Legislature(2019 - 2020)SENATE FINANCE 532

02/13/2019 09:00 AM FINANCE

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Audio Topic
09:00:49 AM Start
09:02:29 AM SB37
09:43:34 AM Consideration of Governor's Appointees
10:01:04 AM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ SB 37 RENEWAL OF VACCINE ASSESSMENT PROGRAM TELECONFERENCED
Heard & Held
+ Consideration of Governor's Appointees: TELECONFERENCED
Mental Health Board of Trustees
- Ken McCarty
- John Sturgeon
- Joe Riggs - Removed from Agenda
Regulatory Commission of Alaska
- Dan Sullivan
SENATE BILL NO. 37                                                                                                            
                                                                                                                                
     "An   Act  relating   to  the   statewide  immunization                                                                    
     program."                                                                                                                  
                                                                                                                                
9:02:29 AM                                                                                                                    
                                                                                                                                
SENATOR CATHY GIESSEL, SPONSOR, introduced the bill.                                                                            
                                                                                                                                
9:07:47 AM                                                                                                                    
                                                                                                                                
JANE CONWAY, STAFF, SENATOR CATHY GIESSEL, discussed the                                                                        
Sectional Analysis (copy on file):                                                                                              
                                                                                                                                
     Section 1:                                                                                                                 
     Amends  AS  18.09.200(b)  by removing  the  "phase  in"                                                                    
     language from statute as  the Alaska Vaccine Assessment                                                                    
     Program is now fully implemented.                                                                                          
                                                                                                                                
     Section 2:                                                                                                                 
     Amends  AS  18.09.220(a)  by removing  the  "phase  in"                                                                    
     language from statute as  the Alaska Vaccine Assessment                                                                    
     Program is now fully implemented.                                                                                          
                                                                                                                                
     Section 3:                                                                                                                 
     Repeals AS 18.09.220(e) by removing  the opt out option                                                                    
     for  assesses since  the program  is no  longer in  the                                                                    
     "phase-in" stage                                                                                                           
                                                                                                                                
     Section 4:                                                                                                                 
     Repeals the  sunset provisions  (to repeal  the program                                                                    
     in 2021) that  were in section 5 of  the original bill,                                                                    
     SB 169 in 2014.                                                                                                            
                                                                                                                                
9:09:33 AM                                                                                                                    
                                                                                                                                
DOCTOR  LILY  LOU,  CHIEF  MEDICAL  OFFICER,  DEPARTMENT  OF                                                                    
HEALTH AND  SOCIAL SERVICES, (DHSS)  disclosed that  she was                                                                    
the president  of the American Academy  of Pediatrics Alaska                                                                    
Chapter. She  noted that one  of the letters was  written by                                                                    
her in that capacity, prior to  her taking the role of chief                                                                    
Medical  Officer.   She  stated  that  the   Alaska  Vaccine                                                                    
Assessment  Program made  access to  vaccines universal  for                                                                    
all  Alaskans, and  paid  for itself.  She  stated that  the                                                                    
payers of  the program for  the covered lives,  and provided                                                                    
for Alaskans to  receive a 20 to 30 percent  discount on the                                                                    
price of  vaccines. She noted  the figure, which  showed the                                                                    
cumulative  savings  since  the program's  inception,  which                                                                    
showed a  savings of approximately  $11 million on  the cost                                                                    
of  vaccine.  She  stated that  the  program  streamlined  a                                                                    
previously complicated  procurement and  distribution system                                                                    
into  a   single  system,  providing  a   cost  savings  and                                                                    
efficiency.                                                                                                                     
                                                                                                                                
Senator Micciche queried the chart.                                                                                             
                                                                                                                                
Dr. Lou replied that the graph was in the packet.                                                                               
                                                                                                                                
9:13:21 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:13:51 AM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
9:14:08 AM                                                                                                                    
                                                                                                                                
Dr. Lou continued that the  department felt that the program                                                                    
was effective.                                                                                                                  
                                                                                                                                
Senator  Wielechowski noted  that  the state  would get  the                                                                    
vaccines at a  discount and distributes them at  no cost. He                                                                    
wondered whether the health care  providers could charge the                                                                    
patients for the administration of the vaccination.                                                                             
                                                                                                                                
Dr. Lou  replied that the  provider would still  provide for                                                                    
the office  visit, but the patient  did not need to  pay for                                                                    
the actual vaccine.                                                                                                             
                                                                                                                                
Senator  Wielechowski wondered  whether  the provider  could                                                                    
charge for the vaccine itself.                                                                                                  
                                                                                                                                
Dr. Lou replied in the negative.                                                                                                
                                                                                                                                
Senator Olson  wondered whether the clinic  could charge for                                                                    
the actual vaccine vial.                                                                                                        
                                                                                                                                
Dr. Lou  replied that  the clinic could  not charge  for the                                                                    
actual  vaccine,  but  they  could charge  for  the  act  of                                                                    
administering the vaccine.                                                                                                      
                                                                                                                                
9:17:48 AM                                                                                                                    
                                                                                                                                
JILL  LEWIS,  DEPUTY  DIRECTOR, ALASKA  DIVISION  OF  PUBLIC                                                                    
HEALTH,  discussed  the  presentation,  "SB  37  Renewal  of                                                                    
Vaccine  Assessment  Program,  Senate  and  Social  Services                                                                    
Committee, February 6, 2019" (copy on file).                                                                                    
                                                                                                                                
Ms. Lewis looked at slide 2, "SB 37":                                                                                           
                                                                                                                                
     ? Reauthorizes the  statewide Alaska Vaccine Assessment                                                                    
     Program  in   the  Department  of  Health   and  Social                                                                    
     Services, scheduled for sunset January 1, 2021.                                                                            
     ? Eliminates a  temporary phase-in period that ended in                                                                  
     2017.                                                                                                                      
     ? Uses  the state  Vaccine Assessment Account  to fully                                                                    
     fund the program.                                                                                                          
                                                                                                                                
          o No unrestricted general funds are involved.                                                                         
                                                                                                                                
Ms. Lewis highlighted  slide 3, "What is  the Alaska Vaccine                                                                    
Assessment Program?"                                                                                                            
                                                                                                                                
     Established   in  2014,   AVAP   is   a  public-private                                                                  
     partnership  making access  to  vaccines universal  for                                                                    
     all Alaskans at no cost to the state.                                                                                      
                                                                                                                                
     ?  Provides all  childhood and  certain adult  vaccines                                                                    
     for privately insured children and some adults.                                                                            
     ?  Covers vaccine  costs through  assessments collected                                                                    
     from    private    health   insurers,    third    party                                                                    
     administrators, and other program participants.                                                                            
     ?  Purchases vaccines  at discounted  rates off  a bulk                                                                    
     contract.                                                                                                                  
     ? Distributes vaccine  directly to healthcare providers                                                                    
     at  no  charge who  administer  the  vaccines to  their                                                                    
     patients.                                                                                                                  
                                                                                                                                
Ms. Lewis  looked at  slide 4, "What  is the  Alaska Vaccine                                                                    
Assessment Program?"                                                                                                            
                                                                                                                                
        Through   AVAP,  Alaska  continues   to  demonstrate                                                                    
     leadership   in  creating   innovative  solutions   for                                                                    
     difficult public health issues.                                                                                            
     ? Alaska is one of only  11 states that has a universal                                                                    
     childhood  vaccine program  and  one of  only 3  states                                                                    
     that offers adult vaccines.                                                                                                
     ?  Alaska  is the  only  state  that offers  healthcare                                                                    
     providers  the   option  of  purchasing  state-supplied                                                                  
     vaccine to serve uninsured adults.                                                                                         
                                                                                                                                
Ms. Lewis addressed slide 5, "AVAP":                                                                                            
                                                                                                                                
     Alaska  Vaccine  Assessment  Council  sets  the  annual                                                                    
     assessment rate                                                                                                            
                                                                                                                                
     Payers  pay  into  the assessment  quarterly  based  on                                                                    
     their reported covered lives                                                                                               
                                                                                                                                
     The Division  of Public Health purchases  vaccine off a                                                                    
     discounted bulk contract                                                                                                   
                                                                                                                                
     The Division of Public Health  ships vaccine at no cost                                                                    
     to providers or through the Vaccine Depot                                                                                  
                                                                                                                                
     Providers  vaccinate  covered  patients,  only  billing                                                                    
     payers for office visit.                                                                                                   
                                                                                                                                
     Providers report administered  vaccines to the Division                                                                    
     of Public Health                                                                                                           
                                                                                                                                
     The  Division of  Public Health  provides  data to  the                                                                    
     Council for rate setting                                                                                                   
                                                                                                                                
Co-Chair  von  Imhof   wondered  whether  privately  insured                                                                    
included  Medicaid.  She  asked for  information  about  the                                                                    
purchase of state-supplied vaccine for the uninsured.                                                                           
                                                                                                                                
Ms.  Lewis replied  that the  program had  several different                                                                    
components. The  assessments were  mandated for  health care                                                                    
insurers,  and   to  the  extent  allowed   to  health  plan                                                                    
administrators.                                                                                                                 
                                                                                                                                
9:24:08 AM                                                                                                                    
                                                                                                                                
Senator  Micciche  noted  that  the cost  for  treating  the                                                                    
unvaccinated would  be greatly reduced, because  the program                                                                    
resulted in a savings.                                                                                                          
                                                                                                                                
Ms.   Lewis  agreed   that   they   were  a   cost-efficient                                                                    
preventative measure.                                                                                                           
                                                                                                                                
Senator Wielechowski queried the  percentage of providers in                                                                    
the  state  participated in  the  program.  He wondered  why                                                                    
someone might not participate in the program.                                                                                   
                                                                                                                                
Ms.  Lewis  pointed  to  a  status  update  that  shows  the                                                                    
percentage of covered  lives. She stated that  the number of                                                                    
covered  lives was  approximately 8  percent from  providers                                                                    
that  opted   in.  She  stated  that   approximately  30,000                                                                    
Alaskans benefited from the program.                                                                                            
                                                                                                                                
Ms.   Lewis  discussed   slide   6,   "Vaccine  Cost."   She                                                                    
highlighted slide 7, "Vaccine Coverage":                                                                                        
                                                                                                                                
     2018                                                                                                                       
     ? 366,000 Alaskans covered                                                                                                 
          ? 50 percent of the population                                                                                        
     ? 86,000 children                                                                                                          
          ? 44 percent of all children                                                                                          
     ? 280,000 adults                                                                                                           
          ? 52 percent of all adults                                                                                            
                                                                                                                                
     Vaccination Coverage Awards                                                                                                
                                                                                                                                
          Most improved among adolescents for HPV                                                                               
                                                                                                                                
          Most improved among adults aged 65+ for pneumonia                                                                     
                                                                                                                                
Ms. Lewis looked at slide 8, "Successes":                                                                                       
                                                                                                                                
     ? The Division of Public Health reduces vaccine                                                                            
     preventable diseases.                                                                                                      
     ? Providers have improved health outcomes for                                                                              
     vaccinated individuals and easier vaccine stock                                                                            
     management.                                                                                                                
     ? The health insurance industry pays less to vaccinate                                                                     
     individuals.                                                                                                               
     ? All Alaskans save more money in the long run due to                                                                      
     fewer medical costs from vaccine-preventable diseases.                                                                   
                                                                                                                                
Senator  Micciche looked  at  slide 7,  and  noted that  the                                                                    
number only related to the  percentage of Alaskans that were                                                                    
covered by the program.                                                                                                         
                                                                                                                                
Ms. Lewis deferred to Dr. Lou.                                                                                                  
                                                                                                                                
Dr. Lou  replied that there  was information  on vaccination                                                                    
rates and  information about covered  rates. She  noted that                                                                    
the vaccination rates  of Alaskans, compared to  the rest of                                                                    
the  country, were  below average.  She remarked  that there                                                                    
was a hope  to continue to see a gradual  improvement in the                                                                    
immunization rates. She  stated that there was  not an exact                                                                    
correlation  between  the  number  covered  and  the  number                                                                    
vaccinated,   but   there    was   a   close   proportionate                                                                    
relationship.                                                                                                                   
                                                                                                                                
Co-Chair  von Imhof  looked  at slide  5,  which said,  "The                                                                    
provider's report  administered vaccines to the  Division of                                                                    
Public  Health." She  felt that  it  would be  the count  of                                                                    
everyone vaccinated.                                                                                                            
                                                                                                                                
Dr. Lou  replied that she would  provide further information                                                                    
on those numbers.                                                                                                               
                                                                                                                                
9:30:08 AM                                                                                                                    
                                                                                                                                
Ms. Lewis discussed slide 9, "Return on Health":                                                                                
                                                                                                                                
     Lowers direct and long-term healthcare costs and yields                                                                  
     numerous                                                                                                                   
     public health benefits:                                                                                                    
                                                                                                                                
     ? Ensures that every child and some adults who enter a                                                                     
     participating doctor's office or hospital can receive                                                                      
     recommended vaccines at no cost.                                                                                           
     ? More healthcare providers can offer vaccination                                                                          
     services                                                                                                                   
          ? less up-front costs to finance out of their own                                                                   
          pockets for vaccines, and                                                                                             
          ? reduces staff burdens required to separate                                                                          
          private and public vaccine stock.                                                                                     
     ? Allows the State to manage the supply of vaccines,                                                                       
          ? ensuring that the state can quickly supply                                                                          
          vaccines to vulnerable patient groups during                                                                          
          emergencies or vaccine shortages, and                                                                                 
          ? reducing waste through centralized inventory                                                                        
          management.                                                                                                           
                                                                                                                                
9:31:41 AM                                                                                                                    
                                                                                                                                
Senator Bishop wondered how the supplies were stored.                                                                           
                                                                                                                                
Ms. Lewis  replied that  most of  the vaccines  were shipped                                                                    
directly  to the  providers. She  remarked that,  where that                                                                    
was  not practical,  it was  shipped to  a central  location                                                                    
operated  by  the Division  of  Public  Health called,  "The                                                                    
Vaccine Depot."                                                                                                                 
                                                                                                                                
Senator Wilson wondered how  the Vaccine Population's output                                                                    
functioned toward at risk populations.                                                                                          
                                                                                                                                
Ms. Lewis  replied that the  depot was able to  rapidly give                                                                    
the  vaccine,   and  provided  the  ability   to  work  with                                                                    
partners.                                                                                                                       
                                                                                                                                
Ms.  Lewis addressed  slide 10,  "For  every $1  spent on  a                                                                    
vaccine  in  the  US?"  She   highlighted  slide  11,  "  In                                                                    
Closing?":                                                                                                                      
                                                                                                                                
     Reauthorizing the Alaska Vaccine Assessment Program                                                                        
     ensures a healthier future for all Alaskans at the                                                                         
     lowest possible cost.                                                                                                      
                                                                                                                                
9:36:14 AM                                                                                                                    
                                                                                                                                
MATT  HIRSCHFELT,  ALASKA PEDIATRIC  PARTNERSHIP,  ANCHORAGE                                                                    
(via teleconference), spoke in support of the legislation.                                                                      
                                                                                                                                
9:37:29 AM                                                                                                                    
                                                                                                                                
JODY  BUTTO,  AVAP  BOARD, ANCHORAGE  (via  teleconference),                                                                    
spoke in support of the bill.                                                                                                   
                                                                                                                                
Co-Chair von Imhof CLOSED public testimony.                                                                                     
                                                                                                                                
Co-Chair  von  Imhof  noted that  bulk  purchasing  had  its                                                                    
benefits, and hoped that the  department would examine other                                                                    
ways to use bulk purchasing.                                                                                                    
                                                                                                                                
SB  37  was   HEARD  and  HELD  in   committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
9:40:21 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
Co-Chair von Imhof handed the gavel to Co-Chair Stedman.                                                                        
                                                                                                                                
9:41:51 AM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
^CONSIDERATION OF GOVERNOR'S APPOINTEES                                                                                       
                                                                                                                                
9:43:34 AM                                                                                                                    
                                                                                                                                
KEN  MCCARTY,  APPOINTEE,  ALASKA  MENTAL  HEALTH  BOARD  OF                                                                    
TRUSTEES (via teleconference), discussed his background.                                                                        
                                                                                                                                
Co-Chair Stedman asked about formal education.                                                                                  
                                                                                                                                
Mr.  McCarty  replied  that  he had  a  Master's  Degree  in                                                                    
Education and Marital  and Family Therapy. He  had pursued a                                                                    
Doctorate,  but purchased  a school  in the  midst of  those                                                                    
studies. He was  a licensed marital and  family therapist in                                                                    
Alaska.                                                                                                                         
                                                                                                                                
9:45:30 AM                                                                                                                    
                                                                                                                                
Co-Chair Stedman  wondered whether he was  familiar with the                                                                    
recent audit of the Board.                                                                                                      
                                                                                                                                
Mr. McCarty responded in the affirmative.                                                                                       
                                                                                                                                
Co-Chair  Stedman  asked  whether   he  followed  the  Trust                                                                    
settlement.                                                                                                                     
                                                                                                                                
Mr. McCarty replied in the affirmative.                                                                                         
                                                                                                                                
Senator  Micciche noted  the Doctorate  was not  included on                                                                    
the education list.                                                                                                             
                                                                                                                                
Mr. McCarty replied  that he began to  pursue the Doctorate,                                                                    
but halted that path once he had purchased a school.                                                                            
                                                                                                                                
Senator  Micciche  noted  that a  Board  responsibility  was                                                                    
ensuring that  the Land Office had  adequate stewardship for                                                                    
the nonfinancial assets;  and ensuring appropriate financial                                                                    
and  operational  controls.  He   queried  a  background  in                                                                    
finance or land management.                                                                                                     
                                                                                                                                
Mr.  McCarty  replied that  he  had  no background  in  land                                                                    
management.  He  stated  that   had  experience  in  finance                                                                    
through his for profit organization of Discovery Cove.                                                                          
                                                                                                                                
Co-Chair Stedman wondered whether the resume was accurate.                                                                      
                                                                                                                                
                                                                                                                                
Mr. McCarty replied that his resume should be accurate.                                                                         
                                                                                                                                
9:49:00 AM                                                                                                                    
                                                                                                                                
JOHN  STURGEON, APPOINTEE,  ALASKA  MENTAL  HEALTH BOARD  OF                                                                    
TRUSTEES (via  teleconference), discussed his  education and                                                                    
qualifications. He believed that  he could contribute to the                                                                    
board,  because   of  his   extensive  experience   in  land                                                                    
management.                                                                                                                     
                                                                                                                                
Co-Chair Stedman referenced questions  posed to the previous                                                                    
applicant. He  asked if Mr.  Sturgeon wanted to  address the                                                                    
trust settlement and budget experience.                                                                                         
                                                                                                                                
Mr. Sturgeon thought there was work  to be done. He had been                                                                    
CEO of large  companies with over $7 million  in revenue. He                                                                    
read financial statements on a regular basis.                                                                                   
                                                                                                                                
Co-Chair  Stedman asked  if Mr.  Sturgeon  would follow  the                                                                    
trust settlement.                                                                                                               
                                                                                                                                
Mr. Sturgeon replied in the affirmative.                                                                                        
                                                                                                                                
Co-Chair  Stedman  suggested  that  the  applicant's  timber                                                                    
background would be helpful to the board.                                                                                       
                                                                                                                                
9:53:22 AM                                                                                                                    
                                                                                                                                
DAN  SULLIVAN, APPOINTEE,  REGULATORY COMMISSION  OF ALASKA,                                                                    
discussed his background and qualifications.                                                                                    
                                                                                                                                
Co-Chair Stedman wondered whether the resume was accurate.                                                                      
                                                                                                                                
Mr. Sullivan felt his resume was accurate.                                                                                      
                                                                                                                                
Senator  Wielechowski  remarked  on the  opposition  to  the                                                                    
Chugach Electric Association and  the merger. He wondered if                                                                    
there was a  plan to recuse himself from  that issue, should                                                                    
it come before the RCA.                                                                                                         
                                                                                                                                
Mr. Sullivan  his main opposition  was to the change  of the                                                                    
vote requirement from 60 percent to 50 percent.                                                                                 
                                                                                                                                
Senator Wielechowski  noted that  he was  originally seeking                                                                    
the  Alaska  Oil  and Gas  Conservation  Commission  (AOGCC)                                                                    
seat. He wondered why there  was application for a seat that                                                                    
should be filled for the upcoming two years.                                                                                    
                                                                                                                                
Mr. Sullivan replied that he was a long-term thinker.                                                                           
                                                                                                                                
Senator Wielechowski  noted the  issue with Enstar  when Mr.                                                                    
Sullivan  was mayor.  Anchorage  had agreed  to return  more                                                                    
than $1 million in property  taxes collected from Enstar. He                                                                    
stated  that the  assessor resigned  over  the dispute,  and                                                                    
stated that he was  concerned about "cozy relationships with                                                                    
the oil and  gas industry." He wondered if there  was a plan                                                                    
to recuse himself from Enstar issues in the future.                                                                             
                                                                                                                                
Mr. Sullivan replied that it would depend on the issue.                                                                         
                                                                                                                                
Co-Chair Stedman FORWARDED the  appointments of Ken McCarty,                                                                    
John  Sturgeon,  and  Dan   Sullivan  for  consideration  in                                                                    
accordance  with Alaska  Statute. He  relayed that  this did                                                                    
not  reflect   an  intent  by  any   member  Senate  Finance                                                                    
Committee to  vote for  or against  the confirmation  of the                                                                    
individuals during any further sessions.                                                                                        
                                                                                                                                
Co-Chair Stedman discussed committee business.                                                                                  
                                                                                                                                

Document Name Date/Time Subjects
SB37 Sponsor Statement 1-28-19.cg.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document WA Post Anti Vaccine NC outbreak 11-18.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document Alaska Public Health Advisory 1-29-19.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document AVAP Annual Report 2018.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document AVAP Status Update 2017.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Sectional Analysis 2-3-19.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document NPR 2-2-19.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document DHSS Vaccine Formulary 2019.pdf SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document AVAP Payers.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document AVAP Providers.pdf HHSS 4/23/2019 3:00:00 PM
SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document Status Update 2018.pdf SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Letters of Support SFIN Bundled.pdf SFIN 2/13/2019 9:00:00 AM
SB 37
SB37 Supporting Document PPt AVAP DPH 2-5-19.pdf SFIN 2/13/2019 9:00:00 AM
SB 37
SB37 Supporting Document AVAP Payers.pdf SFIN 2/13/2019 9:00:00 AM
SB 37
SB37 Letter of Support AK Ped Partnership 2-6-19.pdf SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document Who Pays AVAP.pdf SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document PPt AVAP DPH 2-5-19.pdf SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document Measles Info CDC.pdf SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document Vaccination Rate Trends 2013-17.pdf SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
SB37 Supporting Document Measles Info DHSS.pdf SFIN 2/13/2019 9:00:00 AM
SHSS 2/6/2019 1:30:00 PM
SB 37
Confirmation Resume FIN Mental Health Trust McCarty .pdf SFIN 2/13/2019 9:00:00 AM
Confirmations 2019
Confirmation Resume FIN Mental Health Trust Riggs 2019.pdf SFIN 2/13/2019 9:00:00 AM
Confirmations 2019
Confirmation Resume FIN Regulatory Commission of Alaska Sullivan 2019.pdf SFIN 2/13/2019 9:00:00 AM
Confirmations 2019
Confirmation Resume FIN Mental Health Trust Sturgeon 2019.pdf SFIN 2/13/2019 9:00:00 AM
Confirmations 2019
SB37 Supporting Document AVAP Cumulative Cost Savings.pdf SFIN 2/13/2019 9:00:00 AM
SB 37
021319 RCA Fact Sheet.pdf SFIN 2/13/2019 9:00:00 AM
Confirmations 2019
021319 Board of Trustees - Charter.pdf SFIN 2/13/2019 9:00:00 AM
Confirmations 2019
SB 37 SFC Aetna Support Letter.pdf SFIN 2/13/2019 9:00:00 AM
SB 37