Most of us know all too well that Kentucky is not a
very healthy state. We are overweight and don't exercise
enough. We eat and smoke too much. Health insurance
costs are high, and so are Kentucky's rates of diabetes,
heart disease and cancer. This crisis reaches beyond
health to other critical issues facing the commonwealth.
It reduces our quality of life. It costs money that
could otherwise be invested in education or jobs. And
an unhealthy work force limits our economic productivity.
Nowhere is this crisis as pronounced as in our Medicaid
program. Medicaid is the health insurance program for
the poor, elderly, and disabled that Kentucky operates
with the federal government. Kentucky's Medicaid program
is very expensive - costing $4.7 billion this year and
rising. It is a one-size-fits-all program that offers
little or no choice to members about their care. And
it focuses on simply treating members when they get
sick, not keeping them healthy in the first place. This
contributes to the commonwealth's unhealthy population.
this all sounds like a recipe for disaster, that's because
it is. Through Medicaid, Kentucky pays too much for
medical care that is often delivered in the wrong place,
at the wrong time, and without proper patient involvement.
What caused this crisis? Simply put, Medicaid is an
outdated government program that struggles to cope with
the realities of health care today. Medicaid hasn't
changed much since it took effect in 1966, except in
one key aspect. That year, it cost American taxpayers
a total of $1 billion. Last year, it cost more than
$309 billion. Along with the Medicare program, Medicaid
was intended to prevent Americans from having to choose
between food and medicine. Today, it forces states like
Kentucky to choose between paying for Medicaid or funding
other priorities such as better schools and safer highways.
From coast to coast, states are dealing with runaway
Medicaid spending, often by cutting tens of thousands
of people from the rolls or slashing benefits. States
like Kentucky are left to treat a 21st century problem
with a 1960s health plan. When a program like Medicaid
still offers the same one-size-fits-all treatment to
its many different members, it's no wonder costs are
skyrocketing without corresponding gains in peoples'
My administration will not neglect this problem. That's
why we're modernizing Medicaid to meet Kentucky's 21st
century needs. A central part of Medicaid modernization
is our application for a "waiver" from the
federal government. Known as Kentucky Health Choices,
this waiver will give us flexibility to avoid many cumbersome
federal regulations and design programs specifically
for the commonwealth. We realize there is a big difference
between the health needs of seniors in nursing homes,
children with disabilities, and pregnant women. What
we don't understand is why Medicaid currently treats
them all the same. Under the new waiver, these categories
of Medicaid members will be served by unique health
plans tailored to their specific needs. We also realize
that empowering people to make choices about their medical
care will lead to better decisions and better health.
Today's Medicaid benefits are largely free and unfettered.
So it's not surprising to see instances of overuse and
abuse, with some individuals taking dozens of prescriptions
at the same time, or visiting the emergency room 50
times in a year. No incentives exist for members to
make responsible decisions, such as choosing a family
doctor over an unnecessary ER visit. By making wise
choices like this one, Medicaid members can improve
their own health and the state's financial outlook.
Kentucky's Medicaid program has come a long way in two
short years. Last year, we balanced a $526 million projected
deficit without cutting anyone from the Medicaid rolls.
We actually reduced our pharmaceutical costs in 2004,
after they had skyrocketed by 80 percent over the previous
four years. But these measures alone are not enough.
Over the next three years, Medicaid spending growth
could consume all new revenue growth. That leaves no
money to fund other priorities such as better schools
and universities - the long-term investments that Kentucky
needs to get ahead in the new economy.
At age 40, Medicaid faces a midlife crisis. To emerge
from it, Kentucky must take bold action by modernizing
the program for the 21st century. And as the leader
of this commonwealth, I intend to do just that. In the
months and years ahead, Medicaid will look much different
from the 1960s-era relic we see today. These changes
won't be easy, but they're necessary for progress in
As we move forward, I need and appreciate the support
of the General Assembly and concerned citizens like
you. Together, we can guarantee a modern and enhanced
Medicaid program will be around to serve our children
As the old year draws wearily to a close and the new
one beckons with promise and hope, I'm pleased to tell
you that the Governor's Office of Minority Empowerment
is holding its own in the race to achieve our goals.
At times we have stumbled, certainly, but our will has
never retired and our faith has never weakened.
Nov. 19, the opening of the Muhammad Ali Center on Main
Street in Louisville sent a message to the world that
Kentucky will not tolerate discrimination on the basis
of race, gender, religion, or culture. It sent the message
that equal opportunity, in Kentucky, will be more than
an empty phrase.
the Governor's Office of Minority Empowerment embraces
the Ali Center's goals, and, as fate would have it,
our work also was recognized by the Kentuckiana Minority
Business Council in the same month that the Ali Center
Council inducted the Commonwealth of Kentucky into the
"Million-Dollar Club" in honor of the fact
that Governor Ernie Fletcher's administration spent
more than $1 million with minority-owned vendors during
2004. The Fletcher administration has increased state
spending with minority-owned vendors by a whopping 86
percent and increased the number of minority vendors
by 41 percent.
addition, the KMBC honored me as the recipient of the
Ferda C. Porter Advocate Award for "demonstrated
outstanding civic leadership" and taking extra
steps to devote personal time to minority business development
initiatives. I was indeed quite humbled by this acknowledgment.
Fletcher's blessing, we established the Minority Action
Committee (MAC) to be an adjunct of the Governor's Office
of Minority Empowerment. The MAC consists of high-ranking
minority executives in state government, and one of
its first items of business was to develop a strategic
marketing/communications plan to showcase the commonwealth's
diversity and attract more minorities to visit and/or
relocate in Kentucky.
Here's some more good news:
Minority employment in state government increased from
7.95 percent as of December 15, 2003, to 8.4 percent
as of August 19, 2005. At the director level and above,
the improvement has been especially dramatic. In those
key jobs, the number of females has increased from 247
to 285 and the number of racial minorities from 52 to
* The Fletcher
administration has provided federal dollars to expand
the construction training program for women and minorities.
The purpose of this program is to increase the pool
of qualified disadvantaged business enterprises by enhancing
their technical, managerial, and entrepreneurial skills
in the highway industry. Originally based solely in
Lexington, the program now is operating in Louisville,
Hopkinsville, Paintsville, and northern Kentucky.
* The Administration
supported and endorsed the passage of Senate Bill 109,
which raised the minimum contract amount requiring performance
and payment bonds in order to give small businesses
a fairer chance to procure state contracts.
in 2006, we need to pick up the pace. We need to "make
mainly to the widespread influx of Hispanic workers,
our culture has changed dramatically since Governor
Fletcher took office and will change even more in the
foreseeable future. It is the goal of the Office of
Minority Empowerment to embrace these changes and assure
all our citizens that Kentucky whole-heartedly endorses
diversity and inclusion.
wish you all a happy holiday season and a bright new
Tierra Kavanaugh Turner
Executive Director of Minority Empowerment
Office of the Governor
December 15, 2005 (8:30 am - 1
Public Library, 140 E. Main St., Lexington, KY
The Lexington-Fayette Urban County Human Rights Commission
is co-sponsoring this workshop which will focus on the
Best Practice on Improving Access to Persons with Limited
English Proficiency. To register call 859.252.4931 or
FELLOWSHIPS OFFERED AT MARY ANDERSON CENTER FOR ARTS
Deadline: January 2, 2006
The Henry Faurest Memorial Fellowships
for Art Educators will provide two 14-night residencies
at the Center in southern Indiana. The awards include
all meals, a studio, a stipend, a private room, and
time to focus. One fellowship is open to pre-college
art teachers who need time to do their own artwork.
The second fellowship is open to retired art educators
(62 years old and up) who have taught art classes on
an elementary, middle, high or college level. Deadline
for both fellowships is January 2, 2006. Residencies
need to be completed by October 31, 2006. For an application,
please download the form at www.maryandersoncenter.org
or phone 812-923-4602. The fellowships are named in
honor of Henry Faurest, who was a strong arts advocate
and former board member of the Center.
STATE UNIVERSITY'S INSCAPE ANNOUNCES A CALL FOR ARTISTS
Deadline: January 15, 2006
is an annual Morehead State University publication with
a long history of cutting edge visual and literary art.
Media and genres of work range from prose, poetry, short
story, long narrative, nonfiction and creative essays
to photography, printmaking, painting, design &
digital art. Inscape is currently accepting submissions
from a national pool of artists to have their visual
art work juried into the interior of its Spring 2006
publication. Notification will be made by the end of
February. All selected artists will receive a copy of
the publication in mid-May 2006. For complete details
and submission guidelines please contact Jennifer Reis
The Governor's Office of Minority Empowerment
along with the Kentucky Housing Corporation announces
the Come Home to Your Home, Yes You Can...Own a Home,
Homeownership Education Workshops. The workshops are
held around the state throughout the year.
If you need answers to your credit questions (no credit,
credit problems, etc.), help with a down payment or
closing costs, details about the home buying process,
loan prequalification information, or home maintenance
guidance and information, this workshop is for you.
We can help! Register to attend our workshop when it's
in your area by calling the Governor's Office of Minority
Empowerment, 502-564-2611 ext. 370 or send an e-mail
Don't pass up this opportunity to learn how to become
a successful homeowner.
The Come Home to Your Home workshops are currently scheduled
January 21, 2006:
9-11 am: 1st Baptist Church,
300 Francis St., Richmond, KY 40475 (This will be a
Budget/Credit Class only)
2-4 pm: Consolidated Baptist
Church, 1625 Russell Cave Road, Lexington, KY 40505
(This will be a Budget/Credit Class only)
March 27, 2006, 9 am -
2 pm: Boyle County area
May 20, 2006:
9-11 am: Franklin KY area
(This will be a Budget/Credit Class only)
2-4 pm: Shelbyville, KY
area (This will be a Budget/Credit Class only)
July 22, 2006, 9 am - 2
pm: Christian County area
August 19, 2006, 9 am -
2 pm: McCracken County area
September 23, 2006, 9 am
- 2 pm: Hardin County area
November 18, 2006, 9 am
- 2 pm: Jefferson County area
mission of the Commonwealth’s Personnel Cabinet
is to take care of state government employees, as well
as, those seeking employment with the state. Thus, we
invite you to peruse their website at http://personnel.ky.gov/employment/meritsystem.htm
We are confident you will find the information beneficial.
Applications are now being accepted. Find
out how you can become a Kentucky State Trooper.
Department Of Military
Maintenance Branch Manager, 1031; Salary:
$3,048.34 - $4,038.62; Grade: Grade: 15; Division: Facilities
Division; Location: Jefferson County; Duty Hours: 8:00
a.m. - 4:30 p.m.; Requirements: Education:
High school graduate. Experience: Must have five years
of building maintenance, grounds maintenance, general
trades, skilled trades or mechanical maintenance experience.
Substitution Clause: Education: Formal
training in industrial arts, horticulture, mechanical
engineering or a related field will substitute for the
experience on a year-for-year basis. Experience: Experience
in one of the above or related fields will substitute
for the education on a year-for-year basis. Duties:
Responsible for the work management system; preventative,
recurring emergency maintenance, minor facility modifications,
alterations and minor construction. Maintains records.
Supervise state maintenance employees at KYANG base,
Standiford Field. Recommend scope of work and costs
concerning renovations, repairs and new construction
projects. Develops and recommend policies concerning
training, maintenance program and equipment purchases.
Assures compliance with KRS concerning construction
and repair part purchases. Other duties as assigned.
In Order to Apply for this Position the Following
Must be Followed: Any individual interested
in applying for this position shall submit one completed
application to the Personnel Cabinet (Personnel Cabinet,
200 Fair Oaks Lane, 5th Floor, Frankfort, Kentucky 40601)
and request placement on the register. You may be required
to pass the appropriate examination or selection method
before being placed on the register for any job classification.
This Office Is Not Responsible for Assuring You are
on the Register for this Position or Any Other Position.
It is the Responsibility of the Applicant. HOW TO APPLY:
Send one updated application to: ATTN: Crystal Simpson,
Office of Management and Administration/Admin. Svcs.,
Boone National Guard Center, Frankfort, Kentucky 40601.
Applications must be submitted no later than the close
of business on December
Kentucky Educational Television
here to see KET Internships available.
EQUAL OPPORTUNITY EMPLOYER M/F/D
in doing business with the Commonwealth? One must be
registered to do so. All potential vendors seeking a
contract with the Commonwealth and/or wanting to be
notified of opportunities to do business with the Commonwealth
should be registered. Registration allows vendors the
opportunity to identify products and services they wish
to offer to the Commonwealth. In addition, vendor registration
makes it easier for agencies to find your company. Vendors
may register and review current bid opportunities on
the eProcurement website: https://eprocurement.ky.gov/.
A vendor registering for the first time may go to the
New Vendor Registration section on the eProcurement
page and provide the requested information.
CONTRACTING INFORMATION CENTER: On October
11, 2005, Commerce Secretary Carlos M. Gutierrez unveiled
the Hurricane Contracting Information Center (HCIC)
to assist U.S. businesses, especially small, minority
and women-owned businesses, in participating in the
Gulf Coast rebuilding efforts. It is important to note
that the HCIC will not award contracts. It will provide
a clearinghouse of information for businesses who want
to become involved in Gulf Coast reconstruction. The
mission of the HCIC is to provide a one-stop portal
for businesses to successfully participate in Gulf Coast
contracting, subcontracting, and reconstruction efforts.
HCIC can be contacted by visiting www.RebuildingTheGulfCoast.gov
or by dialing 1-888-4USADOC. If you require further
information on the HCIC, please contact Nat Wienecke,
Acting Assistant Secretary for Legislative and Intergovernmental
Affairs, at 202-482-3663.
ATTENTION NEW CONTRACTORS! If you are
interested in viewing the Transportation Cabinets' "Notice
to Contractors," please visit their web page at:
This is a listing of all upcoming projects to be bid
upon during the upcoming letting. If you have any questions,
please contact the Transportation Cabinet at 502-564-3500.
EEO Conference marks another success for the Fletcher
Nearly 400 state and local employees attended this year's
Governor's EEO Conference. The conference featured over
14 different workshops including a panel on Hispanic
Outreach Efforts. Participants heard from several state
executives including, Office of Minority Empowerment
Executive Director Tierra Kavanaugh Turner, and Kentucky
Commission on Human Rights Executive Director, Linda
Murnane. Personnel Secretary Erwin Roberts gave the
keynote address for the luncheon and for the second
time Governor Ernie Fletcher offered his support and
commitment by speaking at the Governor's Award's brunch.
Governor Ernie Fletcher poignantly told attendees, "We
are united by a common belief in the dignity and inherent
goodness of humankind, regardless of race, religion,
gender, age or socio-economic status." For further
information on the 19th Annual Governor's EEO Conference
please contact Mary Stoddard at (502) 573-0325.
Health Resources: The Office of Minority
Health (OMH) works closely with state, tribal and local
governments, as well as nonprofit organizations to improve
health status and eliminate health disparities among
Americans of all racial and ethnic groups. The combined
resources of CDC/ATSDR and its partners provide the
vital link between policy and practice.
Minority Health Disparities:
Learn more about what the Cabinet for Health & Family
Services is doing.
View the Cabinet for Health & Family Services (CFHS)
on Wellness monthly newsletter
Women's Health Indicators Database - National, regional,
state and county data are available by gender, race,
ethnicity and age at the National Women's Health Indicators
Database. The website allows users to customize tables,
graphs and maps.
Britton Hooks attended Berea from 1870-74 and was the
first African American faculty member of the school.
Born in Frankfort, Ky., she was a musical prodigy who
began playing piano publicly at age five, and at age
18 joined Berea's faculty, teaching instrumental music
from 1870-72. Her sister, Dr. Mary E. Britton, also
attended Berea, and became a physician in Lexington,
Ky. Julia eventually moved to Memphis where she married
was very politically active, and was a charter member
(1909) of the National Association for the Advancement
of Colored People (NAACP), the world's largest and oldest
civil rights organization. Benjamin Hooks, her grandson
and retired director of the NAACP, remembers that she
was "born to rebel" and was arrested on several
occasions for disobeying Jim Crow laws. Her descendants
have been active educators, businesspeople, and public
Hooks founded the Hooks School of Music in Memphis,
teaching harmony to blues legend W. C. Handy, and opened
the Hooks Cottage School in her home. She also founded
an Orphans and Old Folks Home, partially funded through
her benefit concerts. Her concern for all people in
need in the city of Memphis earned her the title "The
Angel of Beale Street".(source: http://www.berea.edu/publications/bereacollegemagazine/
E. Britton, sister of Julia Britton Hooks, was Kentucky's
first female licensed medical doctor. Britton was born
in Lexington, KY in 1855, the same town where she eventually
practiced medicine. Britton first attended Berea College
and then graduated from the American Missionary College
in Chicago, IL. She returned to Lexington and practiced
medicine from 1904 through 1923 at her home at 545 North
Limestone Street. In her medical practice she specialized
in treatments known as hydrotherapy and electrotherapy.
Hydrotherapy is the use of water in the treatment of
disease, and electrotherapy uses electricity in disease
treatments. Her services provided much needed medical
care to the African American community.
from being a doctor, Britton was an outspoken and eloquent
social activist. She wrote hundreds of newspaper articles
arguing against racial segregation laws. Britton organized
and attended rallies in support of desegregation. One
such rally was the 1906 demonstration in Frankfort against
separate railroad coaches for people of color. Her spare
time was spent being an activist in the post-Reconstruction
movement to improve the lives of those with African
becoming a doctor, Mary Britton taught school at several
local segregated public schools. A newspaper article
dated August 15, 1897, from the Lexington Leader told
of her departure from her teaching position and her
new ambitious career choice of becoming a physician.
Britton also served as secretary to the board for the
Colored Orphans Home, a large institution which housed
orphans and the elderly.
After almost twenty years of medical practice, she retired
in 1923. Britton died in 1925 and is buried in Lexington's
Cove Haven Cemetery. (source: http://www.kytales.com/mbritt/mbritt.html)