Legislature(2017 - 2018)CAPITOL 106

03/29/2018 03:00 PM HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Confirmation Hearings: State Medical Board TELECONFERENCED
-- Public Testimony --
+= SB 174 PROGRAMS FOR PERSONS WITH DISABILITIES TELECONFERENCED
Moved SB 174 Out of Committee
-- Testimony <Invited/Public> --
-- Public Testimony --
+= SB 108 MEDICAL CARE/LICENSING/MEDICAL BOARD TELECONFERENCED
Moved CSSSSB 108(FIN) Out of Committee
-- Testimony <Invited/Public> --
-- Public Testimony --
+= HB 358 INSURANCE COVERAGE FOR TELEHEALTH TELECONFERENCED
Moved HB 358 Out of Committee
-- Testimony <Invited/Public> --
-- Public Testimony --
*+ HJR 32 CONST. AM: PARENTAL CONSENT TO ABORTION TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 193 HEALTH CARE; BALANCE BILLING TELECONFERENCED
Moved CSHB 193(HSS) Out of Committee
-- Public Testimony --
          SB 108-MEDICAL CARE/LICENSING/MEDICAL BOARD                                                                       
                                                                                                                                
3:58:22 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ announced  that the next order  of business would                                                               
be CS  FOR SPONSOR SUBSTITUTE  FOR SENATE BILL NO.  108(FIN), "An                                                               
Act  relating  to  the  State  Medical  Board;  relating  to  the                                                               
licensing  of physicians,  osteopaths, and  podiatrists; relating                                                               
to  the  certification of  medical  assistants;  relating to  the                                                               
practice  of  medicine; relating  to  the  practice of  podiatry;                                                               
relating to the practice of  osteopathy; relating to assault of a                                                               
medical professional; and providing for an effective date."                                                                     
                                                                                                                                
3:58:30 PM                                                                                                                    
                                                                                                                                
SENATOR CATHY  GIESSEL, Alaska State Legislature,  explained that                                                               
the proposed  bill included requests  by the State  Medical Board                                                               
for  changes  to their  statutes.    She presented  a  PowerPoint                                                               
titled "SB  108, State  Medical Board,"  and introduced  slide 2,                                                               
"Purpose,"  which  listed  the  two  purposes  of  the  bill:  to                                                               
streamline physician licensing  and to address the  need for both                                                               
licensed and unlicensed office assistants.                                                                                      
                                                                                                                                
3:59:58 PM                                                                                                                    
                                                                                                                                
SENATOR  GIESSEL addressed  slide 3,  "Streamline MD  licensing,"                                                               
which was  addressed by the  proposed bill  in Sections 1,  2, 8,                                                               
and 9 [and  10] for changes to the process  for license approval.                                                               
She declared  that the reason to  the delay for approval  was the                                                               
need for the  license application to first be  reviewed, and then                                                               
forwarded to  the State Medical  Board for evaluation  during its                                                               
quarterly meeting.   She explained  that the proposed  bill would                                                               
authorize  the executive  administrator  to look  at the  license                                                               
applications,  and if  it was  complete, and  there were  not any                                                               
concerns, the  administrator would  be authorized to  approve the                                                               
license  and   issue  temporary   licenses,  as  well   as  grant                                                               
certifications.  The proposed bill  also spelled out prohibitions                                                               
for the  board to limit  the executive  administrator's authority                                                               
in this realm.   She added that this process  had already been in                                                               
use  by   the  Department  of  Commerce,   Community  &  Economic                                                               
Development  for 20  years.   She declared  that it  was a  safe,                                                               
efficient, and proven system.                                                                                                   
                                                                                                                                
4:01:49 PM                                                                                                                    
                                                                                                                                
SENATOR GIESSEL moved  on to slide 4,  "Streamline MD licensing,"                                                               
and reported that  Sections 10 and 11 of the  proposed bill added                                                               
an additional  second person to  issue temporary  licenses should                                                               
the executive administrator not be  available.  She declared that                                                               
that  this would  help streamline  the license  approvals between                                                               
those quarterly  board meetings.   She  reported that  there were                                                               
approximately  290 licenses  in backlog,  although some  of these                                                               
may not be complete.  She noted  that only about 5 percent of the                                                               
applications were complete when submitted.                                                                                      
                                                                                                                                
SENATOR  GIESSEL  directed  attention  to  slide  5,  "Unlicensed                                                               
Assistive Personnel,"  which was  addressed in  Section 3  of the                                                               
proposed bill.   She reported  that, in the  mid-1990s, physician                                                               
offices began  to hire unlicensed  personnel for  routine medical                                                               
duties in order to reduce overhead  costs.  She pointed out that,                                                               
as  the  state medical  laws  prohibited  the delegation  of  any                                                               
medical duties to  an unlicensed person, the  proposed bill would                                                               
correct that  gap in the  laws and it would  authorize delegation                                                               
of routine medical tasks, as  defined by the State Medical Board,                                                               
to an unlicensed person.                                                                                                        
                                                                                                                                
4:05:15 PM                                                                                                                    
                                                                                                                                
SENATOR  GIESSEL addressed  slide 6,  "2.a. Unlicensed  Personnel                                                               
Medical assistants," and noted that  Sections 6, 12, and 14 added                                                               
additional clean  up language, and  put "routine  medical duties"                                                               
under the  exception to the  license to practice medicine  as the                                                               
law currently  prohibited any of  these medical  activities being                                                               
delegated to  unlicensed people.   She  reported that  Section 12                                                               
added medical assistant to the  practice of medicine, and Section                                                               
14  added  medical  assistants   to  the  definition  of  medical                                                               
professional under the Title 12 Criminal Procedure.                                                                             
                                                                                                                                
SENATOR  GIESSEL  directed  attention  to a  second  category  of                                                               
medical assistant created  in the proposed bill  to again correct                                                               
a  problem identified  by practicing  physicians, slides  7 -  8,                                                               
"2.b. Medical  assistants - license/certification."   She relayed                                                               
that earlier  legislation had  prohibited unlicensed  people from                                                               
looking  into the  prescription  drug database,  as it  contained                                                               
sensitive  information.   She  stated that  this  had now  caused                                                               
problems  in the  offices of  pain  or cancer  doctors, as  these                                                               
doctors did  not have staff licensed  to perform this task.   She                                                               
relayed  that the  proposed  bill created  an  entity of  medical                                                               
assistants  who were  certified through  recognized training  and                                                               
certification  programs.    She  added  that  Alaska's  community                                                               
colleges had training programs  for certified medical assistants,                                                               
which were recognized  in many other states.   She explained that                                                               
Section 4 of the proposed  bill defined the certifying process in                                                               
regulation  by  the  board,  slide  9,  "Medical  assistant  with                                                               
certification  Process  defined."    She stated  that  Section  5                                                               
listed specific limitations for use  of the term "certified," and                                                               
that Section  13 included  certification in  the definition  of a                                                               
license.  She  pointed out that these  certified assistants would                                                               
be qualified  to look into  the prescription drug database  for a                                                               
physician, as well as being  assigned more complex medical duties                                                               
as determined by the medical board.                                                                                             
                                                                                                                                
4:10:04 PM                                                                                                                    
                                                                                                                                
SENATOR GIESSEL  emphasized that the proposed  bill would provide                                                               
a  more  efficient,  expeditious,   and  effective  licensing  of                                                               
physicians, it would provide legal  clarity for the delegation of                                                               
routine medical  duties to unlicensed personnel,  and create more                                                               
stringent licensing  for a  person certified  or licensed  by the                                                               
board, slides  10 - 11, "Urgent  need for SB 108."   She declared                                                             
that the state  medical board "really needs this"  and that there                                                               
had not been any opposition to the proposed bill.                                                                               
                                                                                                                                
4:11:09 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SULLIVAN-LEONARD  acknowledged that  other medical                                                               
professionals had  indicated the time  element to manage  all the                                                               
tasks.  She relayed that  certified medical assistants (CMA) were                                                               
very beneficial and asked if  the CMAs could apply a prescription                                                               
or write a prescription.                                                                                                        
                                                                                                                                
SENATOR GIESSEL offered  her belief that the  board intended that                                                               
CMAs  not be  allowed  to  do any  prescribing  or management  of                                                               
opioids other than  accessing the data base.   She cautioned that                                                               
the term CMA was a registered  trademark by one of the certifying                                                               
bodies, and that  neither the term or the words  were used in the                                                               
proposed bill.                                                                                                                  
                                                                                                                                
4:13:00 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KITO  mused that  the proposed bill  was providing                                                               
for  licensing,  registration,  or  certification  of  a  medical                                                               
assistant,  as   well  as   allowing  medical   professionals  to                                                               
designate  routine tasks  to  unlicensed  medical assistants.  He                                                               
asked  if  this  created  two   classes  of  medical  assistants,                                                               
licensed and unlicensed.                                                                                                        
                                                                                                                                
SENATOR GIESSEL  acknowledged that  there were two  categories of                                                               
medical assistants.  One was  a regular medical assistant whereas                                                               
the other had  sought on-going education, had  taken the national                                                               
certifying examination, and was  qualified to pursue licensing by                                                               
the State Medical Board.                                                                                                        
                                                                                                                                
REPRESENTATIVE KITO expressed concern  for the ability to oversee                                                               
a doctor's  office which  could have  both categories  of medical                                                               
assistant.                                                                                                                      
                                                                                                                                
SENATOR GIESSEL  stated that the  medical board would  define the                                                               
limitations on  both entities,  and that  it would  be up  to the                                                               
facility to  monitor that the  clinicians were  practicing within                                                               
the  scope of  their  license.   She  said  that  these were  all                                                               
logistics that the medical profession would work out.                                                                           
                                                                                                                                
4:15:22 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE KITO asked about  the applicability of the medical                                                               
board asking to authorize a  new category of medical professional                                                               
when  they were  not  in  support of  a  similar  request by  the                                                               
naturopath  board.    He  expressed   concern  for  leaving  this                                                               
entirely   to   the  medical   board   while   not  knowing   the                                                               
requirements.                                                                                                                   
                                                                                                                                
SENATOR  GIESSEL  acknowledged  that  he had  identified  a  turf                                                               
situation which  occurred in  medicine.   She shared  an anecdote                                                               
for the nursing profession putting  in statute and regulation the                                                               
authority  to delegate  to unlicensed  assistive personnel.   She                                                               
said that  it was "pretty  routine" to trust  professional boards                                                               
with this.                                                                                                                      
                                                                                                                                
REPRESENTATIVE KITO  said that, although he  appreciated areas of                                                               
turf, it  was necessary  to carefully  understand what  was being                                                               
added.   He expressed  his concern for  the new  certification of                                                               
medical assistants  without fully  understanding their task.   He                                                               
asked  for a  commitment from  the medical  profession that  this                                                               
would  result  in  decreases  in   cost,  as  there  would  be  a                                                               
delegation of  tasks from a  licensed professional  to unlicensed                                                               
individuals.  He  expressed concern that the public  would not be                                                               
receiving the benefit.                                                                                                          
                                                                                                                                
SENATOR GIESSEL said that these  cost reductions should have been                                                               
seen in  the mid-1990s when  medical assistants began  to replace                                                               
licensed professional in physician offices.                                                                                     
                                                                                                                                
REPRESENTATIVE KITO pointed out  that medical costs had continued                                                               
to increase since then.                                                                                                         
                                                                                                                                
CHAIR  SPOHNHOLZ  noted that  the  requirement  that health  care                                                               
providers use  the prescription drug  database had been  added in                                                               
the last few years at a time when  they had not been able to bill                                                               
for that.                                                                                                                       
                                                                                                                                
4:19:25 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR asked whether  the role of untrained students                                                               
working in medical offices was now becoming professionalized.                                                                   
                                                                                                                                
SENATOR GIESSEL  explained that the "regular"  medical assistant,                                                               
usually high school graduates, had been  trained on the job.  She                                                               
reported  that,  as the  education  became  more formalized  over                                                               
time, the State of Alaska now needed to recognize this training.                                                                
                                                                                                                                
REPRESENTATIVE  TARR  opined  that,  as people  would  be  better                                                               
prepared  to  provide  information,  there would  be  a  positive                                                               
benefit.     She   suggested  that   many  of   these  had   been                                                               
administrative, rather than health care positions.                                                                              
                                                                                                                                
SENATOR GIESSEL  expressed her agreement  and suggested  that the                                                               
certified  medical  assistant  would now  perform  more  invasive                                                               
medical procedures,  such as immunizations.   She listed  some of                                                               
the safeguards as a result of medical training.                                                                                 
                                                                                                                                
REPRESENTATIVE TARR  questioned whether  there would be  a public                                                               
comment   period  after   the   State   Medical  Board   prepared                                                               
regulations.                                                                                                                    
                                                                                                                                
SENATOR  GIESSEL   expressed  her  agreement,  noting   that  the                                                               
regulatory  process  took  about  one  year  to  complete,  which                                                               
included a period for public comment.                                                                                           
                                                                                                                                
REPRESENTATIVE  EASTMAN directed  attention to  Section 4  of the                                                               
proposed  bill  and  asked  for the  reasons  that  immunity  was                                                               
offered.                                                                                                                        
                                                                                                                                
4:24:20 PM                                                                                                                    
                                                                                                                                
SENATOR GIESSEL stated that this  was standard language in health                                                               
care statutes for providing immunity  to people making reports of                                                               
incidences.                                                                                                                     
                                                                                                                                
REPRESENTATIVE EASTMAN,  referencing AS 08.64.111,  asked whether                                                               
use of the abbreviation C.M.A.  was intended and whether it would                                                               
run "afoul of the trademark issue" mentioned previously.                                                                        
                                                                                                                                
SENATOR  GIESSEL  replied  that   this  decision  to  choose  the                                                               
certifying  body for  the trademark  C.M.A. was  up to  the State                                                               
Medical  Board,  pointing  out   that  these  initials  were  not                                                               
specified in the proposed bill.                                                                                                 
                                                                                                                                
REPRESENTATIVE EASTMAN  directed attention  to Section 12  of the                                                               
proposed bill and asked whether  the certified medical assistants                                                               
were practicing medicine.                                                                                                       
                                                                                                                                
SENATOR  GIESSEL  explained  that  Section 12  indicated  that  a                                                               
medical  assistant  licensed  under  a separate  chapter  of  the                                                               
proposed  bill  was  exempt from  practicing  without  a  medical                                                               
license.                                                                                                                        
                                                                                                                                
REPRESENTATIVE  EASTMAN asked  if  the other  chapter provided  a                                                               
comparable penalty.                                                                                                             
                                                                                                                                
SENATOR  GIESSEL  acknowledged  that  there  were  penalties  for                                                               
practicing  medicine without  a license.   She  shared the  State                                                               
Medical Board list of other licenses and certificates.                                                                          
                                                                                                                                
4:27:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  KITO expressed  concern regarding  the definition                                                               
of medical professional in Section 14.                                                                                          
                                                                                                                                
SENATOR GIESSEL  directed attention  to similar positions  on the                                                               
medical board  list and acknowledged  that it was a  rather broad                                                               
definition.                                                                                                                     
                                                                                                                                
REPRESENTATIVE KITO compared this  to dental assistants who could                                                               
be delegated tasks  and asked about the  consideration of someone                                                               
as a medical professional "who has zero training."                                                                              
                                                                                                                                
SENATOR GIESSEL explained that the  purpose for the definition of                                                               
medical  professional was  to authorize  for the  routine medical                                                               
tasks, which  included the medical assistant  with certification.                                                               
She suggested that the dental assistant should be added.                                                                        
                                                                                                                                
4:31:03 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ opened invited testimony on SB 108.                                                                             
                                                                                                                                
4:31:15 PM                                                                                                                    
                                                                                                                                
FRED  PARADY, Deputy  Commissioner, Office  of the  Commissioner,                                                               
Department of Commerce, Community  & Economic Development, stated                                                               
his support of  the proposed bill.  He stated  that, in FY17, the                                                               
Department  of Commerce,  Community  &  Economic Development  had                                                               
processed 22  percent more medical  licenses and 31  percent more                                                               
nursing  licenses, reflecting  the  increased  demand for  health                                                               
care professionals  in Alaska.   He reported that  the department                                                               
had  initiated  a  strategic planning  process  which  identified                                                               
streamlining the application process  for health care professions                                                               
as   its  highest   priority.     This   initiative  included   a                                                               
comprehensive  examination  of  the processes,  which  identified                                                               
every  step  of   the  process  to  search   for  roadblocks  and                                                               
bottlenecks.    He  noted  that   27  of  these  roadblocks  were                                                               
identified and evaluated  for the cause in order  to determine if                                                               
this was a public safety  need, whether the process was obsolete,                                                               
and  whether the  roadblock could  be simplified.   He  explained                                                               
that  there  was a  three-pronged  approach  to implementing  the                                                               
solutions  to these  roadblocks: some  were in  board regulation,                                                               
some were improvements  to the IT process, and  some were changes                                                               
to statute.                                                                                                                     
                                                                                                                                
4:34:50 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SULLIVAN-LEONARD  asked if the processing  for the                                                               
positions  in  the proposed  bill  would  be  paid by  the  State                                                               
Medical Board.                                                                                                                  
                                                                                                                                
MR. PARADY said that they would.                                                                                                
                                                                                                                                
4:35:20 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ opened public testimony on SB 108.                                                                              
                                                                                                                                
4:35:43 PM                                                                                                                    
                                                                                                                                
DANNY  ROBINETTE, MD,  Chief Medical  Officer, Foundation  Health                                                               
Partners,  stated that  his organization  was in  support of  the                                                               
proposed  bill to  expedite  the  process.   He  reported on  the                                                               
struggle  to  bring   physicians  to  Alaska.     He  lauded  the                                                               
safeguards in the proposed bill to ensure clean applications.                                                                   
                                                                                                                                
4:37:35 PM                                                                                                                    
                                                                                                                                
CHAIR SPOHNHOLZ closed public testimony on SB 108.                                                                              
                                                                                                                                
4:37:54 PM                                                                                                                    
                                                                                                                                
The committee took a brief at-ease.                                                                                             
                                                                                                                                
4:38:22 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE TARR said that the  proposed bill was an important                                                               
step forward  to hopefully result in  more access to care  and to                                                               
lower costs.   She  stated that  it would  be imperative  for the                                                               
legislature  to maintain  a vigilance  for  the regulations  upon                                                               
release to the public.                                                                                                          
                                                                                                                                
CHAIR SPOHNHOLZ said that she  had heard concerns from physicians                                                               
about the  prescription drug database requirement,  and that this                                                               
new category  would allow health  care practitioners  more office                                                               
efficiency.   She  stated  that the  temporary  licensing was  an                                                               
important aspect and that there were appropriate fail safes.                                                                    
                                                                                                                                
4:40:03 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  ZULKOSKY  moved  to   report  CSSSSB  108  (FIN),                                                               
Version    30-LS0740\I,    from   committee    with    individual                                                               
recommendations and  the accompanying fiscal notes.   There being                                                               
no  objection,  CSSSSB 108  (FIN)  was  reported from  the  House                                                               
Health and Social Services Standing Committee.                                                                                  

Document Name Date/Time Subjects
SB 174 30-LS1258 D.pdf HHSS 3/29/2018 3:00:00 PM
SHSS 2/21/2018 1:30:00 PM
SB 174
SB 174 Sponsor Statement.pdf HHSS 3/29/2018 3:00:00 PM
SHSS 2/21/2018 1:30:00 PM
SB 174
SB 174 Fiscal Note.pdf HHSS 3/29/2018 3:00:00 PM
SHSS 2/21/2018 1:30:00 PM
SB 174
SB 174 Supporting Documents.pdf HHSS 3/29/2018 3:00:00 PM
SHSS 2/21/2018 1:30:00 PM
SB 174
SB 174 Public Input.pdf HHSS 3/29/2018 3:00:00 PM
SHSS 2/21/2018 1:30:00 PM
SB 174
SB 174 Supporting Documents - Written Testimony - Laura Bonner - 3.13.2018.pdf HCRA 3/13/2018 8:00:00 AM
HHSS 3/29/2018 3:00:00 PM
SB 174
SB174 Supporting Document-Support Letter 03.15.2018.pdf HCRA 3/15/2018 8:00:00 AM
HHSS 3/29/2018 3:00:00 PM
SB 174
SB 174 Supporting Documents - Written Testimony - Laura Bonner - 3.13.2018.pdf HHSS 3/20/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
SB 174
SB174 Fiscal Note DHSS-SDSA 03.15.2018.pdf HHSS 3/20/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
SB 174
SB174 Sectional Analysis ver D 03.15.2018.pdf HHSS 3/20/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
SB 174
SB174 Sponsor Statement 03.15.18.pdf HHSS 3/20/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
SB 174
SB174 supporting Documents-2018 Alaska's Developmental Disabilities System 03.15.2018.pdf HHSS 3/20/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
SB 174
SB174 Supporting Document-Support Letter-Lizette Stiehr 03.15.2018.pdf HHSS 3/20/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
HR 3
SB 174
SB174 Supporting Document-Support Letters 03.15.2018.pdf HHSS 3/20/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
SB 174
SB174 Supporting Document--Written Testimony from Kenai LIO 3.28.2018.pdf HHSS 3/29/2018 3:00:00 PM
SB 174
Sai-Ling Liu 2017_Redacted.pdf HHSS 3/29/2018 3:00:00 PM
Medical Board Confirmation
HB 193 Addtional Documents - Policy Implications of Legislating AlaskaCare Benefits Final 2018.pdf HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Additional Document - Letter of Concern AHIP 3.28.2018.pdf HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Additional Documents - DOA Position Statement 3.26.18.pdf HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Additional Document - NCSL Reports 3.28.2018.pdf HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Additional Document - Emergency CPT Code Table 3.28.2018.pdf HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Supporting document - Georgetown Universtiy Health Policy Insititute 3.28.2018.pdf HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Definitions 03.08.2018.pdf HHSS 3/8/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Draft Proposed Blank CS ver T 03.08.2018.pdf HHSS 3/8/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Sectional Analysis 03.08.2018.pdf HHSS 3/8/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
HB 193
HB 193 Sponsor Statement 03.08.2018.pdf HHSS 3/8/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
HB 193
HB193 Fiscal Note CED--IO 3.7.2018.pdf HHSS 3/8/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
HB 193
SSSB108 Supporting Document Backlog Stats DCCED 2-13-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 Supporting Document Flow Chart 2016.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108(FIN) Fiscal Note DCCED 3-14-18.PDF HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108(FIN) Sectional Analysis 3-14-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108(FIN) vsn I 3-14-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 Power Point 3-24-18_cg.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 Version U 1-18-18.PDF HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108(FIN) Explanation of Changes 3-14-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 CS (FIN) Sponsor Statement 3-13-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 Letter of Support - Foundation Health Partners 2-7-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 Letter of Support ASMA 2-27-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 Letter of Support ASMB 2-9-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 Letter of Support Cmmsr Navarre 2-2-16.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
SSSB108 Support Letter AK State Medical Bd 1-24-18.pdf HHSS 3/29/2018 3:00:00 PM
SB 108
HB358 Sectional Analysis ver J 03.07.18.pdf HHSS 3/8/2018 3:00:00 PM
HHSS 3/29/2018 3:00:00 PM
HB 358
HJR032 Sponsor Statement 2.27.18.pdf HHSS 3/29/2018 3:00:00 PM
HJR 32