Legislature(2011 - 2012)CAPITOL 106

03/15/2012 03:00 PM House HEALTH & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ SB 127 FETAL ALCOHOL DISORDERS AWARENESS DAY TELECONFERENCED
Moved Out of Committee
*+ HB 343 DISCLOSURE OF CHILDREN'S RECORDS TELECONFERENCED
Moved CSHB 343(HSS) Out of Committee
+= HB 218 PRESCRIPTION DRUG SPECIALTY TIERS TELECONFERENCED
Moved Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
          SB 127-FETAL ALCOHOL DISORDERS AWARENESS DAY                                                                      
                                                                                                                                
3:06:41 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER announced that the  first order of business would be                                                               
SENATE BILL  NO. 127 "An  Act establishing September 9  each year                                                               
as Fetal Alcohol Spectrum Disorders Awareness Day."                                                                             
                                                                                                                                
3:07:09 PM                                                                                                                    
                                                                                                                                
SENATOR  KEVIN MEYER,  Alaska  State  Legislature, introduced  SB
127,  which proclaimed  September 9  each year  as Fetal  Alcohol                                                               
Spectrum  Disorders (FASD)  Awareness Day.   He  shared that  the                                                               
ninth day  of the ninth  month, was  in recognition for  the nine                                                               
months of pregnancy  during which a woman needed  to abstain from                                                               
partaking any  alcohol.  He noted  that the intent of  SB 127 was                                                               
to  make   this  a  permanent   recognition,  with  no   need  to                                                               
reintroduce  it  each year.    He  paraphrased from  the  sponsor                                                               
statement, which read:                                                                                                          
                                                                                                                                
     Alaska has the  highest known incidence of  FASD in the                                                                    
     United States.  This is  a condition caused by prenatal                                                                    
     exposure  to alcohol,  which  can  result in  permanent                                                                    
     brain  damage,  birth defects,  learning  disabilities,                                                                    
     behavioral problems  and most  tragically, the  loss of                                                                    
     individual potential.                                                                                                      
                                                                                                                                
He declared  his frustration  that, although  FASD was  a totally                                                               
preventable condition,  it cost  society millions of  dollars and                                                               
the child  had to live  with this condition.   He mused  that the                                                               
proposed bill  would increase awareness  and educate  the public,                                                               
both men and  women, for the issues and  consequences of drinking                                                               
while pregnant.   He pointed  out that  it was also  necessary to                                                               
help the kids  impacted by FASD, noting that many  FASD kids were                                                               
in  special education  programs and  in correctional  facilities.                                                               
He  observed  that,  although FASD  kids  looked  healthy,  their                                                               
brains did not process in a  normal way because of the effects of                                                               
alcohol during pregnancy.                                                                                                       
                                                                                                                                
3:11:27 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER,  stating  that  he   had  agreed  to  introduce  a                                                               
corresponding FASD bill in the  House, asked the sponsor if there                                                               
would be a reminder about FASD each year.                                                                                       
                                                                                                                                
3:12:05 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HERRON,   directing  attention  to   the  sponsor                                                               
statement,  announced  that  the  man should  also  abstain  from                                                               
alcohol during the pregnancy, in support of the woman.                                                                          
                                                                                                                                
3:12:53 PM                                                                                                                    
                                                                                                                                
SENATOR   MEYER  expressed   his  agreement   that  it   was  the                                                               
responsibility  of both  parents  to abstain,  even  if only  the                                                               
woman's drinking impacted the child.                                                                                            
                                                                                                                                
3:13:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SEATON noted  that the  proposed bill  dovetailed                                                               
with  House  Concurrent  Resolution  5,  passed  in  2011,  which                                                               
promoted the prevention of disease and illness.                                                                                 
                                                                                                                                
3:14:14 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER opened public testimony.                                                                                           
                                                                                                                                
3:14:45 PM                                                                                                                    
                                                                                                                                
DEBRA EVENSEN,  Coordinator, FAS Alaska Program,  shared that she                                                               
had worked with FASD (Fetal  Alcohol Spectrum Disorders) programs                                                               
since  1986  in  Alaska.    She expressed  her  support  for  the                                                               
proposed bill.   She pointed out that the  medical profession had                                                               
been aware  of FASD since 1973,  yet many young people  still did                                                               
not realize the  damage done with alcohol during  pregnancy.  She                                                               
told  a story  about  a  young pregnant  woman  who professed  an                                                               
understanding of FASD, yet declared  that a little bit of alcohol                                                               
did not  affect a fetus.   She pronounced that a  day proclaiming                                                               
FASD Awareness would educate many more people.                                                                                  
                                                                                                                                
3:17:26 PM                                                                                                                    
                                                                                                                                
MONICA  CHARLES-LEINBERGER,   FASD  Behavior   Specialist,  Lower                                                               
Kuskokwim School District,  said that she also served  on the FAS                                                               
diagnostic  team   and  steering  committee  for   Alaska.    She                                                               
expressed  her agreement  with the  importance of  addressing the                                                               
damage  from alcohol  to  an  unborn child.    She declared  that                                                               
although this  particular disability  was not  outwardly visible,                                                               
the inside  of the  brain was  different.   She pointed  out that                                                               
progressions  in  learning,  self-expression, and  behavior  were                                                               
areas of  recognizable differences.   As most  of the  public did                                                               
not   understand  the   brain   differences   and  the   learning                                                               
differences with  FASD children,  the child  was often  viewed as                                                               
disrespectful, non-compliant,  and defiant.   She  declared that,                                                               
as Alaska lead  the nation in the use of  alcohol, a proclamation                                                               
about FASD, with open discussion,  would send a statewide message                                                               
to all the people thinking about having children.                                                                               
                                                                                                                                
3:21:03 PM                                                                                                                    
                                                                                                                                
KATE BURKHART,  Executive Director, Advisory Board  on Alcoholism                                                               
& Drug Abuse, Alaska Mental  Health Board, Division of Behavioral                                                               
Health, Department of Health and  Social Services, clarified that                                                               
her comments were on behalf of  the Advisory Board and the Mental                                                               
Health Board, but  not on behalf of the Department  of Health and                                                               
Social  Services.   She  explained  that  her organizations  were                                                               
members   of  the   Alaska  Fetal   Alcohol  Spectrum   Disorders                                                               
partnership,   a  statewide   coalition  which   fully  supported                                                               
proposed SB 127.   She highlighted that  continuing education was                                                               
still   necessary,  and   although  the   alcohol  industry   was                                                               
supportive,  an  annual  survey  indicated  that  over  half  the                                                               
pregnant mothers  drank in the  three months prior  to pregnancy,                                                               
which was  also a  contributor to  the incidences  of FASD.   She                                                               
reported that  20 - 25 percent  of pregnant women did  not have a                                                               
patient consultation about  the effects of alcohol  exposure on a                                                               
fetus.  She  pointed out that, although a great  deal of progress                                                               
had been made, it was still  necessary to educate the health care                                                               
community.                                                                                                                      
                                                                                                                                
3:23:49 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MILLETT  asked about  the lack of  FASD counseling                                                               
for women during prenatal care.                                                                                                 
                                                                                                                                
MS. BURKHART  explained that about 20  - 25 percent of  the women                                                               
surveyed by  PRAMS, Pregnancy Risk Assessment  Monitoring System,                                                               
reported  no  counseling for  FASD  during  prenatal care.    She                                                               
stated  that  some  practitioners did  not  aggressively  educate                                                               
their  patients on  the importance  of alcohol  abstinence during                                                               
pregnancy.   She emphatically stated that  research had indicated                                                               
that  even   minor  or  moderate  alcoholic   consumption  during                                                               
pregnancy could be harmful.                                                                                                     
                                                                                                                                
REPRESENTATIVE  MILLETT  shared  that  her  daughter's  pregnancy                                                               
counseling  had recommended  no consumption  of drugs  or alcohol                                                               
during pregnancy.                                                                                                               
                                                                                                                                
MS. BURKHART  relayed that although there  were excellent patient                                                               
educational  services, the  PRAMS survey  indicated the  need for                                                               
improvement.                                                                                                                    
                                                                                                                                
3:25:21 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HERRON expressed his  incredulity and reflected on                                                               
prior  legislation from  the late  1980s which  required postings                                                               
that  alcohol during  pregnancy was  dangerous to  the baby.   He                                                               
asked  if it  was  required  for this  to  be  posted in  medical                                                               
offices.                                                                                                                        
                                                                                                                                
MS.  BURKHART, in  response, said  that it  was addressed  in the                                                               
standards   of  care   that  applied   to   the  various   health                                                               
practitioners.    She pointed  out  that  almost 75  percent  did                                                               
receive the patient education.                                                                                                  
                                                                                                                                
3:26:39 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER  stressed  that  the  role  of  the  father  during                                                               
pregnancy should be emphasized.                                                                                                 
                                                                                                                                
MS.  BURKHART shared  that the  coordination with  restaurants on                                                               
FASD  Awareness Day  resulted in  many restaurants  offering free                                                               
non-alcoholic beverages  to pregnant women,  as well as  to their                                                               
partners.                                                                                                                       
                                                                                                                                
3:27:58 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER closed public testimony.                                                                                           
                                                                                                                                
3:28:14 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MILLETT pronounced  that  information about  FASD                                                               
should be posted in all the doctor offices in Alaska.                                                                           
                                                                                                                                
REPRESENTATIVE MILLETT  moved to report  SB 127 out  of committee                                                               
with individual recommendations and  the accompanying zero fiscal                                                               
note.   There being no  objection, SB  127 was reported  from the                                                               
House Health and Social Services Standing Committee.                                                                            
                                                                                                                                

Document Name Date/Time Subjects
1 SB 127 Sponsor Statement.pdf HHSS 3/15/2012 3:00:00 PM
SB 127
2 SB 127 Bill Text version A.pdf HHSS 3/15/2012 3:00:00 PM
SB 127
3 SB127 Fiscal Note.pdf HHSS 3/15/2012 3:00:00 PM
SB 127
4 SB 127 10 Things About FAS.pdf HHSS 3/15/2012 3:00:00 PM
SB 127
5 SB 127 Ltr of Support AMHB ABADA LOS FASD Day 2-13-12.pdf HHSS 3/15/2012 3:00:00 PM
SB 127
6 SB 127 Ltr of Support Arctic FASD RTC.pdf HHSS 3/15/2012 3:00:00 PM
SB 127
7 SB 127 Ltr of Support Gov Council Disability Spec Ed.pdf HHSS 3/15/2012 3:00:00 PM
SB 127
1 HB 218 sponsor.docx HHSS 3/15/2012 3:00:00 PM
HB 218
test HHSS 3/15/2012 3:00:00 PM
HB 218
2.5 HB 218-DCCED-INS-02-24-12 fiscal note.pdf HHSS 3/15/2012 3:00:00 PM
HB 218
3 HB 218 Sectional summary.pdf HHSS 3/15/2012 3:00:00 PM
HB 218
4 Premera Letter HB 218.pdf HHSS 3/15/2012 3:00:00 PM
HB 218
01 - HB 343, Original Bill, Version A, Disclosure of Children's Records.PDF HHSS 3/15/2012 3:00:00 PM
HB 343
02 - HB 343 Sponsor Statement, Original Bill, Version A.pdf HHSS 3/15/2012 3:00:00 PM
HB 343
03 - HB 343 Sectional Analysis of Original Bill, Version A.pdf HHSS 3/15/2012 3:00:00 PM
HB 343
3.5 HB 343-DHSS-PS-3-12-12 Fiscal note.pdf HHSS 3/15/2012 3:00:00 PM
HB 343
3.75 HB 343-DOA-PDA-3-6-12 Fiscal note.pdf HHSS 3/15/2012 3:00:00 PM
HB 343
3.76 HB 343-DOA-OPA-3-12-12 Fiscal Note.pdf HHSS 3/15/2012 3:00:00 PM
HB 343
04 - HB 343 Letter of Support from the Division of Juvenile Justice, 24 February 2012.pdf HHSS 3/15/2012 3:00:00 PM
HB 343
05 - HB 343 Letter of Support from the Office of Children's Services, 27 February 2012.pdf HHSS 3/15/2012 3:00:00 PM
HB 343
06 - HB 343 Supporting Document, Flow Chart Explaining Current Disclosure Law by the Division of Juvenile Justice, 6 February 2012.pdf HHSS 3/15/2012 3:00:00 PM
HB 343
07 - HB 343 Supporting Document, Flow Chart Explaining Proposed Disclosure Law by the Division of Juvenile Justice, 6 February 2012.pdf HHSS 3/15/2012 3:00:00 PM
HB 343