Legislature(2021 - 2022)BARNES 124

03/05/2021 03:15 PM House LABOR & COMMERCE

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Audio Topic
03:19:41 PM Start
03:20:47 PM HB99
03:37:28 PM HB45
03:42:15 PM Marijuana Control Board
03:59:47 PM HB45
04:38:38 PM Occupational Safety and Health Review Board
04:45:19 PM Board of Physical and Occupational Therapy
04:49:06 PM Board of Registration for Architects, Engineers & Land Surveyors
04:55:25 PM Workers' Compensation Appeals Commission
04:58:00 PM Board of Pharmacy
05:07:42 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ HB 99 PHYSICAL/OCCUPATIONAL THERAPY BD/PRACTICE TELECONFERENCED
Heard & Held
*+ HB 45 WORKERS' COMP. AND CONTAGIOUS DISEASES TELECONFERENCED
Heard & Held
+ Consideration of Governor's Appointees: TELECONFERENCED
- Christina Durham, Board of Psychologist &
Assoc. Examiners
- Mindy Swisher, Board of Social Work Examiners
- Nicholas Miller, Marijuana Control Board
- Thomas Trosvig, Occupational Safety & Health
Review Board
- Enlow Walker, State Board of Physical Therapy
& Occupational Therapy
- Elizabeth Johnston, State Board of
Registration for Architects, Engineers & Land
Surveyors
- James Rhodes, Worker's Compensation Appeals
Commission
-- Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
         HB 99-PHYSICAL/OCCUPATIONAL THERAPY BD/PRACTICE                                                                    
                                                                                                                                
3:20:47 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  SPOHNHOLZ announced  that the  first order  of business                                                               
would  be 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."                                                                                                          
                                                                                                                                
3:22:29 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MATT  CLAMAN, Alaska State  Legislature, presented                                                               
HB 99  as prime  sponsor.  He  paraphrased the  Sponsor Statement                                                               
[included  in  the  committee  packet],  which  read  as  follows                                                               
[original punctuation provided]:                                                                                                
                                                                                                                                
     House  Bill  99  amends   the  governing  statutes  for                                                                    
     physical   therapists,  physical   therapy  assistants,                                                                    
     occupational   therapists   and  occupational   therapy                                                                    
     assistants  practicing  in   Alaska.  The  changes  are                                                                    
     designed  to   bring  Alaska  statutes  in   line  with                                                                    
     national  standards and  terminology, and  overall make                                                                    
     the  administrative experience  of these  professionals                                                                    
     up  to  date.  This  bill is  supported  by  the  State                                                                    
     Physical Therapy and  Occupational Therapy Board, which                                                                    
     believes  HB99  will help  the  Board  in its  work  to                                                                    
     protect the public.                                                                                                        
                                                                                                                                
     In  an  effort  to  place  public  interest  first  and                                                                    
     foremost,   the  Physical   Therapy  and   Occupational                                                                    
     Therapy   Associations   support    a   more   balanced                                                                    
     representation  on its  Board and  proposes to  replace                                                                    
     the  seat   for  a   physician  with   an  occupational                                                                    
     therapist or occupational therapy assistant.                                                                               
                                                                                                                                
     When the membership of the  board's guiding statute was                                                                    
     first  enacted,  physicians   supervised  physical  and                                                                    
     occupational  therapists. Physician  supervision is  no                                                                    
     longer   required    since   PT/OT    are   independent                                                                    
     professions with  the entry  level degree  for Physical                                                                    
     and Occupational  Therapy being at the  doctoral level.                                                                    
     This  change would  bring improved  representation from                                                                    
     both professions to the board.                                                                                             
                                                                                                                                
REPRESENTATIVE  CLAMAN added  that HB  99 also  would enable  the                                                               
State  Physical   Therapy  and  Occupational  Therapy   Board  to                                                               
discipline  a   therapist  who   commits  infractions   under  AS                                                               
08.84.120, such as  gross negligence, conviction of  a felony, or                                                               
abuse of  alcohol.  He  shared that  the board currently  has the                                                               
ability to revoke or deny  licenses based on infractions, but has                                                               
no ability  to discipline.  He  continued that it would  also add                                                               
language to ensure  that therapists educated outside  of the U.S.                                                               
have training that  is equivalent to that  of therapists educated                                                               
in  the U.S.    It would  also except  therapists  trained in  an                                                               
English  language   program  from  having  to   take  an  English                                                               
proficiency test.  He continued  that it would update language in                                                               
statute  that references  an accrediting  entity  that no  longer                                                               
exists, and makes  the language more general.   He concluded that                                                               
HB  99 would  not  require  a restructuring  of  statute, but  it                                                               
contains a number of "long awaited changes."                                                                                    
                                                                                                                                
3:25:19 PM                                                                                                                    
                                                                                                                                
JOEY BOSWORTH,  Staff, Representative  Matt Claman,  Alaska State                                                               
Legislature, on behalf of Representative   Claman, prime sponsor,                                                               
presented the Sectional  Analysis for HB 99.   He paraphrased the                                                               
Sectional Analysis,  which read as follows  [original punctuation                                                               
provided]:                                                                                                                      
                                                                                                                                
     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.                                                                                                                
                                                                                                                                
3:27:25 PM                                                                                                                    
                                                                                                                                
MR. BOSWORTH continued paraphrasing from the Sectional Analysis                                                                 
for HB 99, which read as follows [original punctuation                                                                          
provided]:                                                                                                                      
                                                                                                                              
     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.                                                                            
                                                                                                                                
3:28:15 PM                                                                                                                    
                                                                                                                                
MR. BOSWORTH continued paraphrasing from the Sectional Analysis                                                                 
for HB 99, which continued as follows [original punctuation                                                                     
provided]:                                                                                                                      
                                                                                                                                
     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.                                                                                                     
                                                                                                                                
3:30:17 PM                                                                                                                    
                                                                                                                                
ALEC KAY,  President, Alaska  Chapter, American  Physical Therapy                                                               
Association (APTA),  shared that the  Alaska Chapter of  the APTA                                                               
represents over  450 physical  therapists and  physical therapist                                                               
assistants.   He stated that  HB 99 would modernize  language and                                                               
eliminate  antiquated  language.    He shared  that  the  concept                                                               
behind the  bill came  from the State  Licensing Board  and would                                                               
help  the board  protect the  public better.   He  reiterated his                                                               
support of the passage of the bill.                                                                                             
                                                                                                                                
3:32:05 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MCCARTY  asked Mr.  Kay whether APTA  supports the                                                               
bill.                                                                                                                           
                                                                                                                                
MR. KAY replied yes, and he  restated that the idea came from the                                                               
State Licensing Board.                                                                                                          
                                                                                                                                
3:33:09 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KAUFMAN  asked Mr. Kay  whether there is  any risk                                                               
in  removing the  physician from  the  board.   He asked  whether                                                               
there is a benefit to having  a physician on the board, and asked                                                               
if  it is  typical in  other states  to have  a physician  on the                                                               
board.                                                                                                                          
                                                                                                                                
MR.  KAY  responded that  the  presence  of  the physician  is  a                                                               
remnant  of   an  older  time   when  physical   therapists  were                                                               
functioning  under the  American Medical  Association (AMA).   He                                                               
shared  that it  is  not typical  to have  a  physician on  other                                                               
professional  health boards.   He  noted  that he  served on  the                                                               
board  in  the mid-2000s  and  that  it  was  very rare  for  the                                                               
physician seat to  be filled, and when it was,  the member rarely                                                               
attended  meetings and  did  not add  much to  the  process.   He                                                               
mentioned that  members have  a letter  in the  committee packets                                                               
from a physician acknowledging that it is not necessary.                                                                        
                                                                                                                                
3:35:24 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE CLAMAN  shared the example  of the State  Board of                                                               
Optometry  as a  professional health  board that  doesn't have  a                                                               
physician seat either.                                                                                                          
                                                                                                                                
3:35:37 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  SPOHNHOLZ shared  that historically,  many health  care                                                               
boards had physicians on the board,  but the practice has been to                                                               
move away  from this requirement  as the health care  boards have                                                               
diversified and  professionalized.   She explained  that patients                                                               
no  longer  need  a  physician's   referral  to  see  a  physical                                                               
therapist  and   opined  that  it   makes  sense  to   make  this                                                               
modernization.                                                                                                                  
                                                                                                                                
3:37:10 PM                                                                                                                    
                                                                                                                                
CO-CHAIR SPOHNHOLZ announced that HB 99 was held over.                                                                          
                                                                                                                                

Document Name Date/Time Subjects
HB 45 Sectional Analysis 2.24.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/15/2021 6:30:00 PM
HB 45
HB 45 Sponsor Statement 2.24.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/15/2021 6:30:00 PM
HB 45
HB 45 Supporting Document- Coronavirus and Police Article- The Washington Post 2.24.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 Supporting document- COVID-19 as an occpational disease article 2.24.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 Supporting Document- Healthcare Worker Risks Article 2.24.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 Supporting document- NCSL-COVID-19 Workers' Compensation 2.24.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 Supporting document- occupational exposure to COVID-19 article 2.24.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 Letter of Support - AFL-CIO 3.3.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 Version A.PDF HL&C 3/5/2021 3:15:00 PM
HL&C 3/15/2021 6:30:00 PM
HB 45
HB 45 Presentation 3.2.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/15/2021 6:30:00 PM
HB 45
HB 99 Sponsor Statement v. A 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/12/2021 3:15:00 PM
HB 99
HB 99 v. A 2.18.21.PDF HL&C 3/5/2021 3:15:00 PM
HL&C 3/12/2021 3:15:00 PM
HB 99
HB 99 Testimony – Received as of 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/12/2021 3:15:00 PM
HB 99
HB 99 Sectional Analysis v. A 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/12/2021 3:15:00 PM
HB 99
Enlow R Walker 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
James Rhodes Board Application 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
Elizabeth Johnston Resume 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
James Rhodes Resume 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
Nick Miller Board Application 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
Nick Miller MCB Letter 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
Thomas Trosvig Resume 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
Christina Durham Board Application 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
Christina Durham Resume 3.4.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 Fiscal Note DOLWD-WC 1.22.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/15/2021 6:30:00 PM
HB 45
HB 99 Fiscal Note DCCED-CBPL 2.26.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/12/2021 3:15:00 PM
HB 99
HB 45 Letter of Opposition - APCIA, 3.3.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 99 Letter of Support - AOTA.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/12/2021 3:15:00 PM
HB 99
HB 45 background document- Division of Workers' Compensation- Effects of Covid 3.3.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/15/2021 6:30:00 PM
HB 45
HB 45 background document- Division of Workers' Compenstion- COVID-19 WC Year End Report Final 3.3.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/15/2021 6:30:00 PM
HB 45
HB 45 background document- NCCI- AK HB 45 Analysis 3.3.21.pdf HL&C 3/5/2021 3:15:00 PM
HL&C 3/15/2021 6:30:00 PM
HB 45
HB 45 supporting document- CDC analysis of childcare setting outbreak in Utah 3.1.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 supporting document- EurekAlert! Science News- risk to firefighters and emergency medical workers in NYC 3.1.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 supporting document- grocery worker study 3.1.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 supporting document- Kaiser Family Foundation- Teachers at Risk of Serious Illness 3.1.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 supporting document- The Lancet- essential workers article 3.1.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 supporting document- The Lancet- Risk of COVID-19 among health-care workers study 3.1.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 supporting document- Washington Post- children transmission article 3.1.21.pdf HL&C 3/5/2021 3:15:00 PM
HB 45 supporting document- Why So Many Covid-19 Workers’ Comp Claims Are Being Rejected - WSJ- 3.3.21.pdf HL&C 3/5/2021 3:15:00 PM