Legislature(2005 - 2006)CAPITOL 106

03/23/2006 03:00 PM House HEALTH, EDUCATION & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ HJR 33 SUPPORTING IN-STATE MED. CARE FOR VETS TELECONFERENCED
Heard & Held
+= HB 430 APPROP: PALMER SENIOR CITIZEN CENTER TELECONFERENCED
Moved Out of Committee
+= SB 255 OPTOMETRY: EXTEND BD/ LIC. ENDORSEMENT TELECONFERENCED
Moved Out of Committee
*+ HB 436 SOCIAL WORKER CASELOADS & WORKLOADS TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 356 MINORS: MEDICAL CONSENT,INCL BONE MARROW TELECONFERENCED
Heard & Held
SB 255-OPTOMETRY: EXTEND BD/ LIC. ENDORSEMENT                                                                                 
                                                                                                                                
4:24:42 PM                                                                                                                    
                                                                                                                                
CHAIR WILSON announced that the  next order of business would be,                                                               
CS  FOR  SENATE   BILL  NO.  255(FIN),  "An   Act  extending  the                                                               
termination  date  and  duties  for the  Board  of  Examiners  in                                                               
Optometry;  amending  the  licensing,  endorsement,  and  renewal                                                               
provisions  for  optometrists;  and providing  for  an  effective                                                               
date."                                                                                                                          
                                                                                                                                
4:25:23 PM                                                                                                                    
                                                                                                                                
TOM MAHER, Staff to Senator  Gene Therriault, presented SB 255 on                                                               
behalf of  Senator Therriault by paraphrasing  from the following                                                               
written statement [original punctuation provided]:                                                                              
                                                                                                                                
     On  the  behalf of  Senator  Therriault,  Chair of  the                                                                    
     Legislative  Budget and  Audit Committee,  I thank  you                                                                    
     and members  of the  Committee for Hearing  Senate Bill                                                                    
     255 (finance)  - relating to  the termination  date and                                                                    
     duties  for  the  Board   of  Examiners  in  Optometry;                                                                    
     amending  the   licensing,  endorsement,   and  renewal                                                                    
     provisions  for  optometrists;  and  providing  for  an                                                                    
     effective date."                                                                                                           
                                                                                                                                
     Just  a quick  bit of  background on  the Sunset  audit                                                                    
     process  that  this  legislation   stems  from.    Last                                                                    
     session legislation was passed  that revised the sunset                                                                    
     process.                                                                                                                   
                                                                                                                                
     First,  the  standard  sunset period  for  occupational                                                                    
     boards  and non-occupational  boards  was changed  from                                                                    
     "not  to exceed  four years"  to "not  to exceed  eight                                                                    
     years                                                                                                                      
                                                                                                                                
     Second, as  Alaska's sunset  process has  matured, most                                                                    
     of the sunset reviews  are less about eliminating board                                                                    
     and   commissions,    and   more    about   operational                                                                    
     performance.       To   better    measure   operational                                                                    
     performance, last session, two  new criteria were added                                                                    
     to statute that  must be considered in the  course of a                                                                    
     sunset review by the auditors:                                                                                             
                                                                                                                                
     The extent  to which  the board, commission,  or agency                                                                    
     has  effectively   attained  its  objectives   and  the                                                                    
     efficiency with which it has operated.                                                                                     
                                                                                                                                
     AND                                                                                                                        
                                                                                                                                
     The extent  to which  the board, commission,  or agency                                                                    
     duplicates  the  activities   of  another  governmental                                                                    
     agency or the private sector.                                                                                              
                                                                                                                                
     Moving on with the bill ...                                                                                              
                                                                                                                                
     Sec. 1 of  this legislation extends the  sunset date of                                                                    
     the Board of Examiners in  Optometry from June 30, 2006                                                                    
     to June  30, 2014  per the audit  conclusions contained                                                                    
     in the report before you  on page 5.  Legislative Audit                                                                    
     concluded  that the  Board  of  Examiners in  Optometry                                                                    
     continues to  serve a public  need and is  operating in                                                                    
     the public  interest.  The regulation  and licensing of                                                                    
     qualified  optometrists  is  necessary to  protect  the                                                                    
     public's  health, safety  and  welfare.   Further,  the                                                                    
     Board   of   Examiners   in  Optometry   has   operated                                                                    
     effectively, adopted  regulatory changes  and supported                                                                    
     legislation  that improved  its  oversight process  and                                                                    
     promoted   more   effective  regulation   of   licensed                                                                    
     optometrists.   Accordingly,  SB  255  provides for  an                                                                    
     eight-year sunset extension.                                                                                             
                                                                                                                                
     With the  exception of  sec. 4, the  balance of  SB 255                                                                    
     incorporates  the  recommendation  by  the  Legislative                                                                    
     Auditor concerning licensing on page  7, rec. #2 of the                                                                    
     report.  The Auditor  recommended the Legislature amend                                                                    
     the optometry  statutes to ensure they  support current                                                                    
     license   endorsements  for   the  diagnostic   use  of                                                                    
     pharmaceutical agents.   Currently,  statutory language                                                                    
     provides for  a single  endorsement for  both prescribe                                                                    
     and use.  However, the  Board of Examiners in Optometry                                                                    
     is  issuing  two  types of  endorsements.    The  first                                                                    
     allows  a  practitioner  to   both  prescribe  and  use                                                                    
     pharmaceutical   agents   and   the  second   type   of                                                                    
     endorsement allows a practitioner  "use" only.  Current                                                                    
     law does  not authorize the  use only endorsement.   SB
     255  corrects  this  situation   by  adding  a  section                                                                    
     authorizing a  use only endorsement  and also,  in sec.                                                                    
     7, "grandfathers" in the  practitioners that were given                                                                    
     that endorsement over the years. (since 1992)                                                                              
                                                                                                                                
     On page  18 you will  find the Department  of Commerce,                                                                    
     Community, and Economic  Development's response to this                                                                    
     recommendation  - they  are in  support of  the changes                                                                    
     made here.                                                                                                                 
                                                                                                                                
     Our  intent with  this legislation  is simple  - change                                                                    
     the law  to make  current practices  legal, grandfather                                                                    
     license holders in,  and make sure we do  not leave any                                                                    
     practitioners  out which  could have  an impact  on the                                                                    
     number of  providers serving  the public  and hopefully                                                                    
     maximize the number of  practitioners that can practice                                                                    
     in Alaska.                                                                                                                 
                                                                                                                                
     Finally,  contained in  sec. 4,  the  Senate Labor  and                                                                    
     Commerce  Committee approved  an  amendment offered  by                                                                    
     the  Department  of  Commerce, Community  and  Economic                                                                    
     Development that  deleted the statutory  cite requiring                                                                    
     24 hours of  continuing education instruction, allowing                                                                    
     the Board  to establish through regulation,  the number                                                                    
     of hours without amending statute.   This amendment was                                                                    
     requested by the BEO [Board  of Examiners in Optometry]                                                                    
     in its response to the audit.                                                                                              
                                                                                                                                
     Finally,  there  is  one fiscal  note  from  Occupation                                                                  
     Licensing -  passage of this legislation  will incur no                                                                  
     additional costs beyond those  already contained in the                                                                  
     FY07 Governor's operating budget request .                                                                               
                                                                                                                              
                                                                                                                                
4:30:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON asked  whether  the audit  recommendations                                                               
are contained in the bill.                                                                                                      
                                                                                                                                
4:31:04 PM                                                                                                                    
                                                                                                                                
PAT  DAVIDSON, Legislative  Auditor,  Legislative Audit  Division                                                               
(LAD),   Legislative   Affairs   Agency,   responded   that   the                                                               
recommendations which  require statutory changes are  included in                                                               
the legislation.  She pointed  out that recommendations regarding                                                               
"the   endorsements"  were   specific   recommendations  to   the                                                               
legislature, and  represent housekeeping  language which  the BEO                                                               
requested  and the  LAD  deemed reasonable.    The licensing  fee                                                               
recommendation is  because the auditors recognized  that the fees                                                               
are  building a  surplus  and could  be reduced,  but  that is  a                                                               
decision for the  department and board, she  explained.  Further,                                                               
she assured the  committee that all of  the audit recommendations                                                               
are included in the bill.                                                                                                       
                                                                                                                                
4:32:27 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE GARDNER inquired as to  whether there has been any                                                               
objection to the provisions being considered.                                                                                   
                                                                                                                                
4:32:48 PM                                                                                                                    
                                                                                                                                
MS. DAVIDSON  stated that  letters of response  from the  BEO and                                                               
the  LAD are  contained  in  the audit  report,  as  part of  the                                                               
committee's packet.   She  pointed out  that the  letters contain                                                               
discussion  points   of  the  recommendations   and  endorsements                                                               
previously discussed.                                                                                                           
                                                                                                                                
4:34:52 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON moved  to  report CSSB  255  (FIN) out  of                                                               
committee  with individual  recommendations and  the accompanying                                                               
fiscal  notes.   There being  no  objection, CSSB  255 (FIN)  was                                                               
reported out of  the House Health, Education  and Social Services                                                               
Standing Committee.                                                                                                             
                                                                                                                                

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