Legislature(2021 - 2022)ADAMS 519

04/09/2021 09:00 AM House FINANCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 99 PHYSICAL/OCCUPATIONAL THERAPY BD/PRACTICE TELECONFERENCED
Heard & Held
+ HB 117 EXTEND BOARD OF DIRECT-ENTRY MIDWIVES TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
HOUSE BILL NO. 99                                                                                                             
                                                                                                                                
     "An  Act relating  to the  State  Physical Therapy  and                                                                    
     Occupational  Therapy Board;  relating to  the practice                                                                    
     of physical  therapy; and relating  to the  practice of                                                                    
     occupational therapy."                                                                                                     
                                                                                                                                
9:03:55 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MATT  CLAMAN, SPONSOR, thanked  the committee                                                                    
for hearing HB  99. He was carrying the bill  at the request                                                                    
of   the   Alaska    Physical   and   Occupational   Therapy                                                                    
Associations. He read a prepared statement:                                                                                     
                                                                                                                                
     House  Bill  99  amends   the  governing  statutes  for                                                                    
     physical   therapists,  physical   therapy  assistants,                                                                    
     occupational   therapists   and  occupational   therapy                                                                    
     assistants practicing  in Alaska. The changes  it makes                                                                    
     are  designed to  bring Alaska  statutes  in line  with                                                                    
     national  standards and  terminology, and  overall make                                                                    
     the  administrative experience  of these  professionals                                                                    
     smoother and up to date.  This bill is sponsored by the                                                                    
     State Physical Therapy  and Occupational Therapy Board,                                                                    
     which believes  HB 99 will  help the Board in  its work                                                                    
     to protect  the public.  A letter stating  that support                                                                    
     is in your packet.                                                                                                         
                                                                                                                                
     Currently,   physical   therapists,  physical   therapy                                                                    
     assistants,  occupational therapists,  and occupational                                                                    
     therapy  assistants   are  represented  by   the  state                                                                    
     Physical Therapy  and occupational Therapy  Board. This                                                                    
     board  is  made up  of  one  physician, three  physical                                                                    
     therapists,  two   occupational  therapists,   and  one                                                                    
     member of the public.                                                                                                      
                                                                                                                                
     The first  change made  by this bill  is to  remove the                                                                    
     physician  from  this  board   and  replace  them  with                                                                    
     another occupational  therapist, thereby  balancing the                                                                    
     representation of the professions on the board.                                                                            
                                                                                                                                
     There is good reason for  this change. When the statute                                                                    
     was  originally  written,  the  work  of  physical  and                                                                    
     occupational   therapists   required  referral   by   a                                                                    
     physician. This  has not  been the  case in  Alaska for                                                                    
     more than 30 years.                                                                                                        
                                                                                                                                
     HB 99 also enables the  board to discipline a therapist                                                                    
     who commits  infractions under AS  08.84.120 such  as a                                                                    
     conviction of  a felony, gross negligence,  or abuse of                                                                    
     alcohol.  Currently,  the  board  has  the  ability  to                                                                    
     revoke or deny  a license based on  infractions but has                                                                    
     no ability to discipline.                                                                                                  
                                                                                                                                
     This bill also clarifies  the language and requirements                                                                    
     for  those   therapists  who  receive   their  training                                                                    
     outside the United States  ensuring that their training                                                                    
     is equivalent  to a U.S. professional  physical therapy                                                                    
     training program and  also exempting therapists trained                                                                    
     in an English  language program from having  to take an                                                                    
     English proficiency test.                                                                                                  
                                                                                                                                
     Further,  this  bill  updates language  in  the  Alaska                                                                    
     statutes that  reference an accrediting entity  that no                                                                    
     longer  exists and  makes  the  language more  general,                                                                    
     allowing the  state board to designate  the appropriate                                                                    
     accrediting entity as needed.  Several other updates to                                                                    
     terminology are made to update the language.                                                                               
                                                                                                                                
     House Bill  99 does  not constitute a  restructuring of                                                                    
     the  relevant  statute, but  it  contains  a number  of                                                                    
     long-awaited changes. This  is a way to  make it easier                                                                    
     for professionals to do business in Alaska.                                                                                
                                                                                                                                
Representative Claman indicated his staff would walk                                                                            
through the sectional analysis of the bill.                                                                                     
                                                                                                                                
9:06:56 AM                                                                                                                    
                                                                                                                                
JOEY   BOSWORTH,   STAFF,    REPRESENTATIVE   MATT   CLAMAN,                                                                    
introduced himself and read the sectional analysis:                                                                             
                                                                                                                                
     Section 1                                                                                                                  
    AS 08.84.010. Creation and membership of the board.                                                                         
     Removes the seat  for a physician and  balances out the                                                                    
     board with  3 physical  therapists or  physical therapy                                                                    
     assistants   and    3   occupational    therapists   or                                                                    
     occupational therapy  assistants along with  one public                                                                    
     member, to make up the  7-member board. It also changes                                                                    
     the  term  "physical  therapy assistant"  to  "physical                                                                    
     therapist  assistant" in  this  section and  throughout                                                                    
     the entire  statute. This change  is to conform  to the                                                                    
     industry title used nationally.                                                                                            
                                                                                                                                
     Section 2                                                                                                                  
     AS 08.84.030. Qualifications for licensing.                                                                                
     Allows the  board to have  broader authority  over what                                                                    
     entities   will  have   accreditation  oversight   over                                                                    
     physical  therapy  &   occupational  therapy  education                                                                    
     programs. Some  of the  accrediting entities  listed in                                                                    
     statute  are now  either renamed  or  no longer  exist,                                                                    
     making  that   statute  obsolete.  Section   2  removes                                                                    
     language  from  the   statute  relating  to  additional                                                                    
     supervised  field  work  that  occupational  therapists                                                                    
     must complete as these requirements  are covered by the                                                                    
     accrediting bodies.                                                                                                        
                                                                                                                                
     Section 3                                                                                                                  
     AS 08.84.032. Foreign-educated applicants.                                                                                 
     Changes   the  section   headline  from   "trained"  to                                                                    
     "educated."  New   language  is  added   that  requires                                                                    
     foreign-educated   physical   therapist   or   physical                                                                    
     therapy   assistant  students   to   have  attended   a                                                                    
     "substantially" equivalent educational  program that is                                                                    
     accredited  by a  U.S.  accreditation  entity that  has                                                                    
     been  approved  by  the board.  Outdated  and  obsolete                                                                    
     language is removed that can  be found on page 4, lines                                                                    
     3 -9 of this bill.                                                                                                         
                                                                                                                                
     Added  to subsection  (3) of  this section  is language                                                                    
     that  would  require  that   a  physical  therapist  or                                                                    
     physical therapist assistant  pass a test demonstrating                                                                    
     competency  of  the  English  language  only  if  their                                                                    
     program was  taught in  a foreign  language. Subsection                                                                    
     (4)  requires that  a foreign-educated  applicant is  a                                                                    
     legal alien  or a U.S citizen.  Subsection (7) requires                                                                    
     them  to  pay  the  required fee  and  meet  any  other                                                                    
     qualifications  for licensure  set by  the board  under                                                                    
     08.84.010(b).                                                                                                              
                                                                                                                                
     All the above  changes in Section 3  are replicated for                                                                    
     occupational   therapists   or   occupational   therapy                                                                    
     assistants on page  4, lines 27-31 and over  to page 5,                                                                    
     lines 1-22.                                                                                                                
                                                                                                                                
     Section 4                                                                                                                  
     AS 08.84.060. Licensure by acceptance of credentials.                                                                      
     Makes conforming terminology changes.                                                                                      
                                                                                                                                
     Section 5                                                                                                                  
     AS 08.84.065(c). Temporary changes.                                                                                        
     Makes conforming terminology changes.                                                                                      
                                                                                                                                
     Section 6                                                                                                                  
     AS 08.84.075(b). Limited permit.                                                                                           
     Makes conforming terminology changes.                                                                                      
                                                                                                                                
     Section 7                                                                                                                  
     AS 08.84.075(c). Limited permit.                                                                                           
     Changes language that would now  require that a limited                                                                    
     permit is valid for 120 consecutive days.                                                                                  
                                                                                                                                
     Section 8                                                                                                                  
     AS 08.84.075(d). Limited permit.                                                                                           
    Allows only one limited permit per 12-month period.                                                                         
                                                                                                                                
     Section 9                                                                                                                  
     AS 08.84.090. Licensure.                                                                                                   
     Updates licensure terminology.                                                                                             
                                                                                                                                
     Section 10                                                                                                                 
     AS  08.84.120(a). Refusal,  revocation, and  suspension                                                                    
     of license.                                                                                                                
     Adds disciplinary action as a  possibility to actions a                                                                    
     board  might  consider  for   an  infraction  of  their                                                                    
     licensure  and  updates  terminology in  item  (7)  and                                                                    
     states in  (9) that failure  to comply with the  law or                                                                    
     regulations  or  order of  the  board  might result  in                                                                    
     disciplinary action or suspension of a license.                                                                            
                                                                                                                                
     Section 11                                                                                                                 
    AS 08.04.130(a). False claim of license prohibited.                                                                         
     Adds updated credentialing and terminology.                                                                                
                                                                                                                                
     Section 12                                                                                                                 
    AS 08.84.130(b). False claim of license prohibited.                                                                         
     Updates terminology.                                                                                                       
                                                                                                                                
     Section 13                                                                                                                 
     AS 08.84.190. Definitions.                                                                                                 
     Adds  a   new  paragraph  defining  the   updated  term                                                                    
     "physical therapist assistant."                                                                                            
                                                                                                                                
     Section 14                                                                                                                 
     AS 11.41.470(1). Definitions.                                                                                              
     Updates  definitions  in  criminal  law/sexual  assault                                                                    
     statute.                                                                                                                   
                                                                                                                                
     Section 15                                                                                                                 
     AS 47.17.290(14). Definitions.                                                                                             
     Updates   terminology   under  definitions   in   child                                                                    
     protection statute.                                                                                                        
                                                                                                                                
     Section 16                                                                                                                 
     AS 08.84.190(7). Definitions.                                                                                              
     Repeals subsection  (7), which is the  definition using                                                                    
     outdated term of  physical therapy assistant; according                                                                    
     to  Leg. Legal,  when the  actual "term"  used for  the                                                                    
     definition is being changed, the  entire citing must be                                                                    
     repealed.  The new  definition is  set out  on page  8,                                                                    
     Section 13, lines 11-14.                                                                                                   
                                                                                                                                
     Section 17                                                                                                                 
     Applicability                                                                                                              
     Sets out  the applicability  clauses for  licensure for                                                                    
     sections 2 and 3 of this Act and for sections 7 and 8.                                                                     
                                                                                                                                
     Section 18                                                                                                                 
     Uncodified law                                                                                                             
     Transition   language  for   the   board  vacancy   and                                                                    
     appointments for  the PT/OT board, and  states that the                                                                    
     changes do not  apply to current licensees  until it is                                                                    
     time for  their licensure renewal and  then all changes                                                                    
     to the law will apply.                                                                                                     
                                                                                                                                
Representative Merrick recognized that Representative                                                                           
Carpenter had joined the meeting.                                                                                               
                                                                                                                                
9:09:21 AM                                                                                                                    
                                                                                                                                
Representative Josephson asked if  the bill would remove the                                                                    
need  for a  referral from  a  physician or  whether it  was                                                                    
already  in law.  Rep. Claman  indicated it  was already  in                                                                    
law.                                                                                                                            
                                                                                                                                
Representative  Josephson  asked  if  referrals  were  done.                                                                    
Representative  Claman  replied  that  a  referral  was  not                                                                    
required  to  see  a  physical   therapist  or  required  by                                                                    
insurance. He  shared a personal  experience related  to the                                                                    
topic. He thought it had been  30 years since a referral was                                                                    
required.                                                                                                                       
                                                                                                                                
Representative  Merrick  indicated   there  was  an  invited                                                                    
testifier online.  She invited her  to place herself  on the                                                                    
record.                                                                                                                         
                                                                                                                                
DR.  LEEANNE CARROTHERS,  ALASKA GOVERNMENT  AFFAIRS LIASON,                                                                    
ALASKA  PHYSICAL THERAPY  ASSOCIATION (via  teleconference),                                                                    
was available for questions.                                                                                                    
                                                                                                                                
Representative  Merrick  conveyed that  Representative  Wool                                                                    
had  joined  the  meeting.   The  committee  would  continue                                                                    
hearing HB 99 at a later meeting.                                                                                               
                                                                                                                                
HB  99  was   HEARD  and  HELD  in   committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
9:11:50 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:12:33 AM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                

Document Name Date/Time Subjects
HB 117 Additional Document 3.19.21.pdf HFIN 4/9/2021 9:00:00 AM
HB 117
HB 117 Sponsor Statement version A.pdf HFIN 4/9/2021 9:00:00 AM
SFIN 5/14/2021 1:00:00 PM
HB 117
HB 117 Sunset Review DLA 6.19.2020.pdf HFIN 4/9/2021 9:00:00 AM
HB 117