Legislature(1997 - 1998)

05/05/1998 09:23 AM Senate FIN

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
HOUSE BILL 349                                                               
                                                                               
     "An  Act  prohibiting   the  use  of  the  title  'social                 
     worker'  without a license;  relating to social  workers,                 
     licensure  of social workers,  and the Board of  Clinical                 
     Social  Work Examiners;  and providing  for an  effective                 
     date."                                                                    
                                                                               
REPRESENTATIVE  JEANNETTE JAMES,  SPONSOR, presented  the bill                 
to  the  committee,  explaining  that  the  legislation  would                 
provide  two  additional   levels  of  licensing   for  social                 
workers in  the state. Currently,  the law required  the level                 
of Board  of Clinical  Social Work  Examiners, which  required                 
a doctorate  degree in  clinical social  work. The two  levels                 
added  by HB  349 would  be a  bachelor's degree  level and  a                 
master's degree level of social work.                                          
                                                                               
Representative  James  maintained   that  she  had  filed  the                 
legislation  because she believed  some of the social  workers                 
working for  the state lacked  credibility. She believed  that                 
licensing  would  help  avoid the  lack.  She  thought  social                 
workers  made   important  decisions  related   to  vulnerable                 
children  and adults  that could  affect  the individuals  for                 
the  rest of  their lives  and she  wanted  social workers  to                 
have the qualifications to make those decisions.                               
                                                                               
Representative  James referred  to a  handout indicating  that                 
the  state   had  179   social-work  positions;   70   of  the                 
positions were  filled by individuals  with degrees  in social                 
work.  Some of  the individuals  in  the positions  had  other                 
bachelor and  graduate degrees and  18 had no degrees  at all.                 
She noted  that HB 349 would  not become effective  until July                 
1, 2000  because it  was necessary  to negotiate  with all  of                 
the affected  parties in order  to get a piece of  legislation                 
without  a huge  fiscal  note and  that would  cooperate  with                 
the Department  of Health  and Social  Services (DHSS),  which                 
housed   most  of  the   social-work   positions.  After   the                 
effective  date,  all  people  currently   working  as  social                 
workers  in their  original position  would  be exempted.  The                 
person would  not have  to have a  license until they  changed                 
positions  or employers.  The bill  also had  a provision  for                 
those  with other  bachelor's or  graduate  degrees; it  would                 
allow  two years  for those  people  to prepare  for and  pass                 
the examination to get a license for social work.                              
                                                                               
Representative  James  concluded   that  the  legislation  was                 
important  to  protect the  public  and  to make  sure  people                 
making   decisions   for  vulnerable   Alaskans   were   fully                 
qualified.  In  addition,  consumers would  have  recourse  in                 
case a  mistake was  made by  a social worker  who was  either                 
not qualified  or who behaved  unethically. The license  could                 
be challenged;  without  a license,  the  individual could  no                 
longer do social work.                                                         
                                                                               
Senator Adams  asked how  the provision  would apply  in rural                 
Alaska,  where  there  were people  who  qualified  as  social                 
workers,  even  though  they  had not  received  a  degree  in                 
social  work.  He  believed   such  a  person  could  be  more                 
qualified   than   a  person   who   had  gone   to   college.                 
Representative  James replied that  there had been  discussion                 
about the  issue related  to rural areas.  She explained  that                 
people  currently doing  social  work would  be exempted  from                 
the  law.  However,   the  social  worker's  association   was                 
planning to  provide education in  rural areas so  that people                 
could  be brought  up to  speed. She  stressed  that the  bill                 
would only  affect people who came  into the field  after July                 
2000.  She added  that DHSS  had been  setting  up an  academy                 
through  the  University of  Alaska  so  that there  would  be                 
more training  available. She agreed  that workers  could have                 
much insight  and cultural  knowledge,  but she believed  they                 
would welcome  the opportunity  for  additional education  and                 
licensing,  which  could provide  pride  in  the job  done  as                 
well as additional credibility.                                                
                                                                               
Senator   Torgerson  asked   whether   board  meetings   would                 
increase  from  one  to two  per  year.  Representative  James                 
replied  that the  licensing board  would  extend the  current                 
process for  clinical social workers  into the bachelor's  and                 
master's  degrees. The  activity the board  would cover  would                 
be  enlarged. She  referred  to  changed licensing  rates  and                 
the  fact that  there  would be  less administration  and  the                 
need for one board.                                                            
                                                                               
Senator  Torgerson pointed  to page  3, lines  14 through  17.                 
He asked where  in the state a  person could get training  for                 
professional    ethics    and    cross-cultural     education.                 
Representative   James   replied   that   the   training   was                 
currently  being  provided  by  the  National  Association  of                 
Social  Workers  for licensed  clinical  social  workers.  The                 
training  was available  nationally  as  well  as adapted  for                 
local  education. She  stressed  that the  requirement for  45                 
hours of  continuing education  every two  years to renew  the                 
license was  an important part  of the licensing process.  The                 
training was  being organized and  would be available  through                 
long-distance learning as well as in classrooms.                               
                                                                               
Senator Torgerson  referred to the  top of page 3,  related to                 
the  board  having   the  right  to  examine   a  person  with                 
physical or  mental problems to  obtain credible evidence.  He                 
questioned  whether  the provision  would  overstep the  power                 
of  a board.  He wondered  who  would make  the  determination                 
regarding  credible  evidence.  Representative  James  replied                 
that the  professionals in the  field could recognize  whether                 
the  evidence was  credible.  She reported  that  she had  not                 
heard  fears about  the  subject from  anyone  working in  the                 
field, including those who were not licensed.                                  
                                                                               
Senator Torgerson  did not recall  any other board  having the                 
described  powers. He  believed  the Department  of Law  (DOL)                 
would  end  up defending  board  actions  against  some  claim                 
about  a mental  problem.  He stated  concerns  about  opening                 
the state  to lawsuits through  board actions.  Representative                 
James  replied that  the  issue had  not brought  up  concerns                 
throughout   all   the  negotiations   conducted   about   the                 
subject.   She  referred   to   a  representative   from   the                 
association   of  social   workers  who   possibly  had   more                 
information.                                                                   
                                                                               
Senator  Adams stated  concerns about  the legislation,  which                 
reminded  him of a  limited-entry permit  system. He  referred                 
to  items  related   to  social  workers  that   were  in  the                 
operating  budget  in conference  committee.  He  referred  to                 
Section  33  of the  bill  and  the 2000  effective  date.  He                 
asked  whether  people  without  licenses could  be  hired  up                 
until the  effective date. Representative  James responded  in                 
the affirmative.  She detailed that  the provision was  in the                 
bill because  DHSS was in the  process of filling  social-work                 
positions  and did  not have  time  to change  the system  and                 
job  description  until  the  proposed   effective  date.  She                 
emphasized  that the department  would  be working toward  the                 
goal and she did not think there would be a problem.                           
                                                                               
Senator  Adams asked  whether a  person without  a degree  and                 
without a  license who was hired  as a social worker  would be                 
laid off  on July 1, 2000.  Representative James replied  that                 
the  person  would  not  be  laid  off.  She  noted  that  she                 
supported  limited  entry  when  it  came to  the  psyches  of                 
vulnerable children and adults.                                                
                                                                               
Senator Phillips  pointed  out that the  bill had been  around                 
since  1975  and  that the  issues  had  been  raised  before.                 
Representative   James  acknowledged   that  there   had  been                 
difficulties  and that  there  had been  times  when she  felt                 
the goal could  not be reached.  She stated that the  bill was                 
crafted  carefully  to  get  all  the  interested  parties  to                 
agree and to keep the fiscal note low.                                         
                                                                               
ANGELA SALERNO,  EXECUTIVE DIRECTOR,  NATIONAL ASSOCIATION  OF                 
SOCIAL  WORKERS, ALASKA  CHAPTER,  testified that  HB 349  was                 
about  consumer  protection, accountability,   and public  and                 
private  social services.  She explained  that the people  who                 
come  into   contact  with   social  workers   in  the   state                 
(primarily  the clients of  the Division  of Family and  Youth                 
Services  [DFYS] in  DHSS) did  not  have a  choice about  who                 
provided  child protective  services.  She  believed the  bill                 
would ensure  that social  workers were  well qualified  to do                 
their job.                                                                     
                                                                               
Ms.  Salerno  addressed  confusions  about  provisions  of  HB
349,  beginning  with Senator  Adams's  concern  about  social                 
work in  the rural areas, especially  within tribal  entities.                 
She  maintained  that the  bill  was a  title-protection  act,                 
not  a practice-protection  act;  the  bill would  not  define                 
what  social work  was and  prevent  a person  from doing  the                 
work  without  a license.  The  bill  would stipulate  that  a                 
person  could  not call  themselves  a  social  worker  unless                 
they  had  a  license.  In  other  words,   those  individuals                 
currently  doing  social work  or  social services  without  a                 
degree  would  not be  impacted  by  the  bill at  all.  Those                 
individuals  could  continue  to  doing  their  work  if  they                 
chose  to  practice   under  the  title  "social   work."  She                 
referred to  Tlingit and Haida  in Juneau as the sole  example                 
of a tribal  entity that used  the title "social worker"  as a                 
job title.  Tlingit  and Haida  felt confident  that it  would                 
either  hire professional  social  workers or  change the  job                 
title if necessary.                                                            
                                                                               
Ms.  Salerno  noted past  confusions  about  exemption  versus                 
"grandparenting"  a  measure in.  She  explained  that no  one                 
would  automatically  get  a  license.  Individuals  currently                 
working  under the  title who did  not hold  the degree  would                 
be exempt  and would never  need to get  the license,  as long                 
as they  remained at  the job  they were  in. The  individuals                 
would  have the  option to  get the  license if  they had  the                 
background, education, and experience to take the test.                        
                                                                               
Ms.  Salerno  referred  to  concerns  about  where  the  state                 
would get  all the social  workers it  needed. She noted  that                 
Representative   James  had   mentioned   the  Child   Welfare                 
Academy,  a  new  partnership  being   developed  between  the                 
University  of Alaska  and DFYS.  The program  would create  a                 
"career  ladder"  into  social  work with  the  assistance  of                 
federal  dollars  that  would allow  the  university  to  hire                 
faculty  and  develop curriculum  to  bring  Child  Protective                 
Services into  the classroom and  create the career  ladder to                 
social work.                                                                   
                                                                               
Ms. Salerno  addressed  questions asked  by Senator  Torgerson                 
related  to  increasing  the number  of  board  meetings.  She                 
explained that  part of the work  that formed HB 349  was done                 
by  a  task  force  developed  in  response  to  an  audit  of                 
statutes  related to  social  work, psychology,  and  marriage                 
and family  therapy. One of the  areas the auditors  cited was                 
the need  for additional  board meetings.  She noted  that one                 
of the board meetings was often teleconferenced.                               
                                                                               
Ms. Salerno  responded to concerns  about where workers  would                 
obtain  continuing  education  in social  work.  She  believed                 
that  staying  current  through  continuing  education  was  a                 
very  important  part  of being  a  professional.  She  stated                 
that  there  were  many ways  to  have  access  to  continuing                 
education  in  Alaska;  opportunities   were  fewer  in  rural                 
areas,  but  still   existed.  The  National   Association  of                 
Social Workers  had begun to  provide training statewide.  She                 
highlighted  distance education,  including  the use of  video                 
and  audio  tapes. She  did  not  think  anyone in  the  state                 
would be barred from getting continuing education.                             
                                                                               
Ms.  Salerno  addressed   concerns  about  the   physical  and                 
mental  exam described  at the  top  of page  3. She  asserted                 
that two  forces had  brought the  issue to  the attention  of                 
the task force working on the bill.                                            
                                                                               
[SFC-98, Tape 157, Side B]                                                     
                                                                               
Senator  Torgerson  noted  concerns  that DOL  would  have  to                 
become  involved,  resulting  in  a  potentially  high  fiscal                 
impact. The  individuals would be  asked to pay $319  in fees,                 
which  they were  not currently  paying,  and to  pay to  have                 
tests  done.   Ms.  Salerno  responded  that the  Social  Work                 
Board was charged to act in an ethical manner.                                 
                                                                               
Senator Torgerson  stated  that he had  not seen other  boards                 
being subjected to the issue.                                                  
                                                                               
Senator  Adams   queried  Sections  26  and  27   (related  to                 
repealers).  Ms.   Salerno  replied  that  Section   26  would                 
repeal  permission  to use  the title  "social  worker" if  an                 
individual  was not  licensed. When  the  current statute  was                 
passed ten  years prior  to license  clinical social  workers,                 
nearly  everyone was  exempt; the  section  would repeal  that                 
global  exemption.  Section  27  was  a  repealer  related  to                 
qualifications.                                                                
                                                                               
CATHERINE   REARDON,   DIRECTOR,  DIVISION   OF   OCCUPATIONAL                 
LICENSING,  DEPARTMENT OF  COMMERCE  AND ECONOMIC  DEVELOPMENT                 
(DCED),  addressed concerns  by Senator  Torgerson related  to                 
the involvement  of the DOL because  of an order to  submit to                 
examination.  She explained that  DCED would be involved;  the                 
Division of  Occupational Licensing  staff would initiate  the                 
order, rather  than the  board. The division  would go  to DOL                 
and   show  credible   evidence   why  the   examination   was                 
warranted.  The  procedure  would  be  similar  to  filing  an                 
accusation that  someone had violated  any licensing  law; DOL                 
would review  the evidence, and  agree or disagree  with going                 
forward  with charging  an individual.  The Department  of Law                 
would  act  as the  check  on  the division's  order  for  the                 
examination.  She   explained  that  the  reason   was  partly                 
because DOL  would have to defend  the state if there  was not                 
credible  evidence. She  stated that a  person could  possibly                 
refuse  to  submit  to  testing,  and  there  could  be  legal                 
action on both sides.                                                          
                                                                               
Ms. Reardon  detailed that the  item was not reflected  in the                 
fiscal   note  because   the  division   had  a   reimbursable                 
services agreement  (RSA) with DOL  to provide a  given amount                 
of  legal   services  to   the  division;   the  fiscal   note                 
anticipated  that  the necessary  legal  services  would  come                 
out of that.                                                                   
                                                                               
Senator  Torgerson  was concerned  that  someone  would  claim                 
that  an  individual  had  a  mental   problem  and  then  the                 
individual  would  have  to  have an  examination.  He  had  a                 
problem  with  the  way  the  measure  was  worded.  He  asked                 
whether  any  other  board  had the  authority  to  require  a                 
mental  examination for  occupational  licensing. Ms.  Reardon                 
responded  that  there  was   at  least  one  other  board,  a                 
medical board  and perhaps another  board. She stated  that HB
349   would  not   be  the   first  granting   the   described                 
authority.                                                                     
                                                                               
Senator Torgerson  asked whether  she had  a problem  with the                 
provision  in the  bill. Ms.  Reardon responded  that she  did                 
not  have  a  problem  with  the  provision,  because  it  was                 
difficult  to  charge  a person  with  incompetence  and  take                 
away  their   license   if  there  was   not  a   professional                 
assessment  of   the  person.  The  section  related   to  the                 
process  of evidence-gathering  necessary  before taking  away                 
a license.  An incapacitated  person might  not submit  to the                 
examination  and the  state  could not  prove  its claim.  She                 
acknowledged  fear that the state  could abuse the  power, but                 
she  felt that  credible evidence  would  be gathered  through                 
witnesses  and other means  before a  person would be  accused                 
of having a problem.                                                           
                                                                               
Senator  Torgerson noted  that the  board  made the  decision.                 
He  asked whether  the  board reported  to  the division.  Ms.                 
Reardon  replied that  the function  was listed  as a duty  of                 
the board.  Her understanding  was that  generally it  was the                 
duty  of boards  to investigate  and  take  action. The  board                 
delegated  the investigation  to  the division  staff  because                 
the board  had to  ultimately sit  in judgment  in the  cases.                 
The   division   rather   than   the    board   received   and                 
investigated  complaints   against  people.  She   anticipated                 
that  the   division  would  have   to  gather  the   credible                 
evidence, get  it through the  attorney general's  office, and                 
bring it  to the board.  The division  would only bring  cases                 
before the board that met the legal test.                                      
                                                                               
Senator Torgerson  stated that he  did not like the  provision                 
and  proposed  an amendment  to  take  it out.  The  amendment                 
would be to  delete the top of  page 3, lines 1 through  3. He                 
did  not  want  the  option  to  be   available  based  on  no                 
explanation  of "credible  evidence"  or "reasonable  physical                 
or mental examination."                                                        
                                                                               
Senator Torgerson MOVED conceptual Amendment 1:                                
                                                                               
     Delete lines 1 through 3 on page 3.                                       
                                                                               
There being no OBJECTION, Amendment 1 was adopted.                             
                                                                               
Senator Torgerson  MOVED to REPORT SCS CSSSHB  349(FIN) out of                 
committee   with  individual   recommendations  and   attached                 
fiscal note. There being no objection, it was so ordered.                      
                                                                               
SCS  CSSSHB 349(FIN)  was REPORTED  out of  committee with  no                 
recommendation and  fiscal note by the Department  of Commerce                 
and Economic Development.                                                      
                                                                               

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