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Agenda Senate Health & Welfare Committee

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Agenda Senate Health & Welfare Committee AGENDA SENATE HEALTH & WELFARE COMMITTEE 3:00 P.M. Room WW54 Wednesday, January 12, 2011 SUBJECT DESCRIPTION PRESENTER Organizational Meeting Tamara Priscock and Presentation Introduction to Electronic Rules Review Jan Hanke If you have written testimony, please provide a copy of it to the committee secretary to ensure accuracy of records. COMMITTEE MEMBERS COMMITTEE SECRETARY Chairman Patti Anne Lodge Lois Bencken Vice Chair Joyce Broadsword Room: WG48 Sen Denton Darrington Phone: (208) 332-1319 Sen Melinda Smyser email: [email protected] Sen Lee Heider Sen Steve Vick Sen Sheryl Nuxoll Sen Les Bock Sen Dan Schmidt MINUTES SENATE HEALTH & WELFARE COMMITTEE DATE: Wednesday, January 12, 2011 TIME: 3:00 P.M. PLACE: WW54 MEMBERS Chairman Lodge, Vice Chairman Broadsword, Senators Darrington, Smyser, Heider, PRESENT: Vick, Nuxoll, Bock, and Schmidt ABSENT/ EXCUSED: NOTES: The sign-in sheet, testimonies, and other related materials will be retained with the minutes in the committee’s office until the end of the session and will then be located on file with the minutes in the Legislative Services Library. MINUTES: Chairman Lodge called the meeting to order at 3:10 p.m. She welcomed new committee members: Senators Heider, Vick, Nuxoll and Schmidt, and asked that each committee member introduce themselves with a short bio. She also introduced the committee’s secretary, Lois Bencken; page, Mary Kershisnik; and intern, Jamie Hess. She reviewed the committee procedure for hearing RSs, bills, and rules, advising that the Department of Health & Welfare (DHW) rules would be reviewed electronically for the first time this year, which will effect a savings of at least $5,000. She pointed out that the committee folders contain a list of rules for review during this session and noted that the presenter listed for each rule would be a good source for answers to any constituent questions that may arise. She announced a schedule of joint meetings to be held during January and stressed the importance of attendance at each meeting. Chairman Lodge recognized and introduced to the committeeTom Stroschein, a member of the Health & Welfare Board. Chairman Lodge introduced Tamara Prisock, Program Manager, Performance Management and Strategy, Division of Human Resources, DHW, who introduced additional DHW personnel who will be assisting the Committee with rules review: Jan Hanke, Administrative Procedures Coordinator; Beverly Barr, Rules Specialist; and Frank Powell, Rules Specialist. Ms. Prisock explained DHW’s role in the rule revision process and pointed out information contained in the list of rules prepared by DHW that will be helpful for committee members and the committee secretary. She also noted that Dennis Stevenson, Administrative Rules Coordinator, and his staff have enhanced the electronic version of rules with hyperlinks to documents incorporated in the rules, which should be a great benefit to the committee and the public. Ms. Barr then outlined for the committee the process of using an agenda with a hyperlink to the administrative rules to allow each committee member to quickly access the rules on line. She further explained the difference between pending, temporary, and fee rules. Mr. Powell demonstrated the process as it was outlined. Ms. Barr noted that blue text with a strike through within the rule indicates language being deleted from the rule and red text indicates language added to the rule. She pointed out that the top of the administrative rule screen contains a reference to the page number in the rule and the left side of the screen contains an index of additional rule docket numbers. Ms. Prisock advised that Ms. Barr and Mr. Powell will be available at each meeting during rules review to assist with presentations and technical questions. Chairman Lodge asked the committee for comments regarding electronic rules review and responses indicated it would be helpful to have the rules displayed on the committee room screens and to have those presenting rules reference page numbers. The consensus of the committee was that hyperlinks within the rules to incorporated documents would not only be helpful to them, but also to the public. Senator Darrington expressed some concern at not having hard copies of the rules for review and felt the electronic review process may take longer than in the past. Chairman Lodge passed the gavel to Vice Chairman Broadsword who then conducted a committee practice using a sample agenda containing hyperlinks to the Administrative Rules. In response to questions of the committee, Mr. Stevenson discussed the fact that hyperlinks to incorporated documents and deleted text are both color coded blue, but deleted text will contain a strike through. He further explained that entirely new chapters will not be color coded as added text, but can be recognized by parentheses around a blank space where a date should appear at the end of the rule. Vice Chairman Broadsword returned the gavel to Chairman Lodge who thanked DHW for their work in putting together the electronic review process and Mr. Stevenson and his staff for enhancing the rules with color coding and hyperlinks. She asked that committee members leave the rules review list in their committee folders for use at meetings, There being no further business to come before the committee, Chairman Lodge ADJOURN: adjourned the meeting at 4:10 p.m. ___________________________ ___________________________ Senator Lodge Lois Bencken Chair Secretary SENATE HEALTH & WELFARE COMMITTEE Wednesday, January 12, 2011—Minutes—Page 2 AMENDED AGENDA SENATE HEALTH & WELFARE COMMITTEE 3:00 P.M. Room WW54 Thursday, January 13, 2011 SUBJECT DESCRIPTION PRESENTER Rules Governing Emergency Medical Services 16–0203–0901 (Temporary) Wayne Denny Rules Governing Quality Assurance for Idaho 16–0206–1001 Clinical Laboratories (Repeal) (Pending) Dave Eisentrager Rules Governing Quality Assurance for Idaho 16–0206–1002 Clinical Laboratories (Pending) Dave Eisentrager 16–0208–1001 Rules Governing Vital Statistics (Fee) James Aydelotte If you have written testimony, please provide a copy of it to the committee secretary to ensure accuracy of records. COMMITTEE MEMBERS COMMITTEE SECRETARY Chairman Lodge Lois Bencken Vice Chair Broadsword Room: WG48 Sen Darrington Phone: (208) 332-1319 Sen Smyser email: [email protected] Sen Heider Sen Vick Sen Nuxoll Sen Bock Sen Schmidt MINUTES SENATE HEALTH & WELFARE COMMITTEE DATE: Thursday, January 13, 2011 TIME: 3:00 P.M. PLACE: WW54 MEMBERS Chairman Lodge, Vice Chairman Broadsword, Senators Darrington, Smyser, Heider, PRESENT: Vick, Nuxoll, Bock and Schmidt ABSENT/ EXCUSED: NOTES: The sign-in sheet, testimonies, and other related materials will be retained with the minutes in the committee's office until the end of the session and will then be located on file with the minutes in the Legislative Services Library. MINUTES: Chairman Lodge called the meeting to order at 3:00 p.m. and welcomed guests to the committee's first electronic rules review. She passed the gavel to Vice Chairman Broadsword to begin rules review. Docket No. Relating to Rules Governing Emergency Medical Services (Temporary): 16-0203-0901 Wayne Denny, Program Manager, Emergency Medical Services (EMS) Bureau, Division of Public Health, Department of Health & Welfare (DHW) advised that the 2009 Legislature passed S 1108a which made numerous changes to Title 56, Chapter 10, Idaho Code, impacting the Idaho EMS Bureau Administrative Rules. A temporary rule was brought before the committee during the 2010 legislative session as a solution to help ensure that public safety was not compromised while negotiated rule making occurred. Mr. Denny stated that it was the intention of the EMS Bureau to bring a new rule to the committee this session. However, after careful consideration of comments voiced during the public comment period over key elements of the draft related to agency licensure rules, that docket was withdrawn. He added that it is therefore necessary to seek reapproval of the temporary rule and the language in this docket is unchanged from the temporary rule approved during the 2010 legislative session. He then provided a comparison of the changes made from the rule previous to the 2010 session and advised that this rule change primarily aligns definitions in rule with changes to Idaho Code and replaces old terminology throughout the rule. In response to questions of the committee, Mr. Denny explained that under this rule non-transport service records for each EMS response must be submitted to the EMS Bureau. The records are then uploaded to the national EMS information system and linked with the trauma registry, providing valuable crash data information analysis. He stated that the service records information is used within the EMS Bureau and no individual patient information is passed on. He further advised that this rule requires that a licensed Emergency Medical Responder (EMR) must have a current affiliation with a licensed EMS service or doctor to practice and that licensure is subject to continuing education requirements. MOTION: Senator Schmidt moved, seconded by Senator Heider, that the committee adopt Docket 16-0203-0901. The motion carried by voice vote. Docket Nos. Relating to Rules Governing Quality Assurance for Idaho Clinical Laboratories 16-0206-1001 (Pending): Dave Eisentrager, Manager, Laboratory Improvement Section, Idaho and Bureau of Laboratories and X-ray Facilities, prefaced his remarks with a history of 16-0206-1002 laboratory regulation in Idaho. He noted that since the last major update of these rules in 1987, there have been significant technological changes that render much of the language in this chapter obsolete and outdated. The practices outlined in the rule are not appropriate for today's laboratory practice or are not needed. Further, the rules do not reflect more recent changes in federal regulations, in the organizational structure of the Department's Bureau of Laboratories, and in the Bureau's current practices. Mr. Eisentrager advised that Docket 16-0206-1002 is a rewrite of the rule and requested that the committee adopt this rule.
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