Legislature(2011 - 2012)SENATE FINANCE 532

02/15/2012 09:00 AM FINANCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 104 ALASKA PERFORMANCE SCHOLARSHIPS TELECONFERENCED
Heard & Held
+ SB 130 ALASKA NATIVE LANGUAGE COUNCIL TELECONFERENCED
Heard & Held
+ SB 144 STATE IMMUNIZATION PROGRAM TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
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."                                                                     
                                                                                                                                
SENATOR CATHY GIESSEL  presented SB 144 and  stated that the                                                                    
legislation would  restore funding  for the  state's vaccine                                                                    
program  and benefit  every single  Alaskan.  She related  a                                                                    
story   about  George   Washington   and   the  history   of                                                                    
vaccination.   She   observed   that  although   the   older                                                                    
generation  of  Americans  had  all  received  a  small  pox                                                                    
immunization,  children   in  America  were   not  currently                                                                    
receiving   that  vaccination   because   the  vaccine   had                                                                    
eliminated  that disease  from  the world.  She stated  that                                                                    
vaccine  had  a  significant  impact and  discussed  a  1925                                                                    
incident in Nome that was referred  to as "the great race of                                                                    
mercy."  In  1925,  diphtheria was  sweeping  through  Nome,                                                                    
which only had one physician  and four nurses. The physician                                                                    
in Nome  at the time sent  word out that the  anti-toxin for                                                                    
diphtheria was  needed; the only  way to get  the anti-toxin                                                                    
to Nome  was via  dog sled. She  observed that  the Iditarod                                                                    
Race celebrated the  great race of mercy and  noted that the                                                                    
anti-toxin had  saved lives  in the  community of  Nome. She                                                                    
discussed the symptoms  of diphtheria and how it  used to be                                                                    
treated.  The  diphtheria   vaccination  was  combined  with                                                                    
several other immunizations in the  same vaccine, which also                                                                    
contained tetanus, also known  as "lock jaw", and pertussis,                                                                    
otherwise known  as "whooping cough."  She discussed  a 2009                                                                    
outbreak of  whooping cough  in Juneau  and related  that it                                                                    
was  a  serious  disease, particularly  for  young  children                                                                    
because  it impaired  their ability  to breathe.  She shared                                                                    
that  because of  vaccine,  whooping cough  was  able to  be                                                                    
controlled and  related that vaccines had  nearly eliminated                                                                    
polio from the world. She  stated that the late Senator, Ted                                                                    
Stevens,  had  secured  funding   for  a  universal  vaccine                                                                    
program  in  Alaska  that   would  provide  vaccination  for                                                                    
children and adults. She shared  that there were two sources                                                                    
of  funding  for vaccines  in  Alaska;  one source  was  for                                                                    
children's vaccines  and was a  secured source.  She pointed                                                                    
out that  other source  of funding was  from Section  317 of                                                                    
U.S. Public  Health Code, but  that this funding  source was                                                                    
not  secure  and  had   been  significantly  decreased.  The                                                                    
Section 317 funding  used to equal $4.3  million, but Alaska                                                                    
would  only receive  $700,000 in  the upcoming  fiscal year.                                                                    
She related that the governor  had already included $700,000                                                                    
in his  budget and that  SB 144 would provide  an additional                                                                    
$2.9 million.                                                                                                                   
                                                                                                                                
10:46:13 AM                                                                                                                   
                                                                                                                                
Senator  Ellis indicated  that he  had been  contacted by  a                                                                    
number  of  individuals regarding  SB  144.  He stated  that                                                                    
people  seemed  to  generally  support  the  bill,  but  had                                                                    
questions as to why the program  did not include the HPV and                                                                    
meningococcal  meningitis vaccines.  He mentioned  that both                                                                    
vaccines  were  recommended  for  teenage  boys  and  girls.                                                                    
Senator  Giessel responded  that her  focus was  to craft  a                                                                    
bill that  addressed the required vaccines  for children who                                                                    
were entering school, as well  as diseases that adults carry                                                                    
that are deadly  or contagious to children.  She stated that                                                                    
the Section  317 funding  had been  decreasing and  that the                                                                    
cost-benefit ratio  was lower on  the HPV  and meningococcal                                                                    
meningitis  vaccines;  the  Division of  Public  Health  had                                                                    
examined the  cost-benefit ratio  of different  vaccines and                                                                    
had eliminated  those two vaccines  first, when  the funding                                                                    
had begun  to fall.  She concluded  that the  bill's funding                                                                    
was "seriously" needed and that  she had crafted legislation                                                                    
that was very likely to pass.                                                                                                   
                                                                                                                                
Senator  Ellis inquired  if  the exclusion  of  the HPV  and                                                                    
meningococcal  meningitis  vaccines   was  purely  based  on                                                                    
funding  or whether  it was  a political  decision regarding                                                                    
HPV. Senator Giessel responded that  the bill gave the power                                                                    
to   add   additional   vaccines,  should   funding   become                                                                    
available, to  the commissioner of the  Department of Health                                                                    
and Social Services.                                                                                                            
                                                                                                                                
Co-Chair   Stedman  discussed   a  fiscal   note  from   the                                                                    
Department of  Health and Social  Services in the  amount of                                                                    
$2.9 million in general fund  cost for the next three fiscal                                                                    
years.                                                                                                                          
                                                                                                                                
MARY    SULLIVAN,   COORDINATOR,    ALASKA   PRIMARY    CARE                                                                    
ASSOCIATION, ANCHORAGE  (via teleconference),  expressed the                                                                    
association's  strong  support  of   SB  144,  as  well  its                                                                    
companion bill  in the House of  Representatives. She stated                                                                    
that the  association represented Alaska's  community health                                                                    
centers,   which    served   uninsured    and   underinsured                                                                    
individuals across  the state. She  related that one  of the                                                                    
association's smaller clinics in  Talkeetna would be in zero                                                                    
compliance with immunizations due to  a lack of funding. She                                                                    
related that  neither the association nor  its providers had                                                                    
expressed a problem with the  legislation's exclusion of the                                                                    
HPV and meningococcal meningitis vaccines.                                                                                      
                                                                                                                                
10:52:23 AM                                                                                                                   
AT EASE                                                                                                                         
                                                                                                                                
10:52:29 AM                                                                                                                   
RECONVENED                                                                                                                      
                                                                                                                                
ROSALYN SINGLETON,  ALASKA NATIVE TRIBAL  HEALTH CONSORTIUM,                                                                    
ANCHORAGE (via  teleconference), testified in support  of SB                                                                    
144.  She   related  that   when  she   had  started   as  a                                                                    
pediatrician in Alaska,  more than 40 infants  per year were                                                                    
hospitalized with hib meningitis;  some of the infants died,                                                                    
while 30  percent were left  with permanent brain  damage or                                                                    
deafness. She  shared that before vaccines,  Alaska also had                                                                    
large  epidemics  of  hepatitis  A, but  that  an  effective                                                                    
vaccine  had   been  licensed  and  had   nearly  eliminated                                                                    
hepatitis A from  Alaska. She shared that there  had been no                                                                    
outbreaks of  hepatitis A since  the release of  the vaccine                                                                    
in  1995 and  that there  had been  a significant  amount of                                                                    
money  saved as  a result.  She mentioned  that measles  had                                                                    
been under  control in Alaska  since 1998. She  offered that                                                                    
the legislation  was a "stop-gap" effort  to increase access                                                                    
to vaccines  and that if  the bill  did not pass,  the state                                                                    
immunization  program   would  be  unable  to   provide  any                                                                    
vaccines  to  children  outside   of  the  federally  funded                                                                    
vaccines  for  the  uninsured, Medicaid  users,  and  Alaska                                                                    
Native  children. She  concluded  that when  faced with  the                                                                    
high  cost  of vaccines,  many  medical  practices were  not                                                                    
providing  vaccines  at  all  and  that  many  parents  were                                                                    
deferring vaccines  until it was required  for school; these                                                                    
factors  represented an  increased risk  to Alaska's  public                                                                    
health.                                                                                                                         
                                                                                                                                
GEORGE  BROWN, ACADEMY  OF PEDIATRICS  ALASKA  & ALL  ALASKA                                                                    
PEDIATRIC  PARTNERSHIP,  spoke  in  support of  SB  144.  He                                                                    
stated  that Washington  and New  Hampshire had  programs in                                                                    
which  pharmacists,   the  makers  of   vaccines,  insurance                                                                    
companies,  and the  legislated  public  funds for  vaccines                                                                    
were  in one  program that  provided universal  vaccines. He                                                                    
offered that  vaccines clearly helped  to contain  the costs                                                                    
of healthcare.                                                                                                                  
                                                                                                                                
10:57:21 AM                                                                                                                   
                                                                                                                                
WARD HURLBURT,  CHIEF MEDICAL OFFICER, DEPARTMENT  OF HEALTH                                                                    
AND SOCIAL  SERVICES, DIRECTOR,  DIVISION OF  PUBLIC HEALTH,                                                                    
testified in support of SB 144.  He related that when he had                                                                    
started practicing in Alaska in  1961, 25 out of every 1,000                                                                    
children who were born died  from "these diseases," but that                                                                    
currently, only seven children out  of every 1,000 born died                                                                    
per  year  from all  the  causes  of death  combined.["These                                                                    
diseases"  was  made  in  reference  to  diseases  that  are                                                                    
preventable through vaccines.] He  shared that 37 states put                                                                    
state  money   towards  buying  vaccines  and   stated  that                                                                    
immunization was both  an individual and a  public issue. He                                                                    
observed that immunizing a  person protected that individual                                                                    
from a  disease, but that  "herd immunity,"  which protected                                                                    
others, took  place when  there was  sufficient immunization                                                                    
within a  population. He discussed  an outbreak  of whooping                                                                    
cough in California, which had  infected over 2,000 children                                                                    
and killed ten  infants. He stated that the  vaccines in the                                                                    
bill were  selected with fiscal  prudence and  public health                                                                    
in mind.  He pointed  out that "quality  adjusted life-year"                                                                    
was a term that  referred to the cost of saving  a year of a                                                                    
person's life  and that the immunizations  that were covered                                                                    
by the legislation were those  that cost $25,000 or less per                                                                    
year;  the  vaccinations  that  were  not  selected  in  the                                                                    
legislation were those that cost $50,000 per year or more.                                                                      
                                                                                                                                
Mr. Rose expressed the Association  of Alaska School Boards'                                                                    
support of SB 144.                                                                                                              
                                                                                                                                
11:00:05 AM                                                                                                                   
                                                                                                                                
SB 144 was HEARD and HELD in committee for further                                                                              
consideration.                                                                                                                  
                                                                                                                                
Co-Chair Stedman discussed the following meeting's agenda.                                                                      
                                                                                                                                

Document Name Date/Time Subjects
SB 130 Legislative Research Report.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Afognak Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 AK Assoc Bilingual Ed.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 AFN Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 AFN Support Resolution.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 ANEA Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 ANHC Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 ANL Statistics.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 ASRC Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Barrow Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Barrow Support Resolution.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Brower Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Chugachmiut Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Cursory Survey.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Explanation of Changes.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Eyak Support.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 HUNA Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Kawerak Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 NANA Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 North Slope SD Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Northwest Arctic Borough Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 SEALASKA Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Sponsor Statement.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Support Article ADN.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Tanana Chiefs Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Tsiltan Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Yukon-Koyukuk Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
Epidemiology Bulletin 1 1062010.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
Epidemiology Bulletin 2 10192011.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Barbara MacManus.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Dr Janet Sheufelt.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Dr Mary Ann Jacob.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Dr Rosalyn Singleton.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Leg Legal Sectional Analysis.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Gina Carpenter.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Marilyn Kasmar.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Patricia Senner.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Providence Heatlh Services.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - SEARHC.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Sponsor Stmt Giessel Olson 01232012.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
VACCINE Description TABLE Final 02012012.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
What have vaccines done for you lately - PPT.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 - Vaccines - 0-6yrs-schedule-pr 2012.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 - Vaccines - catchup-schedule-pr 2012.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 - Vaccines - 7-18yrs-schedule-pr 2012.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 - Vaccines - adult-schedule 2012.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Glacier Pediatrics.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Katy Sheridan, MD.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
SB 144 Letter of Support - Stephanie Monahan.pdf SFIN 2/15/2012 9:00:00 AM
SB 144
Merck Letter SB 144.doc SFIN 2/15/2012 9:00:00 AM
SB 144
SB 130 North Slope SD Support Letter.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
SB 130 Written Tesimony from Byron Mallot SeaAlaska.pdf SFIN 2/15/2012 9:00:00 AM
SB 130
HB 104 021512 APS SFC Presentation.pdf SFIN 2/15/2012 9:00:00 AM
HB 104
HB104 Admin response to amendments.pdf SFIN 2/15/2012 9:00:00 AM
HB 104
HB 104 SFIN 2-15-12 HB104 Hearing Followup.pdf SFIN 2/15/2012 9:00:00 AM
HB 104
HB 104 SenFin021512 Responses 022212.pdf SFIN 2/15/2012 9:00:00 AM
HB 104
HB104 Rodell to SFC 02-24-12.pdf SFIN 2/15/2012 9:00:00 AM
HB 104
SCS for CSHB 104(FIN) Version R.pdf SFIN 2/15/2012 9:00:00 AM
HB 104
SCS CSHB 104(FIN) Version U.pdf SFIN 2/15/2012 9:00:00 AM
HB 104