Approved: March 15, 2006

Minutes of the House Health and Services Committee

The meeting was called to order by Chairman Jim Morrison at 1:30 P.M. on March 14, 2006, in Room 526-S of the Capitol.

All members were present except Representatives Landwehr, Bethell, Watkins, Colloton, and Kilpatrick.

 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:

Richard Maxfield, Licensed Psychologist, Behavioral Sciences Regulatory Board Member
Sky Westerlund, Executive Director, Kansas Chapter, National Association of Social Workers
Mike Donnelly, Director of Policy and Outreach, Disability Rights Center of Kansas
Phyllis Gilmore, Executive Director, Behavioral Sciences Regulatory Board

 Others attending:

See attached list (not available on electronic copy).

The Chair opened the hearing on SB 469.

Richard Maxfield, Licensed Psychologist and Behavioral Sciences Regulatory  Board Member, testified as a proponent for the bill.  (Attachment 1)   He noted that the Kansas Psychological Association also supported the bill.  He said the bill enables the Board to offer not only a punitive response to an impaired professional, but also to provide diversion into a treatment opportunity for any professional behavior that falls below acceptable practice.  He commented on the balloon amendment provided by the Executive Director, Phyllis Gilmore, (Attachment 2) and suggested additional defining language regarding impairment--on page 1, section 2, line 25, following the word “safety,” add the following:  “The conduct may be attributed to a physical or mental condition or substance abuse or a combination of those preceding conditions.”  He recommended one other addition on page 1, line 42, striking the language in (1) and inserting “has a reasonable probability of causing harm to a client.”  He then commented on other recommended changes listed in the balloon amendment:  inserting the word “person” and changing “treatment” to “evaluation.”  Responding to a question, he said the Board did not share the latest changes with Mr. Donnelly.

Sky Westerlund, Executive Director, Kansas Chapter, National Association of Social Workers, spoke in support of the bill.  (Attachment 3)  She said the Association was grateful for the concepts expressed in the bill to protect clients, but recommended deleting the insertion of “person,” since the addition of person could create a conflict of interest for the Board if they contracted with an individual.

Mike Donnelly, Director of Policy and Outreach, Disability Rights Center of Kansas, spoke in opposition to the bill, noting the inherent discrimination in the wording.  (Attachment 4)   He drew a distinction between a condition and conduct, saying the bill makes no discrimination between the two and thus violates the Americans with  Disabilities Act (ADA), which prohibits discrimination on the basis of disability.  He observed that a condition does not cause conduct; it is poor professional conduct that endangers a client, noting that the Board needs to find a better way to protect clients.

Committee members discussed the issues and the language addressed by conferees, asking questions to which conferees responded as follows:  Mr. Donnelly said his point is that there needs to be a line drawn between a condition and conduct, a line ignored by the language of the bill.  Mr. Maxfield replied that conduct is sometimes caused by a condition, that the evaluation is intended to determine such issues to help a person function better in his/her profession.  He also commented that the addition of “person” to the bill would allow an impaired professional who is already seeing a physician to continue with treatment under that physician.  A member suggested adding to the term person the words “. . .person not already licensed by the BSRB.”  Ms. Gilmore acknowledged a possible conflict of interest by inserting the word person but said the benefits outweigh the potential problem.  Mr. Donnelly replied to another question that once a bill creates a separate class of licensees (“impaired professional”), the possible deleterious effects on the person could be hurtful.  A member commented that the ADA deals primarily with employment issues, and the bill focuses on a diversion program.  Ms. Gilmore replied to a question that the language was not important as long as the Board was given an alternative to punitive action.  The Chair asked conferees to try to work out language that would be jointly acceptable.

A fiscal note was provided for members.  (Attachment 5)

The hearing was closed

The minutes for March 13, 2006, were approved.

The Chair announced that the hearing on SB 470 would be postponed until Wednesday, March 15.  Sub-committee Chairman Hill reminded members of the sub-committee meeting on HB 2820 following adjournment of the Health and Human Services Committee on Wednesday, March 15.

The meeting was adjourned at 3:00 p.m.  The next meeting is scheduled for 1:30 p.m. on Wednesday, March 15.