Legislature(2007 - 2008)BELTZ 211

03/06/2007 01:30 PM Senate LABOR & COMMERCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 93 PROFESSIONAL COUNSELORS TELECONFERENCED
Heard & Held
Bills Previously Heard/Scheduled
+= SB 84 TESTING & PACKAGING OF CIGARETTES TELECONFERENCED
Moved CSSB 84(L&C) Out of Committee
= SB 68 MOTOR VEHICLE INSURANCE
Moved CSSB 68(L&C) Out of Committee
                 SB  93-PROFESSIONAL COUNSELORS                                                                             
                                                                                                                                
CHAIR ELLIS announced SB 93 to be up for consideration.                                                                         
                                                                                                                                
TOM OBERMEYER,  staff to  Senator Davis, sponsor  of SB  93, said                                                               
that  it  is  "An  act  relating  to  the  licensed  professional                                                               
counselors  and  to unlicensed  use  of  the title  'professional                                                               
counselor.'"  It  amends  two sections  of  the  Alaska  statutes                                                               
concerning  professional   licenses  and  insurance   as  regards                                                               
licensed   professional  counselors   (LPC).  Section   1  better                                                               
protects the  public from  unlicensed individuals  misusing these                                                               
titles  and   misrepresenting  themselves  as  having   the  same                                                               
qualifications  of  licensed  professional  counselors  who  must                                                               
complete formal  educational requirements with a  Master's degree                                                               
or higher, pass  a licensed qualifying exam  and complete lengthy                                                               
supervised practice for not less than two years.                                                                                
                                                                                                                                
Section 2  amends AS 21.36.090(d), the  insurance provisions that                                                               
prohibit discrimination against  licensed service providers under                                                               
a group insurance  policy if that service is within  the scope of                                                               
the   provider's  occupational   license   by  adding   'licensed                                                               
professional counselors'  to the long  list of providers  in this                                                               
category. It  also increases access  to needed services  for some                                                               
who   formerly  were   excluded  because   licensed  professional                                                               
counselors   were   not   included   with   other   health   care                                                               
professionals in the non-discrimination clause of this statute.                                                                 
                                                                                                                                
MR. OBERMEYER said that licensed  professional counselors make up                                                               
one-third  of all  mental health  professionals in  the State  of                                                               
Alaska and represent about the  same proportion of all counselors                                                               
working  in  state-funded  mental   health  and  substance  abuse                                                               
treatment facilities.                                                                                                           
                                                                                                                                
The  last  legislature  approved  a  statutory  change  to  allow                                                               
licensed  professional counselors  to practice  psychotherapy and                                                               
make Title  47 civil commitment  evaluations. SB 93  helps insure                                                               
third-party billing  parity for licensed  professional counselors                                                               
while also  allowing them to  be included with other  health care                                                               
professionals in this area. Again,  it better protects and serves                                                               
the public and has a zero fiscal note.                                                                                          
                                                                                                                                
1:40:05 PM                                                                                                                    
KERRY   TURNBOW,  Co-chair,   Board   of  Licensed   Professional                                                               
Counselors, said  he is a  practicing clinician in  Fairbanks and                                                               
supported  the sponsor  statement. Adding  "licensed professional                                                               
counselor" helps  protect the  public from  misrepresentation and                                                               
potentially adding to the number  of poor or unethical practices.                                                               
It will  also allow LPCs  to do third-party billing  to insurance                                                               
companies. It was probably an omission in the first place.                                                                      
                                                                                                                                
1:41:55 PM                                                                                                                    
ANNE HENRY, retired member of  the Board of Licensed Professional                                                               
Counselors,   explained  that   LPCs   had   always  been   doing                                                               
psychotherapy,  but some  insurance  companies  were refusing  to                                                               
reimburse for  it because that  service was restricted to  use by                                                               
psychologists. She  pointed out that  no one else  was practicing                                                               
when their  statute was passed  years ago and  that psychotherapy                                                               
is now a  generic term that everyone across the  country uses for                                                               
the kind of work they do.                                                                                                       
                                                                                                                                
1:43:30 PM                                                                                                                    
SENATOR STEVENS asked what other  mental health professionals are                                                               
currently covered by insurance.                                                                                                 
                                                                                                                                
MS. HENRY replied that several  major companies in Alaska already                                                               
cover and  reimburse for  LPCs -  Aetna, Premera  Blue Cross/Blue                                                               
Shield, Signa,  Tri-Care -  and the  federal government  has just                                                               
recently approved  all reimbursement for  LPCs. Only a  few small                                                               
companies don't reimburse for their services.                                                                                   
                                                                                                                                
SENATOR STEVENS asked who is normally covered.                                                                                  
                                                                                                                                
MS. HENRY  replied that providers covered  for reimbursement are:                                                               
psychiatrists,  medical  doctors, physician  assistant,  dentist,                                                               
osteopath,  optometrist,  chiropractor,   nurse  midwife....  The                                                               
mental    health    professionals   would    be    psychologists,                                                               
psychological   associates,    clinical   social    workers   and                                                               
professional counselors.                                                                                                        
                                                                                                                                
SENATOR  STEVENS  said this  kind  of  closes  a loop  hole  that                                                               
insurance companies have avoided payment for.                                                                                   
                                                                                                                                
MS. HENRY responded that was correct.                                                                                           
                                                                                                                                
SHAWNEE OLSON,  Board of  Professional Counselors,  supported the                                                               
previous testimony and SB 93. She  said she runs a small practice                                                               
in  Homer and  that when  people see  "professional" they  expect                                                               
licensure and reimbursement.                                                                                                    
                                                                                                                                
1:47:45 PM                                                                                                                    
PAMELA WATTS,  Administrator, Juneau  Alliance for  Mental Health                                                               
Inc.,  supported  previous  testimony.  One of  the  benefits  of                                                               
passing this  bill is  it would help  employers of  mental health                                                               
professionals with  recruitment and retention,  because insurance                                                               
will  pay for  the  services.  The fact  that  the Department  of                                                               
Veterans  Affairs  recently  started  to  recognize  professional                                                               
counselors  for  reimbursement  is  also   a  huge  step  in  the                                                               
recognition of the value of professional counselors.                                                                            
                                                                                                                                
1:49:29 PM                                                                                                                    
SENATOR STEVENS asked  if people pretending to  be counselors has                                                               
been a problem in the past.                                                                                                     
                                                                                                                                
MS. WATTS replied people call  themselves all kinds of counselors                                                               
- credit  counselor and car  sales counselor for instance.  It is                                                               
difficult  for  some  people  to   know  who  they  are  actually                                                               
receiving services  from. They  may assume a  person is  a mental                                                               
health professional when, in fact, they aren't.                                                                                 
                                                                                                                                
CHAIR ELLIS thanked  her for testifying and said  the director of                                                               
the Division of Occupational Licensing  would want to testify and                                                               
held SB 93 for a future hearing.                                                                                                

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