Legislature(2013 - 2014)HOUSE FINANCE 519

04/14/2014 01:30 PM FINANCE


Download Mp3. <- Right click and save file as

* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= SB 64 OMNIBUS CRIME/CORRECTIONS/RECIDIVISM BILL TELECONFERENCED
Scheduled But Not Heard
+ SB 108 CONFIDENTIALITY OF CRIMINAL CASE RECORDS TELECONFERENCED
Heard & Held
+ SB 178 PASSENGER & REC. VEHICLE RENTAL TAX TELECONFERENCED
Scheduled But Not Heard
+ SB 129 REAL ESTATE APPRAISERS TELECONFERENCED
Scheduled But Not Heard
+ SB 127 VEHICLE TRANSACTION AGENTS TELECONFERENCED
Heard & Held
+ SB 169 IMMUNIZATION PROGRAM; VACCINE ASSESSMENTS TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 316 WORKERS' COMPENSATION MEDICAL FEES TELECONFERENCED
Heard & Held
HOUSE BILL NO. 316                                                                                                            
                                                                                                                                
     "An  Act relating  to  workers'  compensation fees  for                                                                    
     medical  treatment and  services; relating  to workers'                                                                    
     compensation   regulations;   and  providing   for   an                                                                    
     effective date."                                                                                                           
                                                                                                                                
4:55:50 PM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
4:57:27 PM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
Co-Chair Stoltze expressed intent  to introduce and hold the                                                                    
amendments.                                                                                                                     
                                                                                                                                
Representative  Gara MOVED  to  ADOPT Amendment  1 (copy  on                                                                    
file):                                                                                                                          
                                                                                                                                
     Insert  "(4) The  fee schedules  of (A)  - (C)  of this                                                                    
     subsection  shall  not be  used  for  any procedure  or                                                                    
     service  without  modification  unless those  fees  are                                                                    
     adequate  as  written to  meet  the  service charge  of                                                                    
     providers in an area so  that patient access to quality                                                                    
     medical care is not compromised."                                                                                          
                                                                                                                                
Co-Chair Stoltze OBJECTED for discussion.                                                                                       
                                                                                                                                
Representative Gara  pointed to a concern  that the workers'                                                                    
compensation rate  would be the  Medicare or  Medicaid rate.                                                                    
He  understood  that it  was  not  the sponsor's  intention;                                                                    
therefore,   Amendment  1   clarified   that  the   workers'                                                                    
compensation  rate would  not be  the  Medicare or  Medicaid                                                                    
rates unless they were adequate  to ensure patient access to                                                                    
quality  medical   care.  He   stated  that   the  sponsor's                                                                    
intention  was that  there  would be  a  multiplier at  some                                                                    
point in time.                                                                                                                  
                                                                                                                                
Co-Chair Stoltze  asked Representative Gara to  withdraw the                                                                    
amendment to be reoffered and heard at a later time.                                                                            
                                                                                                                                
Representative Gara WITHDREW Amendment 1.                                                                                       
                                                                                                                                
Co-Chair  Stoltze  explained  that the  amendment  would  be                                                                    
taken  up at  a  later time  and the  sponsor  would have  a                                                                    
chance to comment.                                                                                                              
                                                                                                                                
Representative  Thompson MOVED  to  ADOPT  Amendment 2  (28-                                                                    
LS1362\P.l Wallace, 4/8/14) (copy on file):                                                                                     
                                                                                                                                
     Page 1, line 11:                                                                                                           
     Delete "board and adopted by reference"                                                                                    
     Insert "medical services review committee [BOARD] and                                                                      
     adopted by the board                                                                                                       
     [REFERENCE]"                                                                                                               
                                                                                                                                
     Page 2, line 21:                                                                                                           
     Delete "(1)"                                                                                                               
     Delete "board"                                                                                                             
     Insert "medical services review committee"                                                                                 
                                                                                                                                
     Page 2, line 22:                                                                                                           
     Delete "board"                                                                                                             
     Insert "medical services review committee"                                                                                 
                                                                                                                                
     Page 2, line 23, following "adopted":                                                                                      
     Insert "by the board"                                                                                                      
                                                                                                                                
     Page 2, line 23:                                                                                                           
     Delete ";"                                                                                                                 
     Insert "."                                                                                                                 
                                                                                                                                
     Page 2, lines 24 - 29:                                                                                                     
     Delete all material.                                                                                                       
     Page 3, following line 23:                                                                                                 
     Insert a new subsection to read:                                                                                           
     "(p)  The  medical   services  review  committee  shall                                                                    
     formulate   a   conversion   factor  and   submit   the                                                                    
     conversion  factor to  the  commissioner  of labor  and                                                                    
     workforce  development. If  the  commissioner does  not                                                                    
     approve  the conversion  factor,  the medical  services                                                                    
     review  committee shall  revise  the conversion  factor                                                                    
     and  submit  the  revised   conversion  factor  to  the                                                                    
     commissioner for approval."                                                                                                
                                                                                                                                
     Page 4, following line 15:                                                                                                 
     Insert a new bill section to read:                                                                                         
     "*  Sec. 4.  AS 23.30.395  is amended  by adding  a new                                                                    
     paragraph to read:                                                                                                         
     (42)  "medical  services  review committee"  means  the                                                                    
     committee established under AS 23.30.0950)."                                                                               
                                                                                                                                
     Renumber the following bill sections accordingly.                                                                          
                                                                                                                                
     Page 4, line 16:                                                                                                           
     Delete "AS 23.30.097(j) - (o)"                                                                                             
     Insert "AS 23.30.097(j) - (p)"                                                                                             
                                                                                                                                
     Page 4, line 18:                                                                                                           
     Delete "sec. 4"                                                                                                            
     Insert "sec. 5"                                                                                                            
                                                                                                                                
Co-Chair Stoltze OBJECTED for discussion.                                                                                       
                                                                                                                                
Representative Thompson  relayed that the amendment  came at                                                                    
the  sponsor's  request.  He  explained  that  in  the  bill                                                                    
version P [CSHB  316 (L&C)] the conversion  factors were set                                                                    
by the  workers' compensation board with  the recommendation                                                                    
of the  medical services  review board. Under  the amendment                                                                    
the  medical services  review committee  would directly  set                                                                    
the conversion factor for the  new fee schedule, which would                                                                    
then be submitted  to the commissioner of  the Department of                                                                    
Labor  and Workforce  Development (DLWD).  He detailed  that                                                                    
the workers' compensation board  was comprised of 18 people.                                                                    
He stated  that it  was simpler  to use  the board  that was                                                                    
already   responsible   for   oversight  of   the   workers'                                                                    
compensation system,  regulation review, and serving  on the                                                                    
hearing panels.  The medical  services review  committee was                                                                    
made up of  9 people including members of  the state medical                                                                    
association,    chiropractic     society,    nursing    home                                                                    
association, and a healthcare provider.                                                                                         
                                                                                                                                
ANNA  LATHAM, STAFF,  REPRESENTATIVE  KURT OLSON,  confirmed                                                                    
the sponsor's  support of Amendment  2. She stated  that the                                                                    
amendment  would  clean up  the  current  bill so  that  the                                                                    
medical  services review  committee would  directly set  the                                                                    
conversion factor instead of an  18 person board tasked with                                                                    
other   duties.  The   amendment   would   allow  the   DLWD                                                                    
commissioner to  approve or deny  the conversion  factor set                                                                    
by the  medical services  review committee before  the board                                                                    
adopted it into regulation. The  intent was to have a person                                                                    
at the  commissioner level  approving the  conversion factor                                                                    
to ensure that it was set at a fair and reasonable price.                                                                       
                                                                                                                                
Vice-Chair  Neuman  asked  what  would  happen  to  the  fee                                                                    
schedule when  a new commissioner was  appointed. Ms. Latham                                                                    
replied  that the  conversion factors  would continue  to be                                                                    
set by  the medical services  review committee on  an annual                                                                    
basis. The commissioner would approve the rates annually.                                                                       
                                                                                                                                
Vice-Chair Neuman  asked about sending a  patient outside of                                                                    
the  state  for  services.  Ms.  Latham  referred  to  other                                                                    
legislation  sponsored by  Representative  Olson that  would                                                                    
require  that any  workers'  compensation treatment  out-of-                                                                    
state  would be  billed  at the  jurisdiction  in which  the                                                                    
patient was treated.                                                                                                            
                                                                                                                                
Vice-Chair Neuman  noted that it  was a different  bill. Ms.                                                                    
Latham  replied that  currently  when a  person was  treated                                                                    
out-of-state for workers' compensation  claims they could be                                                                    
billed at Alaska's rates.                                                                                                       
                                                                                                                                
Representative  Holmes asked  about  the  intent related  to                                                                    
Amendment 2.  She wanted more information  about the members                                                                    
on the medical services review committee.                                                                                       
                                                                                                                                
Co-Chair Stoltze  replied that no  action would be  taken on                                                                    
the amendments during the current meeting.                                                                                      
                                                                                                                                
HB  316  was  HEARD  and   HELD  in  committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                

Document Name Date/Time Subjects
1.1 CSSB 108(JUD) Sponsor Statement.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
3.1 CSSB 108(JUD) Section Analysis.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
5 CSSB 108(JUD) Summary of Changes.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
6 SB108 Legal Memo 2 26 14.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
6.2 SB108 Rule 37.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
7 SB108 Support Letters - Dr. Don Brink, Chugiak, AK.PDF HFIN 4/14/2014 1:30:00 PM
SB 108
12 SB108 OVR Written Testimony.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
7.1 SB108 Support - Dr. Donna Klecka, Eagle River, AK.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
7.2 Support of SB108 - James Noble, Kenai, AK.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
6.1 CSSB 108(JUD) Collateral Consequences & Reentry in Alaska.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
7.3 Support of SB108 - Carmen Gutierrez.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
House Finance OVR Opposition to SB 108.pdf HFIN 4/14/2014 1:30:00 PM
SB178 DOR Letter - Rodell.pdf HFIN 4/14/2014 1:30:00 PM
SB 178
SB 178 Letters of Support.pdf HFIN 4/14/2014 1:30:00 PM
SB 178
CSSB 178 Sponsor Statement.pdf HFIN 4/14/2014 1:30:00 PM
SB 178
SB 127 Sponsor Statement.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB 127 Explanation of Changes.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB 127 Support Documents - AK Statute 28.10.421 Registration Fee Rates.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB 127 Letters of Support.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB 127 Support Documents - AK Statute 16.05.380 & .390 ADF&G.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB 127 Support Documents - DMV Non DL Transactions FY 2013.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB 127 Support Documents - DMV Revenue Sources.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB 127 Support Documents - AK Statute 28.10.431(e) Re Municipal Tax Collection.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB 127 Support Documents - Alaska Tags & Titles Transaction Count and Revenue 04-13.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
SB169PayerPyramid_7Mar2014.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB169 WhoPaysFor VaccineInAK.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
AdultFluPneumoniaImmunizations2012.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
StateSupplyVaccinesDistributedByProviderType2013.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
Questions from Higgins March 26.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB169 Vaccines In AK short vsn (2).pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 Additional Questions Rep. Higgins.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB169FlowChart_7Mar2014.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 FAQs vsn I.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 Support all.batch 1.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB169 Vaccines In AK short vsn (2).pptx HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 Support batch 2.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 Sponsor Stmt FIN.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 Response to BIO concerns.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 Opposition.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 Opposition Pharma.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB 169 Historic vaccine photo.pdf HFIN 4/14/2014 1:30:00 PM
SB 169
SB129 Supporting Documents-Letter AK Chamber.pdf HFIN 4/14/2014 1:30:00 PM
SB 129
SB129 Sectional Analysis.pdf HFIN 4/14/2014 1:30:00 PM
SB 129
SB129 Supporting Documents-DCCED BCREA Audit 2013.pdf HFIN 4/14/2014 1:30:00 PM
SB 129
SB129 Supporting Documents-Summary of Changes.pdf HFIN 4/14/2014 1:30:00 PM
SB 129
SB129 Sponsor Statement.pdf HFIN 4/14/2014 1:30:00 PM
SB 129
SB 64 (HJUD) Presentation.pdf HFIN 4/14/2014 1:30:00 PM
SB 64
SB 127 Testimony Opposition.pdf HFIN 4/14/2014 1:30:00 PM
SB 127
HB 287 New Fiscal Note CS FIN DOR.pdf HFIN 4/14/2014 1:30:00 PM
HB 287
HB 287 New Fiscal Note CS FIN DNR.pdf HFIN 4/14/2014 1:30:00 PM
HB 287
test Geddes Letter on SB 108.docx HFIN 4/14/2014 1:30:00 PM
SB 108
HB 316 Amendment #2 Thompson.pdf HFIN 4/14/2014 1:30:00 PM
HB 316
Replacement Amendment #1 Gara.pdf HFIN 4/14/2014 1:30:00 PM
HB 316
SB 56 APD Suggested Sentencing.pdf HFIN 4/14/2014 1:30:00 PM
SB 56
SB 108 adm-40a Courts.pdf HFIN 4/14/2014 1:30:00 PM
SB 108
AK Chamber SB 127 Stoltze April 17, 2014.pdf HFIN 4/14/2014 1:30:00 PM
SB 127