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Commonwealth of Pennsylvania House Of COMMONWEALTH OF PENNSYLVANIA HOUSE OF REPRESENTATIVES PROFESSIONAL LICENSURE COMMITTEE MAIN CAPITOL BUILDING ROOM B-31 HARRISBURG, PENNSYLVANIA MAY 23, 2016 11:00 A.M. PRESENTATION ON HOUSE BILL 1851 BEFORE: HONORABLE JULIE HARHART, MAJORITY CHAIRMAN HONORABLE HARRY READSHAW, MINORITY CHAIRMAN HONORABLE ROSEMARY BROWN HONORABLE GARY DAY HONORABLE DAVID HICKERNELL HONORABLE JERRY KNOWLES HONORABLE STEVEN MENTZER HONORABLE DAVID MILLARD HONORABLE MARK T. MUSTIO HONORABLE CURTIS SONNEY HONORABLE MARCY TOEPEL HONORABLE TIM BRIGGS HONORABLE DOM COSTA HONORABLE WILLIAM KORTZ HONORABLE JOANNA E. MCCLINTON HONORABLE DANIEL MCNEILL 2 1 COMMITTEE STAFF PRESENT: 2 REPUBLICAN CAUCUS: 3 WAYNE CRAWFORD, EXECUTIVE DIRECTOR/REPUBLICAN RESEARCH MAUREEN BEREZNAK, RESEARCH ANALYST/REPUBLICAN RESEARCH 4 ANGIE KELLY, LEGISLATIVE ADMINISTRATIVE ASSISTANT 5 DEMOCRATIC CAUCUS: 6 MARLENE TREMMEL, EXECUTIVE DIRECTOR MARGARET TRICARIO, RESEARCH ANALYST 7 KEONTAY HODGE, LEGISLATIVE ASSISTANT 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3 1 I N D E X 2 T E S T I F I E R S 3 * * * PAGE 4 REPRESENTATIVE WILL TALLMAN ................... 5 5 PRIME SPONSOR OF HOUSE BILL 1851 6 PATRICIA ADAMS ................................ 11 RN, CDE 7 CHAIR, 2012-2013, PA COORDINATING BODY OF THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS 8 KURT ANDERSON ................................. 14 9 DIRECTOR OF FEDERAL AND STATE ADVOCACY FOR THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS 10 ROBERT ROSSI .................................. 17 11 RPH,CDE PHARMACY MANAGER, TAYLOR HOSPITAL, A DIVISION OF 12 CROZER CHESTER MEDICAL CENTER 13 LISA LAIRD .................................... 21 RN, BSN, CDE 14 CHAIR, 2014-2015, PA COORDINATING BODY OF THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS 15 *(Present to assist in answering questions, but not testifying.) 16 BETSY SNOOK ................................... 45 17 MEd, BSN, RN CHIEF EXECUTIVE OFFICER, PA STATE NURSES ASSOCIATION 18 (PSNA) 19 20 21 22 23 24 25 4 1 ---oOo--- 2 MAJORITY CHAIRMAN HARHART: Good 3 morning, everybody. It's 11:00. Yep, it's 4 11:00. And with 11:00 arriving, I would like to 5 call this meeting of the House Professional 6 Licensure Committee to order. 7 The first order of business, I would 8 like to ask each member of the Professional 9 Licensure Committee to introduce themselves and 10 state where they are from. 11 So you want to start Representative 12 Kortz? 13 (INTRODUCTION OF MEMBERS.) 14 MAJORITY CHAIRMAN HARHART: And you'll 15 all have a test on that before you leave. 16 Before I do begin, though, I also would 17 like to again recognize Representative Readshaw, 18 who is the Democratic Chair. And if you'd like 19 to say a few words. 20 REPRESENTATIVE READSHAW: Thank you, 21 Madam Chair. I'd just like to extend my best 22 wishes and thanks for those here today that are 23 going to testify. And even if you aren't going 24 to testify, just your presence is -- gets our 25 thanks, and a Representative who we're 5 1 considering his legislation today. And for 2 those present, if you haven't been here before, 3 this is a learning process for the Committee; 4 so, you know, please educate us. 5 Thank you very much. 6 MAJORITY CHAIRMAN HARHART: Thank you, 7 Representative Readshaw. And I also welcome and 8 thank you for coming today. And we are holding 9 this public hearing to take the testimony, as 10 stated, on House Bill 1851, legislation which 11 establishes the state license for diabetes 12 educators. 13 Next, I would like to welcome the prime 14 sponsor, Representative Tallman. And, 15 Mr. Tallman, would you like to give some 16 comments? 17 REPRESENTATIVE TALLMAN: Thank you, 18 Chairman Harhart and Chairman Readshaw. I'm 19 just going to give a little bit of history on 20 myself personally and why it is an issue with me 21 in licensing diabetes educators. 22 I became a Type 1 diabetic at age 12. 23 And at that period of time, we took one shot a 24 day; and some of these diabetes educators behind 25 me would recognize those days. And then when I 6 1 changed doctors, that doctor suggested I go on 2 an insulin pump. That was my first interaction 3 with a diabetes educator. And I can't tell you 4 -- I think I've been on the insulin pump now 7, 5 8 years; it was just prior to me becoming a 6 member of the General Assembly. 7 So I've been on the insulin pump for 8 approximately that long, 7, 8 years. And Diane 9 Seidenstricker was my very first diabetes 10 educator, and I know the diabetes educators 11 behind me will agree with me that she was the 12 one that actually required you to follow the 13 rules; and she would frequently give me a hard 14 time. 15 They're too nice today. Diabetes 16 educators are too nice, at least my current 17 diabetes educator is a nice lady. So the 18 reasons why I think we should do a diabetes 19 educator licensure bill is because diabetes 20 education is a unique subset of nursing overall. 21 And I know we've had some conversation 22 with the Pennsylvania State Nurses Association, 23 which are opposed. But when you get into the 24 details of diabetes management, even if you're 25 an RN, you do not know some of those specific 7 1 details. And we've had hearings at the 2 Education Committee when I've asked unknown 3 diabetic emergency -- this is school nurses -- 4 how do you treat? They didn't know, which I 5 find frustrating on my part. 6 So they have to go through a specific 7 type of training. Just had a conversation with 8 my diabetes educator on my way up here this 9 morning, and she said that licensed dieticians 10 are currently licensed diabetes educators, and 11 so the whole issue with teaching classes for a 12 diabetes educator is an issue that this bill 13 would fix. And so I just think it's a proper 14 thing for us to do. 15 I don't think adding an additional 16 licensure to the nurses is anything that's a 17 huge mountain to climb up, because we have 18 plenty of licensures already for nurses. 19 So at this time, I'm willing to take 20 questions, if the Chair permits. 21 MAJORITY CHAIRMAN HARHART: Absolutely. 22 Does anyone have any questions for 23 Representative Tallman? 24 Okay. Representative Knowles. 25 REPRESENTATIVE KNOWLES: Thank you, 8 1 Madam Chair. More of a statement than a 2 question, Representative. 3 I am a Type 2 diabetic; have been for 4 about 7 years. I have an MD -- or not an MD -- 5 an OD, who is my family doc, who is very 6 knowledgeable in diabetes. I work with him. I 7 also have a friend who is a physician's 8 assistant; again, very knowledgeable diabetic 9 herself. Been doing it for years. 10 And just recently, I've been working 11 with a certified dietician; so you've got some 12 selling to do with me. Okay? I'm not saying 13 I'm opposed to it. But I'm saying that, 14 personally, it would not make any difference to 15 me. And as I know you are, Representative, 16 you're a conservative guy; and I'm always 17 reluctant to do another -- we're going to make 18 another classification and another -- so I'm not 19 saying I'm not going to be with you, 20 Representative; but you've got some selling to 21 do with me. 22 So I respect your position. I 23 understand your position. And thank you for 24 coming to testify before us. 25 REPRESENTATIVE TALLMAN: I know where 9 1 you sit on the floor, Representative Knowles. 2 MAJORITY CHAIRMAN HARHART: Anyone else? 3 Okay. Representative Millard. 4 REPRESENTATIVE MILLARD: Representative, 5 just two quick questions for you: In the bill 6 summary here, and perhaps some of our testifiers 7 today will clear some of this up, but it says it 8 does not restrict or regulate the practice of 9 diabetes education by other licensed or 10 unlicensed individuals. 11 And in your preface of comments to this 12 Committee, would you then say that a nurse, an 13 LPN, an RN, a CNA, the whole alphabetical 14 listing, would not have to take specifically 15 what you're spelling out in your legislation as 16 far as education requirements, because it would 17 be contained within their requirements for 18 licensing? Would that be a correct statement? 19 REPRESENTATIVE TALLMAN: Generally, 20 except for the CNA. And I'll let some of my 21 nurses behind me answer on the LPN side, because 22 it doesn't apply there. And then it's also sort 23 of what Representative Knowles questioned. If 24 you're currently -- and we have plenty of RNs 25 currently doing diabetes education that aren't 10 1 diabetes educators. So if you're working at a 2 doctor's office, it's not going to restrict your 3 ability to continue to do that. 4 REPRESENTATIVE MILLARD: Thank you. And 5 my other question along that same vein -- and 6 I'm asking these questions now in hopes that 7 when our testifiers provide their comments that 8 they can address these. 9 If there's a school individual, not 10 necessarily a nurse, but a teacher, certified 11 teacher, who's teaching a health class and this 12 could be part of a curriculum in their health 13 class, would they have to be certified to touch 14 on diabetes education? They're shaking their 15 heads, no.
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