Legislature(1995 - 1996)

1995-03-15 House Journal

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1995-03-15                     House Journal                      Page 0743
HB 259                                                                       
HOUSE BILL NO. 259 by the House Rules Committee by request of                  
the Governor, entitled:                                                        
                                                                               
"An Act providing for a statewide data reporting system for health            
care facilities; establishing civil penalties for failure to report            
required data to that system; establishing the Alaska Health Care              
Facility Data Reporting System Advisory Council; and providing                 
for an effective date."                                                        
                                                                               
was read the first time and referred to the Health, Education & Social         
Services, Judiciary and Finance Committees.                                    
                                                                               
The following fiscal notes apply:                                              
                                                                               
Fiscal notes (2), Dept. of Health & Social Services, 3/15/95                   
                                                                               
The Governor's transmittal letter, dated March 7, 1995, appears below:         
                                                                               
"Dear Speaker Phillips:                                                        
                                                                               
Under the authority of art. III, sec. 18, of the Alaska Constitution, I am     
transmitting a bill establishing the Alaska Health Care Facility Data          
Reporting System.  The bill provides for the development,                      
implementation, and operation of a new statewide health care facility          
data collection and reporting system.  This system will help to ensure         
that there is sufficient knowledge about Alaska's health care delivery         
system to improve health care planning, to assist public health                
monitoring, and to adequately understand, and determine appropriate            
actions to respond to, Alaska's specific health care needs.  The system        
also will facilitate prudent spending of state resources on health care        
needs.                                                                         
                                                                               

1995-03-15                     House Journal                      Page 0744
HB 259                                                                       
Section 1 of the bill would create a new chapter at AS 18.24.                  
Proposed AS18.24.010 would establish the Alaska Health Care                    
Facility Data Reporting System (system), to be implemented by the              
Department of Health and Social Services (department).  The bill               
would give the department broad authority to adopt regulations to              
implement the chapter.  The bill requires the commissioner to establish        
a seven-member advisory council, comprised of departmental personnel           
and individual representatives of health care providers, to assist the         
department in implementing certain aspects of the system.  The bill            
addresses participation of certain health care facilities in the system.       
Voluntary facility participation in the system is encouraged, but              
participation can be mandated if voluntary participation does not meet         
specific thresholds.  Mandatory participation of specified health care         
facilities is required by July1, 1997.  Only facilities licensed by the        
department as acute care hospitals, specialized hospitals, and                 
ambulatory surgical centers are affected.  In general, these facilities        
must submit data to the department respecting inpatient discharges and         
outpatient visits.  The department must specify the format, time for           
submission, and type of data.                                                  
                                                                               
Access to public records also is addressed, by proposed  AS18.24.800.          
Data obtained and created under AS18.24 generally would be subject             
to disclosure under the public records law (AS09.25.110 - 09.25.120).          
However, information and data that identifies or is capable of                 
identifying a recipient of health care services is confidential.  Also,        
information of a proprietary nature, such as individual hospital costs         
and charges for procedures, also must be kept confidential.  The state,        
its  agents and employees, members of the advisory council, health             
care facilities and their employees, and others are immune for certain         
acts or omissions in the execution of authorized activities under AS           
18.24, but immunity is expressly excluded for reckless or intentional          
misconduct.                                                                    
                                                                               
Proposed AS18.24.820 provides for a civil penalty.  The failure to             
submit data can result in a civil penalty, subject to a $5,000 maximum         
per calendar year.                                                             
                                                                               
Under sec. 4 of the bill, the department is charged with conducting a          
feasibility study respecting the collection of health care data from           
physician offices, long-term care facilities, and other appropriate health     
care providers or facilities.  The report is due July1, 1997.                  

1995-03-15                     House Journal                      Page 0745
HB 259                                                                       
I urge your favorable consideration of this bill.                              
	                                                                              
							Sincerely,                                                              
							/s/                                                                     
							Tony Knowles                                                            
							Governor"