Legislature(2021 - 2022)BUTROVICH 205

05/06/2021 01:30 PM Senate HEALTH & SOCIAL SERVICES

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Audio Topic
01:34:36 PM Start
01:35:01 PM SB38
01:49:46 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Bills Previously Heard/Scheduled: TELECONFERENCED
+= SB 124 MENTAL HEALTH FACILITIES & MEDS TELECONFERENCED
<Bill Hearing Canceled>
<Above Item Removed from Agenda>
+= SB 38 NATUROPATHS: LICENSING; PRACTICE TELECONFERENCED
Moved CSSB 38(HSS) Out of Committee
<Bill Hearing Rescheduled from 05/04/2021>
            SB  38-NATUROPATHS: LICENSING; PRACTICE                                                                         
                                                                                                                                
1:35:01 PM                                                                                                                    
CHAIR WILSON  announced the consideration  of SENATE BILL  NO. 38                                                               
"An  Act relating  to the  practice of  naturopathy; establishing                                                               
the  Naturopathy Advisory  Board;  relating to  the licensure  of                                                               
naturopaths; relating to  disciplinary sanctions for naturopaths;                                                               
relating to  the Department of Commerce,  Community, and Economic                                                               
Development; and providing for an effective date."                                                                              
                                                                                                                                
CHAIR WILSON  said that the  committee heard SB 38,  took invited                                                               
testimony on  April 8 and  heard it again  on April 15.  He noted                                                               
the  presence  of  Senator  Kawasaki's   staff,  Joe  Hayes,  and                                                               
Director  Sara   Chambers  with   the  Department   of  Commerce,                                                               
Community  and Economic  Development (DCCED),  who was  available                                                               
for questions.                                                                                                                  
                                                                                                                                
1:35:53 PM                                                                                                                    
CHAIR  WILSON  requested  a  motion   to  adopt  the  work  draft                                                               
committee substitute.                                                                                                           
                                                                                                                                
1:35:56 PM                                                                                                                    
SENATOR  HUGHES moved  the work  draft committee  substitute (CS)                                                               
for SB 38, work order 32-LS0318\B, as the working document.                                                                     
                                                                                                                                
1:36:06 PM                                                                                                                    
CHAIR  WILSON objected  for purposes  of discussion  and reviewed                                                               
changes to SB  38. He said members had focused  on the ability of                                                               
naturopaths  to use  the word  physician in  their title  and the                                                               
expansion  of their  scope of  practice. The  concern was  that a                                                               
naturopath's training  and education should  be on par  with that                                                               
of a medical doctor to use the title physician.                                                                                 
                                                                                                                                
Several requirements  added to  the CS  make naturopaths'  use of                                                               
the  word physician  in  their title  acceptable.  In Section  9,                                                               
these requirements  were the completion of  a two-year externship                                                               
and passing an approved  pharmaceutical examination. A continuing                                                               
education requirement was added in  a new section. Should members                                                               
agree  to these  changes a  future amendment  to the  CS will  be                                                               
proposed allowing naturopaths to use the title physician                                                                        
                                                                                                                                
1:37:06 PM                                                                                                                    
CHAIR   WILSON  removed   his  objection;   finding  no   further                                                               
objection, version B was adopted as the working document.                                                                       
                                                                                                                                
1:37:20 PM                                                                                                                    
SENATOR  HUGHES thanked  Senator  Kawasaki and  staff member  Mr.                                                               
Hayes  for working  with members  on  SB 38.  Naturopaths are  an                                                               
important part of  Alaska's healthcare system. More  work will be                                                               
done on SB 38 as it moves  to the Labor and Commerce Committee. A                                                               
two-year  internship,   continuing  education,   and  appropriate                                                               
pharmaceutical training were added to  the working copy of SB 38.                                                               
These  additions  were  to  allow naturopaths  to  use  the  term                                                               
physician in their title but  that was inadvertently omitted from                                                               
the CS.  An amendment will  be offered to correct  the oversight.                                                               
She opined  that if naturopaths  are going  to step up  and align                                                               
their  training  closer  to  that of  a  medical  or  osteopathic                                                               
doctor, then  the use of the  word physician would be  in keeping                                                               
with public expectation.                                                                                                        
                                                                                                                                
1:38:59 PM                                                                                                                    
CHAIR WILSON moved Amendment 1, [work order 32-LS0318\B.1].                                                                     
                                                                                                                                
                          AMENDMENT 1                                                                                       
                                                                                                                                
                                                 32-LS0318\B.1                                                                  
                                                       Fisher                                                                   
                                                       5/4/21                                                                   
                                                                                                                                
    OFFERED IN THE SENATE                 BY SENATOR WILSON                                                                     
        TO: CSSB 38(HSS), Draft Version "B"                                                                                     
                                                                                                                                
     Page 7, lines 9 - 10:                                                                                                      
          Delete all material and insert:                                                                                       
                    "(2)  engage in surgery, except as                                                                      
          authorized by AS 08.45.045(a)(3) [;                                                                               
                    (3)  USE THE WORD "PHYSICIAN" IN THE                                                                        
          PERSON'S TITLE]."                                                                                                     
                                                                                                                                
1:39:06 PM                                                                                                                    
SENATOR HUGHES objected for purposes of discussion.                                                                             
                                                                                                                                
CHAIR  WILSON explained  that Amendment  1,  along with  language                                                               
adopted in the  CS and other additional  requirements, will allow                                                               
Naturopaths to use the title physician.                                                                                         
                                                                                                                                
SENATOR COSTELLO responded that she  is not interested in holding                                                               
up SB 38 but is concerned  about the word physician being used in                                                               
a naturopath's title. It could be confusing to the public.                                                                      
                                                                                                                                
SENATOR BEGICH asked what the sponsor thought of the amendment.                                                                 
                                                                                                                                
JOE   HAYES,  Staff,   Senator  Scott   Kawasaki,  Alaska   State                                                               
Legislature,  Juneau, Alaska,  stated  on behalf  of the  sponsor                                                               
that naturopaths  are not  wedded to the  word physician,  and it                                                               
would not be an issue if it failed.                                                                                             
                                                                                                                                
SENATOR   BEGICH  clarified   that  the   amendment  if   passed,                                                               
eliminates language so the word physician can be used.                                                                          
                                                                                                                                
CHAIR WILSON responded correct.                                                                                                 
                                                                                                                                
1:41:01 PM                                                                                                                    
SENATOR HUGHES opined that the  use of the title physician should                                                               
be a  topic of discussion  for a future committee.  She suggested                                                               
naturopaths  use  the  title   naturopathic  physician  to  avoid                                                               
confusion with the traditional meaning of the word physician.                                                                   
                                                                                                                                
1:41:23 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
1:41:27 PM                                                                                                                    
CHAIR WILSON reconvened the meeting.                                                                                            
                                                                                                                                
He stated  that members  are neutral  on Amendment  1, and  it is                                                               
better suited for  the Labor and Commerce  Committee, which deals                                                               
with titles, duties, and roles.                                                                                                 
                                                                                                                                
CHAIR WILSON  withdrew Amendment  1 and asked  if there  were any                                                               
closing comments.                                                                                                               
                                                                                                                                
MR.  HAYES said  he looks  forward to  SB 38  moving through  the                                                               
process.                                                                                                                        
                                                                                                                                
SENATOR REINBOLD commented  that diverse views need  to be heard.                                                               
She respects naturopaths and will support SB 38.                                                                                
                                                                                                                                
1:43:29 PM                                                                                                                    
SENATOR  HUGHES commented  that  she looks  forward to  continued                                                               
work  in  the  next  committee. She  mentioned  that  naturopaths                                                               
should remedy their use of the  word physician as a title until a                                                               
decision is reached.                                                                                                            
                                                                                                                                
CHAIR WILSON suggested the Department  of Commerce, Community and                                                               
Economic Development (DCCED)  assist naturopaths with remediation                                                               
since they do not have a board.                                                                                                 
                                                                                                                                
1:44:27 PM                                                                                                                    
CHAIR WILSON solicited a motion to move SB 38 from committee.                                                                   
                                                                                                                                
1:44:30 PM                                                                                                                    
SENATOR  HUGHES   moved  to  report  the   work  draft  committee                                                               
substitute  (CS)   for  SB  38,  work   order  32-LS0318\B,  from                                                               
committee  with individual  recommendations  and attached  fiscal                                                               
note(s).                                                                                                                        
                                                                                                                                
CHAIR WILSON  found no  objection and  CSSB 38(HSS)  was reported                                                               
from the Senate Health and Social Services Standing Committee.                                                                  

Document Name Date/Time Subjects
SB 38 ASMA Opposition Letter.pdf SHSS 5/6/2021 1:30:00 PM
SB 38