Legislature(2009 - 2010)BARNES 124
03/19/2010 03:15 PM House LABOR & COMMERCE
| Audio | Topic |
|---|---|
| Start | |
| HB282 | |
| HB383 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| += | HB 282 | TELECONFERENCED | |
| *+ | HB 383 | TELECONFERENCED | |
HB 282-NATUROPATHS
3:22:12 PM
CHAIR OLSON announced that the first order of business would be
HOUSE BILL NO. 282, "An Act relating to naturopaths and to the
practice of naturopathy; establishing an Alaska Naturopathic
Medical Board; authorizing medical assistance program coverage
of naturopathic services; amending the definition of 'practice
of medicine'; and providing for an effective date."
3:22:17 PM
CHAIR OLSON, after first determining no one else wished to
testify, closed public testimony on HB 282.
The committee took an at-ease from 3:22 p.m. to 3:28 pm.
3:28:54 PM
REPRESENTATIVE BUCH made a motion to adopt the proposed
committee substitute (CS), labeled 26-LS1208\C, Cook/Bullard,
3/18/10. There being no objection, Version C was before the
committee.
3:29:15 PM
KENDRA KLOSTER, Staff, Representative Cathy Munoz, Alaska State
Legislature, reviewed the changes to the bill. She referred to
page 2, lines 26-27, which add a licensed physician and hospital
administrator to the proposed Alaska Naturopathic Medical Board
(ANMB). On page 2, lines 14-16, language was added to sunset
the board June 30, 2015. On page 3, line 5, the number of board
members for a quorum changed to four members due to the addition
of two board members. On page 3, lines 13-20, removed the two-
tier prescription provision and added language that would allow
naturopaths to prescribe non-controlled drugs such as
antibiotics, but restricted naturopaths from prescribing
controlled substances listed in federal law as schedule I-VI
drugs. On page 3, lines 25-26, the pharmacists' association
requested regulations define a physician-patient relationship
for the purposes of prescribing.
3:31:18 PM
REPRESENTATIVE BUCH referred to page 3, line 19. He stated that
he understood the exclusion but he thought the language was
vague. He asked whether the provision could be rewritten to
more clearly show that naturopaths are not allowed to prescribe
schedule V drugs.
3:32:56 PM
REPRESENTATIVE HOLMES understood the concern that on page 3,
line 19, that "or V" appears to be separate from schedule I, II,
III, and IV.
REPRESENTATIVE BUCH agreed.
3:33:48 PM
REPRESENTATIVE BUCH maintained that by removing "or" would help
to clarify the language since it seems confusing.
REPRESENTATIVE HOLMES suggested removing "a" from page 3, line
18 and 19, so it would read: "department; schedule IA, IIA,
IIIA, IVA, VA and VIA controlled substances under state law or
schedule I, II, III, IV, or V controlled substances under
federal law may not be included on the list;"
3:35:17 PM
REPRESENTATIVE BUCH offered his belief that the only item being
removed in the bill is schedule V from the federal list.
REPRESENTATIVE HOLMES related that this removes all of the
previously mentioned schedules. She reiterated that the bill
would exclude all of the controlled substance schedules from the
list of drugs that Naturopaths can prescribe.
CHAIR OLSON agreed.
REPRESENTATIVE BUCH related that schedule V was the most
comprehensive list of controlled substances under federal law.
He removed his concern.
3:35:55 PM
REPRESENTATIVE T. WILSON referred to page 3, lines 25-26 and
asked the reason for the definition for physician-patient
relationship.
MS. KLOSTER explained that the regulations define a physician-
patient relationship for the purposes of prescribing and limits
the prescribing to patients the Naturopathic Doctor (ND) is
treating.
3:36:27 PM
MS. KLOSTER, in response to Chair Olson, agreed that the patient
must have been seen by the ND.
3:36:38 PM
REPRESENTATIVE T. WILSON said she thought that was clear.
MS. KLOSTER commented that the pharmacists felt more comfortable
and the language was similar to language for optometrists. In
response to Representative Holmes, she explained that the
specific language for physician-patient relationship is found on
page 3, lines 25-26, and on page 5, lines 16-18.
MS. KLOSTER related that concludes the changes in the proposed
CS, except for technical changes.
3:38:05 PM
CHAIR OLSON removed his objection.
REPRESENTATIVE LYNN recalled that approximately 40 naturopaths
practice with a 7 member board administering only 40 people. He
inquired as to whether any other boards administer so few.
MS. KLOSTER was unsure. She offered her belief that the
standard is 5 to 7 board members, but the physician and a
hospital administrator were added. In further response to
Representative Lynn, she agreed the increase in membership would
likely increase the fiscal note, which would be reviewed by the
next committee.
CHAIR OLSON pointed out that this bill would likely encourage
more naturopaths to practice in the state.
3:40:01 PM
REPRESENTATIVE T. WILSON asked whether naturopathic physicians
should be reflected on page 3, line 25. She did not wish to
stop the bill but thought it might mislead some people.
REPRESENTATIVE BUCH recalled the pharmacists did not want to
verify the patient had a valid prescription. Thus, the onus is
on the ND to provide proof that the patient was entitled to the
prescription. He related that the ND would call the pharmacy to
authorize the prescription.
3:43:56 PM
CHAIR OLSON referred to page 3, line 13, and related that the
board will define the physician-patient relationship.
REPRESENTATIVE T. WILSON explained her question is related to
the terminology. She had complaints from hospitals that want to
distinguish between physicians and NDs.
3:44:42 PM
The committee took an at-ease from 3:44 p.m. to 3:45 p.m.
3:45:43 PM
REPRESENTATIVE T. WILSON wanted consistency in the relationship
between physicians and naturopathic physicians. Other
physicians wanted distinction between physicians and
naturopathic physicians.
MS. KLOSTER referred to page 7, lines 1-5, which will address
the concern.
3:46:40 PM
REPRESENTATIVE LYNN asked whether a fiscal note was attached to
the bill.
3:47:00 PM
CHAIR OLSON related the bill has two other committee referrals.
3:47:48 PM
REPRESENTATIVE HOLMES moved to report the proposed committee
substitute (CS) labeled 26-LS1208\C, Cook/Bullard, 3/18/10 out
of committee with individual recommendations and the
accompanying fiscal note.
REPRESENTATIVE T. WILSON objected.
REPRESENTATIVE T. WILSON noted she received an objection from a
constituent prior to the committee meeting and she is working to
address the concern. She removed her objection.
There being no further objections, the CSHB 282(L&C) was
reported from the House Labor and Commerce Standing Committee.
3:48:40 PM
The committee took an at-ease from 3:48 p.m. to 3:51 p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HB282 POM Marjorie Richards 3-13-10.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB282 Letter AAFP 3-15-10.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB282 Letter Abby Laing.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB282 Letter Tom Laing.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB282 Letter Wayne Aderhold 3-1-10.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB383 version A.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 383 |
| HB383-Fiscal Note DNR-AG-03-15-10.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 383 |
| HB383 Fiscal Note-CED-COM-03-15-10.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 383 |
| Mar 19 Packet Info.pdf |
HL&C 3/19/2010 3:15:00 PM |
|
| CSHB282 ver C.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB282 Letter Tanana Valley Clinic.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB282 Letter Tanana Clinic Letter-RX Attachment.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB282 Letter (2) Wayne Aderhold.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 282 |
| HB383 Sponsor Statement ver A.pdf |
HL&C 3/19/2010 3:15:00 PM |
HB 383 |