Legislature(2021 - 2022)BUTROVICH 205

03/23/2021 03:30 PM STATE AFFAIRS

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Audio Topic
03:33:16 PM Start
03:38:22 PM SB71
03:44:05 PM SB84
03:46:49 PM Confirmation Hearing(s)
04:06:48 PM SB77
04:31:13 PM SB47
04:50:13 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
Moved SB 71 Out of Committee
-- Public Testimony --
Moved SB 84 Out of Committee
*+ Governor Appointees TELECONFERENCED
-- Public Testimony --
Heard & Held
-- Testimony <Invitation Only> --
Heard & Held
-- Invited & Public Testimony --
Bills Previously Heard/Scheduled
**Streamed live on AKL.tv**
        SB  47-VEHICLE REGISTRATION/PERSONS W/DISABILITY                                                                    
4:31:13 PM                                                                                                                    
CHAIR SHOWER announced  the consideration of SENATE  BILL NO. 47,                                                               
"An  Act relating  to special  registration  plates for  vehicles                                                               
owned by persons with disabilities."                                                                                            
He listed the individuals available to answer questions.                                                                        
4:31:54 PM                                                                                                                    
SENATOR  ELVI  GRAY-JACKSON,  Alaska State  Legislature,  Juneau,                                                               
Alaska, sponsor  of SB 47,  read the following  sponsor statement                                                               
for SB 47 into the record:                                                                                                      
     SB47  amends AS  28.10.181(d) to  allow speech-language                                                                    
     pathologists,  physical  therapists,  and  occupational                                                                    
     therapists  to provide  proof  of  disability to  their                                                                    
     clients.  Currently,  only  chiropractors,  physicians,                                                                    
     physicians'    assistants,    or   advanced    practice                                                                    
     registered nurses  can provide  proof of  disability to                                                                    
     their clients.                                                                                                             
     By expanding  the ability for medical  professionals in                                                                    
     different  fields to  provide  proof  of disability  to                                                                    
     individuals,   the   opportunity  to   obtain   special                                                                    
     registration  plates  for   vehicles  is  expanded  for                                                                    
     people with different kinds of disabilities.                                                                               
     Oftentimes, Individuals  with disabilities are  in more                                                                    
     constant  contact with  their physical  or occupational                                                                    
     therapists  than with  physicians because  their issues                                                                    
     require  more specialized  care. It  can be  cumbersome                                                                    
     for  these  people,  who are  already  sufferings  with                                                                    
     disabilities,  to  make  an  additional  visit  to  the                                                                    
     physician  purely for  the purpose  of acquiring  their                                                                    
     plaques. To  provide ease  and accessibility  for these                                                                    
     disabled  people,  it  would   be  more  efficient  and                                                                    
     effective   to   allow   these  additional   types   of                                                                    
     professionals to provide proof of disability.                                                                              
4:33:31 PM                                                                                                                    
KEITH  FOGERS, Staff,  Senator  Elvi  Gray-Jackson, Alaska  State                                                               
Legislature, delivered  the following  sectional analysis  for SB
     Section 1:  Amends AS 28.10.181(d) to  include a person                                                                    
     licensed  as a  speech-language  pathologist,  or as  a                                                                    
     physical  therapist  or  occupational  therapist  under                                                                    
4:35:13 PM                                                                                                                    
CHAIR  SHOWER  found  no  initial  questions  and  opened  public                                                               
testimony on SB 47.                                                                                                             
4:35:30 PM                                                                                                                    
PATRICIA  MACADOO, representing  self, Anchorage,  Alaska, stated                                                               
that she is  a physical therapist who has done  itinerant work in                                                               
the Bush  since retiring from  the US Public Health  Service. She                                                               
said the providers listed in  the existing statute are not always                                                               
available to people  who live in the Bush.  Handicap placards are                                                               
not needed in the Bush but  one is needed when a village resident                                                               
who has a  mobility impairment visits a larger  community such as                                                               
Anchorage or  Fairbanks. It  is a  problem if  they cannot  get a                                                               
placard until they see a  doctor and get the paperwork processed.                                                               
She  said it  would be  helpful  if itinerant  providers such  as                                                               
herself  could provide  the handicap  placards. The  criteria are                                                               
set  out  in  legislation  so  no one  could  set  up  their  own                                                               
criteria. She serves the southern  and eastern villages of Norton                                                               
Sound  and frequently  needs to  beseech a  physician in  Nome to                                                               
audit the record and issue a  placard for someone they have never                                                               
seen just to get a placard. This bill is long overdue, she said.                                                                
4:37:54 PM                                                                                                                    
LEEANNE CARROTHERS, representing  self, Anchorage, Alaska, stated                                                               
that  she is  the  Government Affairs  Liaison  for the  American                                                               
Physical Therapy  Association, Alaska  Chapter, but  was speaking                                                               
for  herself as  a licensed  physical therapist.  The association                                                               
had  not  met and  taken  a  stand  on  the legislation  but  she                                                               
anticipated it would  do so very soon. Speaking with  35 years as                                                               
a clinician and educator of  physical therapy, she contended that                                                               
physical  therapists,  occupational  therapists, and  speech  and                                                               
language  pathologists have  the knowledge  and skills  to assess                                                               
whether  or not  somebody  meets the  disability requirements  to                                                               
receive a  disability parking permit  or license plate.  She said                                                               
she is able  to see patients without a referral  and she believes                                                               
that statutorily  authorizing physical  therapists to  sign these                                                               
forms will save  time and money by eliminating the  need to visit                                                               
an   additional   provider.   Passing   the   bill   will   allow                                                               
rehabilitation therapists  to practice  at the  level appropriate                                                               
to their knowledge, skills, and experience, she concluded.                                                                      
4:40:21 PM                                                                                                                    
ANNETTE  ALFONSI, representing  self,  Anchorage, Alaska,  stated                                                               
that she was representing herself  and the Unmasking Brain Injury                                                               
Project.  She  related her  personal  experience  of being  in  a                                                               
serious car accident and receiving  a traumatic brain injury. She                                                               
said  she  has  planned  and   implemented  annual  brain  injury                                                               
education  with continuing  education  credit for  chiropractors,                                                               
physical  therapists, occupational  therapists, and  other health                                                               
care professionals. She has worked  in medical and dental offices                                                               
and  has received  treatment from  all the  fields listed  in the                                                               
MS. ALFONSI said  the disability parking placard  form asks about                                                               
walking distance  and walking with  assistance and she  has found                                                               
that physical therapists generally  assess this aspect of walking                                                               
more extensively than  physicians do. She pointed out  that it is                                                               
within the scope  of practice for an  occupational therapist (OT)                                                               
to do  a driving  test and workers'  compensation accepts  the by                                                               
but  OTs  do not  have  the  ability  to provide  the  disability                                                               
parking  placard.  She  said  she   also  worked  with  a  speech                                                               
therapist on  cognitive retraining, but none  of these therapists                                                               
can  issue  the   parking  placard.  She  had   to  make  another                                                               
appointment to get  the parking placard. She said  this bill will                                                               
save  time  and money  and  increase  independence, healing,  and                                                               
economic viability. She urged passage of SB 47.                                                                                 
4:43:21 PM                                                                                                                    
CHAIR  SHOWER thanked  her for  talking about  how the  bill will                                                               
help people.                                                                                                                    
SENATOR REINBOLD described Ms.  Alfonsi's testimony as impressive                                                               
and valuable.                                                                                                                   
SENATOR KAWASAKI asked  what the scope of practice  is for speech                                                               
MS. ALFONSI answered  that speech therapists are  able to provide                                                               
cognitive  assessments   and  cognitive  retraining   to  address                                                               
cognitive fatigue and neurological  overload that may result from                                                               
a brain injury.  She described losing one's car in  a parking lot                                                               
due  to cognitive  fatigue  brought  on by  stress  and too  much                                                               
SENATOR KAWASAKI thanked her for the explanation.                                                                               
SENATOR HOLLAND  said he understands  the importance of  the bill                                                               
based on Ms. Alfonsi's testimony.                                                                                               
CHAIR SHOWER  related that he has  a sister in law  in this field                                                               
and it  is amazing what  these therapists  can do to  help people                                                               
with  traumatic  brain  injuries  become  productive  members  of                                                               
society once again.                                                                                                             
SENATOR GRAY-JACKSON  thanked the testifiers for  calling and the                                                               
committee for hearing the bill.                                                                                                 
4:48:56 PM                                                                                                                    
CHAIR SHOWER closed  public testimony on SB 47 and  held the bill                                                               
in committee.                                                                                                                   

Document Name Date/Time Subjects
SB 77 Fiscal Note 2476.pdf SSTA 3/23/2021 3:30:00 PM
SB 77
SB 77 Sponsor Statement 3.17.21.pdf SSTA 3/23/2021 3:30:00 PM
SB 77
SB 77 Sectional Analysis 3.17.21.pdf SSTA 3/23/2021 3:30:00 PM
SB 77
SB 47 Fiscal Note 2348.pdf SSTA 3/23/2021 3:30:00 PM
SB 47
SB 47 v.A.PDF SSTA 3/23/2021 3:30:00 PM
SB 47
SB 47 Written Testimony (Additional).pdf SSTA 3/23/2021 3:30:00 PM
SB 47
SB47 Supporting Documents-DTD 2-2-2021.pdf SSTA 3/23/2021 3:30:00 PM
SB 47
SB47 Written Testimony (6).pdf SSTA 3/23/2021 3:30:00 PM
SB 47