Approved: February 21

Minutes of the House Health and Services Committee

The meeting was called to order by Chairman Jim Morrison at 1:30 P.M. on February 20, 2006, in Room 526-S of the Capitol.

All members were present except Representative Landwehr, who was excused.

Committee staff present:

Melissa Calderwood, Kansas Legislative Research Department
Mary Galligan, Kansas Legislative Research Department
Renae Jefferies, Revisor of Statutes’ Office
Gary Deeter, Committee Secretary 

Conferees appearing before the committee:
            Fred Lucky, Senior Vice President, Kansas Hospital Association
            Dick Allen, Mercy Regional Health Center
            Linda DeCoursey, Advocacy Director, American Heart Association     
            Peter LeBourveau, Medical Student, University of Kansas Medical Center
            Lisa Benlon, Director of Government Relations, American Cancer Society
            Dan Morin, Director of Governmental Affairs, Kansas Medical Society
            John Caporale, Wichita
            John Sabatini, Walden University
           
Others attending:

See attached list (not available on electronic copy).

The Chair opened the hearing on HB 2739.

Fred Lucky, Senior Vice President, Kansas Hospital Association, introduced Dick Allen, Mercy Regional Health Center, Manhattan, who spoke as a proponent. (Attachment 1)  He said the bill expands the prohibition from smoking inside hospitals to tobacco use on hospital property.  He stated that the bill will promote a healthy environment to patients, visitors, and staff.   

Dr. Howard Rodenberg, Director, Division of Health, Kansas Department of Health and Environment, testified in favor of the bill.  (Attachment 2)  He noted the negative impact of second-hand smoke, commenting on its deleterious effect on a person’s health.  He noted the role model hospitals can serve in promoting healthy behaviors. 

Linda DeCoursey, Advocacy Director, American Heart Association, spoke as a proponent. (Attachment 3)  She commented that the Hippocratic Oath, “Do no harm,” should be reflected on hospital property, and she noted the many toxins in second-hand smoke. 

Peter LeBourveau, Medical Student, University of Kansas Medical Center, spoke in support of the bill. (Attachment 4)   He noted that the bill is not a statewide ban on tobacco use, nor is it punitive, but a positive way to support health.

Lisa Benlon, Director of Government Relations, American Cancer Society, spoke as a proponent.  (Attachment 5)  She commented on the exception granted for licensed long-term-care facilities, suggesting that smoking be allowed only in areas with separate ventilation systems. (Attachment 6)

Dan Morin, Director of Governmental Affairs, Kansas Medical Society, testified as a proponent. (Attachment 7)   He cited statistics regarding the toxic effects of tobacco use, commented on a similar bill passed in Arkansas, and urged members to support the bill.

Three individuals offered written testimony in support of the bill:  Jon Hauxwell, President, Tobacco Free Kansas Coalition (Attachment 8); Judy Keller, Executive Director, American Lung Association of Kansas (Attachment 9); and Terri Roberts, Executive Director, Kansas State Nurses Association. (Attachment 10)

Answering a question, Melissa Hungerford, Kansas Hospital Association, said long-term-care facilities can be exempted because they are licensed separately. 

A fiscal note was provided for the committee.  (Attachment 11)

The Chair closed the hearing on HB 2739 and opened the hearing on HB 2734.

Representative Mario Goico testified in support of the bill.   (Attachment 12)  He noted the value of on-line education to advance one’s education and career.   

John Caporale, Wichita, related his experience and difficulties in being licensed after completing online education. (Attachment 13)   He cited the expanding role of online education, noting the importance of the design of the course, not the delivery method of instruction.  He commented that about one-third of states accept credits for licensing from Walden University. 

John Sabatini, Walden University, testified as a proponent.  (Attachment 14)   He related the history of Walden as an exclusively online university, noting its accreditation for post-baccalaureate and post-graduate degrees and its acceptance by various states. 

Lawrence Buening, Executive Director, Kansas Board of Healing Arts, provided written neutral testimony. (Attachment 15)

Mr. Sabatini responded to members’ questions, saying clinical experience is handled by internships, that most course work is post-graduate, and continuing education credits can be obtained through the university.  Mr. Caporale replied that the Behavioral Sciences Regulatory Board (BSRB) had a bias against online credits and that working with BSRB to adjust rules and regulations was futile.  The Chairman referred to information about what appeared to be Mr. Caporale’s lawsuit against BSRB; Mr. Caporale said the issue was an appeal after district court ruled against him because of false information submitted by the BSRB. The Chair asked for further documentation and commented that the purpose of the committee was not to become entangled in court issues.  A member commented that any licensing authority has the right to deny a license if the subject content is not adequately covered by course work.  Mr. Caporale said that Walden University follows the guidelines set forth by the American Psychology Association.

Representative Goico commented on a amendment suggested by the Kansas Board of Nursing. 
(Attachment 16)   

The hearing was closed.

The Chair opened discussion on bills previously heard.

Considering HB 2649, a motion was made and seconded to amend the bill(Attachment 17) Representative Bethell commented that the amendment includes all issues noted by conferees during the hearing on the bill.  The motion to amend passed.

A motion was made and seconded to pass the bill out favorably as amended.  The motion passed.

The committee considered HCR 5031.   Representative Bethell noted that insurance companies handing out information about not taking heroic life-sustaining measures might be construed as a conflict of interest; a motion was made and seconded to amend the resolution.   (Attachment 18)
After discussion about who should implement the resolution, the motion to amend passed.

The Chair ruled that the bill will be held for further consideration at a later time.

HB 2715
was considered for passage.  A member commented that the present system seemed to be working by having a self-sustaining fee fund, that the bill would significantly raise the costs for some companies to do business, and that more work was needed on the bill.  It was acknowledged that the interested parties could not work out a compromise.  A motion was made to table the bill.  The motion passed.

Members considered HB 2752 for passage.  A motion was made and seconded to recommend the bill for passage; the motion carried.

Representative Bethell agreed to carry HB 2649; Representative Colloton agreed to carry HB 2752.

The minutes for February 15 and 16, 2006, were approved.

The meeting was adjourned at 2:52 p.m.  The next meeting is scheduled for Tuesday, February 21, 2006.