Legislature(2011 - 2012)SENATE FINANCE 532

02/29/2012 09:00 AM Senate FINANCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= SB 140 CATHINONE BATH SALTS TELECONFERENCED
Moved CSSB 140(JUD) Out of Committee
+= SB 144 STATE IMMUNIZATION PROGRAM TELECONFERENCED
Moved CSSB 144(FIN) Out of Committee
+= SB 160 BUDGET: CAPITAL TELECONFERENCED
Heard & Held
+ FY13 Capital Budget: Agency Overviews TELECONFERENCED
Dept. of Law
Dept. of Commerce, Community & Economic Dev.
Dept. of Revenue
SENATE BILL NO. 144                                                                                                           
                                                                                                                                
     "An Act temporarily reinstating the child and adult                                                                        
     immunization program in the Department of Health and                                                                       
     Social Services; and providing for an effective date."                                                                     
                                                                                                                                
9:11:14 AM                                                                                                                    
                                                                                                                                
Senator  Ellis   MOVED  to  ADOPT  the   proposed  committee                                                                    
substitute  for  CS SB  144  (FIN),  Work Draft  27-LS1068\R                                                                    
(Mischel,  2/21/21). Co-Chair  Hoffman OBJECTED  for purpose                                                                    
of discussion.                                                                                                                  
                                                                                                                                
DARWIN PETERSON, STAFF,  SENATE FINANCE COMMITTEE, discussed                                                                    
the  sectional changes  in the  work draft.  He pointed  out                                                                    
page 3, line  3, and explained that the  previous version of                                                                    
SB 144 stated  that for children under 19 years  of age, the                                                                    
Commissioner  may   approve  any  vaccines  that   had  been                                                                    
specifically  prohibited.  He  noted  that page  3,  line  4                                                                    
included new language  that said for a child  under 19 years                                                                    
of age,  all vaccines  required for school  attendance would                                                                    
be  provided.  Also,  there  was  a  specific  inclusion  of                                                                    
meningococcal,  human papillomavirus  (HPV), and  rotavirus.                                                                    
The  previous  version  of the  bill  specifically  included                                                                    
influenza,  pneumococcal, and  TDAP  vaccines. The  proposed                                                                    
work draft, on  page 3, line 7, added  the Shingles vaccine.                                                                    
He  explained  that the  previous  version  allowed for  the                                                                    
Commissioner to  add or subtract  vaccines for  inclusion in                                                                    
the  program based  on nationally  recognized public  health                                                                    
standards and  the availability of  funding. The  work draft                                                                    
changed that  language by stating that  the Commissioner can                                                                    
add vaccines for inclusion based  on recommendations and the                                                                    
availability of funding, and  only allowing the Commissioner                                                                    
to subtract  vaccines from  the program  if the  disease had                                                                    
been  declared   eradicated  by  the  Centers   for  Disease                                                                    
Control.  He  stated  that  it would  be  incumbent  on  the                                                                    
legislature  to be  sure  the program  is  fully funded  for                                                                    
three  years,  since the  Commissioner  was  not allowed  to                                                                    
subtract  vaccines.  He  noted   the  new  fiscal  note  had                                                                    
increased the cost of the program to $4.632 million.                                                                            
                                                                                                                                
Senator Olson wondered if  the proposed committee substitute                                                                    
had the  support of  the Commissioner  of the  Department of                                                                    
Health  and Social  Services  (DHSS).  Mr. Peterson  replied                                                                    
that  a representative  from DHSS  was available  to testify                                                                    
regarding  their   support.  He  explained  that   DHSS  had                                                                    
expressed   concern  regarding   the   flexibility  of   the                                                                    
Commissioner    to   add    or   subtract    vaccines.   The                                                                    
Commissioner's oversight was restricted  in order to prevent                                                                    
political  influence   to  add  or  subtract   vaccines.  He                                                                    
stressed  that the  change made  for  the children  vaccines                                                                    
allowed  some  flexibility  for  the  Commissioner,  because                                                                    
there was a statute that declared,                                                                                              
                                                                                                                                
     In  the  judgment of  the  Commissioner  of Health  and                                                                    
     Social Services,  if it is  necessary for  the children                                                                    
     and general  public, then vaccines can  be administered                                                                    
     to children.                                                                                                               
                                                                                                                                
Senator  Olson wondered  if the  parents had  the option  of                                                                    
opting out  of the  HPV vaccine.  Mr. Peterson  replied that                                                                    
parents had that option.                                                                                                        
                                                                                                                                
Co-Chair  Hoffman  removed  his objection.  There  being  NO                                                                    
further OBJECTION, it was so ordered.                                                                                           
                                                                                                                                
SENATOR CATHY GIESSEL, introduced herself.                                                                                      
                                                                                                                                
Co-Chair Hoffman requested  a review of the  SB 144. Senator                                                                    
Giessel   stated  that   in  previous   years  the   federal                                                                    
government  had  provided  the State  of  Alaska  with  $4.3                                                                    
million  for  the  vaccine  program,   and  the  amount  had                                                                    
currently  decreased  to  $700,000.   She  stated  that  the                                                                    
governor  had  included  an   additional  $700,000  for  the                                                                    
vaccination  program  in his  proposed  budget.  SB 144  was                                                                    
designed to provide  state funding for the  remainder of the                                                                    
cost of  for the  vaccine program.  She stressed  that there                                                                    
would be a  loss of preventative medicine in  Alaska, if the                                                                    
bill did not pass.                                                                                                              
                                                                                                                                
Senator Olson  wondered if Senator  Giessel was in  favor of                                                                    
the proposed  committee substitute. Senator  Giessel replied                                                                    
that she was in favor of the proposed committee substitute.                                                                     
                                                                                                                                
Senator  Ellis  MOVED to  report  CS  SB  144 (FIN)  out  of                                                                    
committee   with   individual    recommendations   and   the                                                                    
accompanying fiscal  note. There being NO  OBJECTION, it was                                                                    
so ordered.                                                                                                                     
                                                                                                                                
CS SB  144 (FIN) was  REPORTED out  of committee with  a "do                                                                    
pass" recommendation and with a  new fiscal impact note from                                                                    
the Senate  Finance Committee for  the Department  of Health                                                                    
and Social Services.                                                                                                            
                                                                                                                                

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