CS FOR SENATE BILL NO. 173(FIN) "An Act relating to the practice of dentistry; relating to dental radiological equipment; and providing for an effective date." 2:22:01 PM Co-Chair Merrick relayed it was the second bill hearing and no amendments had been received. Co-Chair Merrick OPENED public testimony. Co-Chair Merrick CLOSED public testimony. Co-Chair Merrick indicated there were three fiscal notes. She invited the Department of Commerce, Community and Economic Development (DCCED) to review Fiscal Note 3. 2:23:04 PM SARA CHAMBERS, DIRECTOR, DIVISION OF CORPORATIONS, BUSINESS AND PROFESSIONAL LICENSING, DEPARTMENT OF COMMERCE, COMMUNITY AND ECONOMIC DEVELOPMENT (via teleconference), relayed the fiscal note had several components because the bill had two primary purposes. One of the purposes was to reinstitute specialty licensing, which would require the department to add several new licenses and additional work to its team. The department was requesting one additional occupational licensing examiner. Currently, the large program only had one dedicated staff member. The second major component was the department's need to coordinate and cooperate with Department of Health and Social Services (DHSS) on radiological equipment administration. She elaborated that DCCED planned to enter into an interagency agreement with DHSS in the amount of $224,000, which was reflected on the services line and in one of the DHSS fiscal notes. She explained the money had to be accounted for leaving one department and coming into the other department. Representative Carpenter asked how many equipment inspections had to be done each year. Ms. Chambers responded that there were currently about 2,000 pieces of equipment would have to be inspected every six years. She elaborated that DHSS could speak more specifically to the cost because it would be performing the work. She relayed it a rolling cost over six years to ensure a position could support all of the inspection across the state. 2:25:36 PM Representative Carpenter estimated it meant that just under one piece of equipment would need to be inspected each day. He asked what the additional position would do apart from conducting inspections. Ms. Chambers responded that DCCED would no longer be doing the inspections; the bill handed the responsibility off to DHSS. She noted that DCCED would have a new occupational licensing examiner position, which would take on the extra work the new specialty licensing scheme reintroduced by the bill would mandate. The department currently had one person for about 7,000 licensees and DCCED could not expand the program further without additional staff support. Co-Chair Merrick indicated there were two remaining fiscal notes to be reviewed. She asked DHSS to review the fiscal note with OMB component 2252. 2:27:16 PM JAYME PARKER, CHIEF OF PUBLIC HEALTH LABS, DEPARTMENT OF HEALTH AND SOCIAL SERVICES (via teleconference), reviewed fiscal note (control code ckCce). She relayed the fiscal note for the Department of Health labs started with an initial investment of $193,200, which allowed the department to recruit for and hire an additional radiological health physicist to help monitor, register, and inspect an additional 2,200 to 2,400 devices. The department currently managed about 1,000. The department was also suggesting an additional office assistant to help the department with communication with DCCED because DCCED would be collecting the fees and DHSS would be invoicing. The position would also assist with travel for two radiological health specialists. Beyond the initial investment in FY 23, the department saw an increase to $224,200 because it assumed it would take three to four months to hire someone in FY 23; therefore, the entire salary and benefit would not be necessary until FY 24. The department expected the $224,000 to be covered by fees. She confirmed the number equated to inspection of about one device per day, but the department could inspect more than that number. There was other x-ray equipment the department inspected across the state; therefore, the department expected to cross-train the positions to inspect x-ray and dental equipment. The department anticipated the travel cost would be reduced. She shared the cost equated to approximately $100 per devise per year or $600 per device for six years. Co-Chair Merrick invited Mr. Jason Ball with DHSS to review Fiscal Note 2. 2:30:12 PM JASON BALL, QUALITY ASSURANCE MANAGER, DIVISION OF HEALTH CARE SERVICES, DEPARTMENT OF HEALTH AND SOCIAL SERVICES (via teleconference), reviewed Fiscal Note 2 (control code: ARTso), which included $92,000 per year on the personal services line in addition to some additional commodity expenditure related to setting up the new position. He stated there was an impact to the Medicaid provider enrollment component related to the specialty piece and implementing the specialty licenses required by the federal government at initial enrollment and revalidation on a three to five-year interval depending on a provider's risk level. The department was required to take up a body of work to ensure providers were practicing in their approved specialties. The department had to ensure the integrity of the claims billed on behalf of newly created specialists on an ongoing basis in order to draw down federal funds. Co-Chair Merrick asked if the departments had any input regarding Representative Carpenter's question. 2:32:15 PM Co-Chair Foster MOVED to report HCS CSSB 173(FIN) out of Committee with individual recommendations and the accompanying fiscal notes. There being NO OBJECTION, it was so ordered. HCS CSSB 173(FIN) was REPORTED out of committee with seven "do pass" recommendations and four "no recommendation" recommendations and with three previously published fiscal impact notes: FN1 (DHS), FN2 (DHS), and FN3 (CED). 2:32:40 PM AT EASE 2:33:39 PM RECONVENED