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HB 263: "An Act establishing the Citizens' Health Advisory Board; and providing for an effective date."

00                             HOUSE BILL NO. 263                                                                          
01 "An Act establishing the Citizens' Health Advisory Board; and providing for an                                          
02 effective date."                                                                                                        
03 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:                                                                
04    * Section 1. AS 18.10 is amended by adding new sections to read:                                                   
05                  Article 2. Citizens' Health Advisory Board.                                                          
06            Sec. 18.10.300. Creation of board; composition. (a) There is created in the                              
07       Department of Health and Social Services the Citizens' Health Advisory Board.                                     
08            (b)  The members of the board are                                                                            
09                 (1)  the commissioner of administration or the commissioner's                                           
10       designee;                                                                                                         
11                 (2)  the commissioner of health and social services or the                                              
12       commissioner's designee;                                                                                          
13                 (3)  the commissioner of commerce, community, and economic                                              
14       development or the commissioner's designee;                                                                       
01                 (4)  the commissioner of corrections or the commissioner's designee;                                    
02                 (5)  the attorney general or the attorney general's designee;                                           
03                 (6)  the commissioner of environmental conservation or the                                              
04       commissioner's designee;                                                                                          
05                 (7)  the commissioner of education and early development or the                                         
06       commissioner's designee;                                                                                          
07                 (8)  the commissioner of public safety or the commissioner's designee;                                  
08                 (9)  the commissioner of labor and workforce development or the                                         
09       commissioner's designee;                                                                                          
10                 (10)  32 persons nominated by all health units or districts established                                 
11       under AS 18.10.010 - 18.10.040 and appointed by the governor as follows:                                          
12                      (A)  at least one member who represents health insurers;                                           
13                      (B)  at least three members who represent consumers;                                               
14                      (C)  at least one member who represents physicians;                                                
15                      (D)  at least one member who represents for-profit health care                                     
16            providers;                                                                                                   
17                      (E)  at least one member who represents Alaska Native health                                       
18            care providers;                                                                                              
19                      (F)  at least one member who represents nonprofit health care                                      
20            providers;                                                                                                   
21                      (G)  at least one member who represents private employers;                                         
22                      (H)  at least one member who represents labor organizations;                                       
23                      (I)  at least one member who represents local government;                                          
24                      (J)  at least one member who represents nonprofit health care                                      
25            organizations; and                                                                                           
26                      (K)  at least one member who represents public health                                              
27            organizations;                                                                                               
28                 (11)  one legislator from the majority political party of the house of                                  
29       representatives and one legislator who is not from the majority party of the house of                             
30       representatives selected by the speaker of the house of representatives; and                                      
31                 (12)  one legislator from the majority political party of the senate and                                
01       one legislator who is not from the majority political party of the senate selected by the                         
02       president of the senate.                                                                                          
03            (c)  The board shall elect a chair from among its members and may elect other                                
04       officers at the discretion of the board.                                                                          
05            (d)  The board may employ an administrator to serve as staff to the board.                                   
06            Sec. 18.10.310. Terms of office; compensation. (a) The term of office of a                                 
07       member of the board appointed under AS 18.10.310 is five years. Terms shall be                                    
08       staggered. A member may be selected more than one time or reappointed but may not                                 
09       serve more than two consecutive terms.                                                                            
10            (b)  A vacancy shall be filled in the same manner as the original selection or                               
11       appointment. A person selected or appointed to fill a vacancy serves for the unexpired                            
12       portion of the term.                                                                                              
13            (c)  Members of the board appointed under AS 18.10.300(b)(10) serve without                                  
14       compensation but are entitled to per diem and travel expenses.                                                    
15            Sec. 18.10.320. Meetings and quorum. A majority of the board members                                       
16       constitutes a quorum for conducting business and exercising the powers of the board.                              
17       The board shall meet at least four times each year at the call of the chair, at the request                       
18       of a majority of the members, or at regularly scheduled times as determined by a                                  
19       majority of the members. All meetings of the board and special committees appointed                               
20       by the board shall be open to the public and include public comment as an agenda                                  
21       item.                                                                                                             
22            Sec. 18.10.330. Powers and duties of the board. (a) The board shall develop                                
23       strategies and recommendations to improve public health and health care and to                                    
24       reduce health care costs for state businesses and residents. The strategies and                                   
25       recommendations must address                                                                                      
26                 (1)  the establishment of an affordable, effective, and quality health                                  
27       care system;                                                                                                      
28                 (2)  access to affordable health care;                                                                  
29                 (3)  individual responsibility for personal health and wellness;                                        
30                 (4)  disease prevention and management;                                                                 
31                 (5)  workforce shortages among health care providers;                                                   
01                 (6)  cost shifting by health care providers caused by insufficient                                      
02       reimbursement or lack of insurance;                                                                               
03                 (7)  the need for courts with specialized jurisdiction to consider health                               
04       issues;                                                                                                           
05                 (8)  improvements in public health;                                                                     
06                 (9)  the public availability of health care cost information; and                                       
07                 (10)  other issues considered appropriate by the board.                                                 
08            (b)  In carrying out the duties under (a) of this section, the board shall                                   
09                 (1)  hold public hearings throughout the state;                                                         
10                 (2)  identify the reasons for rising health care costs in the state;                                    
11                 (3)  obtain advice and information from experts and other interested                                    
12       parties;                                                                                                          
13                 (4)  review actions taken by other states to improve health care and                                    
14       reduce health care costs; and                                                                                     
15                 (5)  consider past state efforts to improve health care, including the                                  
16       1993 report of the Health Resources and Access Task Force.                                                        
17            (c)  The board may                                                                                           
18                 (1)  appoint special committees;                                                                        
19                 (2)  request that the commissioner of administration, the commissioner                                  
20       of health and social services, or the commissioner of commerce, community, and                                    
21       economic development employ specialized personnel; a person employed or                                           
22       contracted for at the request of the board shall provide services at the direction of the                         
23       board;                                                                                                            
24                 (3)  apply for and receive grants and other public and private funds;                                   
25                 (4)  enter into contracts as necessary to carry out the duties of the                                   
26       board.                                                                                                            
27            (d)  Before December 1 of each year, the board shall prepare and distribute a                                
28       report to the legislature, including the results of public outreach conducted under                               
29       AS 18.10.340, committee findings and recommendations, and the board's                                             
30       recommendations for legislative action.                                                                           
31            Sec. 18.10.340. Public outreach. (a) The board shall conduct public outreach                               
01       across the state to assess health care needs and solicit suggestions for improving public                         
02       health and health care and reducing health care costs.                                                            
03            (b)  The board may conduct public meetings and electronic surveys and use                                    
04       other appropriate methods for acquiring information under (a) of this section.                                    
05            (c)  The board shall consider the results of public outreach before developing                               
06       strategies and recommendations under AS 18.10.330.                                                                
07            Sec. 18.10.350. Definition. In AS 18.10.300 - 18.10.350, "board" means the                                 
08       Citizens' Health Advisory Board.                                                                                  
09                       Article 3. General Provisions.                                                                  
10            Sec. 18.10.900. Definitions. In this chapter,                                                              
11                 (1)  "commissioner" means the commissioner of health and social                                         
12       services;                                                                                                         
13                 (2)  "department" means the Department of Health and Social Services.                                   
14    * Sec. 2. AS 18.10.260 is repealed.                                                                                
15    * Sec. 3. The uncodified law of the State of Alaska is amended by adding a new section to                          
16 read:                                                                                                                   
17       INITIAL APPOINTMENT OF BOARD MEMBERS. Notwithstanding                                                             
18 AS 39.05.055(8) and AS 18.10.310, the members of the Citizens' Health Advisory Board                                    
19 selected under AS 18.10.300(b)(10) shall be initially appointed to terms as follows:                                    
20            (1)  10 members shall serve for four-year terms;                                                             
21            (2)  10 members shall serve three-year terms;                                                                
22            (3)  seven members shall serve two-year terms; and                                                           
23            (4)  one member shall serve a one-year term.                                                                 
24    * Sec. 4. This Act takes effect immediately under AS 01.10.070(c).                                                 
25       "board" means the Citizens' Health Advisory Board;