As mentioned in previous posts, other states are already allowing Residents to directly bill clients. If the Board has any questions or concerns, then they should be reaching out to those entities and gaining information on how they addressed issues that came up and look at hard data and factual information instead of trying to pass or decline the petition based upon misinformation and "strong feelings" from supervisors who are opposed citing concern for our population and ethics as a reason to deny the petition. Keep in mind, some of those very same supervisors would have their income affected due to residents being able to directly bill and cutting them out of that process.  

If supervisors are so worried about things from an ethical and professional view, then they need to advocate for Residents to get proper pay or don't charge a fee for their services but I don't see anyone making either one of those suggestions. Supervisors want to be paid for their time-so do Residents.