Legislature(2007 - 2008)BUTROVICH 205

03/31/2008 01:30 PM Senate HEALTH, EDUCATION & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ HB 354 CHILD IN NEED OF AID/ADOPTIONS TELECONFERENCED
Moved CSHB 354(JUD) Out of Committee
+ SB 179 DEPENDENT HEALTH INSURANCE; AGE LIMIT TELECONFERENCED
Heard & Held
+ HB 319 DENTISTS & DENTAL ASSISTANTS TELECONFERENCED
Heard & Held
Bills Previously Heard/Scheduled
              HB 319-DENTISTS & DENTAL ASSISTANTS                                                                           
                                                                                                                                
2:04:25PM                                                                                                                     
CHAIR  DAVIS  announced  consideration  of HB  319.  [Before  the                                                               
committee was CSHB 319(L&C).]                                                                                                   
                                                                                                                                
PATTY  KRUEGER,  Staff  to  Representative  Ramras,  thanked  the                                                               
committee  for the  opportunity to  present  HB 319  and said  it                                                               
might sound  familiar to them because  it was very similar  to SB
239. She  said there was  only one change  that had been  made in                                                               
this bill and she would bring it to their attention.                                                                            
                                                                                                                                
     Ultimately oral  health plays  a key  role in  over all                                                                    
     health and  unfortunately, not all Alaskans  enjoy good                                                                    
     dental  health due  to geographical  barriers, cost  of                                                                    
     dental  care and  limitations in  dental personnel.  HB
     319  follows  the provisions  already  in  place in  36                                                                    
     other  states,  allowing   expanded  duties  of  dental                                                                    
     assistants,  thereby improving  access  to dental  care                                                                    
     and reducing cost for dental care.                                                                                         
                                                                                                                                
     With  expanded  duties,   dental  assistants  can  help                                                                    
     community  health centers  and traveling  dental teams,                                                                    
     provide  greater   access  to  care;  and   more  cost-                                                                    
     effective  care.   This  bill  specifically   lays  the                                                                    
     framework for  expanding dental assistant duties  for 2                                                                    
     specific functions.  It would allow a  certified dental                                                                    
     assistant  under  a  dentist's  direct  supervision  to                                                                    
     place  fillings into  a cavity  prepared by  a licensed                                                                    
     dentist, and  allow a certified dental  assistant under                                                                    
     a  dentist's direct  supervision to  polish teeth  that                                                                    
     are already clean of tartar.                                                                                               
                                                                                                                                
     Dental  assistants  who   perform  expanded  duties  of                                                                    
     packing cavities  or polishing teeth will  have to pass                                                                    
     a  training  program  and an  exam  prior  to  becoming                                                                    
     eligible for certification by  the Alaska Dental Board.                                                                    
     Furthermore,   supervising  dentists   must  personally                                                                    
     authorize  the   procedure  and  examine   the  patient                                                                    
     afterward.                                                                                                                 
                                                                                                                                
     This bill  is supported  by the Alaska  Dental Society,                                                                    
     Alaska  Board of  Dental Examiners,  the Alaska  Dental                                                                    
     Outreach  Consortium  and   the  Alaska  Native  Tribal                                                                    
     Health  Consortium.  HB  319 meets  the  goals  of  the                                                                    
     preliminary  report  of   the  Governor's  Health  Care                                                                    
     Strategies Planning Council.                                                                                               
                                                                                                                                
The CS  before the committee  came from House Labor  and Commerce                                                               
and incorporated  a change  that was brought  forth from  a legal                                                               
memo which accompanied  the House version of HB  319. That change                                                               
was found on page 3, line  3; it restricted the duties that could                                                               
be delegated to a dental assistant.                                                                                             
                                                                                                                                
MS.  KRUEGER continued  to say  that as  HB 319  moved to  Senate                                                               
Finance,  the intention  was to  add HB  136, which  was "An  Act                                                               
relating  to the  supervision of  dental hygienists  by dentists,                                                               
establishing  a  restorative  function  license  endorsement  for                                                               
dental hygienists  and allowing collaborative  agreements between                                                               
licensed dentists and dental hygienists."                                                                                       
                                                                                                                                
2:08:51 PM                                                                                                                    
She  commented that  HB 136  was heard  previously in  the Senate                                                               
Department  of Health  and Social  Services (DHSS)  Committee and                                                               
passed out with a  vote of 3 do pass and  2 no recommendation; it                                                               
was passed  out of Senate Labor  and Commerce and was  awaiting a                                                               
hearing in Senate Finance.                                                                                                      
                                                                                                                                
MS. KRUEGER  thanked the committee  for hearing the bill  and for                                                               
their support of the legislation.                                                                                               
                                                                                                                                
2:09:47 PM                                                                                                                    
DAVE LOGAN,  Alaska Dental Society,  Juneau, AK, said  that Patty                                                               
did  an excellent  job  of  explaining the  bill  and offered  to                                                               
answer questions.                                                                                                               
                                                                                                                                
SENATOR COWDERY  asked Mr. Logan  if the dentists  supported this                                                               
bill.                                                                                                                           
                                                                                                                                
MR.  LOGAN answered  yes, that  the Dental  Society supported  HB
319.                                                                                                                            
                                                                                                                                
CHAIR DAVIS confirmed  that they had heard HB 136  and SB 239 and                                                               
asked Ms.  Krueger if she  understood her  to say that  she would                                                               
like to have HB 136 rolled into HB 319.                                                                                         
                                                                                                                                
MS. KRUEGER testified that she would.                                                                                           
                                                                                                                                
CHAIR DAVIS  said she had spoken  with Senator Thomas and  he had                                                               
no  problem with  combining them,  but  she wanted  to hear  from                                                               
other members of the committee.  There were no objections, so she                                                               
agreed they would combine them.                                                                                                 
                                                                                                                                
2:11:50 PM                                                                                                                    
MS. KRUEGER  said Mark Davis  was available should  any questions                                                               
related to the new fiscal note need to be addressed.                                                                            
                                                                                                                                
DAVE EICHLER, DMD  PC, Board of Dental Examiners,  North Pole, AK                                                               
agreed that  HB 319 was substantially  similar to SB 239  that he                                                               
had testified  in favor  of it in  early February;  he reiterated                                                               
the Board's  support for  the concept of  the bill  and indicated                                                               
that the current version was acceptable to them.                                                                                
                                                                                                                                
CHAIR  DAVIS  asked whether  Mr.  Eichler  had any  problem  with                                                               
combining HB 136 and HB 319.                                                                                                    
                                                                                                                                
Mr. Eichler  replied that  he had  not been  aware of  the fiscal                                                               
note that recently came through on  this bill and he would really                                                               
have liked to  avoid Senate Finance and  any entanglements there;                                                               
but if that was  how things had to work, that  was how things had                                                               
to work.                                                                                                                        
                                                                                                                                
CHAIR DAVIS  announced that she  would put  HB 319 aside  until a                                                               
new CS could be prepared.                                                                                                       
                                                                                                                                

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