Legislature(2001 - 2002)

05/09/2002 01:55 PM House FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
CS FOR SENATE BILL NO. 270(L&C)                                                                                               
     "An Act extending  the termination date of  the Board of                                                                   
     Dispensing  Opticians;  relating  to the  regulation  of                                                                   
     dispensing  opticians; and  providing  for an  effective                                                                   
     date."                                                                                                                     
                                                                                                                                
HEATHER   BRAKES,  STAFF,   LEGISLATIVE   BUDGET  AND   AUDIT                                                                   
COMMITTEE  testified  in  support  of  the  legislation.  She                                                                   
observed that  the legislation  addresses concerns  regarding                                                                   
the Board of Dispensing Opticians  that were brought to light                                                                   
by a Legislative Budget and Audit  Committee audit. Licensing                                                                   
requirements  were changed  to allow  easier access  into the                                                                   
profession.   The   legislation   reduces   the   number   of                                                                   
apprenticeship training  hours, adds requirements  for a home                                                                   
study  educational  course, removes  a  subjective  practical                                                                   
exam that  had been  a concern  of auditors  for a  number of                                                                   
years,  and  adds  the  passage  of  a  national  exam  as  a                                                                   
requirement.   Under the  legislation a person  who is  not a                                                                   
licensed   dispensing   optician   may  assist   a   licensed                                                                   
physician,  optometrist,  or   dispensing  optician  and  may                                                                   
perform dispensing  optician tasks  that have been  delegated                                                                   
by,  and performed  under the  supervision  of, the  licensed                                                                   
physician,   optometrist,  or   dispensing  optician.   These                                                                   
persons would  not be licensed  to work  on their own,  or be                                                                   
forced  out  of  employment.   Currently  they  can  only  be                                                                   
employed for six years before  they are forced into licensure                                                                   
or out of their  employment. The Board would  be extended for                                                                   
two years. The legislation also  addresses concerns regarding                                                                   
the  Board's  fiscal  deficit.  Boards  and  Commissions  are                                                                   
supposed  to  be self-sufficient.  The  Board  of  Dispensing                                                                   
Opticians is  approximately $28 thousand dollars  in deficit,                                                                   
which  continues to  grow  by about  $14  thousand dollars  a                                                                   
year.  The Division  of Legislative  Audit  would review  the                                                                   
deficit issue  at the  next sunset review.  She did  not know                                                                   
why   the  Board   was  collecting   insufficient   revenues.                                                                   
Representative Bunde  expressed concern that the  Board would                                                                   
not be self-sufficient for another three years.                                                                                 
                                                                                                                                
Representative  Harris asked  why hours  were decreased.  Ms.                                                                   
Brakes observed  that it was a  concern of the  auditors. The                                                                   
amount  of  apprenticeship  hours  was  a  barrier  into  the                                                                   
profession. Hours were reduced,  but educational requirements                                                                   
were increased.  There  was not statutory  authority  to make                                                                   
the change through regulation.                                                                                                  
                                                                                                                                
Representative   John  Davies   observed  that  the   federal                                                                   
government  requires 3,000 apprenticeship  hours. Ms.  Brakes                                                                   
responded  that   27  states   do  not  regulate   dispensing                                                                   
opticians. The other 21 states  have voluntary programs. Some                                                                   
have   a  6,000-hour   requirement   without  the   education                                                                   
requirement. She  noted that the  current provisions  are not                                                                   
working.                                                                                                                        
                                                                                                                                
Representative John Davies referred  to page 4. He noted that                                                                   
"direct" was deleted  on line 16. Ms. Brakes  stated that she                                                                   
would not object to reinstating the word "direct".                                                                              
                                                                                                                                
Vice-Chair  Bunde expressed  concern  that the  Board is  not                                                                   
fulfilling the  statutory requirement [to be  fee supported.]                                                                   
He  questioned  if  there  was   discussion  of  an  one-year                                                                   
extension  to allow  fees to  come  in line  with costs.  Ms.                                                                   
Brakes  clarified that  discussions  included  repeal of  the                                                                   
Board  and  retaining  licensure.   The  abolishment  of  the                                                                   
practical  examine would  eliminate the  need for the  Board,                                                                   
since it's  primary function is  to administer the  exam. The                                                                   
costs should  be reduced  with the  elimination of  the exam.                                                                   
Representative Bunde  reiterated the need to  cover costs and                                                                   
suggested  that  a  one-year   extension  would  be  a  clear                                                                   
statement of  legislative intent.  Ms. Brakes responded  that                                                                   
the sponsor would not object to a one-year extension.                                                                           
                                                                                                                                
Representative  John  Davies  MOVED  to  ADOPT  Amendment  1:                                                                   
insert  "direct"   on  page  4,   lines  16  and   19  before                                                                   
"supervision".                                                                                                                  
                                                                                                                                
PAT  DAVIDSON,  DIRECTOR,  DIVISION   OF  LEGISLATIVE  AUDIT,                                                                   
provided information on the proposed  amendment. She observed                                                                   
that the  word "direct" has  been a concern of  optometrists,                                                                   
opticians and ophthalmologists.  The word "direct" has led to                                                                   
the  interpretation  that  a supervisor  must  be  physically                                                                   
present. The intent was to move  away from the word "direct."                                                                   
                                                                                                                                
Representative John  Davies noted that the intent  was not to                                                                   
indicate  that  the supervisor  needed  to be  present  every                                                                   
single hour, but emphasized that  they would be taking direct                                                                   
responsibility for the person.                                                                                                  
                                                                                                                                
Vice-Chair  Bunde stated  that  he would  not be  comfortable                                                                   
with  "mail-order" supervision.  He  questioned if  "regular"                                                                   
supervision would be preferable.                                                                                                
                                                                                                                                
Ms. Davidson  noted that under regulation  direct supervision                                                                   
would  indicate that  the  supervisor is  physically  present                                                                   
while  dispensing optician  tasks  are being  performed.  She                                                                   
observed  that  "regular"  did  not carry  a  definition  [in                                                                   
statute]   but  that   the  Board  could   define  it   under                                                                   
regulation.                                                                                                                     
                                                                                                                                
Representative John Davies WITHDREW his amendment.                                                                              
                                                                                                                                
Representative  Davies  MOVED to  ADOPT  Amendment 2:  insert                                                                   
"regular" where appropriate before "supervision".                                                                               
                                                                                                                                
Ms.  Davidson provided  the  definition  of supervision:  (4)                                                                   
"supervision"  means the provision  of any needed  direction,                                                                   
control, consultation, instruction,  evaluation, and personal                                                                   
inspection of work being performed.                                                                                             
                                                                                                                                
There being NO OBJECTION, it was so ordered.                                                                                    
                                                                                                                                
Vice-Chair Bunde MOVED  to ADOPT Amendment 3 on  page 1, line                                                                   
14: delete "2004" and insert "2003".                                                                                            
                                                                                                                                
Ms  Davidson agreed  that the  Board should  ensure that  the                                                                   
fees are sufficient,  but pointed out that it is  as much the                                                                   
department's responsibility.                                                                                                    
                                                                                                                                
There being NO OBJECTION, it was so ordered.                                                                                    
                                                                                                                                
Representative Foster MOVED to  report HCS CSSB 278 (FIN) out                                                                   
of Committee with  the accompanying fiscal note.  There being                                                                   
NO OBJECTION, it was so ordered.                                                                                                
                                                                                                                                
HCS CSSB  270(FIN) was REPORTED  out of Committee with  a "do                                                                   
pass" recommendation  and with  a new  fiscal impact  note by                                                                   
the Department of Community and Economic Development.                                                                           

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