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Georgia considering occupational licensing reform
Some foreign-trained doctors and other health care professionals wait for years for approval to practice in Georgia, due to the state's demanding occupational licensing requirements. (Credit: baona)
The Gist
ATLANTA — As Georgia grapples with a severe workforce shortage, a Senate committee is looking at changing laws and policies that keep skilled professionals, including doctors and nurses, waiting a year or more to get to work.
What's Happening
The Senate Study Committee on Occupational Licensing heard this week from several experts with insights into the bureaucratic barriers plaguing skilled workers.
Many occupational licenses in Georgia are issued by one of 43 licensing boards housed in the Professional Licensing Boards Division of the secretary of state’s office. They cover 197 license types, including cosmetologists, nurses, social workers, foresters, architects and plumbers. Other professions are regulated by independent state boards, including doctors, engineers and realtors.
About 30% of U.S. workers need a license to work, said Marc Hyden, director of state government affairs for R Street Institute, a public policy think tank based in Washington, D.C.
Hyden praised recent laws passed in Georgia that have expedited the process for veterans and military spouses with professional skills to obtain licenses when they move into the state. But he said more reforms are needed.
The licensing division is understaffed and underfunded, Hyden said, and receives only $8.5 million of the $24 million it generates from licensing fees. This lack of resources prevents some boards from providing timely and efficient service, he said, creating a backlog of prospective skilled workers.
About 27% of professional license applications administered by the Professional Licensing Board Division take a year or more to process, according to the secretary of state. The rest can take up to six months. Some boards are relying on paper applications, mail service and manual processes to handle applications.
Why It Matters
Hyden noted that other states manage to issue licenses within 30 days, in part because their boards are better staffed and meet more often — monthly, instead of quarterly, as with some Georgia boards.
Georgia is enjoying record economic growth. Over the last four years, the state has attracted over 1,700 economic development projects, $65 billion in investment and 165,000 jobs, according to the Georgia Chamber of Commerce.
But the state’s workforce can’t supply enough workers to meet the growing number of job opportunities. There is only one job seeker for every three job postings, the Chamber said.
Among jobs in highest demand in Georgia are registered nurses, pharmacists, accountants, construction contractors and truck drivers – all of which require state licenses. Many workers now in these fields are nearing retirement.
According to the Georgia Health Care Workforce Commission, 20% of health care workers are over age 55 and looking to retire in the next 10 years. About 4% of the health care workforce leaves annually and is not being replaced by new graduates.
Most of the state is medically underserved, with 65 of Georgia’s 159 counties without a pediatrician, 82 counties without an obstetrician and 90 without a psychiatrist.
To draw more people into skilled professions, “we need to think creatively … and improve licensing,” said Daniela Perry, vice president of the Chamber.
What's Next
One area ripe for reform is how the state handles licensing of professionals who come to Georgia from other states and countries.
Since 2019, 22 U.S. states have adopted universal license recognition laws that establish a streamlined process to recognize professional licenses issued by another state. If the applicant holds a license in good standing and has no pending disciplinary actions or a disqualifying criminal record in one state, they can practice in another.
This year Georgia passed HB 155, which allows licensing boards to grant licenses to some out-of-state professionals if the license they hold is “substantially similar” in qualifications and scope to what Georgia requires.
The Georgia law is more restrictive than those in other states, which only call for “similar” qualifications and don’t require residency, said Austen Bannan, an employment expert with Americans for Prosperity. Other states allow years of professional experience to stand in for some training requirements. Georgia doesn’t, mandating seasoned skilled tradespeople pursue hundreds or thousands of hours of additional training.
“The idea is not to force people to relearn their skill set,” Bannan said.
Georgia is also missing out on the skills of many foreign-trained professionals due to its stringent licensing requirements, said Darlene Lynch, who chairs the Business & Immigration for Georgia Partnership, which works to enhance economic development by tapping into the skills of immigrants.
Georgia’s foreign-born population has grown by 90% over the last 20 years, and 10% of Georgians — more than a million people — are now foreign born, she said, adding that half are naturalized citizens, and a third have college or graduate degrees.
Though 1 in 5 doctors in Georgia is foreign-born, Lynch said, “Too often we’re watching doctors driving Ubers, dentists working behind a CVS counter, a welder working at a poultry plant — they’re not going back to the field where they have the most experience.”
She urged the committee to adopt the licensing practices of other states, which recognize the medical credentials of foreign-born physicians and other health care professionals, and develop expedited pathways for other skilled immigrants to become licensed.
“We have a pool of talent that other states don’t have to draw upon,” Lynch said.
Sen. Larry Walker III, R-Perry, chair of the occupational licensing committee, said many of the issues raised at the meeting this week have come up at the GA WORKS Commission, an effort led by Secretary of State Brad Raffensperger this year to slash bureaucratic barriers in occupational licensing. That includes a total revamp of the application process, which is projected to be fully digitized by spring 2024.
“We’ve got to get into the modern world with this licensing issue if we’re going to continue to grow our economy,” Walker said.
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Header photo: Some foreign-trained doctors and other health professionals wait for years for approval to practice in Georgia, due to the state's demanding occupational licensure requirements. (Credit: baona)
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Despite opposition, both chambers pass their proposed redistricting maps
It’s crunch time for state lawmakers tasked with meeting a Dec. 8 deadline for creating new electoral maps for the Georgia General Assembly and U.S. Congress, also known as redistricting.
Our senior investigative reporters, Tammy Joyner and Jill Jordan Sieder, were covering the special legislative session at the Capitol this week. Joyner is following the Senate proceedings, while Sieder is following the House proceedings. They will be your eyes and ears during the eight-day session, which means you will find a variety of stories and live updates on what’s happening inside and even outside of the Capitol. The special session will resume on Monday. And so will we.
We’d love to hear from you — our readers. If there’s something you would like us to report on during the special session or just have a question about what’s going on, shoot us an email at [email protected].
Here are some of the highlights of Friday’s session.
In and about the Senate
Quote(s) of the day:
“In the maps being drawn by the Republican majority, 80% of the Black voters on the map who are being redistricted come from outside these new growth areas where there are large and growing Black populations. And yet the court specifically identified disenfranchisement areas within the order. Eighty percent of Black voters are being shuffled around. This is like the Republicans’ mother scolded them and said, ‘Clean your room.’ And instead of doing that, they hung up a couple of shirts and left all of the dirty underwear all over the floor.”
— Sen. Elena Parent, D-Atlanta, said of the proposed map change
“It hurts my feelings. I get defensive because I feel like I’m essentially being called a racist for supporting a map that is compliant with racial numbers the judge wants.”
— Sen. Bill Cowsert, R-Athens, who gave an eloquent history of redistricting in Georgia
Biggest thing that happened today:
The Congressional map proposed by the state Senate for the U.S. House was quietly released Friday afternoon to little fanfare after both chambers’ sessions had adjourned. Next week’s session will clearly focus on that map.
Meanwhile, after more than four hours of debate, the Senate passed Senate Bill 1 EX by a vote of 32-23. The bill is the proposed revised district map, which drew lots of opposition from voting rights groups and Democrats who say the map still dilutes Black voting power and violates Section 2 of the Voting Rights Act.
Lots of partisan volleying back and forth. Democrats accused the Senate Committee on Reapportionment and Redistricting of not allowing enough time for people to speak about the map. Republicans held firm that the map meets U.S. District Judge Steve Jones’ order.
After the Senate map’s passage, the Senate Redistricting Committee met briefly to hear public comment on House Bill 1 EX — the House’s proposed district map, which also passed the House on Friday. No action was taken.
Interesting observation inside the Capitol:
A group of children, babies in strollers and their parents with South Cobb Homeschool filed through the Capitol.
Happening while lawmakers are in session:
A group of health care professionals greeted lawmakers and visitors as they entered the Capitol with signs urging safe storage of firearms. They handed out information that noted 4.6 million children live in homes with at least one loaded, unlocked firearm. They mentioned HB 161, hoping that bill will see some movement when the Legislature reconvenes on Jan. 8.
What’s for lunch?
There was no official break for lunch. Some senators worked through lunch, grabbing snacks from the nearby mini cafe off the side of the chamber.
— Tammy Joyner
In and about the House
Quote(s) of the day:
“This map is an undemocratic, un-American, blatant exercise of partisan gerrymandering that harms the freedom of Georgians to elect their candidates of choice … Unfortunately it seems that we are repeating the mistakes of our dark past under Republican control of the Georgia Legislature.”
— Minority Whip Sam Park, D-Lawrenceville, on the proposed state House map
“I had to take a test to vote … I understand why voting matters … and as an attorney, I understand that when a judge tells you to do something in an order, you comply. He said to create five majority-Black districts — not opportunity districts or coalition districts or crossover districts. Chairman [Rob] Leverett’s map complies with everything the judge required.”
— Rep. Soo Hong, R-Lawrenceville, Gov. Kemp’s floor leader
Biggest thing that happened today:
The state House voted 101 to 78 along party lines to pass the proposed House electoral map crafted by Republican leadership, over the intense objections of Democrats, who said the map violates the Voting Rights Act by breaking up two minority opportunity districts and unnecessarily eliminating or vastly changing Democratic districts.
Minority Leader James Beverly, D-Macon, said the GOP maps “failed to remedy the wrong directed toward our African-American electorate that was disenfranchised” by the maps enacted by the Republican-controlled Legislature in 2021. He was also frustrated by the earlier decision of House redistricting committee chair Rob Leverett, R-Elberton, to bar a Democratic amendment that would have presented an alternate map for the committee to consider. The amended plan would have decoupled six incumbent Democrats and two incumbent Republicans who were paired in the same districts in the GOP plan.
Leverett said he could not find a way to comply with the court order to create five majority-Black districts without creating some incumbent pairings, noting, “we did not inflict political casualty solely on the opposing party — we took some damage ourselves.”
Interesting observation inside the Capitol:
Facility staff put the finishing touches on holiday decorations inside the Capitol, including putting the star on the giant Christmas tree in the rotunda, which will be decorated with much fanfare on Monday.
Happening while lawmakers are in session:
The Christmas decorating wasn’t limited to inside the corridors of the Statehouse. Facility staff were also sprucing up the outside with Christmas cheer, too.
What’s for lunch?
Some House members enjoyed pizza, and this intrepid reporter had what is certain to be her first — and last — Hot Pocket.
— Jill Jordan Sieder
In case you missed it, here’s what you need to know about the special legislative session.
Subscribe to State Affairs so you will have unlimited access to all of our stories.
We’d love to hear from you. If there’s something you would like us to report on during the special session or just have a question about what’s going on, shoot us an email at [email protected].
On the ground: Day 2 of the Georgia special legislative session
It’s crunch time for state lawmakers tasked with meeting a Dec. 8 deadline for creating new electoral maps for the Georgia General Assembly and U.S. Congress, also known as redistricting.
Our senior investigative reporters, Tammy Joyner and Jill Jordan Sieder, are at the state Capitol for the special legislative session. Joyner is following the Senate proceedings, while Sieder is following the House proceedings. They will be your eyes and ears during the eight-day session, which means you will find a variety of stories and live updates on what’s happening inside and even outside of the Capitol.
We’d love to hear from you — our readers. If there’s something you would like us to report on during the special session or just have a question about what’s going on, shoot us an email at [email protected].
Here are some of the highlights of Thursday’s session.
Quote(s) of the day:
“Don’t take life for granted.”
— Sen. Rick Williams receives a standing ovation from his peers after conveying his ordeal getting medical help in his rural community following a Nov. 3 heart attack.
“Do the right thing here, people, it’s not that hard.”
— Community organizer Michelle Sanchez
Biggest thing that happened today:
After some heated exchange, the Senate Reapportionment & Redistricting Committee approved its proposed map, rejecting the Democrats’ plan. The 7-5 vote fell along racial and party lines, with the committee’s five Black members voting in favor of the Democratic-drawn map. Sen. Gloria Butler, who presented the Democratic plan to the committee, expressed concern about the way the process was handled regarding the two maps. The map now goes to the Senate floor.
“Yesterday [when the Republican plan was presented], the committee didn’t ask questions. Today, the committee members got to ask questions. All of the public did not get an opportunity to express themselves but they did yesterday. So in my view, that’s two processes. We need to be consistent,” said Butler.
Interesting observation inside the Capitol:
Senators arrived for the afternoon session to find two books wrapped in a bow at their chamber desk. One book was photos of the lawmakers during the 2023 session. The other book was “Unlimited” by Benny Tate. The books are an early holiday gift from Lt. Gov. Burt Jones, president of the Senate. Tate is senior pastor of Rock Springs Church in Milner, where Jones attends services.
Happening while lawmakers are in session:
Unlike Wednesday’s opening session when community activists, school children and other visitors swelled the hallways of the Capitol, Thursday’s special legislative session was rather low-key.
What’s for lunch?
Senators had a catered lunch of chicken and steak fajitas from On the Border.
— Tammy Joyner
Quote(s) of the day:
“The truth of the matter is that we have delivered a map that we’re sure complies with the judge’s order. Y’all have not. There is a remedy. If we were to look at the area south and west of Atlanta, there’s one representative that you’re trying to save, but that one representative that you save is going to cost us all in the end. If you accept our map, then one representative may be eliminated. That’s the will of the voters. If you don’t accept our map and the judge has to do a special master, then every last one of us, 180 of us, are in jeopardy. Y’all have some big decisions to make.”
— House Minority Leader James Beverly
Biggest thing that happened today:
In the House Reapportionment and Redistricting Committee meeting, Republican members rejected an alternate House district plan proposed by Democrats and the committee voted 9 – 5 along partisan lines to approve the Republican chair’s plan already submitted.
House Minority Leader James Beverly, D-Macon, and civil rights attorney Bryan Sells presented the Democrats’ proposed plan. Sells said it cures a problem in the Republicans’ plan, which “unravels or dismantles two protected coalition districts” with majority minority voters, which he said would likely cause a federal judge to find the plan in violation of the Voting Rights Act.
Rep. Mary Margaret Oliver, D-Decatur, who has served in the Legislature for 25 years, told the redistricting committee she was shocked to learn her House District 82 in Dekalb County has been redrawn in a way that tears apart a growing coalition district of diverse minority communities. She called the changes a “glaring violation” of voting rights law that Judge Jones is likely to take issue with, and offered to help GOP lawmakers to remedy the plan.
Interesting observation inside the Capitol:
During their morning session House members watched a 120-second time-lapse video of the renovation work performed inside the Capitol over the summer and fall, which included painting virtually all the walls, columns and balconies in the building. After watching the blur of scaffolding, ladders and workers transform several spaces, members applauded all of the workers responsible for the transformation.
Happening while lawmakers are in session:
There was nothing of note happening outside the Capitol today.
What’s for lunch?
Members of the House Agriculture & Consumer Affairs Committee enjoyed Jersey Mike subs today, including roast beef, turkey, Italian and club sandwiches.
— Jill Jordan Sieder
Our stories explaining what’s behind the special legislative session:
- What is a special session of the Georgia Legislature, and why is it happening?
- Legislators schedule special assembly to address redistricting, but will they make headway?
- Say what? Terms you may hear during the special session
Subscribe to State Affairs so you will have unlimited access to all of our stories.
Georgia lawmakers push for repeal of law determining where medical facilities are built
A study committee of Georgia senators took a decisive step Tuesday toward ending a longstanding and contentious law that regulates how and where new medical facilities are located in the state.
The committee’s decision centers on the 44-year-old Certificate of Need law. It was created to control health care costs and cut down on duplication of services and unnecessary expansions. It determines when, where and if hospitals need to be built. Opponents have said the law prevents competition and enables big hospitals to have a monopoly, often shutting out small and private medical outlets.
On Tuesday, the Senate Study Committee on Certificate of Need Reform effectively said the law needs to be repealed. The committee approved, in a 6-2 vote, nine recommendations.
“Based upon the testimony, research presented, and information received, the Study Committee on Certificate of Need Reform has found that the problem Georgia’s CON law was intended to combat no longer exists,” the report said.
However, the head of the Georgia Alliance of Community Hospitals said Tuesday that repealing the law would be a bad idea.
“It would have a devastating financial impact on hospitals and the quality and access to health care,” Monty Veazey, the alliance’s chief executive, told State Affairs.
Veazey said he has not seen the recommendations yet but his organization has sent its own set of recommendations to the senate and house study committees.
“We believe that the certificate of need really does need some modernization and we look forward to working with the committee to work through those recommendations and see if we can reach a compromise position during the upcoming legislative session,” Veazey said. “We still want to see what the House committee recommends before moving forward.”
Here’s what the senate study committee recommends, according to a draft:
- Repeal CON requirements for obstetrics services, neonatal intensive care, birth centers and all services related to maternal and neonatal care across Georgia.
- End requirements for hospital-based CON on Jan. 1, 2025.
- Reform CON laws to eliminate CON review for new and expanded inpatient psychiatric services and beds that serve Medicaid patients and the uninsured.
- Repeal all cost expenditure triggers for CON.
- All medical and surgery specialties should be considered a single specialty, including cardiology and general surgery.
- Multi-specialty centers should be allowed, particularly in rural areas.
- Remove CON for hospital bed expansion.
- Revise freestanding emergency department requirements such that they must be within 35 miles of an affiliated hospital.
- Remove CON for research centers.
The committee will present its recommendations to the Georgia General Assembly when it reconvenes in January.
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Proposed redrawn Senate maps create two new Black districts, threaten two Democrats
ATLANTA — The first step in the 2023 electoral redistricting process occurred Monday when Sen. Shelly Echols, R-Gainesville, chair of the Senate Reapportionment and Redistricting Committee, released a draft proposal of new Senate district maps.
Last month, U.S. District Judge Steve Jones ordered Georgia to redraw its state House, Senate and congressional district maps, adopted in 2021 by a majority-Republican-led Legislature, after finding they violated the Votings Rights Act by diluting the power of Black voters. The Georgia General Assembly is charged with submitting new maps to comply with Jones’ order by Dec. 8, and will be meeting in an eight-day special legislative session to do so, starting on Wednesday.
The proposed Senate maps would create two Black-majority voting districts while eliminating two white majority districts in metro Atlanta now represented by Democrats. The districts of state Sen. Elena Parent, chair of the Senate Democratic caucus, and Democratic Sen. Jason Esteves, a freshman, would become majority-Black if the redrawn maps make it through the redistricting process, a change that could invite considerably more primary challenges.
The proposed maps do not significantly alter the district lines for Sen. Valencia Seay, D-Riverdale, and Sen. Marty Harbin, R-Tyrone, whose districts Jones ruled did not comply with the Voting Rights Act. It will be up to Jones to decide if the new maps pass muster.
As it stands, the proposed Senate map will leave Republicans with a 33-23 advantage in the Senate.
On Wednesday legislators will plunge into their redistricting work during a special session at the Capitol. In addition to the state Senate maps, lawmakers must also redraw electoral maps to create Black majorities in one additional congressional district in west-metro Atlanta, and in five additional state House districts in Atlanta and the Macon-Bibb County area.
The proposed Senate maps (and all proposed maps to be submitted by legislators) are available on the Legislative and Congressional Reapportionment Office’s website. Written comments can be submitted (and viewed) by the public through the portal available on the Georgia General Assembly website. Most of the reapportionment and redistricting committee’s hearings are open to the public; the daily legislative schedule is available here.
“The committee encourages public participation and values the input of the community in this vital democratic process,” Echols said in a statement released on Monday.
RELATED: Legislators will be slicing up voting districts soon after you carve your Thanksgiving turkey
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