Legislature(2009 - 2010)CAPITOL 106

03/16/2010 03:00 PM House HEALTH & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Presentation: Using HIT for TELECONFERENCED
Evidence-based Medical Practices,
by Dr. Alex Cahana
<Above Item Removed from Agenda>
*+ HR 14 OPPOSE FEDERAL HEALTH CARE REFORM BILLS TELECONFERENCED
Moved CSHR 14(HSS) Out of Committee
*+ HB 328 TRAUMATIC BRAIN INJURY:PROGRAM/MEDICAID TELECONFERENCED
Moved CSHB 328(HSS) Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 284 PIONEERS HOME RX DRUG BENEFIT TELECONFERENCED
Moved Out of Committee
              HB 284-PIONEERS HOME RX DRUG BENEFIT                                                                          
                                                                                                                                
3:07:52 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON announced  that the first order  of business would                                                              
be SPONSOR  SUBSTITUTE FOR HOUSE  BILL NO. 284, "An  Act requiring                                                              
the Department  of Health  and Social  Services to accept  federal                                                              
prescription drug  benefits or to provide comparable  benefits for                                                              
residents  of  the  Alaska  Pioneers'  Home,  including  residents                                                              
eligible  for discount  or free  benefits from  the United  States                                                              
Department  of Veterans Affairs  or the  Indian Health  Service of                                                              
the United States Department of Health and Human Services."                                                                     
                                                                                                                                
3:08:53 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  LES  GARA,  Alaska  State  Legislature,  explained                                                              
that HB 284 codified  that the Alaska Pioneers'  Home would ensure                                                              
that  all  prescription  medicine  benefits  that  residents  were                                                              
entitled  to from  Indian Health  Service (IHS)  or Department  of                                                              
Veterans Affairs (VA)  would be provided by the  Pioneers' Home at                                                              
the same price.                                                                                                                 
                                                                                                                                
3:11:13 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  LYNN  asked  if  his military  benefits  would  be                                                              
extended  to him  should he  become  a resident  of the  Pioneers'                                                              
Home.                                                                                                                           
                                                                                                                                
3:11:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  GARA  replied  that  veterans with  more  than  51                                                              
percent  disability were  entitled to  lifelong free  prescription                                                              
medicine.  He  revealed that the communication between  the VA and                                                              
the  IHS  with  the  Pioneer  Home was  not  very  good,  and  had                                                              
resulted in  a loss  of comparable  prescription drug  service for                                                              
the residents with benefits from VA and IHS.                                                                                    
                                                                                                                                
3:13:33 PM                                                                                                                    
                                                                                                                                
DAVE THERIAULT,  Staff to  Representative  Les Gara, Alaska  State                                                              
Legislature, in  response to a discussion  between Representatives                                                              
Lynn and Gara, said  that there was not a problem  for veterans as                                                              
long as they could self administer prescription drugs.                                                                          
                                                                                                                                
3:15:28 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  GARA, in  response to Co-Chair  Keller, said  that                                                              
the Pioneer Home  policy was "to make it work."   He reported that                                                              
the  Pioneer  Home  would  either  accept  the  prescription  drug                                                              
deliveries  from  the  IHS  and  the  VA,  or  would  provide  the                                                              
prescription drug to the beneficiaries at the same price.                                                                       
                                                                                                                                
3:16:54 PM                                                                                                                    
                                                                                                                                
RIC  DAVIDGE, President,  Vietnam Veterans  of America,  reflected                                                              
that this  was an  excellent example  of legislators working  with                                                              
federal,  state,  and  private  organizations  to  solve  emerging                                                              
problems.  He shared his support of HB 284.                                                                                     
                                                                                                                                
3:18:52 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON asked  if  there were  other problems  with                                                              
prescription medical benefits that were not yet addressed.                                                                      
                                                                                                                                
3:19:26 PM                                                                                                                    
                                                                                                                                
MR.  DAVIDGE  replied  that  there  were  other  problems  and  he                                                              
expressed  his hope that  solutions could  be coordinated  without                                                              
legislation.                                                                                                                    
                                                                                                                                
3:20:06 PM                                                                                                                    
                                                                                                                                
DAVE COTE,  Director, Central Office,  Division of  Alaska Pioneer                                                              
Homes, Department  of Health and  Social Services,  testified that                                                              
the  department was  neutral on  the bill,  and there  was a  zero                                                              
fiscal  note.    He  said that  the  Pioneers'  Home  was  already                                                              
administering the  prescription drugs  in accordance with  HB 284.                                                              
He  pointed  out  that  any  overbilling   to  veterans  had  been                                                              
rectified.                                                                                                                      
                                                                                                                                
3:21:04 PM                                                                                                                    
                                                                                                                                
CO-CHAIR HERRON asked  if the legislation was necessary,  or would                                                              
future staff also accept this decision.                                                                                         
                                                                                                                                
3:21:30 PM                                                                                                                    
                                                                                                                                
MR. COTE  replied that the legislation  was not necessary  at this                                                              
time, but that he  could not predict the future.   He offered that                                                              
HB 284 would prevent any future re-occurrence of the problems.                                                                  
                                                                                                                                
3:22:11 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON reflected on  the necessity for  additional                                                              
legislation.   He  noted that  one of  his "shirt-tail  relatives"                                                              
was   also  a   veteran  involved   in   this  prescription   drug                                                              
distribution  problem.    He  applauded   the  resolution  of  the                                                              
problem.                                                                                                                        
                                                                                                                                
3:23:37 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  KELLER,   in  agreement   with  Representative   Seaton,                                                              
reflected  on the  necessity of  trust of  the administrators  and                                                              
his dislike for  micro management.  He stated  his disapproval for                                                              
additional legislation.                                                                                                         
                                                                                                                                
3:24:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  LYNN expressed  the  necessity  to address  policy                                                              
prior to  a need,  so that  there were  guidelines "in  a measured                                                              
way and not in the middle of some kind of a problem."                                                                           
                                                                                                                                
3:25:20 PM                                                                                                                    
                                                                                                                                
CO-CHAIR  HERRON noted  that Co-Chair  Keller had  worked on  this                                                              
problem during the interim.                                                                                                     
                                                                                                                                
3:25:36 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  LYNN  moved to  report  SSHB284 out  of  committee                                                              
with  individual  recommendations   and  the  accompanying  fiscal                                                              
notes.   There being  no objection,  SSHB 284  was forwarded  from                                                              
the House Health and Social Services Standing Committee.                                                                        
                                                                                                                                

Document Name Date/Time Subjects
HR14_packet.pdf HHSS 3/16/2010 3:00:00 PM
HB328_packet.pdf HHSS 3/16/2010 3:00:00 PM
HB 328