Legislature(2021 - 2022)BUTROVICH 205

05/06/2021 01:30 PM Senate HEALTH & SOCIAL SERVICES

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Audio Topic
01:34:36 PM Start
01:35:01 PM SB38
01:49:46 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Bills Previously Heard/Scheduled: TELECONFERENCED
+= SB 124 MENTAL HEALTH FACILITIES & MEDS TELECONFERENCED
<Bill Hearing Canceled>
<Above Item Removed from Agenda>
+= SB 38 NATUROPATHS: LICENSING; PRACTICE TELECONFERENCED
Moved CSSB 38(HSS) Out of Committee
<Bill Hearing Rescheduled from 05/04/2021>
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                          May 6, 2021                                                                                           
                           1:34 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator David Wilson, Chair                                                                                                     
Senator Shelley Hughes, Vice Chair                                                                                              
Senator Mia Costello                                                                                                            
Senator Lora Reinbold                                                                                                           
Senator Tom Begich                                                                                                              
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 38                                                                                                              
"An  Act relating  to the  practice of  naturopathy; establishing                                                               
the  Naturopathy Advisory  Board;  relating to  the licensure  of                                                               
naturopaths; relating to  disciplinary sanctions for naturopaths;                                                               
relating to  the Department of Commerce,  Community, and Economic                                                               
Development; and providing for an effective date."                                                                              
                                                                                                                                
     - MOVED CSSB 38(HSS) OUT OF COMMITTEE                                                                                      
                                                                                                                                
SENATE BILL NO. 124                                                                                                             
"An  Act relating  to admission  to and  detention at  a subacute                                                               
mental health  facility; establishing a definition  for 'subacute                                                               
mental health  facility'; establishing  a definition  for 'crisis                                                               
residential  center'; relating  to  the  definitions for  'crisis                                                               
stabilization   center';  relating   to  the   administration  of                                                               
psychotropic  medication  in  a  crisis  situation;  relating  to                                                               
licensed facilities; and providing for an effective date."                                                                      
                                                                                                                                
     - SB 124 BILL HEARING CANCELED                                                                                             
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB  38                                                                                                                  
SHORT TITLE: NATUROPATHS: LICENSING; PRACTICE                                                                                   
SPONSOR(s): SENATOR(s) KAWASAKI                                                                                                 
                                                                                                                                
01/25/21       (S)       PREFILE RELEASED 1/8/21                                                                                

01/25/21 (S) READ THE FIRST TIME - REFERRALS

01/25/21 (S) HSS, L&C, FIN 04/07/21 (S) L&C AT 1:30 PM BELTZ 105 (TSBldg) 04/07/21 (S) Scheduled but Not Heard 04/08/21 (S) HSS AT 1:30 PM BUTROVICH 205 04/08/21 (S) Heard & Held 04/08/21 (S) MINUTE(HSS) 04/15/21 (S) HSS AT 1:30 PM BUTROVICH 205 04/15/21 (S) Heard & Held 04/15/21 (S) MINUTE(HSS) 05/04/21 (S) HSS AT 1:30 PM BUTROVICH 205 05/04/21 (S) <Bill Hearing Canceled> 05/06/21 (S) HSS AT 1:30 PM BUTROVICH 205 WITNESS REGISTER JOE HAYES, Staff Senator Scott Kawasaki Alaska State Legislature Juneau, Alaska POSITION STATEMENT: Answered questions on behalf of the sponsor. ACTION NARRATIVE 1:34:36 PM CHAIR DAVID WILSON called the Senate Health and Social Services Standing Committee meeting to order at 1:34 p.m. Present at the call to order were Senators Reinbold, Costello, Begich, Hughes, and Chair Wilson. SB 38-NATUROPATHS: LICENSING; PRACTICE 1:35:01 PM CHAIR WILSON announced the consideration of SENATE BILL NO. 38 "An Act relating to the practice of naturopathy; establishing the Naturopathy Advisory Board; relating to the licensure of naturopaths; relating to disciplinary sanctions for naturopaths; relating to the Department of Commerce, Community, and Economic Development; and providing for an effective date." CHAIR WILSON said that the committee heard SB 38, took invited testimony on April 8 and heard it again on April 15. He noted the presence of Senator Kawasaki's staff, Joe Hayes, and Director Sara Chambers with the Department of Commerce, Community and Economic Development (DCCED), who was available for questions. 1:35:53 PM CHAIR WILSON requested a motion to adopt the work draft committee substitute. 1:35:56 PM SENATOR HUGHES moved the work draft committee substitute (CS) for SB 38, work order 32-LS0318\B, as the working document. 1:36:06 PM CHAIR WILSON objected for purposes of discussion and reviewed changes to SB 38. He said members had focused on the ability of naturopaths to use the word physician in their title and the expansion of their scope of practice. The concern was that a naturopath's training and education should be on par with that of a medical doctor to use the title physician. Several requirements added to the CS make naturopaths' use of the word physician in their title acceptable. In Section 9, these requirements were the completion of a two-year externship and passing an approved pharmaceutical examination. A continuing education requirement was added in a new section. Should members agree to these changes a future amendment to the CS will be proposed allowing naturopaths to use the title physician 1:37:06 PM CHAIR WILSON removed his objection; finding no further objection, version B was adopted as the working document. 1:37:20 PM SENATOR HUGHES thanked Senator Kawasaki and staff member Mr. Hayes for working with members on SB 38. Naturopaths are an important part of Alaska's healthcare system. More work will be done on SB 38 as it moves to the Labor and Commerce Committee. A two-year internship, continuing education, and appropriate pharmaceutical training were added to the working copy of SB 38. These additions were to allow naturopaths to use the term physician in their title but that was inadvertently omitted from the CS. An amendment will be offered to correct the oversight. She opined that if naturopaths are going to step up and align their training closer to that of a medical or osteopathic doctor, then the use of the word physician would be in keeping with public expectation. 1:38:59 PM CHAIR WILSON moved Amendment 1, [work order 32-LS0318\B.1]. AMENDMENT 1 32-LS0318\B.1 Fisher 5/4/21 OFFERED IN THE SENATE BY SENATOR WILSON TO: CSSB 38(HSS), Draft Version "B" Page 7, lines 9 - 10: Delete all material and insert: "(2) engage in surgery, except as authorized by AS 08.45.045(a)(3) [; (3) USE THE WORD "PHYSICIAN" IN THE PERSON'S TITLE]." 1:39:06 PM SENATOR HUGHES objected for purposes of discussion. CHAIR WILSON explained that Amendment 1, along with language adopted in the CS and other additional requirements, will allow Naturopaths to use the title physician. SENATOR COSTELLO responded that she is not interested in holding up SB 38 but is concerned about the word physician being used in a naturopath's title. It could be confusing to the public. SENATOR BEGICH asked what the sponsor thought of the amendment. JOE HAYES, Staff, Senator Scott Kawasaki, Alaska State Legislature, Juneau, Alaska, stated on behalf of the sponsor that naturopaths are not wedded to the word physician, and it would not be an issue if it failed. SENATOR BEGICH clarified that the amendment if passed, eliminates language so the word physician can be used. CHAIR WILSON responded correct. 1:41:01 PM SENATOR HUGHES opined that the use of the title physician should be a topic of discussion for a future committee. She suggested naturopaths use the title naturopathic physician to avoid confusion with the traditional meaning of the word physician. 1:41:23 PM At ease 1:41:27 PM CHAIR WILSON reconvened the meeting. He stated that members are neutral on Amendment 1, and it is better suited for the Labor and Commerce Committee, which deals with titles, duties, and roles. CHAIR WILSON withdrew Amendment 1 and asked if there were any closing comments. MR. HAYES said he looks forward to SB 38 moving through the process. SENATOR REINBOLD commented that diverse views need to be heard. She respects naturopaths and will support SB 38. 1:43:29 PM SENATOR HUGHES commented that she looks forward to continued work in the next committee. She mentioned that naturopaths should remedy their use of the word physician as a title until a decision is reached. CHAIR WILSON suggested the Department of Commerce, Community and Economic Development (DCCED) assist naturopaths with remediation since they do not have a board. 1:44:27 PM CHAIR WILSON solicited a motion to move SB 38 from committee. 1:44:30 PM SENATOR HUGHES moved to report the work draft committee substitute (CS) for SB 38, work order 32-LS0318\B, from committee with individual recommendations and attached fiscal note(s). CHAIR WILSON found no objection and CSSB 38(HSS) was reported from the Senate Health and Social Services Standing Committee. 1:44:47 PM At ease 1:47:34 PM CHAIR WILSON reconvened the meeting and asked for member comments. 1:47:49 PM SENATOR REINBOLD opined that this was one of the most important committees this session. She is thrilled that the informed consent amendment passed, and SB 124 failed. SENATOR BEGICH thanked Chair Wilson for running the committee efficiently. SENATOR HUGHES stated she used to work in healthcare and had avoided the committee, but she has enjoyed it. She thanked the committee members for being a good team. CHAIR WILSON said it was a pleasure and honor to serve with the members and their dedicated staff. He thanked members for being a productive committee. 1:49:46 PM There being no further business to come before the committee, Chair Wilson adjourned the Health and Social Services Standing Committee meeting at 1:49 p.m.

Document Name Date/Time Subjects
SB 38 ASMA Opposition Letter.pdf SHSS 5/6/2021 1:30:00 PM
SB 38