Legislature(2017 - 2018)CAPITOL 106

01/30/2018 03:00 PM HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 54 TERMINALLY ILL: ENDING LIFE OPTION TELECONFERENCED
Moved CSSSHB 54(HSS) Out of Committee
-- Public Testimony Closed April 6, 2017 --
+= HB 162 DHSS CENT. REGISTRY;LICENSE;BCKGROUND CHK TELECONFERENCED
Heard & Held
-- Public Testimony --
*+ HB 268 OPIOID PRESCRIPTION WARNINGS TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
            HB 54-TERMINALLY ILL: ENDING LIFE OPTION                                                                        
                                                                                                                                
3:06:37 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ announced that the  first order of business would                                                               
be SPONSOR  SUBSTITUTE FOR HOUSE  BILL NO. 54, "An  Act providing                                                               
an  end-of-life  option  for   terminally  ill  individuals;  and                                                               
providing for an effective date."                                                                                               
                                                                                                                                
3:07:00 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HARRIET   DRUMMOND,  Alaska   State  Legislature,                                                               
paraphrased  from the  Sponsor  Statement  [Included in  members'                                                               
packets, which read in part:                                                                                                    
                                                                                                                                
     This  bill allows  patients to  have important  end-of-                                                                    
     life  discussions with  the doctors  they already  know                                                                    
     and  trust.   Without  this   discussion,  well-meaning                                                                    
     doctors are  faced with prescribing  painful procedures                                                                    
     even when the  patient does not want them  and there is                                                                    
     little  or  no  hope   for  success.  People  in  these                                                                    
     conditions  have already  lost their  health and  often                                                                    
     much, much more.  This bill at least  lets them control                                                                    
     the last and most important decision they have left.                                                                       
                                                                                                                                
     House Bill  54 allows  terminally ill patients  to ease                                                                    
     their suffering  and hasten  an inevitable  and certain                                                                    
     death.  This  bill  preserves dignity  and  a  person's                                                                    
     right to  live, and die,  on their own  terms according                                                                    
     to they own desires and beliefs.                                                                                           
                                                                                                                                
REPRESENTATIVE DRUMMOND offered  an update of the  bill since the                                                               
last  hearing during  the spring  of 2017.   She  relayed that  a                                                               
survey had been conducted of  more than 600 Alaskans which showed                                                               
that more than 70 percent of  voting Alaskans supported an end of                                                               
life option,  "such that  this bill allows."   She  declared that                                                               
community  support  was also  rising,  directing  attention to  a                                                               
Kodiak  Island  Borough assembly  resolution  in  support of  the                                                               
proposed bill.  She encouraged support of the proposed bill.                                                                    
                                                                                                                                
3:08:52 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SULLIVAN-LEONARD asked  for more information about                                                               
the survey.                                                                                                                     
                                                                                                                                
REPRESENTATIVE DRUMMOND  explained that this survey  by a private                                                               
group was  offered regularly on  a quarterly basis  and questions                                                               
could be  added.  In  response, she said  that the cost,  paid by                                                               
her office account, was between $1600 - $1800.                                                                                  
                                                                                                                                
CHAIR SPOHNHOLZ pointed out that Representative Saddler,                                                                        
although present, was a committee alternate, and would not be                                                                   
needed to participate as a committee member.                                                                                    
                                                                                                                                
3:10:02 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ moved to adopt Amendment 1, labeled 30-                                                                         
LS0254\O.1, Laffen/Bannister, 1/29/18, which read:                                                                              
                                                                                                                                
     Page 2, line 21, following "request":                                                                                      
          Insert "and a written request"                                                                                        
                                                                                                                                
     Page 2, following line 28:                                                                                                 
          Insert a new subsection to read:                                                                                      
          "(c)  Notwithstanding (a) of this section, if a                                                                       
     qualified individual  is not physically able  to sign a                                                                    
     written  request, the  qualified individual  may direct                                                                    
     another   individual   to   sign  for   the   qualified                                                                    
     individual."                                                                                                               
                                                                                                                                
     Page 2, line 31, following "request":                                                                                      
          Insert "and the written request"                                                                                      
                                                                                                                                
     Page 3, following line 4:                                                                                                  
     Insert new sections to read:                                                                                               
          "Sec. 13.55.050. Written request requirements.                                                                      
     (a)  A  written  request   for  medication  under  this                                                                    
     chapter must be in  substantially the form described in                                                                    
     AS 13.55.060,  signed   and  dated  by   the  qualified                                                                    
     individual,  and  witnessed  by   at  least  two  other                                                                    
     individuals.  The attending  physician may  not witness                                                                    
     the request.  The witnesses shall,  in the  presence of                                                                    
     the qualified  individual, attest that, to  the best of                                                                    
     their  knowledge and  belief, the  qualified individual                                                                    
     is  capable, acting  voluntarily, and  not under  undue                                                                    
     influence to sign the request.                                                                                             
          (b) Only one witness may be                                                                                           
               (1) a relative of the qualified individual                                                                       
     by blood, marriage, or adoption;                                                                                           
               (2) an individual who, at the time the                                                                           
     qualified  individual  signs   the  request,  would  be                                                                    
     entitled to  a portion of  the estate of  the qualified                                                                    
     individual at  death under  a will  or by  operation of                                                                    
     law; or                                                                                                                    
               (3) an owner, operator, or employee of a                                                                         
     health care facility where  the qualified individual is                                                                    
     receiving medical treatment or is a resident.                                                                              
          (c) If  the qualified  individual is  an inpatient                                                                    
     in  a  long-term  care   facility  when  the  qualified                                                                    
     individual  signs the  request,  one  of the  witnesses                                                                    
     shall be  an individual designated by  the facility who                                                                    
     has  the qualifications  established by  the department                                                                    
     by  regulation.  In  this subsection,  "long-term  care                                                                    
     facility" includes  an assisted living home  as defined                                                                    
     in AS 47.32.900  and a nursing  facility as  defined in                                                                    
     AS 47.32.900.                                                                                                              
          Sec.  13.55.060.  Form   for  written  request.  A                                                                  
     request for a medication under  this chapter must be in                                                                    
     substantially the following form:                                                                                          
                 REQUEST FOR MEDICATION TO END MY LIFE                                                                          
          I, _________________, am an adult of sound mind.                                                                      
          I  am  suffering  from _______________,  which  my                                                                    
     attending  physician  has   determined  is  a  terminal                                                                    
     disease  and which  has been  medically confirmed  by a                                                                    
     consulting physician.                                                                                                      
          I  have  been  fully  informed  of  my  diagnosis,                                                                    
     prognosis,  the   nature  of   the  medication   to  be                                                                    
     prescribed   and   potential  associated   risks,   the                                                                    
     expected   result,  and   the  feasible   alternatives,                                                                    
     including   comfort  care,   hospice  care,   and  pain                                                                    
     control.                                                                                                                   
          I  request that  my attending  physician prescribe                                                                    
     medication  that  will end  my  life  in a  humane  and                                                                    
     dignified manner.                                                                                                          
          INITIAL ONE OF THE FOLLOWING:                                                                                         
          _____  I have  informed my  family of  my decision                                                                    
     and taken their opinions into consideration.                                                                               
          _____ I  have decided not  to inform my  family of                                                                    
     my decision.                                                                                                               
          _____ I have no family to inform of my decision.                                                                      
          I  understand that  I have  the  right to  rescind                                                                    
     this request at any time.                                                                                                  
          I understand the full import  of this request, and                                                                    
     I  expect to  die  when  I take  the  medication to  be                                                                    
     prescribed.  I further  understand that,  although most                                                                    
     deaths  occur within  three hours,  my  death may  take                                                                    
     longer,  and my  attending physician  has counseled  me                                                                    
     about this possibility.                                                                                                    
          I  make  this   request  voluntarily  and  without                                                                    
     reservation,  and I  accept  full moral  responsibility                                                                    
     for my actions.                                                                                                            
          Signed: _____________________                                                                                         
          Dated: ______________________                                                                                         
                       DECLARATION OF WITNESSES                                                                                 
        We declare that the person signing this request                                                                         
               (1) is personally known to us or has                                                                             
     provided proof of identity;                                                                                                
               (2) in our presence signed or directed                                                                           
     another person to sign this request;                                                                                       
               (3) is not an individual for whom either of                                                                      
     us is the attending physician; and                                                                                         
               (4) to the best of our knowledge and belief,                                                                     
               (A) has the ability to make and communicate                                                                      
     health care decisions to health care providers; and                                                                        
               (B) is acting voluntarily and not under                                                                          
     undue influence.                                                                                                           
         _______________________ Witness 1 Date: _____                                                                          
         _______________________ Witness 2 Date: _____                                                                          
          NOTE: One witness may not be a relative (by                                                                           
     blood,  marriage,   or  adoption)  of   the  individual                                                                    
     signing this request, may not  be entitled to a portion                                                                    
     of the individual's  estate on death, and  may not own,                                                                    
     operate,  or  be employed  at  a  health care  facility                                                                    
     where the person  is an individual or  resident. If the                                                                    
     individual is  an inpatient at a  health care facility,                                                                    
     one of the witnesses  shall be an individual designated                                                                    
     by the facility."                                                                                                          
                                                                                                                                
     Page 3, line 5:                                                                                                            
          Delete "Sec. 13.55.050"                                                                                             
          Insert "Sec. 13.55.070"                                                                                             
                                                                                                                                
     Page 3, line 22:                                                                                                           
          Delete "AS 13.55.070"                                                                                                 
          Insert "AS 13.55.090"                                                                                                 
                                                                                                                                
     Page 4, line 2:                                                                                                            
          Delete "AS 13.55.110"                                                                                                 
          Insert "AS 13.55.130"                                                                                                 
                                                                                                                                
     Page 4, line 20:                                                                                                           
          Delete "Sec. 13.55.060"                                                                                             
          Insert "Sec. 13.55.080"                                                                                             
                                                                                                                                
     Page 4, line 26:                                                                                                           
          Delete "Sec. 13.55.070"                                                                                             
          Insert "Sec. 13.55.090"                                                                                             
                                                                                                                                
     Page 5, line 2:                                                                                                            
          Delete "Sec. 13.55.080"                                                                                             
          Insert "Sec. 13.55.100"                                                                                             
                                                                                                                                
     Page 5, line 7:                                                                                                            
          Delete "Sec. 13.55.090"                                                                                             
          Insert "Sec. 13.55.110"                                                                                             
                                                                                                                                
     Page 5, line 10:                                                                                                           
          Delete "Sec. 13.55.100"                                                                                             
          Insert "Sec. 13.55.120"                                                                                             
                                                                                                                                
     Page 5, line 13, following "prescription":                                                                                 
          Insert "and more than 48 hours have elapsed                                                                           
     between the qualified individual's written request and                                                                     
     the writing of the prescription"                                                                                           
                                                                                                                                
     Page 5, line 14:                                                                                                           
          Delete "Sec. 13.55.110"                                                                                             
          Insert "Sec. 13.55.130"                                                                                             
                                                                                                                                
     Page 5, following line 18:                                                                                                 
     Insert a new paragraph to read:                                                                                            
               "(2)  all written requests by a qualified                                                                        
     individual for medication under this chapter;"                                                                             
                                                                                                                                
     Renumber the following paragraphs accordingly.                                                                             
                                                                                                                                
     Page 6, line 2:                                                                                                            
          Delete "Sec. 13.55.120"                                                                                             
          Insert "Sec. 13.55.140"                                                                                             
                                                                                                                                
     Page 6, line 6:                                                                                                            
          Delete "Sec. 13.55.130"                                                                                             
          Insert "Sec. 13.55.150"                                                                                             
                                                                                                                                
     Page 6, line 19:                                                                                                           
          Delete "Sec. 13.55.140"                                                                                             
          Insert "Sec. 13.55.160"                                                                                             
                                                                                                                                
     Page 6, line 28:                                                                                                           
          Delete "Sec. 13.55.150"                                                                                             
          Insert "Sec. 13.55.170"                                                                                             
                                                                                                                                
     Page 7, line 5:                                                                                                            
          Delete "Sec. 13.55.160"                                                                                             
          Insert "Sec. 13.55.180"                                                                                             
                                                                                                                                
     Page 7, line 9:                                                                                                            
          Delete "Sec. 13.55.170"                                                                                             
          Insert "Sec. 13.55.190"                                                                                             
          Delete "AS 13.55.130"                                                                                                 
          Insert "AS 13.55.150"                                                                                                 
          Delete "13.55.140"                                                                                                    
          Insert "13.55.160"                                                                                                    
                                                                                                                                
     Page 7, line 10:                                                                                                           
          Delete "AS 13.55.150"                                                                                                 
          Insert "AS 13.55.170"                                                                                                 
                                                                                                                                
     Page 7, line 11:                                                                                                           
          Delete "AS 13.55.160"                                                                                                 
          Insert "AS 13.55.180"                                                                                                 
                                                                                                                                
     Page 7, line 27:                                                                                                           
          Delete "Sec. 13.55.180"                                                                                             
          Insert "Sec. 13.55.200"                                                                                             
                                                                                                                                
     Page 8, line 12:                                                                                                           
          Delete "Sec. 13.55.190"                                                                                             
          Insert "Sec. 13.55.210"                                                                                             
                                                                                                                                
     Page 8, line 14:                                                                                                           
          Delete "Sec. 13.55.200"                                                                                             
          Insert "Sec. 13.55.220"                                                                                             
                                                                                                                                
     Page 8, line 18:                                                                                                           
          Delete "Sec. 13.55.210"                                                                                             
          Insert "Sec. 13.55.230"                                                                                             
                                                                                                                                
     Page 9, line 2:                                                                                                            
          Delete "Sec. 13.55.220"                                                                                             
          Insert "Sec. 13.55.240"                                                                                             
                                                                                                                                
     Page 9, line 12:                                                                                                           
          Delete "Sec. 13.55.230"                                                                                             
          Insert "Sec. 13.55.250"                                                                                             
                                                                                                                                
     Page 9, line 20:                                                                                                           
          Delete "Sec. 13.55.240"                                                                                             
          Insert "Sec. 13.55.260"                                                                                             
                                                                                                                                
     Page 9, line 26:                                                                                                           
          Delete "Sec. 13.55.250"                                                                                             
          Insert "Sec. 13.55.270"                                                                                             
                                                                                                                                
     Page 10, line 1:                                                                                                           
          Delete "AS 13.55.220"                                                                                                 
          Insert "AS 13.55.240"                                                                                                 
                                                                                                                                
     Page 11, line 11:                                                                                                          
          Delete "AS 13.55.150"                                                                                                 
          Insert "AS 13.55.170"                                                                                                 
                                                                                                                                
     Page 11, line 13:                                                                                                          
          Delete "AS 13.55.150"                                                                                                 
          Insert "AS 13.55.170"                                                                                                 
                                                                                                                                
3:10:28 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR objected for discussion.                                                                                    
                                                                                                                                
CHAIR  SPOHNHOLZ  explained  that   proposed  Amendment  1  would                                                               
include  in   statute  a  requirement   that  a   terminally  ill                                                               
individual's desire  for life ending  medication be  written down                                                               
and witnessed by  two individuals.  Of those two,  only one could                                                               
be related to  an individual entitled to a portion  of the estate                                                               
of the  individual whose life would  be ending or be  employed by                                                               
the  health care  facility  where the  individual  was living  or                                                               
receiving treatment.   She clarified that  two interested parties                                                               
could  not sign  off  on this.    She shared  that  there was  an                                                               
exemption to  the written requirement  if the individual  did not                                                               
possess the  capacity to physically  sign the document.   In that                                                               
case,  the individual  could  direct another  person  to sign  on                                                               
their  behalf.   She  reported that  pages 2  and  3 of  proposed                                                               
Amendment 1 spelled  out the form of the written  request and the                                                               
witnessing aspect.   She directed attention to page 5,  lines 1 -                                                               
2, of  proposed Amendment  1, where  the written  request waiting                                                               
period  was   outlined.    On  page   5,  lines  10  -   11,  the                                                               
documentation requirement was outlined.                                                                                         
                                                                                                                                
3:11:38 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR removed her objection.                                                                                      
                                                                                                                                
3:11:47 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SULLIVAN-LEONARD objected.                                                                                       
                                                                                                                                
REPRESENTATIVE EASTMAN  asked about  a request for  medication by                                                               
an  individual as  an  option, as  they may  be  unsure of  their                                                               
decision.  He  asked if these witnesses would have  to be present                                                               
during the administration of the medicine.                                                                                      
                                                                                                                                
CHAIR SPOHNHOLZ said no.                                                                                                        
                                                                                                                                
3:12:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE JOHNSTON directed attention to  Page 2, line 7 and                                                               
asked if the "by regulation"  referenced the facility and not the                                                               
person.                                                                                                                         
                                                                                                                                
CHAIR SPOHNHOLZ replied, "correct."                                                                                             
                                                                                                                                
REPRESENTATIVE  EASTMAN   acknowledged  that  the   concerns  for                                                               
coercion had  been raised in  the last year.   He asked  if there                                                               
were concerns  for coercion regarding an  individual, and whether                                                               
that would  prohibit the  written request  from going  through or                                                               
would it not have an effect.                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ offered  her belief that the  written request was                                                               
to document and insure that coercion was not in place.                                                                          
                                                                                                                                
REPRESENTATIVE  EASTMAN asked  if a  situation of  coercion would                                                               
prohibit this as a second attempt.                                                                                              
                                                                                                                                
CHAIR  SPOHNHOLZ  questioned  whether  the  reference  of  second                                                               
attempt  was toward  an individual  choosing to  end their  life.                                                               
She opined that the individual  would still have the autonomy for                                                               
choice.                                                                                                                         
                                                                                                                                
3:14:24 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SULLIVAN-LEONARD maintained her objection.                                                                       
                                                                                                                                
3:14:33 PM                                                                                                                    
                                                                                                                                
A  roll   call  vote  was  taken.     Representatives  Spohnholz,                                                               
Johnston,  Edgmon, Kito,  and  Tarr voted  in  favor of  proposed                                                               
Amendment 1.  Representatives  Sullivan-Leonard and Eastman voted                                                               
against it.   Therefore, Amendment 1  was adopted by a  vote of 5                                                               
yeas - 2 nays.                                                                                                                  
                                                                                                                                
3:15:27 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  EASTMAN  asked what  would  appear  on the  death                                                               
certificate if someone went through this process.                                                                               
                                                                                                                                
REPRESENTATIVE  DRUMMOND  offered   her  understanding  that  the                                                               
diagnosis on the death certificate  would be the terminal illness                                                               
which would have killed the person.                                                                                             
                                                                                                                                
REPRESENTATIVE EASTMAN  mused that, from a  legal perspective, it                                                               
would appear  that the  person had not  engaged entirely  in this                                                               
process, and they had died of natural causes.                                                                                   
                                                                                                                                
REPRESENTATIVE DRUMMOND replied, "I think so."                                                                                  
                                                                                                                                
REPRESENTATIVE  SADDLER   (alternate)  asked  to   clarify  that,                                                               
although he was not allowed to  vote on the proposed bill, he was                                                               
not allowed to debate the issue, as well.                                                                                       
                                                                                                                                
CHAIR SPOHNHOLZ offered her belief  that "an alternate is to make                                                               
sure  that you  caucus is  properly represented  and that  you're                                                               
here for informational purposes."                                                                                               
                                                                                                                                
3:17:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  TARR  moved  to   report  SSHB  54,  Version  30-                                                               
LS0254\O,   as  amended,   out  of   committee  with   individual                                                               
recommendations and the accompanying fiscal notes.                                                                              
                                                                                                                                
3:18:13 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  EASTMAN objected.   He  shared that  his concerns                                                               
were "squarely on the side of  what happens when what is supposed                                                               
to happen  doesn't happen."   He  declared that  a chief  role of                                                               
government was  to protect an  individual's right to life  and he                                                               
expressed his  concern that within  this intention of  creating a                                                               
path for things  to happen, there would be abuse.   He stated his                                                               
concern that,  if there was  no requirement for any  witnesses to                                                               
be present  when the  drugs were administered,  it would  be very                                                               
difficult  for  law  enforcement   to  investigate  if  something                                                               
criminal and illegal did take  place which resulted in the death.                                                               
He  declared that  this  was not  a fulfillment  of  the role  to                                                               
protect an  individual's right to  life, or to  prosecute someone                                                               
who took  a life criminally.   He expressed his concern  that the                                                               
age requirement for this process was very young.                                                                                
                                                                                                                                
3:20:46 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   SULLIVAN-LEONARD   echoed    the   comments   of                                                               
Representative Eastman  and stated that  she did not  support the                                                               
proposed bill.   She stated that she believed in  the sanctity of                                                               
life, from beginning  to end.  She shared a  personal anecdote of                                                               
death  within her  family.   She declared  that this  was a  very                                                               
controversial bill.                                                                                                             
                                                                                                                                
3:21:44 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR  referenced the  sad stories  shared earlier.                                                               
She  declared that  each individual  had the  right to  make this                                                               
decision.   She  expressed her  concern for  the more  vulnerable                                                               
populations,  including   seniors  and  those   individuals  with                                                               
disabilities.  She directed attention to  page 2, line 7, that an                                                               
individual   did   not  qualify   solely   because   of  age   or                                                               
disabilities.  She  noted that many elders did  feel themselves a                                                               
burden on  family, especially as their  health deteriorated, they                                                               
had more significant  needs, and they did not  have the resources                                                               
or access to  good health care.  She offered  her belief that, as                                                               
the language  of the  proposed bill  was restrictive,  the issues                                                               
had been addressed  sufficiently.  She stated her  support of the                                                               
proposed bill.  She acknowledged  that the witness aspect was "an                                                               
interesting  component" and  she  expressed her  desire that  the                                                               
bill sponsor further address this as the bill moved forward.                                                                    
                                                                                                                                
3:24:11 PM                                                                                                                    
                                                                                                                                
CHAIR  SPOHNHOLZ offered  her belief  that it  was a  fundamental                                                               
right  for an  individual to  make  the decisions  for their  own                                                               
body.   She  allowed  that the  proposed  bill included  numerous                                                               
safeguards, including the written requirement.   She said that it                                                               
was important  to document the  process.  She  directed attention                                                               
to  page  7, line  27,  which  established  AS 13.55.180,  a  new                                                               
section  establishing criminal  penalties  for anyone  committing                                                               
the  crime of  abuse of  life ending  process of  a person.   She                                                               
pointed  out  that this  was  equivalent  to  murder and  may  be                                                               
punished similarly.   She  declared that  this proposed  bill was                                                               
not  legalizing  anything other  than  giving  an individual  the                                                               
right to make their own choices  with their bodies.  This did not                                                               
give anyone else the right to choose to end another's life.                                                                     
                                                                                                                                
3:26:32 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE EASTMAN maintained his objection.                                                                                
                                                                                                                                
3:26:37 PM                                                                                                                    
                                                                                                                                
A  roll   call  vote  was  taken.     Representatives  Spohnholz,                                                               
Johnston,  Edgmon, Kito,  and Tarr  voted  in favor  of SSHB  54.                                                               
Representatives  Sullivan-Leonard and  Eastman voted  against it.                                                               
Therefore, CSSSHB  54, Version 30-LS0254\O,  was reported  out of                                                               
the  House Health  and Social  Services Standing  Committee by  a                                                               
vote of 5 yeas - 2 nays.                                                                                                        

Document Name Date/Time Subjects
SSHB268 Sectional Analysis ver O 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Sponsor Statement 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-AK DHSS Opioid Addiction and Treatment Factsheet 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-AK DHSS Opioid Infographic 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-AK DHSS Heroin Use Infographic 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-AK DHSS Pain Treatment Handout 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-AMA Study 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-Article ADN AK Gov. Opioid Declaration 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-Article ADN AK Heroin Problem 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-Article Huffington Post 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB 268 Fiscal Note DCCED-CBPL 01.29.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-STUFF Online Article on Alternative Pain Treatment in NZ 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-Report CDC Long Term Opioid Use 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-NJAFP Notice RE New Jersey Opioid Law 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-New Jersey Legislature Relevant Opioid Statutes Doc 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-CDC Patient Opioid Fact Sheet 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-Article VOX 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-Article The Star Press Opioids and Foster Care Indiana 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-Article NIDA 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-Article New Yorker 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB268 Supporting Document-CDC Checklist for Opioid Prescribers 1.24.18.pdf HHSS 1/30/2018 3:00:00 PM
HHSS 2/22/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HHSS 3/6/2018 3:00:00 PM
HB 268
SSHB 54 Supporting Document--End of Life Survey 1.29.2018.pdf HHSS 1/30/2018 3:00:00 PM
HB 54
SSHB 54 Supporting Document--Girdwood Board Of Supervisors.pdf HHSS 1/30/2018 3:00:00 PM
HB 54
SSHB54 Supporting Document - Medical Aid in Dying Kodiak Times.pdf HHSS 1/30/2018 3:00:00 PM
HB 54
SSHB 54 Fiscal Note--DHSS-DPH 1.29.2018.pdf HHSS 1/30/2018 3:00:00 PM
HB 54
SSHB 54 Fiscal Note--DOL-CJL 1.29.2018.pdf HHSS 1/30/2018 3:00:00 PM
HB 54