03/26/2010 08:00 AM Senate EDUCATION
| Audio | Topic | 
|---|---|
| Start | |
| Confirmations for Alaska State Board of Education and Early Development | |
| HB110 | |
| Adjourn | 
+ teleconferenced
= bill was previously heard/scheduled
| + | TELECONFERENCED | ||
| = | HB 110 | ||
| = | HB 360 | ||
                    ALASKA STATE LEGISLATURE                                                                                  
              SENATE EDUCATION STANDING COMMITTEE                                                                             
                         March 26, 2010                                                                                         
                           8:01 a.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Kevin Meyer, Co-Chair                                                                                                   
Senator Joe Thomas, Co-Chair                                                                                                    
Senator Bettye Davis, Vice Chair                                                                                                
Senator Charlie Huggins                                                                                                         
Senator Donald Olson                                                                                                            
Senator Gary Stevens                                                                                                            
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
CONFIRMATION OF CANDIDATES FOR THE ALASKA STATE BOARD OF                                                                        
EDUCATION AND EARLY DEVELOPMENT                                                                                                 
                                                                                                                                
     - CONFIRMATIONS ADVANCED                                                                                                   
                                                                                                                              
COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 110(HSS)                                                                                
"An Act relating to the practice and licensing of                                                                               
psychologists."                                                                                                                 
                                                                                                                                
     - MOVED CSHB 110(HSS) OUT OF COMMITTEE                                                                                     
                                                                                                                                
COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 360(EDC)                                                                                
"An Act relating to the provision of information regarding a                                                                    
student by a school district to the Department of Military and                                                                  
Veterans' Affairs, Alaska Challenge Youth Academy."                                                                             
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 110                                                                                                                  
SHORT TITLE: PSYCHOLOGISTS' LICENSING & PRACTICE                                                                                
SPONSOR(s): REPRESENTATIVE(s) HERRON                                                                                            
                                                                                                                                
02/04/09       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/04/09       (H)       HSS, L&C                                                                                               
03/19/09       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/19/09       (H)       Heard & Held                                                                                           
03/19/09       (H)       MINUTE(HSS)                                                                                            
01/28/10       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
01/28/10       (H)       Moved CSHB 110(HSS) Out of Committee                                                                   
01/28/10       (H)       MINUTE(HSS)                                                                                            
01/29/10       (H)       HSS RPT CS(HSS) 6DP 1NR                                                                                
01/29/10       (H)       DP: HOLMES, T.WILSON, SEATON, LYNN,                                                                    
                         CISSNA, HERRON                                                                                         
01/29/10       (H)       NR: KELLER                                                                                             
02/17/10       (H)       L&C AT 3:15 PM BARNES 124                                                                              
02/17/10       (H)       Moved CSHB 110(HSS) Out of Committee                                                                   
02/17/10       (H)       MINUTE(L&C)                                                                                            
02/19/10       (H)       L&C RPT CS(HSS) 2DP 3NR                                                                                
02/19/10       (H)       DP: HOLMES, T.WILSON                                                                                   
02/19/10       (H)       NR: BUCH, NEUMAN, OLSON                                                                                
02/24/10       (H)       TRANSMITTED TO (S)                                                                                     
02/24/10       (H)       VERSION: CSHB 110(HSS)                                                                                 
02/26/10       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/26/10       (S)       EDC, L&C                                                                                               
03/19/10       (S)       EDC AT 8:00 AM BELTZ 105 (TSBldg)                                                                      
03/19/10       (S)       -- MEETING CANCELED --                                                                                 
03/26/10       (S)       EDC AT 8:00 AM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
JAMES MERRINER, Site Administrator                                                                                              
Interior Distance Education of Alaska (IDEA)                                                                                    
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Presented professional background and                                                                     
answered questions on appointment to the Alaska State Board of                                                                  
Education and Early Development.                                                                                                
                                                                                                                                
ESTHER COX, Chair                                                                                                               
State Board of Education                                                                                                        
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Presented professional background and                                                                     
answered questions on appointment to the Alaska State Board of                                                                  
Education and Early Development.                                                                                                
                                                                                                                                
REPRESENTATIVE HERRON                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Sponsor of HB 110.                                                                                        
                                                                                                                                
DR. PHILLIP BAKER, Legislative Chair                                                                                            
Alaska Psychological Association                                                                                                
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Supported HB 110.                                                                                         
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
8:01:45 AM                                                                                                                    
CO-CHAIR  JOE   THOMAS  called  the  Senate   Education  Standing                                                             
Committee meeting  to order at 8:01  a.m. Present at the  call to                                                               
order  were Senators  Huggins, Olson,  Stevens, Davis,  Meyer and                                                               
Thomas.                                                                                                                         
                                                                                                                                
  ^Confirmations for Alaska State Board of Education and Early                                                              
                          Development                                                                                       
                                                                                                                              
8:02:18 AM                                                                                                                  
CO-CHAIR THOMAS announced that the  first order of business would                                                               
be to hear from perspective  appointees to the Alaska State Board                                                               
of Education and Early Development.                                                                                             
                                                                                                                                
8:03:06 AM                                                                                                                    
JAMES MERRINER,  Site Administrator, Interior  Distance Education                                                               
of  Alaska  (IDEA),  introduced  himself and  said  that  he  has                                                               
dedicated his  professional life  to the youth  of Alaska  and is                                                               
honored to  be considered for  the board.  He said he  is excited                                                               
for where  they are as a  state and what is  happening nationally                                                               
on the educational  landscape as well. He also  mentioned that he                                                               
is very  supportive about the Governor's  Performance Scholarship                                                               
(GPS) bill.                                                                                                                     
                                                                                                                                
He said he believes he brings a  lot to the table in terms of his                                                               
experiences. He attended public and  private schools and was home                                                               
schooled for  a time as a  student. And, as an  adult, has worked                                                               
in all of those arenas, and  as a professional educator. He feels                                                               
strongly about who  he is as an educator and  the experience that                                                               
he brings.                                                                                                                      
                                                                                                                                
SENATOR STEVENS  asked how  he thinks the  state can  improve the                                                               
rate of graduation from college.                                                                                                
                                                                                                                                
MR. MERRINER  answered that he thinks  the GPS could help  a lot.                                                               
With the national standards, he  said, he is still wrestling with                                                               
certain  aspects, but  he  sees the  potential  benefits for  the                                                               
state's students to be compared  nationally. He believes that, in                                                               
terms of the high school exit  exam, they need to stay where they                                                               
are in regards to accountability for students for right now.                                                                    
                                                                                                                                
8:07:18 AM                                                                                                                    
SENATOR HUGGINS said  that he has been hearing  about what Newark                                                               
and  New York  City are  doing  in their  educational system  and                                                               
their  focus  on the  quality  of  teachers.  He asked  what  Mr.                                                               
Merriner's thoughts are  on this topic and the  decision on which                                                               
teachers stay and which ones go during time of fund shortages.                                                                  
                                                                                                                                
MR. MERRINER answered that the  quality of teachers is essential.                                                               
In his job  experience as a site administrator he  is looking for                                                               
someone who not  only has the qualifications but  who can connect                                                               
with students on a personal  level. There are obviously struggles                                                               
and challenges when  you have a tenured teacher  who doesn't meet                                                               
those qualifications. He said he is  excited for some of the talk                                                               
on a national level on how to address these issues.                                                                             
                                                                                                                                
SENATOR  HUGGINS referred  to conversations  with people  who are                                                               
home   schooled  or   participate   in   distance  education   he                                                               
understands it is relative easy  for them to receive the rigorous                                                               
curriculum that is necessary to participate in the GPS.                                                                         
                                                                                                                                
MR. MERRINER answered that is true.                                                                                             
                                                                                                                                
SENATOR  OLSON asked  why he  left Kipnuk  in the  middle of  the                                                               
year.                                                                                                                           
                                                                                                                                
MR. MERRINER  said that  Governor Parnell called  him out  of the                                                               
blue  right after  her  was elected  as  lieutenant governor  and                                                               
asked him to be his chief of staff.                                                                                             
                                                                                                                                
SENATOR STEVENS said, while he would  have voted against it if he                                                               
had been present, this committee moved  a bill to remove the high                                                               
school exit  exam. He  asked Mr. Merriner  to clarify  the school                                                               
board's position and his position on this.                                                                                      
                                                                                                                                
MR. MERRINER  answered that the  board is  not in favor  of doing                                                               
away with the  exit exam because they don't feel  there is a good                                                               
replacement to keep students accountable.                                                                                       
                                                                                                                                
CO-CHAIR THOMAS  said that those  on the committee who  wished to                                                               
repeal it did so because they  felt that the current test was not                                                               
a real measure of high school education.                                                                                        
                                                                                                                                
SENATOR DAVIS asked  what other measures Mr.  Merriner would like                                                               
to see in place before getting rid of the exit exam.                                                                            
                                                                                                                                
MR.  MERRINER replied  that he  simply meant  that the  exit exam                                                               
should stay in place until they  see an alternative to it that is                                                               
viable and can hold students to a standard.                                                                                     
                                                                                                                                
8:14:47 AM                                                                                                                    
ESTHER COX, Chair, Alaska State  Board of Education, said she has                                                               
done just  about everything a  secondary administrator can  do in                                                               
the Anchorage  school district.  She has served  as chair  of the                                                               
state board  for the last  three years  and thinks the  board has                                                               
done some good things.                                                                                                          
                                                                                                                                
She  said  when Larry  LeDoux  came  on  as Commissioner  of  the                                                               
Department of Education and Early  Development (DEED), one of the                                                               
first things  he said is  that the  state doesn't really  have an                                                               
educational  plan.  That began  discussions  on  issues that  are                                                               
being  discussed at  the legislature  such  as graduation  rates,                                                               
career and  technical schools,  teacher quality,  etc. As  far as                                                               
teacher  quality goes,  one  thing they  are  doing is  requiring                                                               
substantive    work   within    a   teacher's    discipline   for                                                               
recertification. Also, another point of  discussion for the board                                                               
is  to require  an  induction  time that  would  be required  for                                                               
teachers new  to Alaska. This  program would give a  real insight                                                               
into Alaskan culture and teaching Alaskan children.                                                                             
                                                                                                                                
The other thing that is happening,  she said, is that they have a                                                               
teacher  mentoring  program  that  is  wildly  successful.  These                                                               
mentors spend  face to face  time with teachers,  particularly in                                                               
rural Alaska, to  improve the quality of  teachers throughout the                                                               
state. They  are also working  on career and  technical education                                                               
delivery systems. Kids learn in  different ways and what they are                                                               
doing in this state is  offering options to accommodate different                                                               
learning styles.                                                                                                                
                                                                                                                                
Personally, she  said, when  they really  get serious,  they also                                                               
need to address the school calendar and schedule.                                                                               
                                                                                                                                
8:19:57 AM                                                                                                                    
SENATOR HUGGINS said the committee  has a bill that addresses the                                                               
facilities for charter  schools. He asked her to  ensure that the                                                               
board works with them to facilitate that program.                                                                               
                                                                                                                                
MS. COX  replied that  she saw that  bill recently  and confirmed                                                               
that facilities are very much an issue.                                                                                         
                                                                                                                                
SENATOR  STEVENS  said he  has  noticed  how little  high  school                                                               
students know about government and he  is shocked at times by the                                                               
questions  they  ask. He  asked  how  they better  educate  their                                                               
children in those areas.                                                                                                        
                                                                                                                                
MS.  COX answered  that  in  high school  a  government class  is                                                               
required for graduation.  They also have an  Alaska history class                                                               
that  is the  board  has  mandated. Civics  is  not required  but                                                               
students  do  take  history  through  eighth  grade  and  certain                                                               
aspects of  history that  are required in  high school.  She said                                                               
she doesn't really  have an answer for that  question. She thinks                                                               
that, maybe,  students take their  citizenship for  granted. Kids                                                               
who get involved and see  government in action tend to understand                                                               
it  better. Perhaps,  she said,  this should  be looked  at on  a                                                               
curriculum basis.                                                                                                               
                                                                                                                                
SENATOR DAVIS asked  Ms. Cox, in regards to the  high school exit                                                               
exam, about the time when the  board had concern about it and had                                                               
requested  the  commissioner to  look  into  alternatives or  the                                                               
possibility  of  eliminating  it.  She wondered  why  she  had  a                                                               
concern about the exam at that time and no longer has one.                                                                      
                                                                                                                                
MS. COX responded  that she isn't necessarily a  supporter of the                                                               
exit exam. However, she is  in favor of accountability. This exam                                                               
is   a  minimal   competency  exam,   but  it   does  show   some                                                               
accountability. She doesn't  think this is the time  to change it                                                               
because  the educational  landscape  is changing  so rapidly.  No                                                               
Child  Left  Behind (NCLB)  is  going  to change  radically;  the                                                               
national  administration  wants everyone  to  sign  on to  common                                                               
core, etc.  So until they decide  what should be used  to replace                                                               
this accountability  measure, she isn't  willing to do  away with                                                               
the exam.                                                                                                                       
                                                                                                                                
She added that  she has heartburn over the  term "minimal". There                                                               
is a lot of talk about a  rigorous curriculum and it is one thing                                                               
she really  likes about the GPS.  But she believes that  the exit                                                               
exam should be kept until there is a better replacement.                                                                        
                                                                                                                                
SENATOR DAVIS said she appreciates  the answer, but wants to know                                                               
was why the board was concerned then and not now.                                                                               
                                                                                                                                
MS. COX responded that she does  not recall the board saying they                                                               
need to do away with the exit  exam. The board has said that they                                                               
need  to be  looking  for  a better  alternative.  She said  many                                                               
states are  going towards  exit exams. She  repeated that  she is                                                               
not aware of any time that  the board recommended doing away with                                                               
it.                                                                                                                             
                                                                                                                                
SENATOR DAVIS  said she  received a memo  saying they  wanted the                                                               
exam looked at because they felt something should replace it.                                                                   
                                                                                                                                
CO-CHAIR THOMAS  commented that they  have been  educating people                                                               
in that  state for 50  years and Commissioner  LeDoux's statement                                                               
that the state  doesn't have a good plan in  place, is commentary                                                               
that there needs  to be a change. He feels  that the board should                                                               
address not  only teaching recertification, but  of replacing the                                                               
exit  exam  with  something  more relevant  within  the  next  18                                                               
months.                                                                                                                         
                                                                                                                                
8:30:52 AM                                                                                                                    
SENATOR OLSON asked for Ms.  Cox's thoughts on WorkKeys replacing                                                               
the current exit exam.                                                                                                          
                                                                                                                                
MS. COX answered that she  likes WorkKeys. She isn't sure whether                                                               
it is  appropriate for both  college and career  assessment. What                                                               
she likes  about the test is  that it gives different  levels and                                                               
is a good counseling tool.                                                                                                      
                                                                                                                                
SENATOR OLSON said,  looking at her resume, he  sees little rural                                                               
education  experience  on  her  resume  compared  to  some  other                                                               
candidates, including Mr. Merriner.                                                                                             
                                                                                                                                
MS.  COX responded  that he  is correct;  she does  not have  any                                                               
rural  experience. But,  she believes  her urban  experience also                                                               
needs to  be included on  the board.  Others can bring  the rural                                                               
perspective,  but the  urban  perspective needs  to  be there  as                                                               
well.                                                                                                                           
                                                                                                                                
8:33:12 AM                                                                                                                    
CO-CHAIR  THOMAS thanked  the candidates  and said  the committee                                                               
will pass their names on to the next committee.                                                                                 
                                                                                                                                
CO-CHAIR MEYER  moved that  Ms. Cox and  Mr. Merriner's  names be                                                               
moved on to the next committee of referral for consideration.                                                                   
                                                                                                                                
SENATOR STEVENS  commented that  he hopes  they can  develop more                                                               
meaningful dialog between the board and the committee.                                                                          
                                                                                                                                
CO-CHAIR THOMAS  said that there  being no objection,  the motion                                                               
carried.                                                                                                                        
                                                                                                                                
           HB 110-PSYCHOLOGISTS' LICENSING & PRACTICE                                                                       
                                                                                                                                
8:34:33 AM                                                                                                                    
CO-CHAIR  THOMAS  announced consideration  of  HB  110 [CSHB  110                                                               
(HSS) 26-LS0474\R was before the committee].                                                                                    
                                                                                                                                
8:34:56 AM                                                                                                                    
REPRESENTATIVE HERRON,  sponsor of HB  110, said HB 110  hopes to                                                               
clarify  the   current  statute   regarding  the   licensing  and                                                               
regulation of psychologists  in Alaska. It aligns  the exams that                                                               
are available and  clarifies who can practice  psychology and the                                                               
associated   practices   with   it.  School   physiologists   and                                                               
government  employees   can  practice  outside  of   the  current                                                               
statutes.   It does not limit  the work of mental  health service                                                               
providers in Alaska.                                                                                                            
                                                                                                                                
SENATOR OLSON asked if the department supports this.                                                                            
                                                                                                                                
REPRESENTATIVE HARRIS replied yes.                                                                                              
                                                                                                                                
CO-CHAIR THOMAS commented that there  are a variety of letters of                                                               
support accompanying the bill.                                                                                                  
                                                                                                                                
SENATOR DAVIS said she is in support of HB 110.                                                                                 
                                                                                                                                
8:37:26 AM                                                                                                                    
DR.  PHILLIP  BAKER,   Legislative  Chair,  Alaska  Psychological                                                               
Association, said they cosponsored  this bill with the Psychology                                                               
Licensing  Board and  the  purpose  was to  clarify  some of  the                                                               
wording in  the original psychology  license in 1963  which tried                                                               
to identify  who could call themselves  psychologists and provide                                                               
psychological services.  To have a  license at the  time, because                                                               
it  was  the  only  mental  health  license  on  the  books,  the                                                               
definition  had to  be fairly  broad to  allow people  working in                                                               
government agencies  and other mental health  organizations to be                                                               
licensed.  Time has passed and  four other types of licenses have                                                               
been put on  the books that clarify other  mental health services                                                               
that do  not need to  be provided by doctor  level psychologists.                                                               
It is  time to  clean up  the legislation  because as  it stands,                                                               
people  who are  not  trained psychologists  can legally  specify                                                               
themselves as such. They are  trying to close this loophole. They                                                               
do not  intend to  exclude anybody  from providing  mental health                                                               
services,  only  that  they could  not  advertise  themselves  as                                                               
licensed psychologists.                                                                                                         
                                                                                                                                
8:40:42 AM                                                                                                                    
SENATOR STEVENS  said he doesn't  like the idea that  someone who                                                               
hasn't passed the  exam could call themselves  a psychologist. He                                                               
asked  Dr.  Baker to  provide  some  statistics  on who  are  the                                                               
individuals who are failing this exam.                                                                                          
                                                                                                                                
DR. BAKER answered  that the pass rate on the  first try is about                                                               
65 to  70 percent,  so it  is fairly rigorous.  He took  the test                                                               
twice before  he passed. He does  not have specifics on  how many                                                               
people  in the  state have  or have  not passed  the exam.  It is                                                               
designed  to ensure  that  people who  are  not qualified  cannot                                                               
treat  or evaluate  our citizens.  He  agreed that  this is  very                                                               
pertinent.                                                                                                                      
                                                                                                                                
SENATOR  HUGGINS brought  the committee's  attention  to page  2,                                                               
section 2. He asked if people  who have been practicing will have                                                               
to take the exam or will they receive grandfather rights.                                                                       
                                                                                                                                
DR. BAKER  said those  in government  service have  rather strict                                                               
regulations  and  the   requirement  is  they  have   to  have  a                                                               
psychology license. That  may not always have been  the case, but                                                               
it certainly  is now. Their  main concern, he explained,  is that                                                               
they have had several instances  in which persons applied to work                                                               
as psychologists in rural settings  specifically in the state and                                                               
it turns out they were not licensed.                                                                                            
                                                                                                                                
SENATOR  HUGGINS clarified  that  what  he wants  to  know is  if                                                               
someone has been working for several  years in the field, do they                                                               
have to take this test.                                                                                                         
                                                                                                                                
DR.  BAKER  answered that  it  would  depend  upon what  type  of                                                               
services they  are offering. If  they are offering  services that                                                               
are restricted  to psychologists, such as  specific psychological                                                               
tests, then they must take the exam.                                                                                            
                                                                                                                                
SENATOR  STEVENS asked  if this  is a  standardized test  that is                                                               
used by other states.                                                                                                           
                                                                                                                                
DR. BAKER replied that it is a national standardized exam.                                                                      
                                                                                                                                
REPRESENTATIVE HERRON  returned to Senator Huggins'  question and                                                               
said that the answer is "yes."                                                                                                  
                                                                                                                                
8:46:53 AM                                                                                                                    
SENATOR OLSON  asked what the  thinking is behind the  six months                                                               
between the retaking of the exam.                                                                                               
                                                                                                                                
REPRESENTATIVE HERRON replied that he did not know.                                                                             
                                                                                                                                
DR. BAKER answered that this is  from the original wording of the                                                               
license statute from 1963 and  was implemented to give people six                                                               
months   to   study   before  re-taking   it.   Other   licensing                                                               
requirements do not stipulate a  specific time interval. It is up                                                               
to the board.                                                                                                                   
                                                                                                                                
SENATOR  OLSON said  when  he  was taking  the  medical exam,  he                                                               
wondered  what  relevance it  had  to  do  with his  practice  of                                                               
medicine. He wondered how much relevance this exam has.                                                                         
                                                                                                                                
SENATOR STEVENS asked if there was  a limit for how many times an                                                               
individual can retake the exam.                                                                                                 
                                                                                                                                
REPRESENTATIVE HERRON replied that they can keep trying.                                                                        
                                                                                                                                
DR. BAKER  responded that after  an individual tries to  take the                                                               
exam two  or three  times, the board  will usually  encourage the                                                               
individual to get further training  before petitioning to take it                                                               
again. He  pointed out  that, in addition  to the  national exam,                                                               
applicants generally  have to pass  a state exam on  statutes and                                                               
regulations that pertain to the state.                                                                                          
                                                                                                                                
SENATOR STEVENS asked for confirmation  that there is a governing                                                               
body overseeing these exam applicants.                                                                                          
                                                                                                                                
DR.  BAKER  confirmed  that  the  national  testing  organization                                                               
collects and scores all the  examinations and then reports to the                                                               
Psychological State  Board. It is then  the scope of work  of the                                                               
licensing board  to discuss  the matter  with applicants  who did                                                               
not pass.  The exam covers  about eight different areas  of human                                                               
development,  research, and  practice  and  treatment of  varying                                                               
problems in human development.                                                                                                  
                                                                                                                                
SENATOR OLSON asked how often  they see malpractice cases against                                                               
the licensee.                                                                                                                   
                                                                                                                                
DR. BAKER said  that would be more appropriately  directed to the                                                               
Psychology Licensing Board,  but he thinks they have  seen two or                                                               
three cases  since 1963. The  process is that complaints  come to                                                               
the licensing  examiner and,  if the complaint  has merit,  it is                                                               
referred to  the member of that  licensing board and then  to the                                                               
Attorney General's office if necessary.                                                                                         
                                                                                                                                
8:54:14 AM                                                                                                                    
CO-CHAIR MEYER moved to adopt  the proposed CSHB 110(HSS) Version                                                               
R,  as   the  committee's  working   document.  There   being  no                                                               
objection, the motion carried.                                                                                                  
                                                                                                                                
8:55:47 AM                                                                                                                    
CO-CHAIR MEYER  moved to  report the  CS for  HB 110,  version R,                                                               
from  committee  with  attached fiscal  note(s)  with  individual                                                               
recommendations. There  being no  objection, CSHB  110(HSS) moved                                                               
from the Senate Health and Social Services Standing Committee.                                                                  
                                                                                                                                
                                                                                                                                
8:57:05 AM                                                                                                                    
There being no further business to come before the committee,                                                                   
CO-CHAIR THOMAS adjourned the Senate Health and Social Services                                                                 
Standing Committee meeting at 8:57 a.m.                                                                                         
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