Since the ruling of the US Supreme Court allowing sports betting to move to the state level, Member companies of the Sports Betting Alliance have been successful in passing enabling legislation in 37 states. The Commonwealth of Kentucky became number 35 in the 2023 General Assembly. The Top Shelf team, working with the Sports Betting […]

With the workforce shortage that has occurred as a result of the worldwide pandemic, The American Association of International Healthcare Recruiters needed emergency legislation in Kentucky to protect more than 400 of their foreign educated nurses, nurse aides and medical technologists who are currently working in Kentucky.  Through the Top Shelf Team Approach, within two […]

“It is hard to put into words exactly how wonderful Makenzie has been to work with on legislative issues. In 2022, she had the heart to take on a pro bono lobbying project – helping a small group of victims to pass legislation allowing physicians to be held criminally and civilly accountable for fraudulent activities […]

The Issue: Patients across Kentucky who needed to access physical therapy (PT) were being charged specialty-level co-pays every time they visited a PT clinic. For example, if a patient had a knee injury and visited their primary care doctor and paid the original co-pay (never more than Twenty dollars) for that visit he/she did not […]

The Issue: As 2014 began, there were over 7,000 children in out-of-home care in the custody of the Commonwealth. The Cabinet for Health & Family Services entrusts over half of those children to private child welfare providers throughout Kentucky. Services to keep these children safe are funded through a pure public/private partnership where many providers […]

The Issue: Northern Kentucky University for years had been holding all of its graduation ceremonies in an Ohio arena.  Through aggressive advocacy, the Kentucky General Assembly appropriated the funds necessary to construct an 8,000 seat arena on the Campus of NKU.  Who could manage this new, state-of-the-art arena for the University?  A request for proposal […]