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To get an AED in Kentucky, you have to pay extra to a doctor. New bill aims to change that

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Kentucky lawmakers are revisiting language in a 24-year-old law that deals with automatic external defibrillators, or AEDs, to make the life-saving devices more accessible.

A year ago, viewers across the U.S. saw the power of an AED when it was used during a Monday Night Football game to save the life of a player.

House Bill 22, from Rep. Phillip Pratt, R-Georgetown, seeks to amend part of the existing AED law.

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The portion of the law not under revision provides immunity protection for AED users, known as a Good Samaritan Law. The portion targeted by HB22 deals with the required medical oversight of an AED by a licensed physician.

That’s the part of the law that may have kept small businesses and the public in Kentucky from more easily obtaining the devices for the last 24 years.

Questions about original law

Then-Rep. Jack Coleman, D-Harrodsburg, proposed House Bill 49, the original AED law, in the 2000 legislative session. AEDs were mostly known then as medical devices used in hospitals and ambulances.

AEDs are a Class-3 medical device, the highest grade, which means the highest regulatory burden under federal requirements. That’s likely why, sports medicine experts told The Courier Journal, the original law was put in place with physician oversight.

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The late Rep. Bob DeWeese, R-Louisville, questioned the medical oversight during a 2000 House Health and Welfare Committee hearing.

“Who is responsible for choosing that physician? Who funds this program?” DeWeese asked, hitting on two questions still pertinent today.

According to legislators and sports medicine experts recently interviewed by The Courier Journal, the physician language is now considered antiquated.

Athletic trainers, school nurses help schools meet law

A separate 2023 bill passed by the Kentucky legislature requires AEDs in schools, as funding becomes available.

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To comply with that law, Scott County athletic director DT Wells received a quote for an AED that included a $3,000 charge just for physician oversight.

“That’s $3,000 that could be invested instead in another AED,” Wells testified in January to the House’s Small Business & Information Technology Committee.

Scott County Schools declined to speak further with The Courier Journal about House Bill 22’s potential impact on schools.

A recent assessment by the Kentucky Department of Education shows more than 3,000 AEDs are in Kentucky public education settings.

Several schools contacted by The Courier Journal said they comply with the law by having their school nurse or athletic trainer, who reports to a physician, oversee maintenance.

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At least one AED company isn’t against the changes the new bill could bring.

“The way the law is currently written, it makes another reason why somebody won’t buy an AED and put it in a public place,” said AJ Pace, senior vice president of operations for Defibtech.

Currently, at least one-third of states have laws requiring medical oversight of AEDs, Pace said.

‘I should have checked before I ordered it’

As the CEO of a broadband cooperative that serves South Central Kentucky, Greg Hale deals regularly with regulations, especially from the Occupational Safety and Health Administration (OSHA).

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“I’ve had regulations and laws beaten in my head for 30 years,” he said from his office in Logan County.

One of OSHA’s requirements for the broadband industry is to train employees in CPR every two years. That safety training includes AEDs. In January 2020, the co-op, LTC Connect, purchased an AED for about $1,300.

“We took that step, and then it was, ‘Let’s deploy it,’” Hale said

Safer Sidelines The Courier Journal spent several months investigating sudden death in high school sports.

That’s when he learned about the unexpected cost of physician oversight. That oversight includes training and maintenance requirements, as well as the physician working with the AED site to establish protocols for the device’s use.

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“I should have checked before I ordered it,” he said of the state regulation. “But no one knew, not even our safety trainers.”

Hale said as the chair of the legislative committee of the Kentucky Rural Broadband Association, he tried to bring the issue to legislators and got nowhere.

Then, in January, Hale read an article in The Courier Journal about AEDs and sent an email.

“I think one hindrance in Kentucky is the Medical Oversight requirement,” Hale wrote to the newspaper. “It can be expensive to have a medical professional have oversight of the AED program for a small business that might want to purchase an AED, if you can even find a medical professional to help you.”

The Courier Journal took the concerns from Hale and more than a dozen sports medicine professionals regarding the physician oversight of an AED to the American Heart Association, who took them to Pratt.

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House Bill 22 includes training and maintenance requirements but without physician oversight. The bill quickly passed through the House unopposed and is waiting to be assigned to a Senate committee.

For Hale, this year could be the year the AED that has sat in a cabinet in his office for four years may finally hang in the office lobby, which sits about 13 miles from the nearest hospital in Russellville.

Stephanie Kuzydym is an enterprise and investigative sports reporter, with a focus on the health and safety of athletes. She can be reached at skuzydym@courier-journal.com. Follow her for updates at @stephkuzy.





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Kentucky

Kentucky lawmaker introduces federal bill to fight pharmacy benefit managers

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Kentucky lawmaker introduces federal bill to fight pharmacy benefit managers


WASHINGTON, D.C. — A Kentucky lawmaker is taking the fight for pharmacists to Washington.

Representative James Comer introduced the Pharmacists Fight Back Act on Thursday.

Kentucky already has a similar law in place that WKYT Investigates’ Kristen Kennedy has been following as the state works to get the law enforced.

Kentucky pharmacists may now get help on the federal level.

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“Rarely does a day go by without hearing from my constituents in Kentucky who are struggling under the weight of soaring prescription drug costs,” Comer said. “The questions I’m consistently asked are, ‘why? Who is benefiting from the system? Why isn’t it patients?’ My response is the same each time. It’s the PBMs.”

Federal bill targets pharmacy benefit managers

Comer says pharmacy benefit managers have outgrown their role in healthcare. State legislators agreed when they passed Senate Bill 188 last year. The law was supposed to increase reimbursement rates for pharmacies and keep PBMs from steering patients to affiliated pharmacies.

The regulations are similar to what Comer wants to do on a federal level.

“Our oversight investigation, which culminated in a report last year with our findings and recommendations, found PBMs have largely operated in the dark,” Comer said. “PBMs have abused their positions as middlemen to line their own pockets by retaining rebates and fees, undermine our community pharmacists and pass along costs to patients at the pharmacy counter. It’s unacceptable, and Congress has a responsibility to act.”

If the act becomes law, it would affect pharmacies across the U.S.

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Pharmacists in Kentucky are already seeing some advantages with the regulations placed on pharmacy benefit managers, but their biggest complaint is that the law isn’t being enforced.

That could change if the federal government gets involved. The Kentucky Pharmacists Association thinks Frankfort has a responsibility to act on the PBM law that passed in the state. They’re still asking the governor to make sure the Department of Insurance is enforcing the law in place.

Stay informed on investigations like this by checking out our WKYT Investigates page at wkyt.com/investigates.



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Several people hurt in Western Kentucky Parkway multi-car accident, officials say

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Several people hurt in Western Kentucky Parkway multi-car accident, officials say


MUHLENBERG, Ky. (WFIE) – Kentucky officials says there are multiple people injured in a three-car accident on Western Kentucky Parkway.

According to a post made by the Central City Fire Department, three vehicles were involved in a crash between the 64 and 65 mile markers eastbound of the parkway.

They say both the eastbound and westbound lanes are closed at this time. The closure should last around 3 hours.

Two people were extricated from a vehicle. Four adults and three juveniles are being taken to the hospital. No update has been given on their conditions.

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They say a mass casualty incident was declared, and Ohio County Fire and EMS were called to the scene due to the number of patients.

We will update you when we learn more.

Several people hurt in Western Kentucky Parkway multi-car accident, officials say(Central City Fire Department)



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2027 top in-state prospect talks about his Kentucky unofficial visit on Tuesday

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2027 top in-state prospect talks about his Kentucky unofficial visit on Tuesday


Kentucky’s recruiting efforts in the 2026 class have hit a current rough patch, but things are looking promising in the 2027 class, as the staff has already casted a very wide net in the class, with a number of top targets in the fold. As they’re continuing to pursue mostly national targets, a local star is now on the staff’s radar.

2027 in-state guard Braxton Keathley, one of the state’s top prospects even regardless of class, took an unofficial visit to Kentucky on Tuesday for the game against NC Central. Keathley is native of Martin County, KY, and has took the state by storm as he has really stuffed the stat sheet. Just recently, he dropped a triple-double of 34 points, 12 assists, and 10 rebounds last weekend.

The Kentucky staff has certainly seemed to take notice really quickly. He’s also getting plenty of other interest, too, including having frequent contact with Louisville, LSU, Purdue, South Carolina, and Florida State, plus offers from Eastern Kentucky, UT Martin, Ohio, and Bowling Green, among others. Keathley sat down with Kentucky Wildcats on SI to talk about his recent visit to Kentucky. What were his impressions of the staff? He shared a conversation he had with them before Tuesday’s game. He also had some interactions with others, too.

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“They really talked about how well I scored it and how they’ve been hearing about me for a long time,” Keathley said of his conversation with the Kentucky staff. “One of the (Kentucky) assistants mentioned he had a coaching friend tell them that they better jump on me quick cause I was really good. I had several fans come up to me and take pictures. Jack Givens welcomed me and talked to me for a little bit and said he’s highly impressed with my game and plans on coming to a game soon. A couple of other UK players came up, they were really nice and said they been keeping up with me.”

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Braxton Keathley | Photo via Jessica Adkins

As a Kentucky kid, Keathley says he been a fan of the Wildcats since he was little, even getting to train with Tyrese Maxey this summer, and he also had some great things to say about what he saw from fellow Kentucky natives and current Wildcats Trent Noah, Jasper Johnson, and Malachi Moreno. “I looked up to players like Tyler Herro, SGA, Tyrese Maxey, Devin Booker, Malik Monk and Reed Sheppard. I got lucky that I got to train with Maxey for a week in August,” Keathley said. “I saw Trent Noah last night having great energy and keeping a smile on his face during warmups. You could tell he loved every minute wearing that Kentucky uniform. He cares and it shows. I saw Jasper and Moreno warming up hard. The one thing about it, and my dad always told me, it’s a different place. You got to be special to play there and be willing to accept everything that comes with wearing that jersey.”

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Interestingly enough, Keathley’s dad coached former Kentucky greats Anthony Epps and Wayne Turner after their time at Kentucky, so Keathley has a family history of being around all that comes with the passion of Kentucky basketball. What did Keathley’s dad learn about the two former Wildcats he got the privilege to coach? “He said they carried a chip on their shoulder and were great leaders always humble but tough. and I have to do the same.” Now, for Keathley, it’s about climbing the ranks nationally. “A couple (recruiting services) don’t have me ranked yet and that’s ok. I’m going to walk in the gym every night and know I outworked you and I’m going to outplay you,” he said. “I’m going to compete like every game is a championship. I’m going to to play with the same passion that the fans have. I’m always all in there’s no going back or in-between.”

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Keathley has so much passion for his community in the mountains of Eastern Kentucky, and he has plans of doing big things at Martin County. He also shared a message Trent Noah’s dad had for him during their interaction at Tuesday’s Kentucky game. “Something he said that really stuck out. ‘Us mountain people have got to stick together.’ He’s right, Eastern Kentucky has great people and basketball players. Kentucky basketball as whole, we got to stick together through the highs and lows. That’s what we do.”

That’s a great message from a parent of a current Wildcat who was in his shoes before, being a fellow native of that part of the state. The Kentucky staff is certainly going to keep an eye on him as he continues the impressive run he is on so far this season, because he just continues to catch more and more people’s attention with his play.



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