, signed by Speaker of the House
03/31/14	enrolled, signed by President of the Senate delivered to Governor
04/11/14	signed by Governor (Acts, ch. 124)

Amendment	House Committee Substitute 1
Summary	Retain provisions of the bill except amend to make permissive the list of services that community mental health centers provide, instead of mandatory; require that community mental health centers are Medicaid-reimbursable if they meet federal requirements and at the same rates set for primary care providers rather than primary care centers.
Index Headings	Fiscal Note - Cabinet for Health and Family Services, administrative regulations Disabilities and the Disabled - Primary care, coverage at community mental health centers Health and Medical Services - Primary care, coverage at community mental health centers Mental Disability - Primary care, coverage at community mental health centers Mental Health - Primary care, coverage at community mental health centers Nurses - Advanced practice registered nurses, primary care provision at community mental health centers Occupations and Professions - Advanced practice registered nurses, primary care provision at community mental health centers Occupations and Professions - Physician assistants, primary care provision at community mental health centers Occupations and Professions - Physicians, primary care provision at community mental health centers Physicians and Practitioners - Physician assistants, primary care provision at community mental health centers Physicians and Practitioners - Physicians, primary care provision at community mental health centers Public Medical Assistance - Primary care, Medicaid coverage at community mental health centers Substance Abuse - Primary care, coverage at community mental health centers Medicaid - Primary care, coverage at community mental health centers Administrative Regulations and Proceedings - Cabinet for Health and Family Services, administrative regulations

Amendment	House Floor Amendment 1
Sponsor	M. Marzian
Summary	Retain provisions of the house committee substitute, except amend to make mandatory the list of services that community mental health centers provide, excluding primary care services which remain permissive; delete the requirement that the provider must be Medicaid-participating; make technical corrections.
Index Headings	Fiscal Note - Cabinet for Health and Family Services, administrative regulations Disabilities and the Disabled - Primary care, coverage at community mental health centers Health and Medical Services - Primary care, coverage at community mental health centers Mental Disability - Primary care, coverage at community mental health centers Mental Health - Primary care, coverage at community mental health centers Nurses - Advanced practice registered nurses, primary care provision at community mental health centers Occupations and Professions - Advanced practice registered nurses, primary care provision at community mental health centers Occupations and Professions - Physician assistants, primary care provision at community mental health centers Occupations and Professions - Physicians, primary care provision at community mental health centers Physicians and Practitioners - Physician assistants, primary care provision at community mental health centers Physicians and Practitioners - Physicians, primary care provision at community mental health centers Public Medical Assistance - Primary care, Medicaid coverage at community mental health centers Substance Abuse - Primary care, coverage at community mental health centers Medicaid - Primary care, coverage at community mental health centers Administrative Regulations and Proceedings - Cabinet for Health and Family Services, administrative regulations

Amendment	Senate Committee Amendment 1
Sponsor	J. Denton
Summary	Make title amendment.
Index Headings	Fiscal Note - Cabinet for Health and Family Services, administrative regulations Disabilities and the Disabled - Primary care, coverage at community mental health centers Health and Medical Services - Primary care, coverage at community mental health centers Mental Disability - Primary care, coverage at community mental health centers Mental Health - Primary care, coverage at community mental health centers Nurses - Advanced practice registered nurses, primary care provision at community mental health centers Occupations and Professions - Advanced practice registered nurses, primary care provision at community mental health centers Occupations and Professions - Physician assistants, primary care provision at community mental health centers Occupations and Professions - Physicians, primary care provision at community mental health centers Physicians and Practitioners - Physician assistants, primary care provision at community mental health centers Physicians and Practitioners - Physicians, primary care provision at community mental health centers Public Medical Assistance - Primary care, Medicaid coverage at community mental health centers Substance Abuse - Primary care, coverage at community mental health centers Medicaid - Primary care, coverage at community mental health centers Administrative Regulations and Proceedings - Cabinet for Health and Family Services, administrative regulations

Amendment	Senate Committee Amendment 2
Sponsor	J. Denton
Summary	Create new sections of KRS 309.080 to 309.089 to establish the requirements for an applicant for registration as an alcohol and drug peer support specialist; mandate that an alcohol and drug peer support specialist complete 500 hours of board-approved experience with 25 hours under the direct supervision of a certified or licensed clinical alcohol and drug counselor with at least two years of post-certification or post-licensure experience; require an alcohol and drug peer support specialist to pass an examination approved by the board; mandate completion of three hours of domestic violence training, specify other hours of training required, and obligate applicant to live or work at least a majority of the time in Kentucky; mandate that a registered alcohol and drug peer support specialist comply with the requirements for the training program in suicide assessment, treatment, and management; establish requirements for an applicant for licensure as a licensed clinical alcohol and drug counselor with a 60 hour master's degree, or a doctoral degree, including completion of 2,000 hours of board-approved experience, 300 hours of which is under direct supervision of a licensed clinical alcohol and drug counselor; require a licensed clinical alcohol and drug counselor to pass a written examination approved by the International Certification Reciprocity Consortium on Alcoholism and Drug Abuse; include requirement for three hours of domestic violence training and for an applicant to live or work at least a majority of the time in Kentucky; mandate that a licensed clinical alcohol and drug counselor comply with the requirements for the training program in suicide assessment, treatment, and management; direct the board to promulgate administrative regulations to define the registration process for applicants and for supervisors of record; establish supervision required for a practicing registered alcohol and drug peer support specialist; change the requirements for registration as an alcohol and drug peer support specialist to include 16 hours of ethics training, instead of 6; amend KRS 309.084 to specify that the exempted requirement for an individual already certified is the 60 hour master's degree; establish reciprocity; set up revolving fund; amend KRS 309.080 to define "licensed clinical alcohol and drug counselor," "licensee," "practice of alcohol and drug counseling," "registered alcohol and drug peer support specialist," and "registrant"; amend KRS 309.0813 to conform and to delete the requirement for the board to establish an examination committee to administer and evaluate the case method presentation and oral examination; add the requirement for the board to collect and deposit all fees, fines, and other moneys owed to the board into the State Treasury to the credit of a revolving fund; amend KRS 309.083 to change the requirements of supervision for a certified alcohol and drug counselor applicant, permitting supervision from a certified alcohol and drug counselor or licensed clinical alcohol and drug counselor with at least two years of post-certification or post-licensure experience; delete the requirement for a certified alcohol and drug counselor to pass an oral examination approved by the board; mandate three hours of domestic violence training for a certified alcohol and drug counselor; require a certified alcohol and drug counselor applicant to live or work at least a majority of the time in Kentucky; mandate that a certified alcohol and drug counselor comply with the requirements for the training program in suicide assessment, treatment, and management; amend KRS 309.084 to grant, upon application within 90 days from the effective date of this bill; licensure as a licensed clinical alcohol and drug counselor for a certified alcohol and drug counselor with a master's degree or a doctoral degree meeting all requirements for the clinical designation except for the 60-hour requirement for the master's degree and the examination; amend KRS 194A.540, 210.366, 222.005, 309.0805, 309.081, 309.085, 309.086, 309.087, and 309.089 to conform; amend KRS 210.410 to add primary care services to the list of services that community mental health centers are required to provide, but allow primary care services to be provided on a permissive basis; create a new section of KRS Chapter 205 to require that primary care services provided by physicians, advanced practice registered nurses, and physician assistants in community mental health centers are reimbursable at the same rates set for primary care centers; require the cabinet to promulgate administrative regulations; define terms.
Index Headings	Fiscal Note - Cabinet for Health and Family Services, administrative regulations Disabilities and the Disabled - Primary care, coverage at community mental health centers Health and Medical Services - Primary care, coverage at community mental health centers Mental Disability - Primary care, coverage at community mental health centers Mental Health - Primary care, coverage at community mental health centers Nurses - Advanced practice registered nurses, primary care provision at community mental health centers Occupations and Professions - Advanced practice registered nurses, primary care provision at community mental health centers Occupations and Professions - Physician assistants, primary care provision at community mental health centers Occupations and Professions - Physicians, primary care provision at community mental health centers Physicians and Practitioners - Physician assistants, primary care provision at community mental health centers Physicians and Practitioners - Physicians, primary care provision at community mental health centers Public Medical Assistance - Primary care, Medicaid coverage at community mental health centers Substance Abuse - Primary care, coverage at community mental health centers Medicaid - Primary care, coverage at community mental health centers Administrative Regulations and Proceedings - Cabinet for Health and Family Services, administrative regulations