Legislature(2023 - 2024)BARNES 124

04/24/2023 03:15 PM House LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 119 MARIJUANA TAX TELECONFERENCED
<Bill Hearing Rescheduled to 04/26/23>
+= HB 137 PHYSICAL THERAPY LICENSURE COMPACT TELECONFERENCED
Heard & Held
+= HB 138 AUD. & SPEECH-LANG INTERSTATE COMPACT TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 21 SCHOOL/UNIVERSITY EMPLOYEE HEALTH INSUR TELECONFERENCED
Heard & Held
<Bill Hearing Rescheduled from 04/21/23>
+= HB 92 FISHERMEN'S FUND: VESSEL OWNER CLAIMS TELECONFERENCED
Moved CSHB 92(FSH) Out of Committee
           HB 137-PHYSICAL THERAPY LICENSURE COMPACT                                                                        
          HB 138-AUD. & SPEECH-LANG INTERSTATE COMPACT                                                                      
                                                                                                                                
4:22:33 PM                                                                                                                    
                                                                                                                                
VICE CHAIR  RUFFRIDGE announced that  the next order  of business                                                               
would be  HOUSE BILL NO. 137,  "An Act relating to  an interstate                                                               
physical therapy licensure compact;  relating to the licensure of                                                               
physical therapists, physical  therapist assistants, occupational                                                               
therapists,  and occupational  therapy assistants;  and providing                                                               
for an effective date." and HOUSE  BILL NO. 138, "An Act relating                                                               
to an audiology and  speech-language interstate compact; relating                                                               
to the practice of audiology  and the practice of speech-language                                                               
pathology; and providing for an effective date."                                                                                
                                                                                                                                
4:23:07 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE WRIGHT  stated that HB  137 would allow  Alaska to                                                               
join the  Physical Therapy Licensure  Compact, and HB  138 [which                                                               
is the final order of  business before the committee] would allow                                                               
the state to  join the Audiologist and  Speech Language Therapist                                                               
Compact.                                                                                                                        
                                                                                                                                
4:24:06 PM                                                                                                                    
                                                                                                                                
RACHAEL GUNN, Staff, Representative  Stanley Wright, Alaska State                                                               
Legislature,  stated  that  licensure compacts  allow  states  to                                                               
cooperate  in  policy areas  relating  to  the licensure  fields,                                                               
resulting in  the increase  access to quality  care.   She stated                                                               
that individuals seeking  licensure in the two  fields covered by                                                               
HB 137  and HB 138  would still receive  a license in  their home                                                               
state, unlike the Nurse Licensure Compact.                                                                                      
                                                                                                                                
4:28:19 PM                                                                                                                    
                                                                                                                                
JEFF  ROSA, Compact  Administrator, Physical  Therapist Licensure                                                               
Compact  Commission,  stated  that   the  goal  of  the  Physical                                                               
Therapist  Licensure Compact  is to  increase public  protections                                                               
and  access  to physical  therapy.    He  added that  a  physical                                                               
therapist wishing to  practice in another state  would still need                                                               
to seek permission to work in  that state.  He explained that the                                                               
compact preserves  the state licensure  system while  creating an                                                               
easier and more efficient route to practice in another state.                                                                   
                                                                                                                                
4:31:08 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER asked how  many physical therapists are in                                                               
the state.   He questioned the  number of these who  are military                                                               
spouses.                                                                                                                        
                                                                                                                                
MR. ROSA deferred to the bill sponsor.                                                                                          
                                                                                                                                
4:32:04 PM                                                                                                                    
                                                                                                                                
SYLVAN ROBB,  Director, Division  of Corporations,  Business, and                                                               
Professional  Licensing, Department  of  Commerce, Community  and                                                               
Economic  Development, answered  that  there  are 1,314  licensed                                                               
physical therapists and 202 physical  therapist assistants in the                                                               
state.                                                                                                                          
                                                                                                                                
4:32:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  PRAX  questioned  the   fee  when  another  state                                                               
license is added.                                                                                                               
                                                                                                                                
MR. ROSA  answered that a  license covering every state  would be                                                               
more  expensive,  and  some  licensees   may  not  wish  to  take                                                               
advantage  of the  ability  to  practice in  another  state.   He                                                               
continued that  the fee  would cover  an individual's  ability to                                                               
practice in another  state.  He added that the  fees have allowed                                                               
the  commission to  avoid charging  an assessment  fee to  member                                                               
states.  In  response to a follow-up question, he  said that each                                                               
state sets their own licensure fee.                                                                                             
                                                                                                                                
REPRESENTATIVE PRAX asked  how the state would know  it is making                                                               
the best use of the fee in future years.                                                                                        
                                                                                                                                
MR. ROSA  answered that each fee  is set up by  an administrative                                                               
rules process.                                                                                                                  
                                                                                                                                
4:38:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CARRICK  asked whether  there  is  a shortage  of                                                               
physical  therapists  or  audiologists   in  Alaska.    She  also                                                               
questioned the wait time for  physical therapists or audiologists                                                               
to receive a license.                                                                                                           
                                                                                                                                
MR.  ROSA answered  that  he would  defer  to subsequent  invited                                                               
testimony to answer these questions.                                                                                            
                                                                                                                                
4:39:57 PM                                                                                                                    
                                                                                                                                
LEEANNE CARROTHERS,  PT, PhD,  Federal Affairs  Liaison, American                                                               
Physical Therapy Association, Alaska  Chapter, stated that she is                                                               
unsure  of  the exact  number  of  physical therapists  currently                                                               
needed  in the  state, but  there is  a shortage  of health  care                                                               
workers across all fields in Alaska.   She said that the wait for                                                               
a physical therapist license is  several months, which negatively                                                               
impacts the care of Alaskans.                                                                                                   
                                                                                                                                
4:42:54 PM                                                                                                                    
                                                                                                                                
REBECCA  BYERLEY,  PT,  DPT, Chief  Delegate,  American  Physical                                                               
Therapy  Association,  Alaska  Chapter,  stated  that  there  are                                                               
openings for physical  therapist jobs in all  aspects of physical                                                               
therapy on the Kenai Peninsula.   She suggested that the openings                                                               
are a sign  of a shortage.  She observed  that there are patients                                                               
who  have no  care  once  they leave  the  hospital, which  could                                                               
eventually lead to more health issues in the future.                                                                            
                                                                                                                                
4:45:53 PM                                                                                                                    
                                                                                                                                
NAHALE  KALFAS,  Legal  Counsel, Council  of  State  Governments,                                                               
National Center  for State Compacts, stated  that the Audiologist                                                               
and Speech  Language Therapist Licensure Compact  works similarly                                                               
to the  Physical Therapist  Licensure Compact.   This  compact is                                                               
newer than the physical therapist  compact, with operations still                                                               
being set  up, and it  has 26 member states.   She said  that the                                                               
compact has  a provision  to allow the  spouse of  an active-duty                                                               
member of the military  to set a home state, and  it is the first                                                               
compact to  have such a  provision.   She added that  the compact                                                               
would increase public protections and access to care.                                                                           
                                                                                                                                
4:50:04 PM                                                                                                                    
                                                                                                                                
MS.  KALFAS,  in  response  to  a  question  from  Representative                                                               
Saddler, stated  that the compact  has an active  commission with                                                               
funding sources,  and the data  system required to  begin issuing                                                               
licenses  is still  being set  up.   In response  to a  follow-up                                                               
question,  she  reiterated  that  the commission  has  not  begun                                                               
issuing  licenses.   She  added  that  other compacts  have  gone                                                               
through the same  process.  In response to  a follow-up question,                                                               
she  stated  that   the  compact  is  only   for  fully  licensed                                                               
professionals, not students.                                                                                                    
                                                                                                                                
4:54:40 PM                                                                                                                    
                                                                                                                                
NANCY   LOVERING,  MS,   CCC-SLP,  Alaska   Speech  and   Hearing                                                               
Association,  stated  that  HB   138  would  increase  access  to                                                               
audiology and speech therapy care  and reduce burdens on military                                                               
families.  She  stated that because of the lack  of a state board                                                               
for audiology  and speech therapy, consumer  protections would be                                                               
increased  and  joining the  compact  would  provide a  level  of                                                               
oversite not currently present.                                                                                                 
                                                                                                                                
4:56:53 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  asked whether  joining the  compact would                                                               
affect a speech therapist's ability to bill insurance.                                                                          
                                                                                                                                
MS. LOVERING answered no.                                                                                                       
                                                                                                                                
4:57:44 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CARRICK  asked   whether  there  are  significant                                                               
shortages or licensure wait times  for any professions covered by                                                               
HB 137 or HB 138.                                                                                                               
                                                                                                                                
REPRESENTATIVE  WRIGHT  answered  that  he is  unsure  but  would                                                               
provide any available numbers at a future time.                                                                                 
                                                                                                                                
4:58:27 PM                                                                                                                    
                                                                                                                                
VICE  CHAIR RUFFRIDGE  asked whether  fingerprinting  would be  a                                                               
requirement for  an individual wishing  to take advantage  of the                                                               
compact.                                                                                                                        
                                                                                                                                
REPRESENTATIVE   WRIGHT  answered   that  fingerprinting   is  an                                                               
additional   security   measure   which  would   increase   state                                                               
cooperation.                                                                                                                    
                                                                                                                                
MS.   GUNN  added   that  many   other  states   already  require                                                               
fingerprinting.   In response to  a follow-up question,  she said                                                               
that it is a requirement of both compacts.                                                                                      
                                                                                                                                
5:00:14 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE PRAX  asked whether the process  of fingerprinting                                                               
would necessitate repetition for an individual moving to Alaska.                                                                
                                                                                                                                
MS.   GUNN   answered   that  previous   information,   including                                                               
disciplinary action, would be available to the state.                                                                           
                                                                                                                                
5:01:39 PM                                                                                                                    
                                                                                                                                
VICE CHAIR RUFFRIDGE  announced that HB 137 and HB  138 were held                                                               
over.                                                                                                                           
                                                                                                                                
5:01:50 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Labor and  Commerce Standing Committee  meeting was  adjourned at                                                               
[5:02] p.m.                                                                                                                     

Document Name Date/Time Subjects
A.1.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.2.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.3 - Scanned.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.4 - Scanned.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.5.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.6.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.7.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.8.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.9.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
HB 137 PTC Eligibility 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC Guidance for Military 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC Map 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC Fees by State 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC FAQ 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC How-To 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 Compact Benefits.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC Responsibilty of Privledge Holders 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB0137A.PDF HL&C 4/24/2023 3:15:00 PM
HB 137
HB 138 Sectional Analysis ver A 4.4.23.docx HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Fact Sheet 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Overview Guide 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Overview Guide 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Talking Points 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-CSG Compacts in Action 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-CSG Multistate Problem Solving 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-What is a Compact 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Sponsor Statement ver A 4.4.23.docx HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Map 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Summary Infograph 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-CSG Alaska Compacts 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-CSG Interstate Licensure Fact Sheet 6.22.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-DOD Talking Points 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 ver A.PDF HL&C 4/24/2023 3:15:00 PM
HB 138
HB 137 SPONSOR STATEMENT.docx HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 Sectional Analysis.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 138 Sectional Analysis ver A 4.4.23 (1).pdf HL&C 4/24/2023 3:15:00 PM
HB 138
A.11.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
Fiscal Note HB137.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
Fiscal Note HB138.pdf HL&C 4/24/2023 3:15:00 PM
HB 138