SB  53-ADVANCED PRACTICE REGISTERED NURSES                                                                       
                                                                                                                                
1:55:35 PM                                                                                                                    
CHAIR  COSTELLO announced  the consideration  of SB  53. "An  Act                                                               
relating  to advanced  practice registered  nursing; relating  to                                                               
certified direct entry midwifery;  and providing for an effective                                                               
date."  She noted  that this  was the  second hearing  and public                                                               
testimony was closed.                                                                                                           
                                                                                                                                
SENATOR GIESSEL asked if Sarah  Chambers could discuss the fiscal                                                               
note.                                                                                                                           
                                                                                                                                
1:56:32 PM                                                                                                                    
SARAH  CHAMBERS, Operations  Manager,  Division of  Corporations,                                                               
Business  and  Professional  Licensing, Department  of  Commerce,                                                               
Community and  Economic Development  (DCCED), told  the committee                                                               
that the division is reviewing the  fiscal note for SB 53 because                                                               
it appears  that some  of the programs  that will  have statutory                                                               
changes will  not need conforming regulation  changes. That would                                                               
reduce the size  of the fiscal note. She also  clarified that the                                                               
expenses that are  incurred by licensing boards are  borne by the                                                               
licensees as required under state law.                                                                                          
                                                                                                                                
CHAIR  COSTELLO asked  her to  review  the amount  of the  fiscal                                                               
note.                                                                                                                           
                                                                                                                                
MS. CHAMBERS  advised that  the current  fiscal note  is $15,000.                                                               
The estimated  cost of promulgating regulation  changes is $2,500                                                               
per program, and the division  and five licensing boards that are                                                               
affected.                                                                                                                       
                                                                                                                                
CHAIR  COSTELLO asked  if the  division will  absorb some  of the                                                               
costs.                                                                                                                          
                                                                                                                                
MS. CHAMBERS  replied each entity will  bear the cost of  its own                                                               
regulation changes  and the Board  of Nursing will bear  the cost                                                               
of the title changes.                                                                                                           
                                                                                                                                
2:00:11 PM                                                                                                                    
SENATOR GIESSEL  asked how  it would  affect the  cost if  one or                                                               
more of the boards could tag onto an ongoing regulatory project.                                                                
                                                                                                                                
MS. CHAMBERS  replied she would  encourage each of the  boards to                                                               
include  these changes  where they  have an  existing program  or                                                               
have one coming up in the  near future. That would bring the cost                                                               
to zero  and there  would be no  additional authority  needed for                                                               
those programs.  If the authority  is granted through  the fiscal                                                               
note and isn't used, then the  division would back it out through                                                               
the management plan.                                                                                                            
                                                                                                                                
CHAIR  COSTELLO  found  no  further  questions  and  solicited  a                                                               
motion.                                                                                                                         
                                                                                                                                
2:01:06 PM                                                                                                                    
SENATOR GIESSEL  motioned to report  SB 53,  labeled 29-LS0043\N,                                                               
from  committee  with  individual  recommendations  and  attached                                                               
fiscal note(s).                                                                                                                 
                                                                                                                                
CHAIR  COSTELLO  announced  that  without  objection,  SB  53  is                                                               
reported from the Senate Labor and Commerce Standing Committee.