Public Health, Welfare and Labor Committee- House

You have an amendment I guess to pass up to perfect. So as the as the amendments being passed out you're recognized to present the amendment I thank you Mr chair and with the misprision of invite miss Bailey Taylor from the queue up here today so if you just come to the table entity so Committee thank you. Colleagues you may recall I can't members last week earlier this week but this is the bill that handled some permitting fees for the EQ after it went out of committee the governor's office had a change of heart on the way the permit the fees were done in the bill the original bill had them hard coded as a number and the governor's office as let's change that where we give the DQ authority through rulemaking to set that fee so long as it is still just the actual cost of the test I think the idea they're being is that we don't come back every couple years and redo that figure if inflation makes the feed to test go up in price and so they requested that amendment to allow that the Cuban authority to set the fee by rule. Members any questions about the amendment. Seeing no questions the motion dot the minute all those in favor say aye. All those opposed C. nine you're recognized to present the bill I thank you Mr chair and College as amended like I said it's just gonna let the queue set the set the fee by rule that we would have to come back every couple years to revisit the number. Members of the any questions on this bill. Seeing no questions anyone incentive speak for against the bill. Sing NO one to have a motion motion to pass any discussion on the motion. Do pass as amended. Indiscretion seeing none all those in favor say aye. Follows congradulations represent ground pastor bill thank you Mr thank me welcome this is ruby Mayberry here. Of the issues here yet. reserve soldiers are you ready present Senate bill three twenty three. You're recognized to present your bill thank you Mr chair. Colleagues this is an extremely simple bill of. Currently there exists an elevator safety board in the state of Arkansas and as things are now written. The secretary of the department of labor has to serve on this board all this does is change the language where the Secretary can have a designees serve on that spot on the board with that I would ask any questions or answer any questions. Is there any questions for president sold on this bill. The thing that anyone some speak for against the bill. Seeing none would you like to close your bill I like clothes make a motion to pass a motion to pass any discussion on the motion. Seeing none all those in favor say aye opposed. Congratulations your bills passed yet another bill today you'd like to present a let me grab my paperwork sure. You're recognized president house bill fifteen sixty three. Thank you Mr chairman. Our colleagues this is a slightly not so simple bill. Currently in Arkansas. We have a process I don't know if all you guys know what naloxone is more commonly known as nor can it's something you'd Mr when someone has overdosed on opioids. there's been a health public health emergency in effect since October twenty sixth two thousand seventeen this is a very good program what it does is it. It gives more access to naloxone for people to administer to someone who's possibly have an overdose. All this does is it's trying to He's the process in which one would go about getting more naloxone. Whether you're a first responder or. Police officer. For someone that works at a homeless shelter where there's risk for overdose successor all this is doing is a. Even up that process a little bit. Making this knocks on easier to get with that I would to take any questions members of any questions representative rose you're recognized for a question. I'm just I'm familiar with it as in the lifesaving side of things but are there any negative like side effects is there any danger of people having more access to this no there's not if if you think someone have an overdose and and I'm not a doctor how many anti but if you think someone have an overdose. You give it to him and they weren't have an overdose it doesn't hurt. it's it's very simple this is a a nasal spray form in which they're given it it's very simple to give you don't have to have. Training per se to do it the I really don't see a downside to this thank you thank you Mr president Wilder recognized for a question thank you Mr chair represent shows you kind of an inadvertently maybe answer my questions currently to to administer this there is a training that you go through but is with this is there still something that would be offered for those that would want to the virtual training or something like that well on the initial rollout that was a training but but since that time there there really hasn't been a structured training I mean it's. It's just a very simple process to administer so. Really I don't I don't think there is technically a a structured training for represent sources Jr understanding that we currently have a law in Arkansas that requires co prescription so that if you prescribe an oral opioid of a certain amount of milligram strength you have to prescribe with that nor can for the family members to have been used without any training it is your Mr saying that current I think that's right. Are there any other questions from the committee. A scene nine are you ready close your bill does anyone hear speak for against the bill. C. ninety ready to close your bill I'm ready close make a motion do pass and most do pass any discussion on the motion. Seeing none all those in favor say aye. Post congratulations you pass your bill thank you president policy you come in the room would you like to come to the table and present your bill. You're recognized to present house bill fifteen sixty five thank you Mr chair good morning committee I we had a working group last session that was working on our mental and behavioral health issues in our state and helping figure out what policies could be changed and what. Laws might need to be changed to better help the people that are living in this world of mental behavioral health this is just a continuation of this working group and and I would appreciate a good vote Sir. Members have any questions representative bought. Senior questions anyone signed up to speak for against the bill. Receive are you closing your bill I'm closed thank you Sir. the motion preserve watershed motion to pass any discussion on the motion all those in favor say aye opposed scenic congratulations you pass the bill would you like to stay to see the table is hacked and president house concurrent resolution. One zero one one yes Sir thank you Sir for allowing me to do this one also this is to encourage the United States Congress to encourage the use of unit dose packaging for narcotics and opioids to preserve the health and safety of all citizens I had a lady in my district to has asked me to play it she wanted me to run a bill of course this is a federal issue not a state issue we don't packaged necessarily our own drugs here so. The the commerce it affects commerce if I remember what Mister chair told me so and this is a a resolution asking for them to look into doing single dose packaging for narcotics it should help with overdoses I would I take my medicine yeah the day is gone she referenced maybe even packaging like what they do for birth control it's a one day pop out so you would can kind of keep up with what you have taken she she is. Very adamant on trying to help with the opioid addiction process that we have this horrible epidemic going on with opioid addiction as she also suffered from opioid addiction she did pain management with opioids this is very dear and near to her heart I couldn't pass a bill for so I thought we could do a concurrent resolution do one on this house when the Senate and then ask for the governor to sign it and send it on to Congress and that's what the resolution does not appreciate a good vote. Is there any questions for representive on. Sentencing was sentenced to four against the resolution. C. ninety closed I'm class thank you Sir close of motion to pass any discussion on the motion. All in favor say aye. Posed thank you thank you thank you Mr chairman thank you mediation resume Mayberry did you step in. Would you like to step to the side of the table if you're prepared to present House Bill fifteen oh nine. You're welcome set table and every have come with you thank you just state their name for the committee that right. State representative Julie Mayberry. Aaron Hogan with Arkansas family council. You're recognized to present your bill thank you members you all may recall that we were the very first state to pass no patient left alone so we were starting from scratch when we wrote it basically the the reason why we had this bill was to make sure that someone who is sick in the hospital or in a doctor's office or in a nursing home could have a support person with them at least one hopefully things are much different. now than they were two years ago when we were originally presenting this bill and that we don't have problems on down the road but there were some things afterward that came to my attention that I really wanted to fix just in case we have another scenario we can't predict the future we don't know what may happen on down the road so I had someone come to me. In twenty twenty one I mean in twenty twenty two who had a. Husband who is getting ready to have a colonoscopy. And she was told that she could not join him inside the facility. And came to me and said are not allowed to be with my husband and in the waiting room there and I said well yes well I went to the health department and also spoke to that particular clinic and they said because I did not specifically state outpatient clinic. That those outpatient clinics did not apply so I wanted to make sure we had that in there because especially when you have a colonoscopy or one of those in and out procedures you're put under anesthesia and you are actually required to have someone there with you to drive your home yet they weren't allowing that person and so I wanted to make sure that that was very clear while I was working on it we came up with some other things and that's one family council approached me and wanted to make sure that we had our clergy information a little bit more clear and I'm gonna I'm gonna let Erin explained a little bit about that. Thank you Committee thank you represent Mayberry Mister chair I'm of course talking with family council again I just be real brief representative Mayberry has been a great advocate for patient rights in the aftermath of Kovin we had a lot of people calling our office saying help we need help and a lot of times we would direct them to represent Mayberry and she would do everything she could to help them thank you very of record Mayberry said we did help some of the clergy language we receive that language from alliance defending freedom and we just feel that it helps strengthen that part of the code expands a little bit too of just give our clergy members extra protection and also our patients you know just that extra right to have a clergy member with them especially if there at the end of their life and so we're grateful that she is brought this bill before you guys and we had a percent supported. One other aspect that's in there too is we had a lot of people who were told that they could not stay overnight with their family member and it didn't really make sense to me that you would be told at eight o'clock at night that you have to go home and my situation if I had to go home with my daughter was in the hospital I would go home to a children who've been at school all day and possibly exposed to something and I would just be bringing it back to the hospital the next day it really didn't make sense so we wanted to clarify that again someone could stay overnight with their loved one as well we have worked with DHS on this we've worked with the health department on it we've had other people come to us with some concerns well I made some amendments I don't know of anyone right now who has any concerns with this bill moving forward and I appreciate a good vote members of any questions for the. You pursue Mayberry or and. Seeing no questions are you anyone here speak for against the bill we have no one signed up Richey may very close your bill yes I am thank you appreciate a good vote the motion to pass any discussion on the motion seeing none all those in favor say aye. Those graduations you pass your bill thank you members of Ladyman would you be able to come chair for the I do have an amendment we're gonna hear Senate bill seventy nine if what without objection. A committee will give if you Miss look at the handout. Senator John I mean Senators S.. You senator Johnson's around it's. But you have an amendment to this bill yes this amendment is changing a few words in language that we changed on the Senate side this was that's a recommendation from the state board of nursing and the Department of Health and this is agreed upon language between that the physicians and the nurse practitioners and I'd be happy presented in the context of bills we can adopt the amendment thank you you're recognized to present the amendment at that I'm close to the amendment has presented. I make a motion to do adopt the amendment the may have a motion to adopt the amendment any discussion. Seeing none all in favor signify by saying aye. All opposed nay guys have it your member that has been adopted you're recognized to present the bill as amended thank you Mr chairman so members last session and some of you may recall we were able to make some steps forward with creating a pathway for autonomy for nurse practitioners in the state of Arkansas in in doing that we inadvertently left out clinical nurse specialist which or another top of physician extender who absolutely deserve a pathway to autonomy as well so we're adding clinical nurse specialists into the bill to clean that up from last time the other thing we actually did was we didn't account for A nurse practitioner or clinical nurse specialists who might be practicing in this state they didn't require a collaborative agreements of the waiver of the bill last session if you were practicing somewhere like California maybe that didn't require a collaborative agreement and you practice for ten fifteen years there if you move to Arkansas you would have had to find a physician and spend six thousand to forty hours under collaborative practice agreement that was not our intent when we pass this legislation we certainly intended for someone who have been practicing fully independent for many years to be able come right in the state of Arkansas and apply for autonomy the language the other language using the built cleans that up clarifies that I'd be happy to try to answer any questions. The questions from committee. Seeing none is anyone here in the audience would like to speak against the bill or the bill. Seeing none red clothes for your bill close from bill make a motion to pass. As amended I'm remember that one of these days. Representative Johnson as discussed the bill and made a motion to do pass as amended. All in favor signify by saying aye. Those opposed nay as havoc resolution bills pass thank you Mr chairman if I may I'm prepared to present house bill fifteen forty five you're recognized to present fifteen forty five overs fifteen forty five if you look on the agenda is right below fifteen forty four probably this these are similar bills if it's if it's okay with committee I'd like to start by presenting fifteen forty five and then at the other bills should follow pretty easily so we we have had for many years in Arkansas rule practice loan forgiveness scholarship program through the medical school at you and mass over the years that the dynamic of that program has changed to to meet different requirements currently the way the the law is written the programs designed is to to to to it says a rural and under served program so underserved you can read the bill with the struck out language was underserved is fairly subjective and left up to the ultimate left up to the board to determine what is underserved based on this criteria were striking what I'm trying to do is clarify that underserved is defined federally and so I'm adding some language that very clearly says what is underserved in Arkansas on what is not under served in the way physician population this is the same regulations that govern where if you agencies can locate where rule Medicare clinics can locate so we're just we're taking away the subjectivity of underserved in making it defined and then we're also striking the rule part now what I'll say to that is that to me as it currently stands role in this bill is any community under twenty thousand and within twenty miles of any community twenty thousand you look at Arkansas I think of the cities in Arkansas that are twenty thousand or less. A wide variety of communities and I would make the argument that many of these communities are not what I would consider under served so if the idea behind this bill is to take in place physician in under served communities in Arkansas to me it doesn't matter if it's rural Arkansas or if it's urban Arkansas it is under served is underserved and we have that definition if the goal of the program is to push more physicians to the underserved areas that I would like to try to make that clear and clarified this language there has been some discussion from our rural hospitals in from the medical schools about is this going to discourage people from going to rural communities I would argue that it will not I would argue when you look at the rural communities that need physicians and consider that they're now competing with communities in Arkansas with populations of eighteen thousand twelve thousand fifteen thousand if our rural community with a population of eight thousand or less I would rather compete sometimes against an urban community which that which is underserved so I think this makes it very clear fair playing field for how we administer this program and I'd be happy to try to answer any questions. Any questions from committee. Senate Bently you're recognized for a question. Thank you chairman thank you represent Johnson for bringing that so. Would you not agree that nearly the entire state under the concurrent definition of rule is rural and we're really going to help those people that need it more I would agree and I would I even discussed changes to just stay in Arkansas if you just stay in Arkansas would be happy to come to the program one of the arguments we got was we gonna have more people signing up for this program now to which I said good you know if we need to put more money in this program at some point because we have people lined up wanting to stand underserved areas that I'm all for that. Any other questions. Seeing none is there anyone here who would like to speak against the bill. For the bill. Seeing none red clothes for your bill I'll close my to make a motion to pass motion the motion is do pass any discussion on the motion. Seeing no discussion on favor signify by saying aye. All opposed nay graduate guys have it and resolutions bills fast thank you if I may now president of House Bill. Fifteen forty four you're recognized to present fifteen forty four so members at because when this by rule program program started this now underserved program started there was no DO schools in Arkansas so there's no compatible program for the DO medical schools in Arkansas twenty nineteen I came to the General Assembly with the intent to create a program for DO schools we're gonna try to fill that program and you a message program it makes sense because you're blending private schools which the DS was a problem with the public schools we have to set up a separate program for the DO schools to mirror the programs you a mass that's a program that has the same language I'm just changing that language in the DO program to match the language we just discussed in the program at UAMS the only other thing we're doing in this bill is when I set up that bill I did virtually I created some language with regard to how the board was appointed that needs to be clarified so there's some clarifying language in this bill as well to make sure that we understand the governors appointing members to the board to oversee that program and I'd be happy to answer any questions. Any questions from committee. Representative you're you're recognized for a question thank you Mr for those new these on the on that on the committee what's DO so so yeah there's a third two general types of medical schools allopathic and osteopathic SO allopathic leads to an MD degree or medical degree osteopathic leads to DO degree of doctor of osteopathic medicine there's some slight differences in training at the osteopathic doctors that do more a spinal manipulation and some other holistic things that you don't actually get training on a traditional allopathic school. Any other questions from committee. What's the word section I can tell you exactly specifically there sometimes. Seeing no other questions anyone the audience here to speak against the bill for the bill. Seeing none Are you a close for your bill down close my bill Mr chairman thank you make a motion to pass. Motional floor is do pass any discussion on the motion. Seeing none all in favor signify by saying aye. Those opposed nay Is haven't resolution the bill is passed. Okay. Senator Hammer are you prepared run your bills. you have to bills are agenda which one would you prefer to run. If I could run this three forty four first please Mr S. B. three forty four yes you're recognized run your bill thank you Kim Hammer state senator district sixteen a pleasure sit before this committee when I was in the house I spend all my time on this committee and so I appreciate where you guys are we ladies are and appreciate the work that you do three forty fours and agreed upon bill we have worked with the hospital association also with the healthcare association other provider groups one of the things that we realized in the environment that we live in today in fact as specified on the bill on page two is that on average to nurses are attacked every hour nationwide with the database of nursing quality indicators showing that more than five thousand two hundred nurses were attacked in the second quarter of twenty twenty two that's just the nurses that doesn't mention everybody else but this is our benchmark because what this bill is intended to do is to require institutions to provide medical care to individuals to post a sign and it is framework within the bill as to the structure what the sign needs to say so there's uniformity across the board that just advises the public that if you attack a healthcare worker it is a felony and you will be charged for one of the things that we're seeing that is causing I think a contributing factor to are shortage in the medical world is that people today our experience a high level hostility expressed toward them in the E. ours in another places and so the signage is intended to make public blatantly aware that if you attack one of our health care workers you will be held accountable to high six in the law the other thing it does that is very unique in the bill we would think that all those things are common sense and they are but one of the unique things that's in the bill is that the healthcare worker is able to utilize the address of the place where they are employed on the police report that is filed because one thing we have found and has been determined is that they're apprehensive to file reports. Because they would have to put their home address on there and there been cases where employees have been stalked attacked because our home address was on there so what this bill will do is allow them to put their workplace address on the police report so as to eliminate that potential and hopefully will increase the number of reports that will be filed this bills agreed upon we've run it through all the traps and as a mention is agreed upon bill and I'll be glad to answer any questions Mister chairman I don't know if anybody's in the room speak for against there were some that were going to try to be here but I don't know if they made or not. Any questions from committee resented Eubanks you're recognized for a question. Thank you Mr chair how would they be charged now for assault. Would it would it and it currently crime. It is a it is currently a crime the problem is the level of awareness and making the public aware of the fact that when they walk in because the signs would be displayed at the entrance and again one of the unique components in this is to your point you would think this is something we would need legislation on but the unique qualifier in this bill is that they can use their place of employment as the reporting address instead of their residential address given that extra layer of protection. Follows yes you're recognized out. We're creating a new offence. No Sir doesn't change that at all it's not changing the offense but what it is to is it is requiring the postage of the signage by the employer so no it doesn't create a new offense they can still be charged in fact decided there on the last on the last page that attacking work of is a felony so did touch at all. Representable region recognized for a question thank you Mister senator is it true that currently this this is up to the hospital whether they press charges or not so if a nurse or healthcare worker is attacked while perfect for warming those due to the duties it is currently against the law but the hospital has to decide whether to press charges not the employee is that correct I believe that's correction what else might wanna you know attests that but I know representative said I was gonna get this right representative Dr Lee Johnson is the co sponsor of this bill and so yes I think this opens that pathway for that employee to be able to do it within a hospital reports or not that's my question I I agree with that thank you Sir thank you. The other questions from committee. Seeing none is there anyone here in the audience or signed up who wants to speak against the bill. For the bill. Seeing none are you close for you yes Sir and I would just appreciate a good vote on behalf of all of our health care workers that we deem as heroes we want to give all the protection that we can so I would appreciate a good vote what's will of committee. I have a motion do pass by representative roles in discussion on the motion. Seeing none all in favor signify by saying aye. Those opposed nay Is haven't graduation bills passed thank you Mr chairman members of the committee so are you prepared to run SP ninety one yes Sir you're recognized thank you Mr chairman members of the committee again Kim Hammer state senator district sixteen this is a bill that we worked with all the parties to get presented to you we work with the health department taking their considerations and effective those into the language of the bill this is a compact for the audiology and speech language pathology interstate compact in Arkansas I know it's not the first contact that you've seen come through but this is one that we have worked on with all the parties to get to agreement to where there's no opposition to my knowledge one of the things I would like to focus is referred me to the bill is on page nine lines eleven through fourteen that gives us assurance that we're not surrendering our state rights by becoming a member of this compact but what this bill does especially if you are on a border city or few representative border city it would allow for the freedom of movement across the line by being able to allow people to come you know for treatment or for treatment to be rendered and Mister chairman all of Paul's at this time and be glad to take any questions so senator Hammer you said there's no known opposition to it not that I'm aware of we worked really hard with all the parties course Mister chairman I've been around here long enough I can sit down here and think there isn't then on any given day somebody may show up to testify against the to my knowledge no Sir we work with all the parties to get to this point. Any questions from committee. Seeing none anyone here in the audience who would like to speak against the bill. For the bill. Seeing none are you close for your bill yes Sir appreciate a good vote for just percent good vote was will of committee. I have a motion do pass by representative rose a discussion on the motion. All in favor signify by saying aye. All opposed nay. Is have it resolution your bill is passed thank you Mr chairman members committee I appreciate very much in the hospitality shall means for if I can help you on our end please come see me thank you thank you. Yet here. Is represented Pilkington in the room. The yes of bills you like to run. Eleven oh two did you say. Okay. Please introduce yourself for the record. Thank you chairman Aaron Pilkington District forty five Johnson a Polk County. You're recognized to present HB eleven oh two thank you H. B. eleven oh two is the next great universal newborn screening act teacher the newborns are screened for conditions recommended by the United States part of health Essentially what we're trying to do is something that a lot other states around us like Kansas Oklahoma Mississippi Alabama Florida and Louisiana done as well what we're wanting to do is tie the newborn screenings to the recommended panels by the United States secretary by but with the federal government says we need to do so you look at the bill or taking out some tests that we say that need to be screened for because they're already in the uniform screening panel that we're currently doing so we got the fiscal impact for the waiting so long to do this bill and there's no fiscal impact of the sick or poor came back and it also had no fiscal impact as well on a current health plans and with that I'll take any questions. representative Pilkington just curious yeah is this part of the our homes suggestions to improve the infant mortality rate that we discussed in the interim may not be specific but is that what it would do what the reason why I'm writing it is to improve Approve those outcomes I don't know that necessarily was a recommendation there was a lot of things they recommended but just and you know what I've seen with improving or county rates among infants doing the screenings and we travel to screen for rare diseases using the same blood draw that were already currently due to begin with helps I spot helps as potentially find diseases and treat those before they become life threatening and therefore a number of health outcomes so. Thank you for that of any any questions from committee representative Bentley you're recognized for a question. Thank you chairman representative poking and can you tell some of things that would be added immediately that are not currently on that list you know of any you know I've done that list in front of me but. Can you okay I can get to that list representative Bentley I only think it's one or two that we're adding that are not already on there so. I have a follow up yes so give it give us some Okay I just got sorry I just got a text from one of the people help me with this bill they said none would currently match the current list right now we're just making a match the federal one case there's more less that come. That they come out there we don't have to change the legislation are were already matching with the federal government's asking to scan in the rust list. Have follows yes you're recognized so help ease my heart a little bit about giving up some of our state sovereignty income and a list of the of the federal government issue you know in my heart so in that sense I don't want to lose any up and control we have here in the states so. Give me some assurance on that wire I know you feel the same way does that so well yes that is a good idea yes yeah I'm not really sure how would give up our sovereignty by just going along with the same less that were getting federal government on who which screen I think a good way thing about two is if you're member Josh Bryant ran apprenticeship bill last session and that it went along with the federal list as well and so just sometimes having the way were were not have to come back and change statue all the time because the tests may be added to the to federalists are not just saying that we're going to go along with them is when I have to come back a lot of these cleanup bills all the time so that's I guess that's kinda Moreland I don't think you know we're going to do anything or we're gonna lose our sovereignty of the state by just matching what these federal agencies are saying we should screen newborns for when it comes to rare diseases. One more follow up you're recognized so just I'm just thinking so would have also one of the tests came it was really cost prohibitive we still able to I could do a cystic fibrosis say we can't afford to do that any longer so so that come back to that point we thought some that I'm just I don't think in a way out there but at some point they are so so you're saying that one day maybe they'll adult attests to the list and they'll be cost prohibitive for us to test for that child's rare disease yes And that's a good question you know I know right now these are all coming from one blood draw so they're not very expensive tests to begin with but I'm more than happy to to get that answer for you I. I was just my brain was remembered once has it we're trying to you last night was really cost prohibitive some just and I'm sorry did look at that yes but this concern again that you know we're not here so but I type boxes on it and I'm you never the same page one of two yep and Vice I'm trying to I'm just trying to and I'm sorry until that before he committed today yet but. Yeah. Any other questions from committee. Seeing none twenty one here in the audience who wants to speak against the bill for the bill. Seeing none are you ready close for your bill I'm close right build motion do pass. I have a motion to do pass any discussion on the motion. Si none all in favor signify by saying aye. Those opposed nay guys have a graduation bill is passed thank you Committee thank you chair do you have another billion like to run I do I've Senate bill One hundred twelve. and acts authorized physician assistants to be identified as a treating provider for insurance billing and claims. You'll see that one you're recognized run Senate bill one twelve. Fantastic this is a pretty simple bill it became to me after some discussions with you a massive overhaul that against the bill. That's a joke you laugh Essentially what we're doing is allowing PA's to be identified as stream providers this is there's no opposition to this bill we work with medical society as well they say they just want to be able to show that the work they do what a patient is track with them as the provider right now it's it's under the position that they're suggesting and they just want to be able to show when they work who's doing what with to sensually at. President will read you're recognized for a question thank you Mr asking to clarify that there's nothing that's going to change in the services they render it would just be directly to them as to the doctors and no cost increase no nothing just tracking more accurately the services provider correct yeah that's a hundred percent right yet so there's no fiscal impact is not changing what they can do not change what they can bill for nothing like that it's it's literally just that and in many ways just kind of an accounting measures so that we can track you know did this PA treat this patient and of course they they want to be able to that to show to their employers these are the patient I'm treating this is what work we're doing as opposed to the other PA's there maybe working in the same facility. Thanks any other questions from committee. Seeing nuns anyone here in the audience who like to speak against the bill for the bill seeing none you close for your bill have clothes from bill nation do pass motion on floors do pass any discussion on the motion. Seeing none all in favor signify by saying aye. Those opposed nay as having resolution bills passed thank you thank. The school back. To the. Representative image here. The C. Year. Pilkington. This. Senator hill or someone who wanted to run the bill for senate bill SB ninety anyone here that wants to run as being ninety. A. Does anyone here who would like to run S. B. three twenty two by Senator Irvin. Okay. See no one else in the room who