Tag Archive Region 10

ByOffice of Advocacy

Businesses on the Bayou are Burdened by Regulations and Paperwork

By Rhett Davis, Region 6 Advocate

The Office of Advocacy has conducted a series of small business outreach meetings across southern Louisiana since Labor Day, and the conversation was as spicy as the area’s cuisine.

We asked dozens of businesspeople about their federal regulatory burdens and received a lot of feedback, especially concerning paperwork.

“Federal government reporting requirements are very burdensome and should be relaxed,” said one business owner.

He said that his staff spends a lot of time completing paperwork, and that the Bureau of Labor Statistics even wants job descriptions for each of his 40 or so employees.

“I want to know why my employees’ job descriptions are a legitimate interest of the federal government,” he said. “There is a fine if I don’t comply.”

In addition to burdensome paperwork, we heard a lot about the cost of complying with regulations imposed under the Americans with Disability Act.

“ADA regulations are very expensive. To retrofit bathrooms and wheelchair ramps is extremely expensive. These need to be changed or relaxed,” said the owner of a janitorial supply company. He also said that Labor Department requirements to display posters are a constant source of irritation to him.

“Regulators always have something to complain about. What I have posted isn’t the current version, or it’s not in the correct place, or something. Why do we even need such posters in the twenty-first century? The same information could be made available to all employees online instead. It could be made available on an app. When employees sign into such an app, they could sign agreement that they have read the labor information. Both the employers and employees would benefit,” the entrepreneur told us.

Another attendee was concerned about the negative impact new trucking regulations are having both on her business and on the American economy. Her company blends detergents, synthetic motor oils, hydraulic oils, etc. Drivers of trucks who picked up their products in the past were only required to hold a standard commercial driver’s license to drive. Now, the federal government requires a “tanker endorsement” (an endorsement on a driver’s license that requires an extra layer of testing). It is unnecessary because the drivers are not pulling a tanker nor carrying hazardous materials, she believes. The regulation artificially restricts the flow of commerce because it limits the number of drivers who can carry a particular load. She suggested eliminating a Department of Transportation requirement for a tanker endorsement for those not actually pulling a tank trailer.

For more information on these types of events, where the next Advocacy event will be held, and what progress is being made on these important small business issues, please visit our website.

Rhett Davis is the Office of Advocacy’s regional advocate representing Arkansas, Louisiana, New Mexico, Oklahoma and Texas. Our Regional Advocates in the 10 SBA regions stand ready to hear from you about small business concerns and to help you level the playing field for small businesses in your state.

ByOffice of Advocacy

Small Business Losing Patience with New Drug Supply Automation Regulations

By Apollo Fuhriman, Region 10 Advocate

In December, I met with Meishelle Haverkamp who works for a local affiliate of Swisslog Healthcare, a company that provides automation solutions for pharmacies, including those in hospitals.

In her role, she has seen that a possible upcoming guidance regulation could actually increase time and costs within healthcare, especially with hospitals and clinics that have a decreased capacity to absorb these costs (or even to find enough qualified people given geographic constraints).

Congress passed the Drug Supply Chain Security Act in 2013.  The Food and Drug Administration is working on guidance for the implementation and rollout of the act. If guidance includes that every dose of a medication must be tracked every time it is touched within the hospital walls (from the time it is received from the wholesaler until the time it is administered to the patient), this will have an adverse impact on the workflow productivity of hospital pharmacy staff, without providing much value, according to Haverkamp.

“The burden will be excessive for small, independent hospitals,” she added. They can’t afford the radio-frequency identification technology that will most likely be employed by large health systems if the DSCSA guidance requires per dose tracking within the hospital walls.” (An RFID tag can cost more per dose than some of the medications.)

The DSCSA’s purpose is to keep counterfeit medications from entering into the supply chain. How often do counterfeit medications enter the supply chain within a hospital’s walls? Haverkamp could not find even anecdotal evidence to suggest this has ever happened in the United States.

Haverkamp explained the typical process for the majority of medications that are in a hospital:

  1. Once a medication is received from a wholesaler, it is staged for put away.
  2. Then it is restocked in the carousel or on a shelf.
  3. Then it is picked and sent to an Automated Dispensing Cabinet on the nursing floor.
  4. And then it is picked and administered to the patient.

With the exception of the final administration, each of these steps is done in bulk, and common practice is to scan one dose and then key in the total quantity of doses being picked or put away. If the pharmacy technician had to scan every dose, it would take an exceedingly long time and be a highly repetitive process.

Sometimes, well-intentioned regulations can create a greater burden and in some instances, possibly reduce time that medical professionals have to spend with patients.

Apollo Fuhriman is the Office of Advocacy’s regional advocate representing Washington, Idaho, Oregon and Alaska. Our Regional Advocates in the 10 SBA regions stand ready to hear from you about small business concerns and to help you level the playing field for small businesses in your state.