Legislature(2011 - 2012)CAPITOL 106

03/29/2012 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 202 RESUSCITATION PROTOCOL DOCUMENTS TELECONFERENCED
Moved Out of Committee
+ SCR 16 CELIAC DISEASE AWARENESS MONTH TELECONFERENCED
Moved Out of Committee
*+ HB 319 STUDY HEALTH EFFECTS OF AIRPORT SCREENING TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
             SCR 16-CELIAC DISEASE AWARENESS MONTH                                                                          
3:24:43 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER announced  that the next order of  business would be                                                               
SENATE CONCURRENT RESOLUTION  NO. 16, Proclaiming May  2012 to be                                                               
Celiac Disease Awareness Month.                                                                                                 
                                                                                                                                
3:25:15 PM                                                                                                                    
                                                                                                                                
SENATOR  CATHY GIESSEL,  Alaska  State  Legislature, stated  that                                                               
proposed  SCR  16 would  designate  May  2012 as  Celiac  Disease                                                               
Awareness  Month.   She  explained  that  celiac disease,  though                                                               
often  erroneously  referred  to  as gluten  intolerance,  was  a                                                               
genetic disease in which exposure  to gluten actually damaged the                                                               
intestinal walls.   She reported that gluten was  a protein found                                                               
on wheat, rye, and barley, and  that 1 out of 133 Americans, more                                                               
than 5,000 Alaskans,  was estimated to have  celiac disease, even                                                               
though almost 97 percent were not  aware of it.  She shared that,                                                               
as  the  symptoms  were  vague,  often  it  was  not  immediately                                                               
diagnosed.  She  pointed out that, as there was  not a cure, only                                                               
a strict  gluten free  diet could  treat it.   She  reported that                                                               
beer,  cold cuts,  soy sauce,  and some  cosmetics all  contained                                                               
gluten.                                                                                                                         
                                                                                                                                
3:28:04 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER   expressed  his  appreciation  for   the  proposed                                                               
resolution.                                                                                                                     
                                                                                                                                
3:28:30 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KERTTULA shared that  she also had celiac disease,                                                               
and she offered her support for the proposed resolution.                                                                        
                                                                                                                                
3:28:47 PM                                                                                                                    
                                                                                                                                
BRANDY  WENDLER,  RN,   Alaska  Nurse  Practitioner  Association,                                                               
stated that she  has celiac disease, possibly  since her freshman                                                               
year in  high school, although it  took ten years for  her to get                                                               
the  diagnosis.   She  explained  that  the ingestion  of  gluten                                                               
caused an auto-immune  reaction, and in the  small intestine this                                                               
resulted  in an  inability to  absorb nutrients  from food.   She                                                               
shared that,  even though she was  in the medical field,  she had                                                               
not  been able  to get  an appropriate  diagnosis.   She declared                                                               
that the raising  of awareness was "pivotal in  saving people the                                                               
suffering" and the money which resulted from mis-diagnosis.                                                                     
                                                                                                                                
3:30:59 PM                                                                                                                    
                                                                                                                                
TERESA NEENO,  Allergist, Allergy, Asthma, and  Immunology Center                                                               
of  Alaska, said  that, as  numerous people  had food  allergies,                                                               
diagnosis for  celiac disease  was often  missed.   She explained                                                               
that  the removal  of gluten  from the  diet made  the tests  for                                                               
celiac disease  non-reactive.  She  declared that the  raising of                                                               
awareness  for celiac  disease would  increase that  conversation                                                               
between providers and patients, and allow for earlier diagnosis.                                                                
                                                                                                                                
3:32:18 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER asked  if it  was celiac  disease or  its awareness                                                               
that was increasing.   He asked what was the  cause for a genetic                                                               
disorder.                                                                                                                       
                                                                                                                                
3:33:09 PM                                                                                                                    
                                                                                                                                
DR. NEENO,  in response to  Representative Keller, said  that the                                                               
prevalence was not increasing, but  that there was more awareness                                                               
of the  disease.  She  agreed that awareness allowed  for earlier                                                               
diagnosis, as  the tests were then  given.  She pointed  out that                                                               
failure to have  the tests could lead to  more complications from                                                               
other  auto  immune disorders,  often  seen  in conjunction  with                                                               
celiac disease.   She stated that, although  these were different                                                               
than allergies, food was a commonality to both.                                                                                 
                                                                                                                                
CHAIR KELLER expressed his surprise to the prevalence.                                                                          
                                                                                                                                
DR. NEENO  said that there  were a  lot of alternatives  to diet,                                                               
and there  was a lot of  information for gluten free  products on                                                               
line.                                                                                                                           
                                                                                                                                
3:35:31 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  KERTTULA   asked  if  celiac  disease   was  more                                                               
prevalent in Scandinavians.                                                                                                     
                                                                                                                                
DR.  NEENO replied  that she  was  unaware of  the prevalence  in                                                               
populations  around the  world, but  that there  was more  gluten                                                               
sensitivity  in the  northern  tiers,  such as  the  Irish.   She                                                               
declared it likely there was  a selective advantage at some point                                                               
in  time.    She  shared  that,  although  a  genetic  study  was                                                               
available,  a positive  test only  increased  the likelihood,  as                                                               
celiac disease  was more  common in  Caucasian populations.   She                                                               
declared that celiac  disease was clearly a  genetic disease with                                                               
some groups having a greater predisposition.                                                                                    
                                                                                                                                
3:37:49 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER closed public testimony.                                                                                           
                                                                                                                                
3:38:17 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  KERTTULA asked  about  the  connection of  celiac                                                               
disease in cosmetics.                                                                                                           
                                                                                                                                
3:38:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE DICK moved to report  SCR 16 out of committee with                                                               
individual  recommendations  and  the  accompanying  zero  fiscal                                                               
notes.   There being no objection,  SCR 16 was reported  from the                                                               
House Health and Social Services Standing Committee.                                                                            

Document Name Date/Time Subjects
SB202.PDF HHSS 3/29/2012 3:00:00 PM
SB 202
SB202 Sponsor Statement.pdf HHSS 3/29/2012 3:00:00 PM
SB 202
SB202 Fiscal Note.pdf HHSS 3/29/2012 3:00:00 PM
SB 202
SB202 Supporting Document-Letter ACEMS.pdf HHSS 3/29/2012 3:00:00 PM
SB 202
SCR16 ver M.pdf HHSS 3/29/2012 3:00:00 PM
SCR 16
SCR16 Sponsor Statement.pdf HHSS 3/29/2012 3:00:00 PM
SCR16 Fiscal Note-SSTA-02-08-12.pdf HHSS 3/29/2012 3:00:00 PM
SCR16 Supporting Document-U of Chicago Celiac Disease Facts and Figures.pdf HHSS 3/29/2012 3:00:00 PM
SCR16 Supporting Document- National Digestive Disease Information Clearinghouse.pdf HHSS 3/29/2012 3:00:00 PM
SCR16 Support Letters.PDF HHSS 3/29/2012 3:00:00 PM
SCR16 Supporting Document-U of Chicago Research PR.pdf HHSS 3/29/2012 3:00:00 PM
HB 319- Bill.pdf HHSS 3/29/2012 3:00:00 PM
HB 319
HB 319- Sponsor Statement v2.pdf HHSS 3/29/2012 3:00:00 PM
HB 319
HB 319- Sectional Analysis.pdf HHSS 3/29/2012 3:00:00 PM
HB 319
HB 319 Fiscal Note-DHSS-EPI-03-27-12.pdf HHSS 3/29/2012 3:00:00 PM
HB 319
HB319 Support Document-ADN Article- Intervene to protect children from abuse - Copy.pdf HHSS 3/29/2012 3:00:00 PM
HB 319
HB319-Fiscal Note.pdf HHSS 3/29/2012 3:00:00 PM
HB 319
HB319 Support Document Leg Research-12-179 LegResearch2.pdf HHSS 3/29/2012 3:00:00 PM
HB 319