Legislature(2021 - 2022)SENATE FINANCE 532

04/22/2022 01:00 PM Senate 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
-- Testimony <Invitation Only> --
-- Public Testimony <Time Limit May Be Set> --
+ HB 111 DENTAL HYGIENIST ADVANCED PRAC PERMIT TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
-- Public Testimony <Time Limit May Be Set> --
+ HB 168 ELECTRONIC APPLICATION FOR STATE BENEFITS TELECONFERENCED
Heard & Held
-- Testimony <Time Limit May Be Set> --
-- Public Testimony <Time Limit May Be Set> --
+ 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."                                                                                                     
                                                                                                                                
1:05:03 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MATT CLAMAN, SPONSOR, introduced the                                                                             
legislation with prepared remarks:                                                                                              
                                                                                                                                
     First, I want  to thank you for hearing  House Bill 99.                                                                    
     We  often talk  of  making Alaska  open  and ready  for                                                                    
     business,  House  Bill 99  makes  sure  we're open  and                                                                    
     ready  for business  and specific  of  the business  of                                                                    
     providing physical and  occupational therapy. My office                                                                    
     introduced House Bill  99 at the request  of the Alaska                                                                    
     Physical and Occupational Therapy Associations.                                                                            
                                                                                                                                
     House  Bill  99  amends   the  governing  statutes  for                                                                    
     physical   therapists,  physical   therapy  assistants,                                                                    
     occupational   therapists,  and   occupational  therapy                                                                    
     assistants  practicing  in  Alaska. These  changes  are                                                                    
     designed  to   bring  Alaska  statutes  in   line  with                                                                    
     national  standards and  terminology  and overall  make                                                                    
     the administrative experience  of these professions and                                                                    
     professionals smoother and up to date.                                                                                     
                                                                                                                                
     House  Bill  99  is  supported by  the  state  Physical                                                                    
     Therapy and Occupational  Therapy Board, which believes                                                                    
     House  Bill 99  will help  the  board and  its work  to                                                                    
     protect the public. The letter  stating that support is                                                                    
     in  your bill  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. House  Bill 99  removes the                                                                    
     physician  from  this  board  and  replaces  them  with                                                                    
     another occupational  therapist, thereby  balancing the                                                                    
     representation of  the professions on the  board. There                                                                    
     is  good  reason  for  this.   When  this  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.                                                                                                        
                                                                                                                                
     House Bill  99 also enables  the board to  discipline a                                                                    
     therapist  who commits  infractions under  AS 08.84.120                                                                    
     such as  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.                                                                                              
                                                                                                                                
     Additionally, House Bill 99  clarifies the language and                                                                    
     the requirements for those  therapists to receive their                                                                    
     training outside  of the  United States,  ensuring that                                                                    
     their  training is  equivalent to  a U.S.  professional                                                                    
     physical therapy program  and also exempting therapists                                                                    
     trained in  an English language program  from having to                                                                    
     take an English proficiency test.                                                                                          
                                                                                                                                
     Furthermore,  this  bill  updates  language  in  Alaska                                                                    
     statute that  referenced 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 several long-awaited                                                                    
     changes that  will make it easier  for professionals to                                                                    
     do business in Alaska.                                                                                                     
                                                                                                                                
1:07:58 PM                                                                                                                    
                                                                                                                                
LIZZIE KUBITZ, STAFF, REPRESENTATIVE MATT CLAMAN, discussed                                                                     
the Sectional Analysis (copy on file):                                                                                          
                                                                                                                                
     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.                                                                                                     
                                                                                                                                
Ms. Kubitz listed individuals available for questions.                                                                          
                                                                                                                                
1:12:27 PM                                                                                                                    
                                                                                                                                
Senator  Olson asked  if state  medical associations  and/or                                                                    
the Medical Board supported  the legislation. He highlighted                                                                    
the  bill's  proposal  to  remove   a  physician  [from  the                                                                    
Physical Therapy and Occupational Therapy Board].                                                                               
                                                                                                                                
Representative  Claman  replied  that  he  had  spoken  with                                                                    
individual physicians.                                                                                                          
                                                                                                                                
Senator  Olson  interjected  that   there  were  letters  of                                                                    
support in the bill packets.                                                                                                    
                                                                                                                                
Representative  Claman replied  that the  physicians he  had                                                                    
spoken to did not have a problem with the bill.                                                                                 
                                                                                                                                
Senator Olson asked if there was anything from the boards.                                                                      
                                                                                                                                
Representative Claman replied in the negative.                                                                                  
                                                                                                                                
Senator Olson  asked for the  percentage of  foreign medical                                                                    
applicants  applying for  physical and  occupational therapy                                                                    
positions.                                                                                                                      
                                                                                                                                
1:13:15 PM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
1:13:35 PM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
Senator Olson reiterated his previous question.                                                                                 
                                                                                                                                
Representative Claman deferred to Ms. Chambers.                                                                                 
                                                                                                                                
SARA CHAMBERS,  DIRECTOR, DIVISION OF  CORPORATION, BUSINESS                                                                    
AND   PROFESSIONAL   LICENSING,  DEPARTMENT   OF   COMMERCE,                                                                    
COMMUNITY  AND  ECONOMIC DEVELOPMENT  (via  teleconference),                                                                    
replied that she would follow up with the answer.                                                                               
                                                                                                                                
Co-Chair Bishop asked Ms. Chambers  to provide the answer to                                                                    
his office for distribution to committee members.                                                                               
                                                                                                                                
Co-Chair Bishop moved to invited testimony.                                                                                     
                                                                                                                                
LEEANNE CARROTHERS,  AMERICAN PHYSICAL  THERAPY ASSOCIATION,                                                                    
ALASKA  CHAPTER,  WASILLA  (via  teleconference),  spoke  in                                                                    
support  of  the  legislation. The  association  represented                                                                    
approximately 450 licensed  physical therapists and physical                                                                    
therapist  assistants in  Alaska. She  stated that  the bill                                                                    
provided  many  needed   language  changes  and  terminology                                                                    
changes to  the existing  statute, which would  bring Alaska                                                                    
in line  with current  national standards,  terminology, and                                                                    
practice.  She elaborated  that the  bill provided  balanced                                                                    
representation   by  physical   and  occupational   therapy.                                                                    
Additionally, the  bill removed  a position from  the board,                                                                    
which was a  relic of a time when  physical and occupational                                                                    
therapists   required   physician   supervision   and   were                                                                    
accredited  by the  American Medical  Association. The  bill                                                                    
reduced administrative burden and  costs for individuals who                                                                    
graduated  from schools  taught  in English  outside of  the                                                                    
United States  and provided  disciplinary capability  to the                                                                    
board.  She  summarized  that the  bill  provided  necessary                                                                    
updates, was noncontroversial, and long overdue.                                                                                
                                                                                                                                
1:16:23 PM                                                                                                                    
                                                                                                                                
Co-Chair Bishop OPENED public testimony.                                                                                        
                                                                                                                                
1:16:37 PM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
1:17:03 PM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
Co-Chair  Stedman wondered  if  there was  an  error in  the                                                                    
printing of  the bill.  He observed  the version  before the                                                                    
committee was version A. He was being facetious.                                                                                
                                                                                                                                
Co-Chair Bishop CLOSED public testimony.                                                                                        
                                                                                                                                
Representative Claman  stressed that  the bill  had received                                                                    
no  amendments  in the  House  and  there was  no  committee                                                                    
substitute.                                                                                                                     
                                                                                                                                
SB  99  was   HEARD  and  HELD  in   committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                

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