Legislature(2019 - 2020)BARNES 124

05/10/2019 03:15 PM House LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 103 STATE GAMING COMMISSION; CARD ROOMS TELECONFERENCED
Scheduled but Not Heard
+= HB 127 DENTAL HYGIENIST ADVANCED PRAC PERMIT TELECONFERENCED
Heard & Held
-- Public Testimony --
+ HB 93 MILITARY SPOUSE COURTESY LICENSE TELECONFERENCED
Heard & Held
+ HB 113 MILITARY FAMILY EMPLOYMENT PREFERENCE TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
          HB 127-DENTAL HYGIENIST ADVANCED PRAC PERMIT                                                                      
                                                                                                                                
3:28:12 PM                                                                                                                    
                                                                                                                                
CHAIR WOOL  announced that the  first order of business  would be                                                               
HOUSE BILL  NO. 127, "An Act  relating to the practice  of dental                                                               
hygiene;  establishing an  advanced practice  permit; prohibiting                                                               
unfair  discrimination under  group  health  insurance against  a                                                               
dental hygienist who holds an  advanced practice permit; relating                                                               
to medical assistance for dental  hygiene services; and providing                                                               
for an effective date."                                                                                                         
                                                                                                                                
3:28:47 PM                                                                                                                    
                                                                                                                                
CHAIR WOOL opened public testimony.                                                                                             
                                                                                                                                
3:29:13 PM                                                                                                                    
                                                                                                                                
JEFF KILGORE  stated his support for  HB 127.  He  said he worked                                                               
the  first eight  years of  his career  at a  federally qualified                                                               
health center as the "Dental  Director."  After which he switched                                                               
to the  private sector.  He  explained that in both  settings, he                                                               
saw the importance  of access to care and how  challenging it can                                                               
be -  especially for  the elderly and  disabled populations.   He                                                               
noted the  challenge of getting  them into a  traditional setting                                                               
and  opined  that  having  a  nontraditional  option,  like  home                                                               
visits, would improve both their dental and systemic health.                                                                    
                                                                                                                                
3:31:14 PM                                                                                                                    
                                                                                                                                
CHERYL KILGORE said  she has been working in  healthcare for many                                                               
decades and  over that  time, has seen  both access  problems and                                                               
successful  delivery.   She  said  that  hygienists are  uniquely                                                               
qualified to  provide preventive  and interventive  services that                                                               
would be  beneficial to vulnerable  populations, like  seniors in                                                               
nursing homes.   She commended HB 127 for trying  to utilize that                                                               
unique skillset to  take better care of all Alaskans.   She urged                                                               
members to support this bill.                                                                                                   
                                                                                                                                
3:33:37 PM                                                                                                                    
                                                                                                                                
ROYANN ROYER, gave  a brief history of her  experience working in                                                               
private  practices,  public  health and  instructing  the  dental                                                               
program at University of Alaska  Anchorage (UAA).  Currently, she                                                               
said she works  in a collaborative agreement at  a long-term care                                                               
center, which  is why she  supports HB 127.   She said if  HB 127                                                               
passes, she would be able to continue preventative services.                                                                    
                                                                                                                                
3:38:34 PM                                                                                                                    
                                                                                                                                
JON  ZASADA,  Director/Policy  Integration, Alaska  Primary  Care                                                               
Association,  voiced his  support  for HB  127.   Recruiting  and                                                               
retaining the necessary workforce  to staff comprehensive primary                                                               
care  practices  that  provide dental,  medical,  and  behavioral                                                               
health  in coordination  with care  services to  patients is  the                                                               
number  one  concern and  priority  of  the Alaska  Primary  Care                                                               
Association's leaders.                                                                                                          
                                                                                                                                
DAVID NIELSON, Alaska  Board of Dental Examiners,  said, as chair                                                               
of the  Alaska Board of  Dental Examiners,  he is here  to answer                                                               
any questions member might have.                                                                                                
                                                                                                                                
3:42:17 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  STORY sought  clarification on  advanced practice                                                               
permits and asked how they are evaluated.                                                                                       
                                                                                                                                
MR.  NIELSON  said the  requirements  are  an active  license  in                                                               
Alaska,  4,000  hours of  documented  clinical  practice, and  no                                                               
disciplinary actions.                                                                                                           
                                                                                                                                
3:43:17 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HANNAN asked  how many years it would  take to get                                                               
4,000 hours.                                                                                                                    
                                                                                                                                
DR. NIELSON estimated 5-10 years.                                                                                               
                                                                                                                                
MS. ROYER, in response to  Representative Hannan, said at least 5                                                               
years.                                                                                                                          
                                                                                                                                
3:44:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE STUTES  asked if the state  Dental Association and                                                               
the Board of Dental Examiners supports HB 127.                                                                                  
                                                                                                                                
REPRESENTATIVE  SPOHNHOLZ   explained  that  the   Alaska  Dental                                                               
Society is the state professional  association for dentists.  She                                                               
noted that  they have  written a letter  of support  [included in                                                               
the committee packet].                                                                                                          
                                                                                                                                
3:45:36 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  STUTES   pointed  out  that  the   Alaska  Dental                                                               
Association made a  "wording" suggestion.  She asked  if that was                                                               
implemented in the committee substitute (CS).                                                                                   
                                                                                                                                
REPRESENTATIVE SPOHNHOLZ deferred the question to her staff.                                                                    
                                                                                                                                
3:45:58 PM                                                                                                                    
                                                                                                                                
BERNICE NISBETT,  Staff, Representative Ivy Spohnholz,  on behalf                                                               
of  Representative Spohnholz,  prime  sponsor, said  that the  CS                                                               
they are working  on will include the changes that  are listed in                                                               
the aforementioned letter.                                                                                                      
                                                                                                                                
CHAIR WOOL announced that HB 127 was held over.                                                                                 
                                                                                                                                
3:46:36 PM                                                                                                                    
                                                                                                                                
CHAIR WOOL closed public testimony.                                                                                             
                                                                                                                                

Document Name Date/Time Subjects
HB 127.Sponsor.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Sectional.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Fiscal DHHS.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Fiscal DCCED.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Fiscal DHHS2.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Backup Alaska Dental HPSA.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Backup State by State.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Backup Support ADHA.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Backup Support Jeff Kilgore.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Backup Support Letters May 1.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Backup Support Letters.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 127.Backup Support Melissa Davis.pdf HL&C 5/10/2019 3:15:00 PM
HB 127
HB 93.Sponsor.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Bill Version A.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Fiscal DCCED.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup REACH Portability Examination.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup Military Spouse Occupations.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup Professional Liscensing for Military Spouses.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup DOD Memorandum.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup Chamber of Commerce Letter.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup Evaluation of Liscensure Implementation.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup How Alaska is Meeting Guideline for Licensure.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup Military Spouse Flyer.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 93.Backup Military Spouse Liscence Statute.pdf HL&C 5/10/2019 3:15:00 PM
HB 93
HB 113.Sponsor.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Summary of Changes to Version S.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Bill Version S.PDF HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Sectional.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Fiscal Note DOL.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Fiscal Note MLV.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Backup Atlantic Article.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Backup DOD Memorandum.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Backup Blue Star Family Survey.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Backup Military Spouse Challenges.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Backup Military Spouse Employment Plight.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Backup Office of US Military Spouses.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Backup People Analytics Survey.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Backup State Hiring Preference.pdf HL&C 5/10/2019 3:15:00 PM
HB 113
HB 113.Military Family Lifestyle.pdf HL&C 5/10/2019 3:15:00 PM
HB 113