Legislature(2021 - 2022)BELTZ 105 (TSBldg)

02/24/2021 01:30 PM LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 54 AHFC WATER & SEWER BONDS/TRANSPORTATION TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
*+ SB 86 TEMPORARY PERMITS & LICENSES TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
              SB  86-TEMPORARY PERMITS & LICENSES                                                                           
                                                                                                                                
1:57:10 PM                                                                                                                    
CHAIR  COSTELLO   reconvened  the   meeting  and   announced  the                                                               
consideration  of  SENATE  BILL  NO.  86,  "An  Act  relating  to                                                               
occupational licensing; relating  to temporary licenses, permits,                                                               
and certificates; and providing for an effective date."                                                                         
                                                                                                                                
1:57:51 PM                                                                                                                    
KATIE  MCCALL,   staff,  Senator   Mia  Costello,   Alaska  State                                                               
Legislature, Juneau,  Alaska, introduced SB  86 on behalf  of the                                                               
Senate  Labor   and  Commerce  Committee,  reading   the  sponsor                                                               
statement into the record:                                                                                                      
                                                                                                                                
     Senate  Bill 86  adapts  language  originally found  in                                                                    
     Senate Bill  56, the Governor's public  health disaster                                                                    
     emergency  bill,   by  providing   a  means   to  issue                                                                    
     temporary  licenses,  permits, and  certificates  under                                                                    
     statutory law.                                                                                                             
                                                                                                                                
     The distinction between Senate Bill 86 and Senate Bill                                                                     
     56 is that the Governor's bill only amended uncodified                                                                     
     law to  allow for expedited licensing  during the novel                                                                    
     coronavirus disease  public health  disaster emergency.                                                                    
     By placing  a temporary  licensing process  in statute,                                                                    
     our  state  laws  become more  COVID-19-aware  and  the                                                                    
     state  has  the  means to  maintain  operations  during                                                                    
     times  of  unprecedented  need, even  when  a  disaster                                                                    
     emergency declaration is not in place.                                                                                     
                                                                                                                                
MS. MCCALL  explained that  SB 86 highlights  whether or  not the                                                               
legislature wants to put a  provision like this in statute rather                                                               
than in uncodified law.                                                                                                         
                                                                                                                                
SENATOR  STEVENS   asked  why   the  legislature   would  address                                                               
temporary licenses in uncodified  law when a disaster declaration                                                               
would be much simpler and do the same thing.                                                                                    
                                                                                                                                
CHAIR COSTELLO explained that SB 86  is one of several bills that                                                               
have  been   introduced  in  the   absence  of  a   new  disaster                                                               
declaration that  target some of  the topics that  the governor's                                                               
SB 56 encompassed. She said this this  may or may not be the best                                                               
approach but it does provide a more deliberative process.                                                                       
                                                                                                                                
2:04:34 PM                                                                                                                    
SENATOR STEVENS said  his concern was the potential  to miss some                                                               
issue   that  could   have  been   addressed   by  the   disaster                                                               
declaration.  He noted  that he  learned just  yesterday that  15                                                               
rules covered  under the disaster declaration  for education need                                                               
to be put  into uncodified law. For example,  many districts have                                                               
been hiring teachers  without certification and that  needs to be                                                               
in some bill.                                                                                                                   
                                                                                                                                
CHAIR COSTELLO said the governor  chose not to declare a disaster                                                               
and  he oversees  all the  executive  branch departments.  "We're                                                               
willing to work  with the administration on a  path forward," she                                                               
said.                                                                                                                           
                                                                                                                                
2:05:43 PM                                                                                                                    
MS.  MCCALL  read the  sectional  analysis  for  SB 86  into  the                                                               
record:                                                                                                                         
                                                                                                                                
     Sec. 1    AS  08.01.062 Page  1, Lines  4-14 &  Page 2,                                                                
     Line 1                                                                                                                 
                                                                                                                                
     Repeals   current   statutory   language   establishing                                                                    
     temporary courtesy licenses for nonresidents.                                                                              
                                                                                                                                
     Subsection (a) contains  new language establishing that                                                                    
     the  Department of  Commerce,  Community, and  Economic                                                                    
     Development  has  the  ability  to  issue  a  temporary                                                                    
     license, permit,  or certificate  to an  individual who                                                                    
     holds a  corresponding license, permit,  or certificate                                                                    
     in another jurisdiction.                                                                                                   
                                                                                                                                
     Subsection  (b) establishes  that a  temporary license,                                                                    
     permit,  or  certificate  is valid  for  one  year  and                                                                    
     allows the  license, permit,  or certificate  holder to                                                                    
     temporarily practice  the occupation  for which  it was                                                                    
     granted.                                                                                                                   
                                                                                                                                
     Sec. 2  AS 08.11.050 Page 2, Lines 2-14                                                                                
                                                                                                                                
     Removes   "temporary   license"  from   this   section.                                                                    
     Renumbers subsections accordingly.                                                                                         
                                                                                                                                
     Sec. 3    AS 08.13.070  Page 2,  Lines 15-31 &  Page 3,                                                                
     Lines 1-11                                                                                                             
                                                                                                                              
     Amends  subsections (1)  (6) (7)  and  (8) by  removing                                                                    
     "temporary permit"  from each subsection.  Amends these                                                                    
     same subsections  by adding language specifying  that a                                                                    
     temporary license  is issued  under AS  08.01.062. Adds                                                                    
     "temporary supervised  practice license" to  these same                                                                    
     subsections.                                                                                                               
                                                                                                                              
MS. MCCALL quoted from a legal memo [from Legislative Counsel                                                                   
Sandon M. Fisher dated February 11, 2021] that explained the                                                                    
rationale for the change. The excerpt read as follows:                                                                          
                                                                                                                                
     3.  Under current  law, a  person who  have applied  to                                                                    
     take the  examination for  a license  to practice  as a                                                                    
     barber  or  a  hairdresser  is eligible  to  receive  a                                                                    
     temporary  license under  AS 08.13.175  so long  as the                                                                    
     person  works  under  the supervision  of  a  licensee.                                                                    
     Similarly,  veterinary applicants  awaiting examination                                                                    
     results  are eligible  to receive  a temporary  license                                                                    
     under AS 08.98.180 if  they practice under supervision.                                                                    
     The draft  bill changes  the name  of these  license to                                                                    
     "temporary supervised  practice license."  AS 08.63.130                                                                    
     also authorizes  a temporary  license while  waiting to                                                                    
     take  the  examination,  but  without  the  supervision                                                                    
     requirement.                                                                                                               
                                                                                                                                
MS. MCCALL explained that "temporary permit" is replaced with                                                                   
"temporary supervised practice license" throughout the bill.                                                                    
                                                                                                                                
     Sec. 4  AS 08.13.130(a) Page 3, Lines 12-21                                                                            
                                                                                                                                
     Is amended by removing  "or temporary permit" from this                                                                    
     section.  Adds  language  specifying that  a  temporary                                                                    
     license is  issued under AS 08.01.062.  Adds "temporary                                                                    
     supervised practice license" to this section.                                                                              
                                                                                                                                
     Sec. 5  AS 08.13.150 Page 3, Lines 22-29                                                                               
                                                                                                                                
     Is amended by removing  "or temporary permit" from this                                                                    
     section.  Adds  language  specifying that  a  temporary                                                                    
     license is  issued under AS 08.01.062.  Adds "temporary                                                                    
     supervised practice license" to this section.                                                                              
                                                                                                                                
     Sec. 6    AS 08.13.175  Page 3,  Lines 30-31 &  Page 4,                                                                
     Lines 1-11                                                                                                             
                                                                                                                                
     Changes  the  title  of this  section  from  "temporary                                                                    
     license"  to "temporary  supervised practice  license."                                                                    
     Removes  "be temporarily  licensed"  from this  section                                                                    
     and replaces  it with  "receive a  temporary supervised                                                                    
     practice  license." Inserts  language  to specify  that                                                                    
     each  temporary license  listed  in this  section is  a                                                                    
     temporary "supervised practice" license.                                                                                   
                                                                                                                                
     Sec. 7   AS 08.13.185(a) Page  4, Lines 12-31 & Page 5,                                                                
     Line 1                                                                                                                 
                                                                                                                                
     Removes "temporary permit"  from subsection (a)(12) and                                                                    
     renumbers subsections accordingly.  Inserts language to                                                                    
     specify  that a  temporary  license  listed under  this                                                                    
     section is a temporary                                                                                                     
     "supervised practice" license.                                                                                             
                                                                                                                                
2:10:21 PM                                                                                                                    
     Sec. 8  AS 08.13.190 Page 5, Lines 2-15                                                                                
                                                                                                                                
     Amends subsections  (a) and (b) by  removing "temporary                                                                    
     permit"  from  those   subsections.  Adds  language  to                                                                    
     subsections  (a) and  (b) specifying  that a  temporary                                                                    
     license is  issued under AS 08.01.062.  Adds "temporary                                                                    
     supervised practice license" to those subsections.                                                                         
                                                                                                                                
     Sec. 9  AS 08.20.180(a) Page 5, Lines 16-22                                                                            
                                                                                                                                
     Is  amended  by  removing language  pertaining  to  the                                                                    
     issuance  of  a temporary  permit  and  a locum  tenens                                                                    
     permit under this section.                                                                                                 
                                                                                                                                
     Sec. 10  AS 08.36.100 Page 5, Lines 23-26                                                                              
                                                                                                                                
     Removes AS  08.36.254 as an exception  to the provision                                                                    
     that  a   person  may  not  practice,   or  attempt  to                                                                    
     practice, dentistry without a license.                                                                                     
                                                                                                                                
     Sec. 11    AS 08.63.130 Page  5, Lines 27-31 &  Page 6,                                                                
     Lines 1-7                                                                                                              
                                                                                                                                
     Changes the  title of this subsection  by inserting the                                                                    
     word  "practice." Inserts  language to  specify that  a                                                                    
     temporary  license  listed  under  this  section  is  a                                                                    
     temporary "practice" license.                                                                                              
                                                                                                                                
     Sec. 12  AS 08.64.279 Page 6, Lines 8-12                                                                               
                                                                                                                                
     Is  amended  by  removing   language  pertaining  to  a                                                                    
     temporary permit for locum tenens practice.                                                                                
                                                                                                                                
     Sec. 13  AS 08.64.315 Page 6, Lines 13-23                                                                              
                                                                                                                                
     Removes   subsection   (4)   "temporary   permit"   and                                                                    
     subsection   (5)  "locum   tenens  permit."   Renumbers                                                                    
     subsections accordingly.                                                                                                   
                                                                                                                                
     Sec. 14    AS 08.68.220 Page  6, Lines 24-31 &  Page 7,                                                                
     Lines 1-13                                                                                                             
                                                                                                                                
     Removes  "temporary permit"  from  subsections (1)  (2)                                                                    
     and (3).                                                                                                                   
                                                                                                                                
     Sec. 15  AS 08.80.160 Page 7, Lines 14-27                                                                              
                                                                                                                                
     Removes   subsection   (5)  "temporary   license"   and                                                                    
     subsection    (8)    "emergency   permit."    Renumbers                                                                    
     subsections accordingly.                                                                                                   
                                                                                                                                
     Sec. 16 AS  08.84.010(b) Page 7, Lines 28-31  & Page 8,                                                                
     Lines 1-12                                                                                                             
                                                                                                                                
     Is  amended  by  removing the  issuance  of  "temporary                                                                    
     permits"   from   the   State  Physical   Therapy   and                                                                    
     Occupational Therapy Board.                                                                                                
                                                                                                                                
     2:12:08 PM                                                                                                               
     Sec. 17 AS 08.84.050 Page 8, Lines 13-21                                                                               
                                                                                                                                
     Is amended to remove  subsection (5) "temporary permit"                                                                    
     and subsection (6) "limited permit."                                                                                       
                                                                                                                                
     Sec.  18 AS  08.84.150 Page  8, Lines  22-31 &  Page 9,                                                                
     Lines 1-25                                                                                                             
                                                                                                                                
     Is  amended   by  replacing   the  word   "limited"  in                                                                    
     subsections   (a)(3)   and   (b)(4)   with   the   word                                                                    
     "temporary."  The  statute  referenced  in  those  same                                                                    
     subsections is replaced with AS 08.01.062.                                                                                 
                                                                                                                                
     Sec. 19 AS 08.98.120(a) Page  9, Lines 26-31 & Page 10,                                                                
     Lines 1-3                                                                                                              
                                                                                                                                
     Is  amended  by  replacing the  statute  referenced  in                                                                    
     subsection (a) with AS 08.01.062.                                                                                          
                                                                                                                                
     Sec. 20 AS 08.98.180 Page 10, Lines 4-13                                                                               
                                                                                                                                
     Changes  the  title  of this  section  from  "temporary                                                                    
     license"  to "temporary  supervised practice  license."                                                                    
     Removes  "be temporarily  licensed"  from this  section                                                                    
     and replaces  it with  "receive a  temporary supervised                                                                    
     practice license."  Inserts language to specify  that a                                                                    
     temporary  license  described  in  this  section  is  a                                                                    
     temporary "supervised practice" license.                                                                                   
                                                                                                                                
     Sec. 21 AS 08.98.190 Page 10, Lines 14-23                                                                              
                                                                                                                                
     Inserts  language specifying  that a  temporary license                                                                    
     listed  in  this  section is  a  temporary  "supervised                                                                    
     practice"  license. Removes  subsection (7)  "temporary                                                                    
     permit."                                                                                                                   
                                                                                                                                
     Sec. 22 Page 10, Lines 24-28                                                                                           
                                                                                                                                
     Lists the  sections that will  be repealed as  a result                                                                    
     of this Act.                                                                                                               
                                                                                                                                
     Sec. 23 Page 10, Line 29                                                                                               
                                                                                                                                
     Establishes an effective date of January 1, 2022.                                                                          
                                                                                                                                
2:13:39 PM                                                                                                                    
SENATOR GRAY-JACKSON asked  for the definition of  a locum tenens                                                               
permit.                                                                                                                         
                                                                                                                                
CHAIR COSTELLO  asked Sara Chambers  to answer the  question. She                                                               
also  asked  her  to  discuss  which  professions  had  the  most                                                               
regulations  set  aside  to   expedite  temporary  licensure  and                                                               
whether or not there was  already an expedited process in statute                                                               
for  certain  professions to  receive  a  temporary license.  She                                                               
noted  that the  legislature had  passed legislation  to expedite                                                               
licenses for  military spouses and wondered  whether the statutes                                                               
offered  a   similar  accommodation   to  nurses  or   any  other                                                               
profession.                                                                                                                     
                                                                                                                                
2:15:41 PM                                                                                                                    
SARA CHAMBERS, Director, Division  of Corporations, Business, and                                                               
Professional  Licensing, Department  of  Commerce, Community  and                                                               
Economic  Development  (DCCED),   Juneau,  Alaska,  responded  to                                                               
Senator Gray-Jackson explaining that a  locum tenens license is a                                                               
very specific temporary  license that allows someone  from out of                                                               
state to  work for a limited  and fixed period for  a profession,                                                               
typically   in  the   medical  field.   She   noted  that   these                                                               
professionals are sometimes referred to as "travelers."                                                                         
                                                                                                                                
Responding  to the  chair's question,  she offered  to follow  up                                                               
with  the information.  She  explained that  the  division has  a                                                               
variety of  types of licenses  ranging from a  permanent two-year                                                               
license  to a  locum  tenens temporary  license  to an  emergency                                                               
curtesy license.  All of these  licenses differ according  to the                                                               
licensing program  and the decisions  of the board  that oversees                                                               
the profession.                                                                                                                 
                                                                                                                                
MS.  CHAMBERS said  she wanted  to  clarify that  while the  term                                                               
"expediting"  means  moving forward  quickly,  it  should not  be                                                               
interpreted  to  mean that  the  requirements  for licensure  are                                                               
changed. The applicant  still needs to meet  all the requirements                                                               
in statute  and regulation.  For example,  several years  ago the                                                               
legislature  required  expedited   handling  of  military  spouse                                                               
licenses and  the division  does move  those applications  to the                                                               
front of  the line, but  there is no  special pathway in  most of                                                               
the professions.                                                                                                                
                                                                                                                                
She said the  overseeing boards have not made  a concerted effort                                                               
to  adopt the  temporary  licensing provisions  that are  allowed                                                               
under AS 08.010.62. However, the language  in SB 86 is similar to                                                               
Senate Bill 157  that the Governor introduced in  2020. That bill                                                               
spoke to  the need  to allow  people who  are qualified  in other                                                               
jurisdictions to  start working in  Alaska while they  finish the                                                               
Alaska requirements. If that bill  had passed last year, it would                                                               
have been  a useful  tool. She  said the  division is  looking at                                                               
this bill  and other options  to amend licensing practices  to be                                                               
responsive to the healthcare system and the military.                                                                           
                                                                                                                                
2:20:07 PM                                                                                                                    
SENATOR REVAK  related that  the number one  issue that  he hears                                                               
from  the military  is licensure.  He  noted that  he spoke  with                                                               
people from  the Department  of Defense  (DoD) earlier  today who                                                               
said that  the average wait  nationally for an  expedited license                                                               
is  10 months  and Alaska  is not  one of  the better  states for                                                               
expedited  licensing. He  asked  if a  temporary  license and  an                                                               
expedited full state license were different.                                                                                    
                                                                                                                                
MS.  CHAMBERS   replied  that   expedited  licensure   means  the                                                               
application  is  moved  to  front of  line  whereas  a  temporary                                                               
license  or  another  type  of  license  allowed  in  statute  or                                                               
regulation  to  change  the  license   requirements  to  offer  a                                                               
license, as SB  86 does, to someone who meets  standards that may                                                               
be slightly different than what is currently in statute.                                                                        
                                                                                                                                
She advised that  the division has been working  closely with DoD                                                               
and the military  communities for several years to  try to change                                                               
the statute.  She said the  Governor had several bills  last year                                                               
on this  topic, there is  the nurse licensure compact  this year,                                                               
and SB  86 would also  give the  division tools to  legally allow                                                               
this type  of license to  be issued. The Department  of Commerce,                                                               
Community  and  Economic  Development   (DCCED)  cannot  do  this                                                               
without  legislative authority.  The overseeing  boards may  have                                                               
the ability  but they have not  moved forward. SB 86  would shift                                                               
the ability from  the boards to the department,  which could save                                                               
weeks  to months  compared to  the time  it takes  the boards  to                                                               
analyze, review, and  vote on a license, which  they are required                                                               
to do.                                                                                                                          
                                                                                                                                
SENATOR REVAK  highlighted the  concern he  heard from  DoD about                                                               
the number  of families that  have opted  not to move  to Alaska.                                                               
Licensure was one of the reasons that has been mentioned.                                                                       
                                                                                                                                
SENATOR  REVAK asked  the average  time to  process out  of state                                                               
occupational licenses  when they  are and  are not  expedited and                                                               
the time it takes to receive a temporary license.                                                                               
                                                                                                                                
2:24:08 PM                                                                                                                    
MS. CHAMBERS  answered that each  license type takes  a different                                                               
amount of  time because  each is  governed separately  in statute                                                               
and regulation.  The problem  is not with  the agency  review but                                                               
with   the  number   and  level   of  statutory   and  regulatory                                                               
requirements  the applicant  must fulfill.  Some applicants  have                                                               
hundreds  of   documents  they   must  supply   from  educational                                                               
institutions and previous  employers. This bogs them  down and it                                                               
is beyond the division's control.                                                                                               
                                                                                                                                
Once  the  applicant has  sent  all  the required  documentation,                                                               
which can  take weeks or  months depending on  the sophistication                                                               
of the  license requirements, the division  conducts the internal                                                               
staff review and sends the  application to the relevant board for                                                               
its  review,  which  takes  several  additional  weeks.  When  an                                                               
applicant is  moved to the front  of the line, the  review can be                                                               
shortened from six weeks to two weeks,  but that is on top of the                                                               
time it  takes to supply  all the documentation that  statute and                                                               
regulation require.                                                                                                             
                                                                                                                                
MS. CHAMBERS said expediting the  process after the statutory and                                                               
regulatory  documentation has  been  supplied  is different  than                                                               
looking at the  structure of the law and making  a decision to do                                                               
things  differently,  which  is  what  SB  86  does.  Right  now,                                                               
military spouses  can have their  application moved to  the front                                                               
of  the  line   but  they  still  have  to  meet   all  the  same                                                               
requirements as other applicants. The  speed with which they pull                                                               
the requirements  together is in their  hands for part of  it but                                                               
some of it is outside their control.                                                                                            
                                                                                                                                
MS.   CHAMBERS   said   putting  temporary   licensure   in   the                                                               
department's hands  and helping to  change the structure  to give                                                               
military  spouses  the  chance  to work  while  they  finish  the                                                               
requirements  for  full  licensure  is  a  fundamental  structure                                                               
change  that also  transfers to  health  care and  all the  other                                                               
professions that have to go through her office.                                                                                 
                                                                                                                                
2:27:46 PM                                                                                                                    
SENATOR REVAK indicated his wish to  see closure on the issue and                                                               
committed to continue to work to that end.                                                                                      
                                                                                                                                
2:28:25 PM                                                                                                                    
CHAIR COSTELLO  asked Ms. Chambers  how many  of the 14  pages of                                                               
regulations  waived  by  the disaster  declaration  affected  the                                                               
division  and which  ones were  people  asking for  now that  the                                                               
legislature  might  be able  to  accommodate  without a  disaster                                                               
declaration.                                                                                                                    
                                                                                                                                
2:30:41 PM                                                                                                                    
MS.  CHAMBERS  said she  appreciated  the  tools the  legislature                                                               
provided in  2020 through Senate  Bill 241 that made  it possible                                                               
for the department to respond  quickly to the changing healthcare                                                               
and  economic needs  during the  COVID-19 pandemic.  She reported                                                               
that all  the statutory and regulatory  suspensions pertaining to                                                               
her division were  elements to assist with  the economic downturn                                                               
that all states faced.                                                                                                          
                                                                                                                                
She  explained that  the first  element was  the ability  for the                                                               
division's  professional  boards  and  the  department  to  issue                                                               
curtesy  licenses  on  an  expedited   basis.  That  provided  an                                                               
opportunity  for  all  professions  to get  people  licensed  who                                                               
needed  to continue  to care  for  Alaskans who  could no  longer                                                               
travel. The  curtesy licensing opened  an opportunity  for mental                                                               
health  boards  to help  students  who  returned to  Alaska  from                                                               
college  but   still  needed  professional   psychological  care.                                                               
Curtesy licenses were moved quickly for those providers.                                                                        
                                                                                                                                
She  said another  area  that was  in Senate  Bill  241 that  the                                                               
Governor  continued   was  a   provision  to   allow  physicians,                                                               
physician  assistants  (PAs), and  nurses  who  were licensed  in                                                               
other  states  to  be  able  to  provide  limited  telehealth  to                                                               
Alaskans without getting a license  in Alaska. This was important                                                               
to  help  the  Alaskans  who   cannot  travel  to  see  specialty                                                               
providers that  may not  be available in  Alaska. She  noted that                                                               
out of state  specialty providers who are not  licensed in Alaska                                                               
are not able  to deliver telehealth care to  their patients while                                                               
they are in  Alaska. That is what the  telehealth provision under                                                               
the emergency disaster declaration accomplished.                                                                                
                                                                                                                                
MS. CHAMBERS  said another provision  in licensing  that affected                                                               
the division was finger printing.  During the early stages of the                                                               
COVID-19 pandemic in  2020, finger printers would  not see people                                                               
in person so the department  worked with the Department of Public                                                               
Safety through  a federal compact  to pause  fingerprinting until                                                               
people were able to get those done in person.                                                                                   
                                                                                                                                
She  said the  Governor also  continued the  provision in  Senate                                                               
Bill   241  to   give   nonprofits,   corporations,  and   Native                                                               
corporations the ability to meet  virtually as long as the entity                                                               
had rules  for that. She said  this continuing need is  under the                                                               
purview of the division.                                                                                                        
                                                                                                                                
2:37:25 PM                                                                                                                    
CHAIR  COSTELLO highlighted  SB 24  that addresses  the issue  of                                                               
corporations  meeting  virtually  and   SB  78  that  relates  to                                                               
telehealth  as   examples  of  the   legislature  trying   to  be                                                               
responsive to changing needs as  well as making the statutes more                                                               
COVID aware.  She asked if more  nurses and locum tenens  came to                                                               
Alaska during the pandemic.                                                                                                     
                                                                                                                                
MS. CHAMBERS replied  there was already a shortage  of nurses and                                                               
other  providers  before  the pandemic.  She  said  the  division                                                               
issued  more than  300 expedited  emergency  curtesy licenses  to                                                               
nurses and  several 100 more  licenses for physicians  and mental                                                               
health  providers.  She  reminded  members that  the  issue  with                                                               
licensing is that  it is a passthrough; applicants  must meet the                                                               
legal requirements  to obtain  the document  that allows  them to                                                               
work legally. She said the  nurse licensure compact is not before                                                               
the committee but the foregoing  speaks to the need for statutory                                                               
streamlining. SB 86  works toward that and  the Governor proposed                                                               
this legislation last year to get ahead of it.                                                                                  
                                                                                                                                
2:42:17 PM                                                                                                                    
CHAIR COSTELLO  asked if  she believes that  it would  be helpful                                                               
for the department  to have the authority to  pass regulations to                                                               
issue temporary  licenses for those  professions that  the boards                                                               
currently administer.                                                                                                           
                                                                                                                                
MS. CHAMBERS  replied it would  help the department to  have that                                                               
final  authority.   She  clarified  that  the   department  would                                                               
continue   to  work   in  partnership   with  their   boards  and                                                               
commissions to ensure continued  high public safety standards and                                                               
review so this administrative streamlining  would not degrade the                                                               
process.                                                                                                                        
                                                                                                                                
CHAIR  COSTELLO   asked  for  an   explanation  of   the  changes                                                               
throughout  the  bill  from  "temporary  license"  to  "temporary                                                               
supervised practice license."                                                                                                   
                                                                                                                                
2:46:14 PM                                                                                                                    
MS. CHAMBERS replied she did not  know the intent but in practice                                                               
it means that  the department would be able to  issue a temporary                                                               
license  and  the board  would  retain  the  ability to  issue  a                                                               
supervised  practice license.  She  noted that  boards often  use                                                               
this authority to  allow somebody who is in a  student or journey                                                               
phase to work  under a person who is fully  licensed. She offered                                                               
to work with the chair's staff  to learn more about the intent of                                                               
the change.                                                                                                                     
                                                                                                                                
SENATOR GRAY-JACKSON  asked for  the number of  certified nursing                                                               
assistant (CNA) vacancies statewide.                                                                                            
                                                                                                                                
MS. CHAMBERS replied she would follow  up with the data point but                                                               
the  department  has known  for  a  long  time  that there  is  a                                                               
shortage in  Alaska. She noted  that the Board of  Nursing, which                                                               
oversees  CNA licenses,  just  adopted  emergency regulations  to                                                               
help CNA  programs bolster  their ability  to recruit  and retain                                                               
faculty  for  those programs.  The  intention  is to  make  those                                                               
regulations permanent.                                                                                                          
                                                                                                                                
SENATOR GRAY-JACKSON asked  for the number of  hours required for                                                               
CNA certification.                                                                                                              
                                                                                                                                
MS. CHAMBERS replied she would follow up with the information.                                                                  
                                                                                                                                
2:48:43 PM                                                                                                                    
CHAIR COSTELLO held SB 86 in committee for future consideration.                                                                

Document Name Date/Time Subjects
SB 54 v. A.PDF SL&C 2/24/2021 1:30:00 PM
SB 54
SB 54 Transmittal Letter.pdf SL&C 2/24/2021 1:30:00 PM
SB 54
SB 54 Sponsor Statement.pdf SL&C 2/24/2021 1:30:00 PM
SB 54
SB 54 Fiscal Note 1.PDF SL&C 2/24/2021 1:30:00 PM
SB 54
SB 54 AHFC Presentation 2.24.21.pdf SL&C 2/24/2021 1:30:00 PM
SB 54
SB 86 v. A.PDF SL&C 2/24/2021 1:30:00 PM
SB 86
SB 86 Sponsor Statement.pdf SL&C 2/24/2021 1:30:00 PM
SB 86
SB 86 Sectional Analysis.pdf SL&C 2/24/2021 1:30:00 PM
SB 86
SB 86 Fiscal Note DCCED.pdf SL&C 2/24/2021 1:30:00 PM
SB 86