Legislature(2017 - 2018)CAPITOL 106

02/27/2018 03:00 PM HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 313 RECOVERY OF PAYMENT BY INSURANCE PROVIDER TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+= HB 296 YOUTH MARIJUANA PREVENTION PROGRAMS/FUND TELECONFERENCED
Moved HB 296 Out of Committee
-- Public Testimony --
+= HB 268 OPIOID PRESCRIPTION INFORMATION TELECONFERENCED
Scheduled but Not Heard
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                       February 27, 2018                                                                                        
                           3:04 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Ivy Spohnholz, Chair                                                                                             
Representative Bryce Edgmon, Vice Chair                                                                                         
Representative Sam Kito                                                                                                         
Representative Geran Tarr                                                                                                       
Representative David Eastman                                                                                                    
Representative Jennifer Johnston                                                                                                
Representative Colleen Sullivan-Leonard                                                                                         
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Matt Claman (alternate)                                                                                          
Representative Dan Saddler (alternate)                                                                                          
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
HOUSE BILL NO. 313                                                                                                              
"An Act  relating to  payments to  providers and  covered persons                                                               
and recovery of payments by health care insurers."                                                                              
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
HOUSE BILL NO. 296                                                                                                              
"An  Act  creating  the Alaska  marijuana  use  prevention  youth                                                               
services  grant  program;  creating   the  Alaska  marijuana  use                                                               
prevention,  education,  and  treatment  fund;  relating  to  the                                                               
duties  of  the  Alaska  Children's  Trust  Board;  creating  the                                                               
marijuana use  education and treatment  program; and  relating to                                                               
the duties of the Department of Health and Social Services."                                                                    
                                                                                                                                
     - MOVED HB 296 OUT OF COMMITTEE                                                                                            
                                                                                                                                
SPONSOR SUBSTITUTE FOR HOUSE BILL NO. 268                                                                                       
"An Act relating to the  prescription of opioids; relating to the                                                               
Department  of  Health  and  Social  Services;  relating  to  the                                                               
practice  of dentistry;  relating  to the  practice of  medicine;                                                               
relating to  the practice of  podiatry; relating to  the practice                                                               
of osteopathy; relating to the  practice of nursing; and relating                                                               
to the practice of optometry."                                                                                                  
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 313                                                                                                                  
SHORT TITLE: RECOVERY OF PAYMENT BY INSURANCE PROVIDER                                                                          
SPONSOR(s): REPRESENTATIVE(s) GRENN                                                                                             
                                                                                                                                
01/26/18       (H)       READ THE FIRST TIME - REFERRALS                                                                        
01/26/18       (H)       HSS, L&C                                                                                               
02/06/18       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
02/06/18       (H)       Scheduled but Not Heard                                                                                
02/08/18       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
02/08/18       (H)       <Bill Hearing Canceled>                                                                                
02/27/18       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
                                                                                                                                
BILL: HB 296                                                                                                                  
SHORT TITLE: YOUTH MARIJUANA PREVENTION PROGRAMS/FUND                                                                           
SPONSOR(s): REPRESENTATIVE(s) CLAMAN                                                                                            
                                                                                                                                
01/19/18       (H)       READ THE FIRST TIME - REFERRALS                                                                        
01/19/18       (H)       HSS, FIN                                                                                               
02/08/18       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
02/08/18       (H)       Heard & Held                                                                                           
02/08/18       (H)       MINUTE(HSS)                                                                                            
02/27/18       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
REPRESENTATIVE JASON GRENN                                                                                                      
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Presented HB 313 as the sponsor of the                                                                   
bill.                                                                                                                           
                                                                                                                                
SHEA SIEGERT, Staff                                                                                                             
Representative Jason Grenn                                                                                                      
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions on HB 313 on behalf of                                                                
the bill sponsor, Representative Grenn.                                                                                         
                                                                                                                                
DEBORAH RIESER, Owner                                                                                                           
Spectrum Medical Billing Services                                                                                               
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified during discussion of HB 313.                                                                   
                                                                                                                                
REPRESENTATIVE MATT CLAMAN                                                                                                      
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Presented HB 296 as the sponsor of the                                                                   
bill.                                                                                                                           
                                                                                                                                
SARA PERMAN, Staff                                                                                                              
Representative Matt Claman                                                                                                      
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions on HB 296 on behalf of                                                                
the bill sponsor, Representative Claman.                                                                                        
                                                                                                                                
ALANA HUMPHREY, CEO                                                                                                             
Boys and Girls Club of Southcentral Alaska                                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified during discussion of HB 296.                                                                   
                                                                                                                                
TERRANCE ROBBINS                                                                                                                
Southeast Prevention Services                                                                                                   
Ketchikan, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HB 296.                                                                          
                                                                                                                                
THOMAS AZZARELLA, Director                                                                                                      
Alaska Afterschool Network                                                                                                      
Alaska Children's Trust                                                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified during discussion of HB 296.                                                                   
                                                                                                                                
ELIZA MUSE, Public Health Specialist                                                                                            
Division of Public Health                                                                                                       
Department of Health and Social Services                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions during discussion of HB                                                               
296.                                                                                                                            
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:04:10 PM                                                                                                                    
                                                                                                                                
CHAIR IVY SPOHNHOLZ  called the House Health  and Social Services                                                             
Standing   Committee    meeting   to    order   at    3:04   p.m.                                                               
Representatives  Spohnholz,   Tarr,  Sullivan-Leonard,  Johnston,                                                               
Eastman,  and  Edgmon   were  present  at  the   call  to  order.                                                               
Representative Kito arrived as the meeting was in progress.                                                                     
                                                                                                                                
        HB 313-RECOVERY OF PAYMENT BY INSURANCE PROVIDER                                                                    
                                                                                                                                
3:04:46 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ announced that the  first order of business would                                                               
be HOUSE BILL NO. 313, "An  Act relating to payments to providers                                                               
and  covered persons  and  recovery of  payments  by health  care                                                               
insurers."                                                                                                                      
                                                                                                                                
3:05:23 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   JASON    GRENN,   Alaska    State   Legislature,                                                               
paraphrased from the Sponsor Statement, which read:                                                                             
                                                                                                                                
     32  states have  implemented a  statute of  limitations                                                                    
     for   the    ability   of   insurance    companies   to                                                                    
     retroactively  recoup  indemnities   from  health  care                                                                    
     providers. A  common practice of many  health insurance                                                                    
     companies  is to  perform  an audit  to  make sure  the                                                                    
     claims paid to them were  accurate, a practice that any                                                                    
     business   trying  to   become  more   efficient  would                                                                    
     perform.  Currently  in  Alaska  there  is  no  maximum                                                                    
     number  of years  that  limits  insurance companies  to                                                                    
     retroactively recouping indemnities due  to our lack of                                                                    
     a statute like the one presented in HB 313.                                                                                
                                                                                                                                
     HB 313  simply implements  a statute of  limitations of                                                                    
     18  months  on  health insurance  companies  to  recoup                                                                    
     mistakenly paid  amounts from health care  providers in                                                                    
     Alaska. HB  313 provides exceptions to  this limitation                                                                    
     in  instances of:  a  fraudulently  submitted claim,  a                                                                    
     duplicate claim, in the  instances of misrepresented or                                                                    
     wrongly   identified  services   by  the   health  care                                                                    
     provider,  a claim  that is  subject  to adjustment  by                                                                    
     another health  care insurer, or  any payment  or claim                                                                    
     that is  the subject of legal  action. These exceptions                                                                    
     are  the  only instances  under  which  the statute  of                                                                    
     limitation is flexible for or voided.                                                                                      
                                                                                                                                
     HB  313  is  not  only  a bill  that  focusses  on  the                                                                    
     efficiency of Health Insurers,  but most importantly is                                                                    
     legislation that  ensures that  a financial  burden may                                                                    
     not  be passed  onto the  customer unexpectedly  at any                                                                    
     time after their visit to  the doctor. With the lack of                                                                    
     a statute  of limitation in  this area there  exists an                                                                    
     inherent  liability  that  can  be  passed  on  to  any                                                                    
     Alaskan at essentially any time.                                                                                           
                                                                                                                                
     House  Bill 313,  serves as  a simple  fix for  a large                                                                    
     risk that  resides in the current  statutes surrounding                                                                    
     our  health billing  structure. HB  313, takes  care of                                                                    
     patients,  doctors, and  all health  care providers.  I                                                                    
     humbly  ask   for  your  support   in  this   piece  of                                                                    
     legislation that has  proven to be a simple  fix to our                                                                    
     outdated precedence.                                                                                                       
                                                                                                                                
3:07:47 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  EDGMON  moved  to adopt  the  proposed  committee                                                               
substitute  (CS)  for  HB   313,  labeled  30-LS0852\J,  Wallace,                                                               
2/14/18, as the working draft.                                                                                                  
                                                                                                                                
CHAIR SPOHNHOLZ objected for discussion.                                                                                        
                                                                                                                                
3:08:11 PM                                                                                                                    
                                                                                                                                
SHEA  SIEGERT, Staff,  Representative Jason  Grenn, Alaska  State                                                               
Legislature,  explained that  the  proposed committee  substitute                                                               
(CS),  Version J,  added Section  3  to the  proposed bill  which                                                               
would  amend AS  39.90  to be  subject to  the  provisions in  AS                                                               
21.54.020(d) and AS  21.54.050(d).  He reported  that this change                                                               
would  only affect  a  small  number of  plans  in  the State  of                                                               
Alaska, in  this instance.   In response  to Chair  Spohnholz, he                                                               
explained  that AS  39 dealt  with the  state employee  insurance                                                               
plans, provided through Alaska Care,  and the insurance companies                                                               
which had contracted  with the state for  state employee benefit;                                                               
whereas, AS  21 dealt with all  the other plans for  an insurance                                                               
company doing business in Alaska.                                                                                               
                                                                                                                                
3:09:42 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE EASTMAN  asked about the anticipated  timeline for                                                               
a  claim  before  it  became  the subject  of  the  legal  action                                                               
mentioned in the proposed bill.                                                                                                 
                                                                                                                                
MR. SIEGERT  deferred to  the Department  of Administration.   He                                                               
reported that  the administrative  code, 3AAC 26.10,  stated that                                                               
"health care  insurers shall  give a written  notice to  a health                                                               
care provider, a health care facility,  or a consumer at least 30                                                               
calendar  days before  insurer  seeks  recovery for  overpayment.                                                               
The  notice must  include adequate  information.  ... The  health                                                               
care insurer  may not  initiate recovery  of an  overpayment more                                                               
than 365 days after the date  of the original payment was made to                                                               
a health care provider, a health  care facility."  He stated that                                                               
the intent of  the proposed bill was to make  this change through                                                               
administrative code, and it would only  affect AS 21.  He replied                                                               
to Representative Eastman  that he would have to  "check with our                                                               
legal team on that."                                                                                                            
                                                                                                                                
3:11:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  EASTMAN   directed  attention  to   the  proposed                                                               
committee substitute, Version  J, and asked if  this referenced a                                                               
health care insurer seeking recovery from a provider.                                                                           
                                                                                                                                
3:11:55 PM                                                                                                                    
                                                                                                                                
MR. SIEGERT replied, "yes."                                                                                                     
                                                                                                                                
3:11:58 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE EASTMAN  mused that, should the  provider not want                                                               
to  pay, there  was  an incentive  to wait  out  the health  care                                                               
insurer for  18 months, and  then use  the statute as  a defense.                                                               
He asked if there was any way to prevent this situation.                                                                        
                                                                                                                                
MR. SIEGERT  explained that the  intent of the proposed  bill was                                                               
"to give  notice of the initial  search of the recovery  of funds                                                               
before  that  18 months,  and  so  after  they give  the  initial                                                               
request for more funds, we would  expect that they would do so in                                                               
a timely process."  He offered  his belief "that would have to do                                                               
with regulations put forth by the regulating body."                                                                             
                                                                                                                                
3:13:15 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SULLIVAN-LEONARD asked  about the ramifications if                                                               
this was not completed within the 18 months.                                                                                    
                                                                                                                                
MR. SIEGERT  replied that there would  not be the option  to seek                                                               
recovery of those funds.                                                                                                        
                                                                                                                                
3:13:31 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   SULLIVAN-LEONARD  asked   if   there  were   any                                                               
exceptions.                                                                                                                     
                                                                                                                                
MR.  SIEGERT  reported  that  there  were  five  exceptions:  for                                                               
fraudulent claims,  for payments of duplicate  claims, for health                                                               
care  services  identified in  a  claim  that were  not  actually                                                               
delivered by  the health  care provider,  for payments  or claims                                                               
subject to adjustment  by another health care insurer,  and for a                                                               
payment or claim that was subject of legal action.                                                                              
                                                                                                                                
3:14:12 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SULLIVAN-LEONARD  asked  for  the  reason  to  18                                                               
months, instead of 24 or 36 months.                                                                                             
                                                                                                                                
MR.  SIEGERT  replied that  the  sponsor  had contacted  multiple                                                               
people  and reviewed  other  states.   He  shared that  currently                                                               
three  states had  a  six-month provision,  twelve  states had  a                                                               
twelve-month provision,  and seven  states had  an eighteen-month                                                               
provision.   He opined that this  was the most fair  and adequate                                                               
timeline after  all payments and  transactions had been  made and                                                               
the insurance  company was  conducting an  audit of  the business                                                               
transactions.                                                                                                                   
                                                                                                                                
3:15:52 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ mused that this  appeared to be the outside limit                                                               
of regulation allowed.                                                                                                          
                                                                                                                                
MR. SIEGERT  added that eight states  allowed twenty-four months,                                                               
Connecticut  allowed sixty  months,  and  Florida allowed  thirty                                                               
months.                                                                                                                         
                                                                                                                                
CHAIR SPOHNHOLZ  commented that this  was "the sweet spot  in the                                                               
middle."                                                                                                                        
                                                                                                                                
3:16:32 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ  removed her objection.   There being  no further                                                               
objection, Version J was adopted as the working document.                                                                       
                                                                                                                                
3:16:58 PM                                                                                                                    
                                                                                                                                
The committee took a brief at-ease.                                                                                             
                                                                                                                                
3:17:21 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ  brought the committee  back to order  and opened                                                               
public testimony on HB 313.                                                                                                     
                                                                                                                                
3:17:44 PM                                                                                                                    
                                                                                                                                
DEBORAH  RIESER,   Owner,  Spectrum  Medical   Billing  Services,                                                               
explained that she offered medical  billing services to about 100                                                               
providers,  the  bulk  of  which   were  small  practices.    She                                                               
paraphrased from  a letter  she had  submitted to  the committee,                                                               
dated  January 31,  2018, [Included  in  members' packets]  which                                                               
read:                                                                                                                           
                                                                                                                                
     I'm writing  in response to  House Bill 313,  to change                                                                    
     the Statute  AS 21.54.020(d)  from an  unlimited amount                                                                    
     of  time  a  medical   insurance  company  (Payer)  can                                                                    
     request a refund from HealthCare providers.                                                                                
                                                                                                                                
     Currently,  Alaska  is  1  of 3  states  that  have  an                                                                    
     unlimited timeframe  a Payer can request  a refund from                                                                    
     a provider. I've had a  handful of experiences the last                                                                    
     few years that prompted me  to look at Alaska Statutes.                                                                    
     Currently, most payers require  the Providers to submit                                                                    
     claims within  a certain period.  Most are 1  year from                                                                    
     the date of service, and some  are 6 months, or 90 days                                                                    
     from  the date  of  service. In  turn,  the Payers  can                                                                    
     request a  refund from  anytime in  the future  if they                                                                    
     did  not  process  the claims  correctly.  Here  are  a                                                                    
     couple examples  that happened to Providers  I provider                                                                    
     services to:                                                                                                               
                                                                                                                                
     2016   EBMS request a refund  for 5 dates of service in                                                                    
     2013 as they  continued to pay after  the patients plan                                                                    
     terminated.   The  provider   had   to  repay   approx.                                                                    
     $1,200.00.  Thankfully  the  patient  had  a  secondary                                                                    
     insurance that we could appeal for a payment.                                                                              
                                                                                                                                
     2016   Cigna  requesting a refund for  2014 claims they                                                                    
     paid in error as the patient was not eligible.                                                                             
                                                                                                                                
     2017   Cigna  requesting a refund for  2015 claims paid                                                                    
     in error.                                                                                                                  
                                                                                                                                
     2018 -  EBMS requesting a  refund for 2015  claims that                                                                    
     were paid after the patient was no longer eligible.                                                                        
                                                                                                                                
     2018    Cigna requesting  a refund  for claims  paid in                                                                    
     2016.                                                                                                                      
                                                                                                                                
     All  of  the above  examples  are  not from  fraudulent                                                                    
     claims  but the  Payer should  have some  processed the                                                                    
     claims  correctly the  first  time.  Now the  financial                                                                    
     burden is on the Provider  to refund the Payer. In turn                                                                    
     the patient,  if still in  Alaska, will  be responsible                                                                    
     for these charges.                                                                                                         
                                                                                                                                
     I am for  limiting the timeframe a Payer  can request a                                                                    
     refund.  The  Providers  only have  a  sometimes  small                                                                    
     timeframe  they  can submit  charges  to  a Payer.  The                                                                    
     Payer  should  be  expected   to  process  the  charges                                                                    
     against the policies of the  patient within a timeframe                                                                    
     as well.                                                                                                                   
                                                                                                                                
3:20:46 PM                                                                                                                    
                                                                                                                                
CHAIR  SPOHNHOLZ reiterated  that  although there  was a  limited                                                               
amount of  time to file a  claim, there was not  a limited amount                                                               
of time to collect on an  over payment of a claim, which appeared                                                               
to be a one-sided relationship.                                                                                                 
                                                                                                                                
MS. REISER expressed her agreement.                                                                                             
                                                                                                                                
3:21:11 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ announced that HB 313 would be held over.                                                                       
                                                                                                                                
        HB 296-YOUTH MARIJUANA PREVENTION PROGRAMS/FUND                                                                     
                                                                                                                                
3:21:27 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ announced  that the next order  of business would                                                               
be HOUSE BILL NO. 296, "An  Act creating the Alaska marijuana use                                                               
prevention  youth services  grant  program;  creating the  Alaska                                                               
marijuana   use  prevention,   education,  and   treatment  fund;                                                               
relating  to the  duties of  the Alaska  Children's Trust  Board;                                                               
creating the  marijuana use education and  treatment program; and                                                               
relating to  the duties  of the Department  of Health  and Social                                                               
Services."                                                                                                                      
                                                                                                                                
CHAIR SPOHNHOLZ  relayed that she was  Chair of the Board  of the                                                               
Alaska Children's Trust which was  detailed in the proposed bill,                                                               
and she passed the gavel to Representative Tarr.                                                                                
                                                                                                                                
3:22:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   MATT    CLAMAN,   Alaska    State   Legislature,                                                               
paraphrased  from the  Sponsor  Statement  [Included in  members'                                                               
packets], which read:                                                                                                           
                                                                                                                                
     In 2014,  Alaskans legalized the use  and possession of                                                                    
     marijuana  in  the state.  Ballot  measure  2 gave  the                                                                    
     state the  ability to tax and  regulate the production,                                                                    
     sale,  and  use  of  marijuana.   In  2015  the  Alaska                                                                    
     Legislature  decided to  implement a  $50/ounce tax  on                                                                    
     marijuana sales. Since the measure  went into effect in                                                                    
     early  2015  the  state  has  collected  more  than  $6                                                                    
     million dollars in tax revenue.                                                                                            
                                                                                                                                
     HB  296 creates  the Alaska  marijuana use  prevention,                                                                    
     education, and  treatment fund. Under  current statute,                                                                    
     fifty  percent  of  the   tax  revenue  generated  from                                                                    
     marijuana sales  is designated to go  to the recidivism                                                                    
     reduction  fund established  within  the general  fund.                                                                    
     The  remaining fifty  percent  goes  directly into  the                                                                    
     general  fund.  Under  HB   296,  the  remaining  fifty                                                                    
     percent would be allocated into the new fund.                                                                              
                                                                                                                                
     Under  HB 296,  fifty percent  of the  new fund  may be                                                                    
     allocated  to  the  Department  of  Health  and  Social                                                                    
     Services  (DHSS)  for  a  comprehensive  marijuana  use                                                                    
     education and  treatment program, and the  remainder of                                                                    
     the  funds  will go  to  the  newly established  Alaska                                                                    
     marijuana use  prevention youth services  grant program                                                                    
     which is  administered by  the Alaska  Children's Trust                                                                    
     Board.                                                                                                                     
                                                                                                                                
     The  program   implemented  by   DHSS  will   focus  on                                                                    
     statewide  misuse  prevention   and  education  on  the                                                                    
     effects of marijuana and the  Alaska marijuana laws. It                                                                    
     also funds  substance abuse screening and  treatment as                                                                    
     well as  monitoring public perception.  Separately, the                                                                    
     Alaska  Children's  Trust  Board  will  administer  the                                                                    
     Alaska  marijuana use  prevention youth  services grant                                                                    
     program,  giving  grants  to  non-profit  out-of-school                                                                    
     programs  that provide  youth marijuana  use prevention                                                                    
     and reduction curriculums.                                                                                                 
                                                                                                                                
     It is  the intent that the  Legislature treat marijuana                                                                    
     much   like  alcohol   and   tobacco   and  invest   in                                                                    
     prevention,  education,   and  treatment   services  in                                                                    
     youths  and  adults   to  reduce  long-term  associated                                                                    
     costs.  House Bill  296 creates  statewide programs  as                                                                    
     well as the funding structure to do so.                                                                                    
                                                                                                                                
3:23:06 PM                                                                                                                    
                                                                                                                                
SARA PERMAN, Staff, Representative Matt Claman, Alaska State                                                                    
Legislature, paraphrased from the Sectional Summary [Included in                                                                
members' packets], which read:                                                                                                  
                                                                                                                                
     Section 1                                                                                                                
     Adds new sections to AS 17.38:                                                                                             
     Creates  the  Alaska  marijuana  use  prevention  youth                                                                    
     services  grant  program  and  designates  that  it  is                                                                    
     administered  by  the  Alaska  Children's  Trust  (ACT)                                                                    
     Board.  The  program  provides funds  and  training  to                                                                    
     statewide and  community based  programs that  focus on                                                                    
     reducing the  number of youth trying  marijuana for the                                                                    
     first time, and the  number of youth consistently using                                                                    
     marijuana  as   well  as   reducing  youth   access  to                                                                    
     marijuana  and   exposure  to  impaired   driving.  The                                                                    
     programs selected  by the Board must  be either 501c(3)                                                                    
     or federally  recognized tribes,  a municipal  or state                                                                    
     government, or a school. The  ACT Board is charged with                                                                    
     adopting  regulations to  carry out  the grant  program                                                                    
     including   application   requirements  and   reporting                                                                    
     criteria.                                                                                                                  
                                                                                                                                
     17.38.410                                                                                                                
     Creates   the   Alaska    marijuana   use   prevention,                                                                    
     education, and treatment fund. The  fund is part of the                                                                    
     general account  and may be  added to  by appropriation                                                                    
     or donation.  The legislature  appropriates the  50% of                                                                    
     the marijuana  sales tax revenue  that is not  used for                                                                    
     recidivism reduction fund  toward the fund. Twenty-five                                                                    
     percent  (25%)  of  the fund  goes  toward  the  Alaska                                                                    
     marijuana  use  prevention,  education,  and  treatment                                                                    
     program  administered   by  the   ACT  Board   and  the                                                                    
     remaining  twenty-five percent  (25%)  goes toward  the                                                                    
     marijuana   use   education   and   treatment   program                                                                    
     administered  by the  Department of  Health and  Social                                                                    
     Services.                                                                                                                  
                                                                                                                                
     Section 2                                                                                                                
     Amends AS 37.14.230(a)                                                                                                     
     Updates the  responsibilities of the  Alaska Children's                                                                    
     Trust Board the administration  of the Alaska marijuana                                                                    
     use prevention, education, and treatment program.                                                                          
                                                                                                                                
     Section 3                                                                                                                
     Amends AS 43.61.010(c):                                                                                                    
     Designates that  the 50 percent of  the marijuana sales                                                                    
     tax revenue that  is not being used  for the recidivism                                                                    
     reduction  fund  may  be  appropriated  to  the  Alaska                                                                    
     marijuana  use  prevention,  education,  and  treatment                                                                    
     fund.                                                                                                                      
                                                                                                                                
     Section 4                                                                                                                
     Amends 43.61.010(d):                                                                                                       
     Updates  language to  distinguish recidivism  reduction                                                                    
     fund in place of 'fund'.                                                                                                   
                                                                                                                                
     Sec  45.25.115: "Good  cause:  burden  of proof".  Adds                                                                    
     detailed  description   of  "good  cause"   and  notice                                                                    
     requirements   for  termination   of  franchise.   Adds                                                                    
     requirements that the  manufacturer provide dealer with                                                                    
     reasonable performance goals.                                                                                              
                                                                                                                                
     Section 5                                                                                                                
     Amends AS 44.29.020(a):                                                                                                    
     Updates  the  responsibilities  of  the  Department  of                                                                    
     Health  and   Social  Services  (DHSS)to   include  the                                                                    
     administration   of  a   comprehensive  marijuana   use                                                                    
     education and  treatment program  which must  include a                                                                    
     misuse   prevention  component,   a  public   education                                                                    
     campaign,   surveys   of  Alaskan   populations   about                                                                    
     attitudes  and   perceptions  towards   marijuana  use,                                                                    
     monitoring   of  public   health   status  related   to                                                                    
     marijuana  usages,  and  a substance  abuse  screening,                                                                    
     intervention  and treatment  component.  To the  extent                                                                    
     possible, the Department  should administer the program                                                                    
     by grant or contract.                                                                                                      
                                                                                                                                
3:24:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SULLIVAN-LEONARD asked  about the  intent of  the                                                               
initial tax  on marijuana.   She  offered her  understanding that                                                               
the  tax would  be distributed  into  the general  fund and  into                                                               
treatment; whereas,  this would  now be  divided into  another 25                                                               
percent.   She asked for  a review  regarding the intent  for the                                                               
initial tax.                                                                                                                    
                                                                                                                                
3:25:09 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CLAMAN explained  that  the original  legislation                                                               
passed  by the  legislature  had created  a recidivism  reduction                                                               
fund for 50 percent  of the tax even though that  was not part of                                                               
the ballot initiative.   He stated that the remainder  of the tax                                                               
was "open-ended in that legislation."                                                                                           
                                                                                                                                
REPRESENTATIVE  SULLIVAN-LEONARD expressed  her  concern for  the                                                               
intent  of the  ballot measure,  as well  as the  tax, as  to how                                                               
those  funds would  be dispersed.   She  offered her  belief that                                                               
this  would lead  to "everybody  wanting a  little piece  of that                                                               
pie."                                                                                                                           
                                                                                                                                
3:26:15 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KITO offered his belief  that the revenue from the                                                               
marijuana initiative would be used  to balance some of the fiscal                                                               
issues in the state.                                                                                                            
                                                                                                                                
REPRESENTATIVE  CLAMAN replied  that  the use  of  the funds  for                                                               
prevention was a way to actually save the state money.                                                                          
                                                                                                                                
3:27:14 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE JOHNSTON asked if  consideration had been given to                                                               
a stepped-up approach, as the  Alaska Children's Trust would be a                                                               
grant-based program  and it was not  yet known for the  number or                                                               
types of grants.                                                                                                                
                                                                                                                                
REPRESENTATIVE  CLAMAN replied  that, as  this proposed  bill was                                                               
not  viewed   as  an  appropriations  bill,   that  appropriation                                                               
decision would be left to the discretion of the legislature.                                                                    
                                                                                                                                
3:28:36 PM                                                                                                                    
                                                                                                                                
MS.  PERMAN  pointed   out  that  the  funding   was  subject  to                                                               
appropriation from  the legislature,  and she offered  her belief                                                               
that the appropriation could be "up to 50 percent."                                                                             
                                                                                                                                
3:29:17 PM                                                                                                                    
                                                                                                                                
ALANA HUMPHREY, CEO, Boys and  Girls Club of Southcentral Alaska,                                                               
reported that  the Boys  and Girls  clubs in  Alaska collectively                                                               
served  more  than  20,000  youth  through  club  membership  and                                                               
community  outreach at  45 club  sites in  26 Alaska  communities                                                               
during  the out  of  school hours.   She  stated  that the  clubs                                                               
recognized  the importance  of resources  to provide  primary and                                                               
secondary prevention programs  in the hours between 3  p.m. and 6                                                               
p.m.  and during  the  day  in the  summer,  which  was the  most                                                               
dangerous  time  for youths  and  teens.    It was  during  these                                                               
unsupervised times  that kids were  far more likely to  engage in                                                               
risky behaviors,  including marijuana, tobacco, and  alcohol use.                                                               
She  stated that  it was  well documented  for these  time-tested                                                               
quality standards  based on the  principles of  youth development                                                               
and child safety.  She added  that they ensured that the programs                                                               
and  activities were  sensitive to  the  needs of  the youth  and                                                               
community.   She  reported  that the  staff  worked closely  with                                                               
community  leaders  to  "carve a  culturally  relevant  path  for                                                               
success to the youth" and that a  great deal of care was given to                                                               
address  the specific  needs  of  each community  of  kids.   She                                                               
reported that,  even with surveys  showing a decline  in tobacco,                                                               
alcohol, and other drug use, there  were still far too many young                                                               
people with a decreased perception of  the risk related to use of                                                               
these.   She  offered  her  belief that  keeping  kids safe  from                                                               
drugs, alcohol, marijuana and tobacco  use was a shared community                                                               
goal, and  that there was  still much to  be done to  ensure this                                                               
safety and success.  She  reported that an increase to resources,                                                               
such as those indicated in  the proposed bill, could increase the                                                               
service  hours,  programming,   and  mentorships  in  afterschool                                                               
programs.  She declared support for proposed HB 296.                                                                            
                                                                                                                                
3:32:17 PM                                                                                                                    
                                                                                                                                
TERRANCE ROBBINS,  Southeast Prevention Services, shared  that he                                                               
was  a  former  program  director  for  a  drug-free  communities                                                               
program grant.   He said  these program  funds cannot be  used to                                                               
support after  school programming, and  even the local  taxes did                                                               
not  provide  enough  funding  for   marijuana  prevention.    He                                                               
reported that the use of marijuana  by local youth was twice that                                                               
of cigarettes  in Ketchikan.   He pointed out that  the marijuana                                                               
control board  enforcement team was  limited and was  not capable                                                               
of a good  compliance check program at retail stores.   He shared                                                               
that treatment  options and beds  for substance use  disorders in                                                               
Alaska were limited  and very expensive.  He opined  that a great                                                               
use  of  the  marijuana  tax  dollars  would  be  for  prevention                                                               
efforts, instead of treatment later.                                                                                            
                                                                                                                                
3:34:19 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SPOHNHOLZ commented that  there was a very serious                                                               
opioid problem in  the state with a lot of  young people starting                                                               
to use  opioids.  She declared  that the reduction of  even a few                                                               
overdoses from opioids  was positive.  She pointed  out that this                                                               
program  helped to  fill  in  the hole  for  drug free  community                                                               
grants   which  did   not  allow   afterschool   funding.     She                                                               
acknowledged that this afterschool time was a very risky time.                                                                  
                                                                                                                                
3:36:38 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR opened public testimony on HB 296.                                                                          
                                                                                                                                
3:37:16 PM                                                                                                                    
                                                                                                                                
THOMAS  AZZARELLA, Director,  Alaska Afterschool  Network, Alaska                                                               
Children's  Trust,  reported  that for  every  application  using                                                               
federal funding, there were two  applications going unfunded.  He                                                               
stated  that  there  were  an  increased  number  of  communities                                                               
actively  pursuing  afterschool  as  a strategy  to  reduce  risk                                                               
behaviors and  to create a comprehensive  approach for addressing                                                               
opioid and  substance use.  He  emphasized that there was  a need                                                               
for the funding, as there  was an increased number of communities                                                               
turning toward the afterschool programs.                                                                                        
                                                                                                                                
3:38:39 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SULLIVAN-LEONARD asked  for more information about                                                               
the Matanuska-Susitna area.                                                                                                     
                                                                                                                                
MR.  AZZARELLA   explained  that  the   Matanuska-Susitna  Health                                                               
Foundation, as  well as the  United Way and the  school district,                                                               
had  been   organizing  for  a  comprehensive   way  to  approach                                                               
substance  use and  had  noted that  afterschool  was a  critical                                                               
piece.  He reported that  the Matanuska-Susitna Health Foundation                                                               
was  working to  model the  Youth  in Iceland  program which  had                                                               
helped  that country  have the  lowest youth  substance rates  in                                                               
Europe, a  result of youth  engagement during out of  school time                                                               
with afterschool sports and programming.                                                                                        
                                                                                                                                
3:40:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  EASTMAN reflected  on  passage  of the  marijuana                                                               
initiative, with  the idea  "that marijuana  ought to  be treated                                                               
more like  alcohol in  terms of  regulation."   He asked  how the                                                               
alcohol taxes were currently treated  and what was the difference                                                               
with those taxes recommended in the proposed bill.                                                                              
                                                                                                                                
3:42:00 PM                                                                                                                    
                                                                                                                                
ELIZA MUSE, Public Health Specialist,  Division of Public Health,                                                               
Department  of Health  and Social  Services,  explained that  the                                                               
proposed fund was modeled similar  to the alcohol and drug funds,                                                               
which were funded  through the alcohol tax,  and offered services                                                               
through the Division of Behavioral Health.                                                                                      
                                                                                                                                
3:42:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE EASTMAN noted that  this proposed bill recommended                                                               
that 100 percent  of the marijuana taxes be  allocated, with none                                                               
going to the  general fund.  He  asked if this was  the case with                                                               
alcohol taxes.                                                                                                                  
                                                                                                                                
MS. MUSE said that she did not know but would research it.                                                                      
                                                                                                                                
3:43:09 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  KITO, expressing  his concern  that there  was no                                                               
longer an  active afterschool  program in  Juneau, asked  how the                                                               
money  would  be distributed  for  prevention  programs into  the                                                               
smaller rural communities.                                                                                                      
                                                                                                                                
3:43:51 PM                                                                                                                    
                                                                                                                                
MR.  AZZARELLA  directed  attention   to  an  on-line  map  which                                                               
highlighted afterschool  programs.  He  said that they  were able                                                               
to be  flexible and  give grants  based on  community needs.   He                                                               
acknowledged that  current grant funding moved  toward the larger                                                               
urban  centers.   He expressed  hope that  the Alaska  Children's                                                               
Trust, as facilitator  of the grant fund, could  ensure a greater                                                               
rural  equity and  support community-based  solutions to  address                                                               
the greater needs.                                                                                                              
                                                                                                                                
3:45:53 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KITO  asked for clarification that  there were not                                                               
current plans for rural programs,  although there was hope in the                                                               
future.                                                                                                                         
                                                                                                                                
MR.  AZZARELLA  replied  that there  were  currently  afterschool                                                               
programs in  lots of  rural communities, and  that they  would be                                                               
looking to  expand services already  provided.  He stated  that a                                                               
lack  of funding  in rural  communities had  often prevented  the                                                               
services.  He  stated that a hope  for the new fund  would be for                                                               
"areas of highest need."                                                                                                        
                                                                                                                                
REPRESENTATIVE  KITO reflected  that the  map indicated  "quite a                                                               
deficit  of programs  in the  interior of  the state,  except for                                                               
Fairbanks."  He acknowledged that  there were programs in Juneau,                                                               
but  no  other  programs  in   northern  Southeast  Alaska.    He                                                               
suggested  that there  should  be a  concerted  effort that  this                                                               
money  be  used in  communities  that  did not  have  afterschool                                                               
programs.    He  expressed  his  concern that  there  was  not  a                                                               
strategy or  a goal to expand  that outreach, other "than  a hope                                                               
and a prayer."                                                                                                                  
                                                                                                                                
MR.  AZZARELLA  stated  that there  were  programs  in  Southeast                                                               
Alaska communities,  noting that  the aforementioned map  was the                                                               
first inventory.   He  reported that the  map allowed  for better                                                               
understanding of the program locations.   He offered a definition                                                               
for program:  to be meeting three  or more times each week for at                                                               
least one and  one-half hour each session.  He  said the duration                                                               
and frequency  of the programs  was critical.  He  reported that,                                                               
as oftentimes the program was  a teacher staying after school and                                                               
having  an open  classroom, there  was  a desire  to enhance  and                                                               
expand the activities to keep kids engaged.                                                                                     
                                                                                                                                
3:49:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  TARR, explaining  the  tax  revenue for  alcohol,                                                               
reported that the Department of  Revenue's tax division deposited                                                               
all alcohol beverage  tax revenue into the general  fund, and the                                                               
Department of Administration separately  accounted for 50 percent                                                               
of  the tax  collected and  deposited into  the alcohol  and drug                                                               
abuse treatment  and prevention fund.   She shared that  the fund                                                               
had been  created in  2002 for alcohol  and drug  abuse treatment                                                               
programs.                                                                                                                       
                                                                                                                                
3:50:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR closed public testimony on HB 296.                                                                          
                                                                                                                                
3:51:04 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  EDGMON  moved  to  report  HB  296,  Version  30-                                                               
LS0537\I, out  of committee  with individual  recommendations and                                                               
the accompanying zero fiscal notes.                                                                                             
                                                                                                                                
3:51:31 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  EASTMAN  objected.   He  reminded  the  committee                                                               
about  the early  discussions during  the initiative  campaign to                                                               
tax  and regulate  marijuana.   He offered  his belief  that many                                                               
people  supported this  initiative  with  the understanding  that                                                               
some  of these  taxes from  regulation  would go  to the  general                                                               
fund.   He  opined that  this  current argument  to instead  send                                                               
these funds  to prevention of  marijuana use and  treatment could                                                               
have resulted  in a different  election outcome.  He  stated that                                                               
he did not support this proposal as it was currently stated.                                                                    
                                                                                                                                
3:52:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SULLIVAN-LEONARD  also objected  and said  that we                                                               
were not  yet ready  for this.   She stated that  the use  of the                                                               
alcohol tax as funding for  treatment had been overextended.  She                                                               
said that this was setting a  precedent for any other imposed tax                                                               
that  the   funds  would  go  toward   treatment  or  afterschool                                                               
programs.   She reported that  there were grants  for afterschool                                                               
programs  that could  come from  the private  sector or  from the                                                               
health care  facilities, instead  of using  this tax  to "trickle                                                               
down into those programs."  She  suggested that there could be an                                                               
expectation for unlimited funding on the receiving end.                                                                         
                                                                                                                                
3:54:02 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  JOHNSTON  stated  that  she was  "mixed  on  this                                                               
bill."  She  stated that she would support any  funding for after                                                               
school activities,  as it was important  to keep kids busy.   She                                                               
supported  that it  was an  "appropriation  up to"  and that  she                                                               
would support moving the bill forward.                                                                                          
                                                                                                                                
3:54:58 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  KITO  expressed  his  concern  for  the  lack  of                                                               
programs in rural  communities but stated his  support for moving                                                               
the bill out of committee.                                                                                                      
                                                                                                                                
3:55:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE EDGMON spoke in support  of the proposed bill.  He                                                               
shared  that  his memory  of  the  debates during  the  marijuana                                                               
initiative differed significantly from  those of "the two members                                                               
from the  Mat-Su Valley."   He stated  that he remembered  that a                                                               
lot of  the money  was going toward  education and  "keeping kids                                                               
away from marijuana."   He declared that he "couldn't  think of a                                                               
more nobler  purpose than  this money  going to  this fund."   He                                                               
reiterated that his  viewpoint was "highly in  contrast with what                                                               
I just heard a  bit ago."  He stated his  support of the proposed                                                               
bill.                                                                                                                           
                                                                                                                                
3:55:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  TARR   declared  that   she  was  "more   on  the                                                               
activities  side of  things," than  just on  the education.   She                                                               
expressed her  hope that  the available  dollars would  keep kids                                                               
busy "from  6 a.m. to 6  p.m. and then  they could eat and  go to                                                               
bed, and then they  won't have any time to get  in trouble."  She                                                               
stated her support for moving the bill out of committee.                                                                        
                                                                                                                                
3:56:28 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE EASTMAN maintained his objection.                                                                                
                                                                                                                                
3:56:36 PM                                                                                                                    
                                                                                                                                
A roll call vote was  taken.  Representatives Tarr, Kito, Edgmon,                                                               
and Johnston voted  in favor of HB 296.   Representatives Eastman                                                               
and Sullivan-Leonard  voted against  it.   Therefore, HB  296 was                                                               
reported out  of the  House Health  and Social  Services Standing                                                               
Committee by a vote of 4 yeas - 2 nays.                                                                                         
                                                                                                                                
3:57:10 PM                                                                                                                    
                                                                                                                                
The committee took an at-ease from 3:57 p.m. to 4:01 p.m.                                                                       
                                                                                                                                
4:01:44 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR said that HB 268 would be not be heard.                                                                     
                                                                                                                                
4:02:00 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no further business before the committee, the House                                                                 
Health and Social Services Standing Committee meeting was                                                                       
adjourned at 4:02 p.m.                                                                                                          

Document Name Date/Time Subjects
HB296 - Support Letter - AMIA 2.7.18.pdf HHSS 2/27/2018 3:00:00 PM
HB 296
CSHB313 - Ver. J - 2.16.2018.pdf HHSS 2/27/2018 3:00:00 PM
HB 313
HB 313 Letter of support ASHNHA - 2.23.2018.pdf HHSS 2/27/2018 3:00:00 PM
HB 313
HB 313 Letter of Support Spectrum - 2.23.2018.pdf HHSS 2/27/2018 3:00:00 PM
HB 313
HB 313 Letter of Support Nature's Way - 2.23.2018.pdf HHSS 2/27/2018 3:00:00 PM
HB 313
HB 313 Letters of Support - 2.23.2018.pdf HHSS 2/27/2018 3:00:00 PM
HB 313
HB313 - Additional Documents - AKLegResearch.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 313
HB313 Additional Documents - Connecticut - Legislative Research Article 2006 2.7.2018.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 313
HB313 Additional Documents - State Refund Laws 2.7.2018.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 313
HB313 Fiscal Note DCCED-IO 2.7.2018.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 313
HB313 Sponsor Statement - 2.7.2018.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 313
HB296 - Support Letter- Boys and Girls Club 2.7.18.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Fiscal Note--DHSS-DBH 2.7.2018.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Fiscal Note--DHSS-DPH 2.7.2018.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Sectional Analysis 1.31.18.pdf HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Sponsor Statement 1.31.18.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Supplemental Document - ASD Increase Marijuana Suspension 1.31.18.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Supplemental Document - McDowell Group After School Programs Report 1.31.18.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Supplemental Document - TGYS Annual Report 1.31.18.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Supporting Document - DHSS Supporting Powerpoint 2.7.18.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
HB296 Supporting Document - MJ Use in Alaska 2.7.18.pdf HHSS 2/8/2018 3:00:00 PM
HHSS 2/27/2018 3:00:00 PM
HB 296
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
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-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 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 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-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
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-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-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-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-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
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 Draft Proposed Blank CS ver R 2.14.18.pdf 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 Explanation of Changes (O-R).pdf 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--Memos from Leg Legal 2.21.18.pdf 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--Support Letters 2.14.18.pdf 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