Legislature(2015 - 2016)CAPITOL 106

03/10/2015 03:00 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
03:05:45 PM Start
03:06:12 PM HB59
03:11:03 PM Discussion: Medicaid Expansion
04:56:18 PM HB59
04:58:01 PM HB40
05:12:52 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 59 MARIJUANA CONCENTRATES; LICENSES TELECONFERENCED
Moved CSHB 59(HSS) Out of Committee
*+ HB 40 USE OF ELECTRONIC CIGARETTES AS SMOKING TELECONFERENCED
Heard & Held
-- Public Testimony --
+ Medicaid Follow-up Discussion TELECONFERENCED
-- Testimony <Invitation Only> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
         HB  40-USE OF ELECTRONIC CIGARETTES AS SMOKING                                                                     
                                                                                                                                
4:58:01 PM                                                                                                                    
                                                                                                                                
CHAIR SEATON announced that the  final order of business would be                                                               
HOUSE BILL  NO. 40,  "An Act  relating to  the use  of electronic                                                               
cigarettes; and providing for an effective date."                                                                               
                                                                                                                                
4:58:33 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  BOB  HERRON,  Alaska State  Legislature,  relayed                                                               
that  the  genesis of  the  proposed  bill  was  a result  of  e-                                                               
cigarette  use in  the  Anchorage  Airport.   When  he asked  the                                                               
Department  of Transportation  & Public  Facilities, he  was told                                                               
there was not any policy, law,  or regulation limiting the use of                                                               
electronic  cigarettes.   He  stated  that  although he  was  not                                                               
against  e-cigarette devices,  the  exhaled  aerosol did  contain                                                               
particulates.  He asked that the  use of these devices be limited                                                               
to  those  areas  where  cigars  and  cigarettes  were  currently                                                               
allowed.                                                                                                                        
                                                                                                                                
5:00:23 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  VAZQUEZ moved  to  adopt  the proposed  committee                                                               
substitute (CS)  for HB 40, labeled  29-LS0232\W, Martin, 3/7/15,                                                               
as  the working  draft.   There  being no  objection,  it was  so                                                               
ordered.                                                                                                                        
                                                                                                                                
5:01:03 PM                                                                                                                    
                                                                                                                                
ROB  EARL,   Staff,  Representative  Bob  Herron,   Alaska  State                                                               
Legislature, explained  that the committee substitute  added "and                                                               
other  oral smoking  devices," on  page 1,  line 8,  in order  to                                                               
capture the next  generation of vaporizers.   The American Cancer                                                               
Society had  made the suggestion  to expand this definition.   He                                                               
stated that the proposed bill  expanded the definition of smoking                                                               
in  AS 18  to include  e-cigarettes,  and the  bill also  defined                                                               
electronic cigarettes,  lines 4 -  7.  He reported  that proposed                                                               
HB  40 would  prohibit e-cigarette  use statewide  in any  public                                                               
places  where  smoking  tobacco  was  currently  not  allowed  as                                                               
spelled   out   in   AS    18.35.300,   which   included   public                                                               
transportation  vehicles,  facilities,  state  office  buildings,                                                               
other buildings  operated by the  state, nursing homes, etc.   He                                                               
said  that state  law  was  currently a  bit  unclear whether  e-                                                               
cigarette use would be prohibited  in public places where tobacco                                                               
was  currently  banned because  there  was  not a  definition  of                                                               
smoking in AS 18.  The  proposed bill would clarify that issue by                                                               
defining  smoking to  include e-cigarettes.   He  said that  some                                                               
local Alaska  jurisdictions had enacted comprehensive  smoke free                                                               
workplace  ordinances   that  included  bans  on   smoking  which                                                               
included e-cigarettes.   He listed  these communities  to include                                                               
Nome, Juneau,  Palmer, Haines  Borough, Petersburg,  and Skagway,                                                               
although the  Anchorage law, passed  in 2006, did not  mention e-                                                               
cigarettes.                                                                                                                     
                                                                                                                                
5:02:57 PM                                                                                                                    
                                                                                                                                
CHAIR SEATON asked  for clarification that the  proposed bill was                                                               
for e-cigarettes  to be banned  from areas where  cigarettes were                                                               
currently banned.                                                                                                               
                                                                                                                                
REPRESENTATIVE STUTES  asked about  the advice from  the American                                                               
Cancer Society to equate these devices the same as tobacco.                                                                     
                                                                                                                                
MR. EARL  explained that  the American  Cancer Society  (ACS) had                                                               
helped  expand  the  definition  for  smoking  in  the  committee                                                               
substitute.  He  referenced slide 11 of  the PowerPoint [Included                                                               
in members' packets],  and clarified that proposed HB  40 did not                                                               
define e-cigarettes as a tobacco  product, as there would then be                                                               
taxation and other implications.                                                                                                
                                                                                                                                
REPRESENTATIVE STUTES, asking about the  advice from ACS to treat                                                               
e-cigarettes similar  to products containing  tobacco, questioned                                                               
what substantiated that advice.                                                                                                 
                                                                                                                                
MR. EARL deferred to a representative from ACS.                                                                                 
                                                                                                                                
5:05:36 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR  asked if there was  testimony available from                                                               
Legislative Legal Services.                                                                                                     
                                                                                                                                
CHAIR SEATON pointed out that the bill would be held over.                                                                      
                                                                                                                                
5:06:03 PM                                                                                                                    
                                                                                                                                
EMILY  NENON,  Alaska  Government  Relations  Director,  American                                                               
Cancer  Society Cancer  Action Network,  said that  she would  be                                                               
available at the  next House Health and  Social Services Standing                                                               
Committee meeting, and that she was available for any questions.                                                                
                                                                                                                                
5:06:40 PM                                                                                                                    
                                                                                                                                
CHAR  DAY, Americans  for  Non-Smokers'  Rights (ANR),  explained                                                               
that  the   organization  was  a  national   member  based  group                                                               
committed to clear  the air of second hand  smoke, including "the                                                               
smoke that comes off of the end  of an e-cigarette and out of the                                                               
breath of  those who use e-cigarettes."   She said the  group was                                                               
also working to prevent another  generation addicted to nicotine.                                                               
She encouraged  support for HB 40,  as it would prohibit  the use                                                               
of e-cigarettes  and other electronic  smoking devices  in places                                                               
that  were required  to be  smoke free.   She  declared that  ANR                                                               
supported prohibiting  the use of electronic  cigarettes in smoke                                                               
free environments  at all times  without exception.   She offered                                                               
her belief that this was a  worker health and safety issue, given                                                               
the  growing body  of science  for what  was in  the second  hand                                                               
aerosol, also known  as vapor, emitted from an  e-cigarette.  She                                                               
allowed that, although there was not  as much science on what was                                                               
in  the  second  hand  aerosol from  an  e-cigarette  as  tobacco                                                               
cigarettes, there was  plenty to cause concern.   She stated that                                                               
second hand aerosol contained  volatile organic compounds, ultra-                                                               
fine particles, lead, chromium, nicotine,  and other toxins.  She                                                               
stated that  legislators were  choosing to not  allow the  use of                                                               
electronic  smoking devices  in smoke  free environments  so that                                                               
workers and  patrons do  not have  to breathe  the aerosol.   She                                                               
relayed  that there  were currently  at least  274 municipalities                                                               
and 3 states which had  included e-cigarettes as items prohibited                                                               
from use in smoke free environments.   She clarified that ANR was                                                               
not  proposing an  outright prohibition  or ban  on e-cigarettes,                                                               
but  were only  concerned  with exposure  to  non-users from  the                                                               
emitted  aerosol.   She stated  that e-cigarettes  should not  be                                                               
used  indoors or  inside public  places  that would  then pose  a                                                               
health hazard  to non-users.   She pointed out  that e-cigarettes                                                               
could be  used to vape  other substances, including hemp  oil and                                                               
marijuana.    She declared  that  there  was  a growing  body  of                                                               
science research which  showed that the aerosol was  a new source                                                               
of  air pollution  that contained  ultra-fine particles  with low                                                               
levels  of  toxins  known to  cause  cancer,  including  benzene,                                                               
formaldehyde, and lead.   She urged support of HB  40 to prohibit                                                               
the use of  e-cigarettes and other electronic  smoking devices in                                                               
places that are supposed to be smoke free.                                                                                      
                                                                                                                                
REPRESENTATIVE STUTES noted  that there was not a  lot of history                                                               
or studies that  it may potentially cause health  issues, and she                                                               
asked for  verifiable research  that these  were as  hazardous to                                                               
health as cigarettes.                                                                                                           
                                                                                                                                
MS. DAY  replied that there  were new studies  about e-cigarettes                                                               
being  released  monthly.   She  listed  a  recent study  by  the                                                               
American Society  for Heating  and Air  Conditioning Regulations,                                                               
the  standard setting  body for  indoor air,  which had  added e-                                                               
cigarettes to  the list  for things  not to  have in  indoor air.                                                               
She  noted  that the  World  Health  Organization had  written  a                                                               
background  paper  on  e-cigarettes,  which  stated  that  people                                                               
exposed  to e-cigarette  vapor absorb  nicotine,  with one  study                                                               
comparing  this to  the levels  comparative  to passive  smokers.                                                               
She  stated  that  a recently  published  environmental  research                                                               
journal  addressed  the cotinine  of  non-smokers  exposed to  e-                                                               
cigarettes.    She reiterated  that  new  studies were  published                                                               
monthly about the dangers of e-cigarettes.                                                                                      
                                                                                                                                
CHAIR SEATON asked that copies of  the studies be provided to the                                                               
committee.                                                                                                                      
                                                                                                                                
5:12:44 PM                                                                                                                    
                                                                                                                                
[HB 40 was held over]                                                                                                           

Document Name Date/Time Subjects
HB40 - Version A.PDF HHSS 3/10/2015 3:00:00 PM
HB 40
HB40 Sponsor Statement.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB40 - Supporting Document - CDC Testimony on Secondhand Smoke and ENDS Aerosol Alaska February 2015.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB40 - Supporting Document - Electronic Smoking Devices and Secondhand Aerosol (FS-39) 11-2014.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB40 - Letter of Support - American Cancer Society Cancer Action Network.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB40 - Supporting Document - Alaska E-cigarette Fact Sheet.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB40 - Letter of Support - AK LOS HB40 030315.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB40- letter of opposition-assorted form letters.pdf HHSS 3/10/2015 3:00:00 PM
HB40- Fiscal note-DEC.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB40 - powerpoint overview of e-cigarettes.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB40 - Proposed CS version W.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40
HB 59 Version F.pdf HHSS 3/10/2015 3:00:00 PM
HB 59
HB 59 Sectional Analysis_Version F.pdf HHSS 3/10/2015 3:00:00 PM
HB 59
HB 59 Legal opinion_constitutionality 03.02.2015.pdf HHSS 3/10/2015 3:00:00 PM
HB 59
Rep Vazquez_ final questions regarding expansion.pdf HHSS 3/10/2015 3:00:00 PM
Medicaid expansion
HB 59 Support_AK Chiefs of Police.pdf HHSS 3/10/2015 3:00:00 PM
HB 59
H-HSS Expansion Presentation Committee Questions Round 1.pdf HHSS 3/10/2015 3:00:00 PM
DHSS reponses
HB 59_Fiscal Note_DOA-OPA.pdf HHSS 3/10/2015 3:00:00 PM
HB 59
Impact of Medicare Cuts 2015_ASHNHA.pdf HHSS 3/10/2015 3:00:00 PM
Medicaid-Responses by DHSS
Hospital Reported Total Net Incomes_RE 3-5 meeting.pdf HHSS 3/10/2015 3:00:00 PM
Medicaid-Responses by DHSS
H-HSS Expansion Presentation Committee Questions Round 1.pdf HHSS 3/10/2015 3:00:00 PM
Medicaid-Responses by DHSS
DHSS Reply to Question on Reforms & reform numbers_RE 3-5-2015.pdf HHSS 3/10/2015 3:00:00 PM
Medicaid-Responses by DHSS
Questions and Responses from DHSS on Medicaid_Follow-up on 3-5 meeting_v 2.pdf HHSS 3/10/2015 3:00:00 PM
Medicaid-Responses by DHSS
Medicaid-Responses fby DHSS
HB40-Opposition-assorted form emails.pdf HHSS 3/10/2015 3:00:00 PM
HHSS 4/2/2015 3:00:00 PM
HB 40