Legislature(2003 - 2004)

05/03/2004 04:30 PM House L&C

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
SB 365-SPEECH-LANGUAGE PATHOLOGIST ASSISTANTS                                                                                 
                                                                                                                                
CHAIR ANDERSON announced  that the final order  of business would                                                               
be the CS  FOR SENATE BILL NO. 365(FIN), "An  Act relating to the                                                               
regulation   of  speech-language   pathologist  assistants;   and                                                               
providing for an effective date."                                                                                               
                                                                                                                                
Number 2229                                                                                                                     
                                                                                                                                
JANE  ALBERTS,   Staff  to  Senator   Con  Bunde,   Alaska  State                                                               
Legislature, presented  SB 365  as committee  aide to  the Senate                                                               
Labor  and  Commerce Standing  Committee,  sponsor  of the  bill.                                                               
This   bill    establishes   registration    of   speech-language                                                               
pathologist  assistants through  the  department of  occupational                                                               
licensing,   she   explained.     Currently,   speech   pathology                                                               
assistants (SLPAs) in  Alaska are not licensed  or regulated like                                                               
similar   professions  of   physical  and   occupational  therapy                                                               
assistants.    The  bill  outlines  qualifications  and  training                                                               
required to  be an  SLPA, their  scope of  practice, supervision,                                                               
and  continuing  education  requirements,   she  reported.    She                                                               
continued:                                                                                                                      
                                                                                                                                
     The  bill  will mandate  that  SLPAs  be regulated  and                                                                    
     supervised,   which  insures   that  the   consumer  is                                                                    
     receiving  appropriate language  services.   This  will                                                                    
     increase  the frequency  of services  to clients  while                                                                    
     maintaining  service quality.    The use  of the  SLPAs                                                                    
     will be crucial in rural  and remote regions in Alaska,                                                                    
     and may  be some  of the only  ways that  folks needing                                                                    
     those  services in  these  areas will  be  able to  get                                                                    
     their  services, and  that's through  the use  of these                                                                    
     assistants.                                                                                                                
                                                                                                                                
     There's  currently a  shortage  of  qualified SLPAs  in                                                                    
     Alaska.  I  believe there's about 230  currently in the                                                                    
     state.  This bill  will give credentials and supervised                                                                    
     authority to  SLPAs to administer specific  services to                                                                    
     clients once  they are reviewed by  the speech-language                                                                    
     pathologist.  It must be  made clear, however, that the                                                                    
     use of  an SLPA is not  meant to replace the  work of a                                                                    
     speech-language  pathologist,   but  to   extend  their                                                                    
     services.   Currently  SLPAs are  licensed through  the                                                                    
     Department of Economic Development.                                                                                        
                                                                                                                                
     There were a  couple changes made in  Senate Finance to                                                                    
     this  bill that  were technical  language changes  that                                                                    
     clarified that the SLPAs could  not conduct feeding and                                                                    
     swallowing screenings.   Apparently, in  this industry,                                                                    
     that's very  technical screening that can  only be done                                                                    
     by  a licensed  speech  pathologist.   There were  four                                                                    
     technical changes made in Senate Finance to this bill.                                                                     
                                                                                                                                
MS.  ALBERTS noted  that  the  fiscal note  is  fee-based with  a                                                               
biennial registration fee of approximately $133.                                                                                
                                                                                                                                
Number 2093                                                                                                                     
                                                                                                                                
LAURA  YOUNG-CAMPBELL,  Speech-Language  Pathologist,  Matanuska-                                                               
Susitna School  District; Member, Alaska  Speech-Language Hearing                                                               
Association,   testified   that   her  workload   has   increased                                                               
significantly  due  to  paperwork  and other  duties  created  by                                                               
Individuals with  Disabilities Education Act (IDEA)  and No Child                                                               
Left Behind,  and that has caused  her to have less  time to work                                                               
with  students.   An  assistant would  be able  to  help take  on                                                               
duties  such   as  scheduling  meetings  with   parents,  provide                                                               
prescribed  therapy, and  follow  a treatment  plan for  students                                                               
with disabilities, she  explained.  An assistant  would allow the                                                               
students to complete their Individual  Education Plan (IEP) goals                                                               
faster and allow  them to return to the  classroom and experience                                                               
academic success.   An assistant would  also be a cost  saving to                                                               
the school district and to the  state when the time frame for the                                                               
treatment plan is cut down, she  opined.  An assistant would also                                                               
enable smaller teaching groups,  which, according to the National                                                               
American Speech-Language-Hearing  Association, allows  for faster                                                               
progress by children.  The SLPA would be supervised by a speech-                                                                
language pathologist and would have  a specific scope of practice                                                               
to follow, she concluded.                                                                                                       
                                                                                                                                
Number 2023                                                                                                                     
                                                                                                                                
REPRESENTATIVE GATTO thanked Ms. Campbell  for the work she does.                                                               
He pointed  out that  his minor  was in  speech pathology  and he                                                               
said he understands  the amount of paperwork that  is involved in                                                               
her job.                                                                                                                        
                                                                                                                                
REPRESENTATIVE  ROKEBERG  asked if  there  is  an existing  board                                                               
which would supervise the SLPAs.                                                                                                
                                                                                                                                
MS.  YOUNG-CAMPBELL   replied  that  it  would   be  through  the                                                               
[Division]  of Occupational  Licensing, [Department  of Community                                                               
and Economic Development].                                                                                                      
                                                                                                                                
REPRESENTATIVE ROKEBERG  asked if  there is  a board  for speech-                                                               
language pathologists.                                                                                                          
                                                                                                                                
MS. YOUNG-CAMPBELL replied no.                                                                                                  
                                                                                                                                
Number 1984                                                                                                                     
                                                                                                                                
REPRESENTATIVE  ROKEBERG  asked if  speech-language  pathologists                                                               
are currently licensed under occupational licensing.                                                                            
                                                                                                                                
MS.  YOUNG-CAMPBELL said  that some  are  [licensed] through  the                                                               
[Division]  of Occupational  Licensing  and  some are  [licensed]                                                               
through the Department of Education.                                                                                            
                                                                                                                                
CHAIR  ANDERSON asked  if  this bill  would  bring all  licensing                                                               
under one statute.                                                                                                              
                                                                                                                                
MS. YOUNG-CAMPBELL replied that it  is only for assistants.  Both                                                               
the  Department of  Education and  the  Division of  Occupational                                                               
Licensing  would   follow  the  bill's  guidelines   when  hiring                                                               
[SLPAs], she explained.                                                                                                         
                                                                                                                                
REPRESENTATIVE ROKEBERG asked if this bill  is needed to set up a                                                               
competency level for SLPAs.                                                                                                     
                                                                                                                                
MS. YOUNG-CAMPBELL said yes.                                                                                                    
                                                                                                                                
REPRESENTATIVE  ROKEBERG asked  if there  is a  minimum level  of                                                               
education required.                                                                                                             
                                                                                                                                
MS. YOUNG-CAMPBELL  replied that  Prince William  Sound Community                                                               
College has a  two-year SLPA program and 100  hours of supervised                                                               
clinical  practice, which  fall under  the guidelines  of the  No                                                               
Child Left Behind Act.                                                                                                          
                                                                                                                                
REPRESENTATIVE ROKEBERG  asked if  a person would  have to  go to                                                               
Valdez to get this degree.                                                                                                      
                                                                                                                                
MS. YOUNG-CAMPBELL  said that it  is a  distance-delivery program                                                               
and it is currently the only program in Alaska.                                                                                 
                                                                                                                                
Number 1863                                                                                                                     
                                                                                                                                
CHAIR ANDERSON closed public testimony.                                                                                         
                                                                                                                                
Number 1855                                                                                                                     
                                                                                                                                
REPRESENTATIVE DAHLSTROM  moved to report CSSB  365(FIN), Version                                                               
23-LS0540\S,  out of  committee  with individual  recommendations                                                               
and the  accompanying fiscal  notes.   There being  no objection,                                                               
CSSB  365(FIN) was  reported from  the House  Labor and  Commerce                                                               
Standing Committee.                                                                                                             

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