Legislature(2011 - 2012)CAPITOL 106

02/28/2012 03:00 PM HEALTH & SOCIAL SERVICES


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03:06:26 PM Start
03:06:54 PM Confirmation Hearing(s): State Medical Board
03:42:28 PM HB310
03:57:39 PM HB218
04:55:05 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Confirmation Hearing: TELECONFERENCED
State Medical Board
+= HB 310 STATE IMMUNIZATION PROGRAM TELECONFERENCED
Moved CSHB 310(HSS) Out of Committee
*+ HB 218 PRESCRIPTION DRUG SPECIALTY TIERS TELECONFERENCED
Heard & Held
               HB 310-STATE IMMUNIZATION PROGRAM                                                                            
                                                                                                                                
3:42:28 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER announced  that the next order of  business would be                                                               
HOUSE BILL  NO. 310,  "An Act  temporarily reinstating  the child                                                               
and adult  immunization program in  the Department of  Health and                                                               
Social Services; and providing for an effective date."                                                                          
                                                                                                                                
REPRESENTATIVE HERRON  moved to adopt Amendment  A.1, labeled 27-                                                               
LS1273\A.1, Luckhaupt/Mischel, 2/28/12, which read:                                                                             
                                                                                                                                
     Page 1, line 12:                                                                                                           
          Delete "recommended"                                                                                                  
                                                                                                                                
     Page 1, line 13:                                                                                                           
          Delete "recommended"                                                                                                  
                                                                                                                                
     Page 3, line 1:                                                                                                            
          Delete "recommended"                                                                                                  
                                                                                                                                
     Page 3, lines 3 - 8:                                                                                                       
          Delete all material and insert:                                                                                       
          "(f)  The vaccines included in the program                                                                            
               (1)  for a child under 19 years of age are                                                                       
       all vaccines required for school attendance under                                                                        
     AS 14.30.125 and influenza and pneumococcal vaccines;"                                                                     
                                                                                                                                
     Page 3, line 13, following "standards":                                                                                    
          Insert ", the recommendations of the federal                                                                          
     advisory committee on immunization practices,"                                                                             
                                                                                                                                
CHAIR KELLER objected for discussion.                                                                                           
                                                                                                                                
REPRESENTATIVE  HERRON  explained  that  proposed  Amendment  A.1                                                               
would  delete "recommended"  as it  was  a hard  word to  define.                                                               
Referring  to  page 3,  lines  3-8,  he  explained that  all  the                                                               
vaccines approved  by the commissioner [Department  of Health and                                                               
Social  Services] for  school attendance  would now  be included.                                                               
He listed the required immunizations  for school attendance to be                                                               
diphtheria, tetanus, polio,  pertussis, measles, mumps, Hepatitis                                                               
A and B, rubella, and varicella.                                                                                                
                                                                                                                                
3:44:48 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER  asked  if  the Department  of  Health  and  Social                                                               
Services (DHSS)  had reviewed  the proposed  amendment and  if it                                                               
had any  impact to  the fiscal  note.   He clarified  that public                                                               
testimony was still open from  the previous meeting [February 14,                                                               
2012].                                                                                                                          
                                                                                                                                
3:45:18 PM                                                                                                                    
                                                                                                                                
JILL LEWIS,  Deputy Director-Juneau, Central Office,  Division of                                                               
Public  Health,   Department  of  Health  and   Social  Services,                                                               
acknowledged that  DHSS had reviewed the  proposed amendment, and                                                               
had not found there to be any impact on the fiscal note.                                                                        
                                                                                                                                
3:45:55 PM                                                                                                                    
                                                                                                                                
WARD HURLBURT,  MD, Chief  Medical Officer/Director,  Division of                                                               
Public Health,  Central Office, Department  of Health  and Social                                                               
Services,  expressed his  agreement  with Ms.  Lewis, and  stated                                                               
that the  proposed amendment clarified  the use of the  most cost                                                               
effective vaccines, and offered flexibility to DHSS.                                                                            
                                                                                                                                
3:46:56 PM                                                                                                                    
                                                                                                                                
MARIE DARLIN,  Coordinator, AARP Capital City  Task Force, stated                                                               
that  AARP  supported  proposed  HB   310.    Speaking  from  the                                                               
standpoint of the  older citizens, she said  that AARP recognized                                                               
that providing  free vaccines  for adults  was "a  good effective                                                               
public  health  measure" and  a  good  preventative issue.    She                                                               
declared support for the immunization  of children, as well.  She                                                               
pointed  to   the  large   number  of   AARP  members,   who,  as                                                               
grandparents, were raising grandchildren.                                                                                       
                                                                                                                                
3:48:18 PM                                                                                                                    
                                                                                                                                
DENISE DANIELLO, Executive Director,  Alaska Commission on Aging,                                                               
Division  of  Senior  and Disabilities  Services,  Department  of                                                               
Health  and  Social  Services (DHSS),  testified  in  support  of                                                               
proposed HB  310.   She stated  that prevention  and vaccinations                                                               
were good  health measures for every  one of every age,  and were                                                               
especially important for older people  as immune systems weakened                                                               
with  age.    These  programs  enhanced  a  person's  health  and                                                               
independence.   She reminded  the committee  that Alaska  was the                                                               
leader in the rate of  senior population growth, and declared the                                                               
importance for immunizations, vaccines,  and healthy behaviors to                                                               
maintain  good  health.    She pointed  out  that  many  seniors,                                                               
including  those who  had lived  a subsistence  life style,  were                                                               
uninsured  or ineligible  for Medicare,  and  would benefit  from                                                               
proposed  HB 310.   She  asked  that the  committee consider  the                                                               
addition  of  an  immunization   for  shingles.    She  described                                                               
shingles as  a painful rash  that, if  in contact with  the eyes,                                                               
could  lead to  blindness.   She  pointed out  that  the risk  of                                                               
shingles increased with  age.  She declared  support for proposed                                                               
HB 310.                                                                                                                         
                                                                                                                                
3:51:54 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KERTTULA  asked if shingles fit  into a nationally                                                               
recognized public  health standard, so  that DHSS could  add this                                                               
to the list of vaccinations.                                                                                                    
                                                                                                                                
3:52:29 PM                                                                                                                    
                                                                                                                                
DR.  HURLBURT  said   that  proposed  HB  310   would  allow  the                                                               
flexibility to  add a vaccination  for shingles.  He  pointed out                                                               
that it  was an expensive vaccine,  but that an efficient  use of                                                               
funding would  allow the addition  of vaccinations  for rotavirus                                                               
and shingles as the next cost effective vaccines.                                                                               
                                                                                                                                
3:53:26 PM                                                                                                                    
                                                                                                                                
CHAIR KELLER closed  public testimony and asked  the committee if                                                               
there were any more questions on the proposed amendment.                                                                        
                                                                                                                                
3:53:55 PM                                                                                                                    
                                                                                                                                
CHAIR  KELLER removed  his  objection to  Amendment  A.1.   There                                                               
being no further objection, Amendment A.1 was passed.                                                                           
                                                                                                                                
3:54:12 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MILLER asked  if it was necessary  to add shingles                                                               
to the language in proposed HB 310.                                                                                             
                                                                                                                                
CHAIR  KELLER  replied that  he  was  satisfied that  DHSS  would                                                               
support the  inclusion of the  shingles vaccination, and  that it                                                               
did not need to be mandated in the proposed bill.                                                                               
                                                                                                                                
3:54:49 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE DICK  moved to report  HB 310, as amended,  out of                                                               
committee  with individual  recommendations and  the accompanying                                                               
fiscal  notes.   There  being  no  objection, CSHB  310(HSS)  was                                                               
reported  from  the House  Health  and  Social Services  Standing                                                               
Committee.                                                                                                                      

Document Name Date/Time Subjects
State Medical Board Confirmations.docx HHSS 2/28/2012 3:00:00 PM
01 - HB 310 27-LS1273.A.pdf HHSS 2/28/2012 3:00:00 PM
HB 310
02 - HB 310 sponsor statement 27-LS1273.pdf HHSS 2/28/2012 3:00:00 PM
HB 310
2.5HB310-DHSS-EPI-2-10-12.pdf HHSS 2/28/2012 3:00:00 PM
HB 310
03 - SB 144 Leg Legal Sectional Analysis (HB310 MODIFICATION HAS BEEN REQUESTED).pdf HHSS 2/28/2012 3:00:00 PM
HB 310
SB 144
04 - DHSSdph Epidemiology Bulletin 2010.10.06.pdf HHSS 2/28/2012 3:00:00 PM
4.5 - DHSSdph Epidemiology Bulletin 2010.10.19.pdf HHSS 2/28/2012 3:00:00 PM
05 - Alaska Health Care Commission 2011 Report exerpt.pdf HHSS 2/28/2012 3:00:00 PM
06 - HB 310 support letter Dr. Rosalyn Singleton.pdf HHSS 2/28/2012 3:00:00 PM
HB 310
07 - HB 310 support letter PremeraBCBS.pdf HHSS 2/28/2012 3:00:00 PM
HB 310
08 - HB 310 support letter Dr. Mary Ann Jacob.pdf HHSS 2/28/2012 3:00:00 PM
HB 310
test HHSS 2/28/2012 3:00:00 PM
HB 218
3 HB 218 Sectional summary.pdf HHSS 2/28/2012 3:00:00 PM
HB 218
4 Premera Letter HB 218.pdf HHSS 2/28/2012 3:00:00 PM
HB 218
2 HB 218.pdf HHSS 2/28/2012 3:00:00 PM
HB 218
2.5 HB 218-DCCED-INS-02-24-12 fiscal note.pdf HHSS 2/28/2012 3:00:00 PM
HB 218
1 HB 218 sponsor.docx HHSS 2/28/2012 3:00:00 PM
HB 218