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Louisa-Lawrence Co, KY

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'Medical cannabis is about quality of life for patients, it’s not about having fun or having a party,' spokesman says

Eric Crawford could not stand to show support Friday at a rally for the legalization of medical marijuana, saying he is bound to a wheelchair because of a medical condition of his spine.

Crawford said he suffers from a spinal disease, an eye condition so bad that doctors predict he will become blind in three years and his kidneys do not function properly. Crawford has tried different medications prescribed to him by doctors, but he says that none of them work.

“The only thing that works is medical cannabis,” Crawford said.

Eric Crawford shares his story to supporters at the rally for legalization of medical marijuana in the Capitol Rotunda Friday. Photo:  Amber Booth/The State JournalHis story is one many in support of legalizing medical cannabis have rallied around.

Kentucky is one of many states that has not yet legalized the use of medical cannabis.

State Senator John Schickel (R—Union) hosted a hearing Friday morning before his Licensing and Occupations committee to discuss changing that.

Prior to the hearing, supporters gathered at 9 a.m. in the Capitol Rotunda to make their voices heard.

Among some of the supporters who rallied together Friday morning was Senator Perry Clark (D—Louisville), the Kentucky Nurses Association (KNA), Kentuckians for Medicinal Marijuana (KY4MM), Marijuana Policy Project (MPP) and the Drug Policy Alliance (DPA).

Supporters said they want Kentucky to move forward with medical cannabis legalization like many other states already have done. They said they are tired of waiting and watching people suffer with no other alternative to deal with their sickness and pain that they may be dealing with. They want their side to be heard.

Executive Director of KY4MM Jaime Montalvo spoke at the rally on Friday explaining their position on the legalization of medical marijuana.

“Medical cannabis is about quality of life for patients. It’s not about having fun or having a party,” Montalvo said.

As he held a bag of prescription pill bottles in his arms he explained that if Kentucky were to legalize medical cannabis then people would not have to be on multiple prescription pills a day.

“There have been studies that have shown the use of cannabis reduce in pharmaceutical use, and beyond the pharmaceutical use is has helped them reduce their opioid use. In states with medical cannabis they have reduced almost 25 percent of the overdoses across those states. So that’s what we are here for, we are here for the quality of life and not a party,” Montalvo added.

Clark also showed his support with a statement at the rally on Friday.

“We know the time has come, we know our patients are in need, and we know the time is now,” Clark said.

Executive Director of KNA Maureen Keenan was also in attendance to show the support of the KNA.

“The KNA represents registered nurses of all variety across the state, and we are committed to the protection and the safety and healthy benefits for the patients across the state,” Keenan said. “For us the issue of medical cannabis is not a issue that is a social issue or a moral issue in the way that most think that it is. For us it is a moral issue because of refusing to recognize the benefits of the necessity of medical cannabis.”

Tim Simpson, a supporter at the rally, said he supports the effort of legalizing medical cannabis to give others alternate treatment options.

“I am tired of seeing people die of cancer because they cannot experiment with no other alternative,” said Simpson.

By Amber Booth
The State Journal


“Quit Now Kentucky is currently offering eight (8) weeks of free Nicotine Replacement Therapy (NRT) to ALL callers who enroll in coaching between June 20, 2016 and August 15, 2016. This offer is coinciding with an increased amount of Public Service Announcements from the CDC's "TIPS From Former Smokers" public awareness campaign.

To enroll, Kentucky residents may call 1-800-Quit Now (1-800-784-8669). The quitline offers services in both English and Spanish from 7:00 A.M. – 1:00 A.M. EST Monday through Sunday.”

Medicaid hearings in Bowling Green and Frankfort elicit nearly incessant criticism; third and final hearing in Hazard next Wed.

Supporters of the current Medicaid expansion sat on the front row of a packed hearing room in Frankfort.

By Al Cross
Kentucky Health News

Supporters were few and far between at the first two public hearings on Gov. Matt Bevin's plan for changes in the Medicaid program.

In Bowling Green on Tuesday and in Frankfort on Wednesday, critics of the plan said it would put too many obstacles between the poor and health care. A third and final hearing will be held in Hazard next Wednesday.

"What you're proposing to do here is more cumbersome than average folks find the insurance process now," said A.J. Jones of Louisville, identifying himself as a former Medicaid enrollee now on private insurance. He said in Frankfort that fiscal responsibility, a stated reason for the plan, is "important, but not when you're talking about people's health."

The plan would require enrollees to pay premiums of $1 to $15 a month, based on income. It would also require able-bodied adults without jobs to take job training or counseling, or do community service for nonprofit organizations.

Miranda Brown of Lexington, who helps the poor navigate the health-insurance system, said a homeless person she helped get on Medicaid told her that she would probably drop out of the program if she had to pay premiums.

Bevin and other Republicans say Medicaid enrollees need to have "skin in the game," but Harriet Seiler of Louisville said, "It's a concept that will scrape a pound of flesh from Kentuckians. . . . The sick, the poor and the unemployed are not naughty children who need to be incentivized, scolded or humiliated."

K.J. Owens of Louisville won applause from the overflow crowd in Frankfort when he said the plan "seems motivated by the concern that poor people are defective morally . . . that poor people just aren't trying hard enough. The people on Medicaid are in no more need of moral guidance than the governor and the people on the governor's staff."

Emotions peaked when Molly Shaw of Louisvile-based Parents for Social Justice predicted, "More people will be sick and more people will die. This waiver will kill people."

The plan is a request to the federal government for a waiver of normal Medicaid rules. Asked afterward to reply to Shaw's comment, Health Secretary Vickie Glisson said, "We're trying to maintain the expansion."

Bevin has said if federal officials don't approve his plan, he would end the expansion of Medicaid under federal health reform by his predecessor, Democrat Steve Beshear, that added to the rolls more than 400,000 Kentuckians earning up to 138 percent of the federal poverty level.

Emily Parento, who was Beshear's chief health-policy adviser, predicted that federal officials would not approve the work-oriented requirements or the plan's increase in premiums for enrollees between 100 and 138 percent of the poverty line. "This amounts to a penalty for poverty," she said, adding that the plan has "minimal detail" on the projected cost savings, other than reduced enrollment.

The only unequivocal endorsements of the whole plan, other than written statements from Republican legislators, came from the Kentucky Hospital Association and the state's largest hospital system, Baptist Health. KHA official Nancy Galvagni said the plan improves on those in other states "by using more carrots than sticks" to influence enrollees' behavior, and "does inject some personal responsibility into the system."

In Bowling Green, Diane Amos said her elderly mother couldn't afford premiums. (Daily News photo by Miranda Pederson)In Bowling Green, "A few speakers expressed support for smoking cessation programs or a pilot substance abuse treatment plan included in the proposal. But most of the about 20 people who spoke appeared passionately opposed to the changes, with comments that prompted frequent applause from the about 60 people at the hearing," reports Deborah Yetter of The Courier-Journal.

"Cara Stewart, a legal-aid lawyer who represents people on Medicaid, said Bevin’s application for a waiver conflicts with the federal government’s requirements for waivers," Yetter reports. "The goal generally, she said, is to enhance or expand coverage." Stewart said, “I don’t see anywhere in here where we’re increasing coverage I only see cuts in service and taking away access to care.”

The Frankfort hearing was part of a meeting of the state advisory council for Medicaid, chaired by nurse practitioner Elizabeth Partin of Columbia. She was among the speakers who questioned the removal of annual vision and dental exams from regular Medicaid coverage. "That's how you catch problems before they become huge problems," she said. Given the small cost, "It's not gonna break the bank either way, and it may help improve people's health."

The issue was also big in Bowling Green. “We’re No. 1 in toothlessness; so we’re not going to provide dental care for those who need it the most?” asked Chris Keyser, executive director of Fairview Community Health Center.

Franklin optometrist Steve Compton said optometrists often are the first to identify other health problems, such as high blood pressure or diabetes, during a routine eye exam. In Frankfort, Richmond optometrist Matt Burchett said optometrists discovered 15 percent of diabetics insured by United Health.

Under the plan, enrollees could earn coverage for vision and dental exams, as well as non-prescription drugs and gym-membership subsidies, by enrolling in job training, volunteer work or health-related classes.

Speakers at both hearings questioned the proposed six-month suspension of enrollment for failure to pay premiums. "It seems rather harsh," said council member Barry Whaley of Louisville, executive director of Community Employment Inc.

Bevin's deputy chief of staff, Adam Meier, noted that suspended enrollees could re-enroll sooner by paying premiums and taking a health-literacy or financial-literacy course. "We want to mirror commercial insurance coverage," he said, "to teach people how to be engaged in their health insurance plan."

Kentucky Health News is an independent news service of the Institute for Rural Journalism and Community Issues, based in the School of Journalism and Media at the University of Kentucky, with support from the Foundation for a Healthy Kentucky. 

The Kentucky Department for Public Health (DPH) is challenging communities and organizations to join Step It Up, Kentucky!. This statewide campaign aims to improve the health of all Kentuckians by building the demand for walkable communities, making walking a priority.

Public health recommends getting 30 minutes of physical activity five days a week to improve health, which can easily be achieved by walking. People are more likely to make the decision to walk when they have places, programs and policies that provide opportunities and encouragement.



“Getting people to move more starts with improving the places we live, learn, work and play,” said Elaine Russell, coordinator for the Obesity Prevention Program. “Communities can be built for people to be active in their everyday life. By providing safe, attractive and convenient places to walk, anybody can incorporate exercise into their daily routine.”

Recently, the U.S. Surgeon General launched Step It Up! A Call to Action to Promote Walking and Walkable Communities, which calls on Americans to increase walking by designing communities that encourage physical activity in order to address rising rates of chronic disease. Step It Up, Kentucky! demonstrates a state-level commitment to the Surgeon General’s call to action.

Step It Up! has already received numerous endorsements from businesses, organizations, individuals and state leaders, including Gov. Matt Bevin, who issued an official proclamation in support of Step It Up!

There are many things communities can do to support Step It Up, Kentucky!, including participating in walking programs, working with local coalitions to create spaces and opportunities for walking, or just spreading the message that Kentucky communities need to be redesigned as thriving places for everybody to be active and healthy.

Individuals and organizations can join Step It Up, Kentucky! by pledging their support and taking any of the small steps to promote walking in their communities:

· Organization Endorsement of Step It Up, Kentucky! CLICK HERE

· Individual Pledge to Step It Up, Kentucky! CLICK HERE

Over the past few years, the DPH Obesity Prevention and Healthy Communities Programs have provided competitive funding opportunities for 27 local communities to develop pedestrian plans. Through the Walkable Communities Committee, DPH has worked with the Kentucky Transportation Cabinet to establish free statewide trainings and provide technical assistance on designing walkable communities.

“The collaboration between Kentucky’s Public Health Department and Transportation Cabinet is transforming communities across the state,” said Ian Thomas, state and local program manager for America Walks, a nonprofit national organization that promotes walking and works to build walkable communities. “Their Walkable Communities Committee and training programs are a national model, which we hope to see replicated in other states.”

The Surgeon General’s call to action reinforces the importance of this work and encourages more communities to contribute to a statewide walking movement.

“Creating a culture that supports healthy lifestyles starts with building support at the local level,” said Dr. Connie White, acting commissioner for DPH. “All Kentuckians deserve safe, inviting places to be active. Step It Up, Kentucky! is the first step on a long journey to better community health.”

From adding sidewalks to developing parks and recreation sites, there are a number of things communities can do to become more walkable. Winchester, for example, created a mile-long circular path in the middle of the Central Kentucky city by simply mowing a stretch of undeveloped land. Rockcastle County, meanwhile, paved a one-mile path along a roadway in Mt. Vernon that is now used by walkers, runners and bikers. The path also served as the site for an eight-week walking challenge in the community.

For more information on Step It Up!, visit the Partnership for a Fit Kentucky’s website. If you are interested in reading more about obesity prevention, increasing access to physical activity, or what other communities are doing to encourage wellness, visit the Partnership for a Fit Kentucky’s blog.

From Cabinet for Health and Human Services Communications

Louisa United Methodist Church

Our neighbors are in need and we need your help to help them! Beginning today and going through Sunday evening we'll be collecting cleaning supplies for our friends in West Virginia who were affected by the recent floods. If you're coming to our Bible school this week or if you just want to make a donation please drop them off at our Church door and we'll take care of it. Here is a list of items needed at this time:

Trash bags
Bottled water
Peanut butter and other non-perishable food items that do not require being heated up or cooked