Legislature(2017 - 2018)BUTROVICH 205

04/04/2018 01:30 PM HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 123 DISCLOSURE OF HEALTH CARE COSTS TELECONFERENCED
Moved SCS CSHB 123(HSS) Out of Committee
+= HB 151 DHSS;CINA; FOSTER CARE; CHILD PROTECTION TELECONFERENCED
Moved SCS CSHB 151(HSS) Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                         April 4, 2018                                                                                          
                           2:01 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator David Wilson, Chair                                                                                                     
Senator Natasha von Imhof, Vice Chair                                                                                           
Senator Cathy Giessel                                                                                                           
Senator Tom Begich                                                                                                              
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Peter Micciche                                                                                                          
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                              
CS FOR HOUSE BILL NO. 151(FIN)                                                                                                  
"An Act  relating to the duties  of the Department of  Health and                                                               
Social Services; relating to training  and workload standards for                                                               
employees of  the Department  of Health  and Social  Services and                                                               
providing  immunity  from  damages related  to  those  standards;                                                               
relating to  foster care  home licensing;  relating to  civil and                                                               
criminal history background checks  for foster care licensing and                                                               
payments;  relating to  placement  of  a child  in  need of  aid;                                                               
relating to  the rights and  responsibilities of  foster parents;                                                               
requiring  the  Department  of  Health  and  Social  Services  to                                                               
provide  information  to a  child  or  person released  from  the                                                               
department's custody; and providing for an effective date."                                                                     
                                                                                                                                
     - MOVED SCS CSHB 151(HSS) OUT OF COMMITTEE                                                                                 
                                                                                                                                
COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 123(HSS)                                                                                
"An Act relating to disclosure  of health care services and price                                                               
information; and providing for an effective date."                                                                              
                                                                                                                                
     - MOVED SCS CSHB 123(HSS) OUT OF COMMITTEE                                                                                 
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                              
BILL: HB 151                                                                                                                  
SHORT TITLE: DHSS;CINA; FOSTER CARE; CHILD PROTECTION                                                                           
SPONSOR(s): REPRESENTATIVE(s) GARA                                                                                              
                                                                                                                                
03/01/17       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/01/17       (H)       HSS, FIN                                                                                               
03/16/17       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/16/17       (H)       Heard & Held                                                                                           
03/16/17       (H)       MINUTE(HSS)                                                                                            
03/21/17       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/21/17       (H)       Heard & Held                                                                                           
03/21/17       (H)       MINUTE(HSS)                                                                                            
03/23/17       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/23/17       (H)       Moved  CSHB 151(HSS) Out of Committee                                                                  
03/23/17       (H)       MINUTE(HSS)                                                                                            
03/24/17       (H)       HSS RPT CS(HSS) NT 3DP 1DNP 1NR 2AM                                                                    
03/24/17       (H)       DP: TARR, EDGMON, SPOHNHOLZ                                                                            
03/24/17       (H)       DNP: EASTMAN                                                                                           
03/24/17       (H)       NR: KITO                                                                                               
03/24/17       (H)       AM: JOHNSTON, SULLIVAN-LEONARD                                                                         
03/28/17       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/28/17       (H)       <Bill Hearing Canceled>                                                                                
04/12/17       (H)       FIN AT 1:30 PM HOUSE FINANCE 519                                                                       
04/12/17       (H)       Heard & Held                                                                                           
04/12/17       (H)       MINUTE(FIN)                                                                                            
04/13/17       (H)       FIN AT 1:30 PM HOUSE FINANCE 519                                                                       
04/13/17       (H)       Heard & Held                                                                                           
04/13/17       (H)       MINUTE(FIN)                                                                                            
05/15/17       (H)       FIN AT 1:30 PM HOUSE FINANCE 519                                                                       
05/15/17       (H)       Moved CSHB 151(FIN) Out of Committee                                                                   
05/15/17       (H)       MINUTE(FIN)                                                                                            
05/16/17       (H)       FIN RPT CS(FIN) NT 4DP 1NR 4AM                                                                         
05/16/17       (H)       DP: ORTIZ, GARA, SEATON, FOSTER                                                                        
05/16/17       (H)       NR: GUTTENBERG                                                                                         
05/16/17       (H)       AM: TILTON, THOMPSON, KAWASAKI, WILSON                                                                 
05/17/17       (H)       TRANSMITTED TO (S)                                                                                     
05/17/17       (H)       VERSION: CSHB 151(FIN)                                                                                 
01/18/18       (S)       READ THE FIRST TIME - REFERRALS                                                                        

01/18/18 (S) HSS, FIN 03/19/18 (S) HSS AT 1:30 PM BUTROVICH 205 03/19/18 (S) Heard & Held 03/19/18 (S) MINUTE(HSS) 03/21/18 (S) HSS AT 1:30 PM BUTROVICH 205 03/21/18 (S) Heard & Held 03/21/18 (S) MINUTE(HSS) 04/04/18 (S) HSS AT 1:30 PM BUTROVICH 205 BILL: HB 123 SHORT TITLE: DISCLOSURE OF HEALTH CARE COSTS SPONSOR(s): REPRESENTATIVE(s) SPOHNHOLZ 02/13/17 (H) READ THE FIRST TIME - REFERRALS 02/13/17 (H) HSS, JUD 03/02/17 (H) HSS AT 3:00 PM CAPITOL 106 03/02/17 (H) Heard & Held 03/02/17 (H) MINUTE(HSS) 03/09/17 (H) HSS AT 3:00 PM CAPITOL 106 03/09/17 (H) Moved CSHB 123(HSS) Out of Committee 03/09/17 (H) MINUTE(HSS) 03/10/17 (H) HSS RPT CS(HSS) 5DP 2NR 03/10/17 (H) DP: JOHNSTON, TARR, EDGMON, SULLIVAN- LEONARD, SPOHNHOLZ 03/10/17 (H) NR: KITO, EASTMAN 03/24/17 (H) JUD AT 1:00 PM GRUENBERG 120 03/24/17 (H) Heard & Held 03/24/17 (H) MINUTE(JUD) 03/27/17 (H) JUD AT 1:00 PM GRUENBERG 120 03/27/17 (H) Heard & Held 03/27/17 (H) MINUTE(JUD) 03/29/17 (H) JUD AT 1:00 PM GRUENBERG 120 03/29/17 (H) Moved CSHB 123(HSS) Out of Committee 03/29/17 (H) MINUTE(JUD) 03/31/17 (H) JUD RPT CS(HSS) 1DP 1NR 4AM 03/31/17 (H) DP: CLAMAN 03/31/17 (H) NR: EASTMAN 03/31/17 (H) AM: KOPP, KREISS-TOMKINS, FANSLER, REINBOLD 04/07/17 (H) TRANSMITTED TO (S) 04/07/17 (H) VERSION: CSHB 123(HSS) 04/10/17 (S) READ THE FIRST TIME - REFERRALS 04/10/17 (S) HSS, JUD 03/16/18 (S) HSS AT 1:30 PM BUTROVICH 205 03/16/18 (S) Heard & Held 03/16/18 (S) MINUTE(HSS) 04/04/18 (S) HSS AT 1:30 PM BUTROVICH 205 WITNESS REGISTER REPRESENTATIVE GARA Alaska State Legislature Juneau, Alaska POSITION STATEMENT: Sponsor of HB 151. Tracy Spartz Campbell, Deputy Director Office of Children's Services Department of Health and Social Services (DHSS) Juneau, Alaska POSITION STATEMENT: Provided information on HB 151. REPRESENATIVE IVY SPOHNHOLZ Alaska State Legislature Juneau, Alaska POSITION STATEMENT: Sponsor of HB 123. BERNICE NESBITT, Staff Representative Ivy Spohnholz Alaska State Legislature Juneau, Alaska POSITION STATEMENT: Provided information on HB 123. LORI WING-HEIER, Director Division of Insurance Department of Commerce, Community and Economic Development Anchorage, Alaska POSITION STATEMENT: Provided information on HB 123. ACTION NARRATIVE 2:01:19 PM CHAIR DAVID WILSON called the Senate Health and Social Services Standing Committee meeting to order at 2:01 p.m. Present at the call to order were Senators Giessel, von Imhoff, Begich and Chair Wilson. ^HB#151 HB 151-DHSS;CINA; FOSTER CARE; CHILD PROTECTION 2:01:28 PM CHAIR WILSON announced the consideration of HB 151. [CSHB 151(FIN) was before the committee.] 2:02:03 PM REPRESENTATIVE GARA, Alaska State Legislature, sponsor of HB 151, said he wanted to point out that the bill only works as a whole. 2:02:34 PM CHAIR WILSON moved Amendment 1, labeled 30-LS0451\L.5. 30-LS0451\L.5 Laffen 4/2/18 AMENDMENT 1 OFFERED IN THE SENATE BY SENATOR WILSON TO: CSHB 151(FIN) Page 1, line 6, following "parents;": Insert "relating to completed investigations of reports of harm to a child;" Page 7, following line 4: Insert a new bill section to read: "* Sec. 10. AS 47.10.093(a) is amended to read: (a) Except as permitted in AS 47.10.092, [AND IN] (b) - (g) and (i) - (l) of this section, and AS 47.17.030(g), all information and social records pertaining to a child who is subject to this chapter or AS 47.17 prepared by or in the possession of a federal, state, or municipal agency or employee in the discharge of the agency's or employee's official duty are privileged and may not be disclosed directly or indirectly to anyone without a court order." Renumber the following bill sections accordingly. Page 12, following line 23: Insert a new bill section to read: "* Sec. 18. AS 47.17.030 is amended by adding a new subsection to read: (g) When the department or a local government health or social services agency (1) completes an investigation of a report of harm concerning a child, (2) determines, based on the investigation findings, that department or local agency services to protect the child are not required, and (3) identifies an appropriate community organization that will actively reach out to families to provide needed support services, the department or local government health or social services agency shall seek the written consent of the child's parent or guardian to refer the family to the community organization. If the parent or guardian consents to the referral, the department or local government health or social services agency shall refer the parent or guardian to the community organization identified by the department. If the child has more than one parent or guardian and only one parent or guardian consents to the referral, the department or local government health or social services agency shall refer the parent or guardian who consents to the community organization but may not provide information to the community organization concerning the parent or guardian who does not consent to the referral. A community organization that receives information from the department or a local government health or social services agency under this subsection may not disclose the information to a person who is not authorized by law to receive it." Renumber the following bill sections accordingly. Page 13, lines 17 - 19: Delete all material and insert: "APPLICABILITY. (a) Sections 2, 7 - 9, 11 - 15, 17, and 19 of this Act apply to a child in the custody or under the supervision of the Department of Health and Social Services under AS 47.10 on or after the effective date of secs. 2, 7 - 9, 11 - 15, 17, and 19 of this Act. (b) Sections 3 - 6 and 20 of this Act apply to applications for a license, license renewal, certification, certification renewal, or payment received by the Department of Health and Social Services on or after the effective date of secs. 3 - 6 and 20 of this Act." Page 13, line 31: Delete "11 - 13, and 15" Insert "12 - 14, and 16" Page 14, line 3: Delete "sec. 11" Insert "sec. 12" Delete "sec. 12" Insert "sec. 13" Page 14, line 4: Delete "sec. 13" Insert "sec. 14" Page 14, line 5: Delete "sec. 15" Insert "sec. 16" Page 14, line 6: Delete "10, and 14 - 18" Insert "11, 15 - 17, 19, and 20" Page 14, line 10: Delete "sec. 10" Insert "sec. 11" Page 14, line 11: Delete "sec. 14" Insert "sec. 15" Page 14, line 12: Delete "sec. 15" Insert "sec. 16" Delete "sec. 16" Insert "sec. 17" Page 14, line 13: Delete "sec. 17" Insert "sec. 19" Delete "sec. 18" Insert "sec. 20" Page 14, line 14: Delete "Section 20" Insert "Section 22" 2:02:49 PM SENATOR VON IMHOF objected for purpose of discussion. 2:03:25 PM CHAIR WILSON said he worked on creating the amendment with R.O.C.K. Mat-Su [Raising Our Children with Kindness]. It creates a formal response for the screen out reports for alleged maltreatment of children; it provides a mechanism to provide voluntary case management services for families with reports of harm that are not screened into initial assessment. This is a similar approach being used with tribal organizations through Alaska child welfare compacts. Changing the system will allow appropriate community organizations across Alaska to serve at- risk families, thereby preventing maltreatment of children and reducing the burden to the Office of Children's Services (OCS). CHAIR WILSON said that the amendment inserts on page 1, line 6, "relating to completed investigations of reports of harm to a child," changing the title of the bill. On page 7, following line 4, it amends the statute to provide the sharing of information to social service agencies through parental consent in the new subsection 18(g), and the information may not be disclosed without a court order. The amendment inserts a new subsection 18(g) containing language relating to obtaining written consent of the parent or guardian to refer the family to a community organization and the confidentiality surrounding the sharing of information. The amendment on page 13, lines 17-19, deletes all material and inserts new applicability language and renumbers accordingly through the rest of the bill. SENATOR BEGICH asked the bill sponsor's thoughts on the amendment. REPRESENTATIVE GARA said Senator Wilson, R.O.C.K. Mat-Su, and he have all spoken to each other. It is a good amendment. When a family is in trouble, groups like R.O.C.K. Mat-Su will reach out to the family so they don't end up in the OCS system. The goal of the bill is get kids out of foster care. This will hopefully prevent them from coming in. R.O.C.K. Mat-Su has done great work and other groups around the state will be doing that soon. 2:05:58 PM SENATOR VON IMHOF withdrew her objection. 2:06:03 PM CHAIR WILSON found no further objection and announced that Amendment 1 passed. 2:06:10 PM CHAIR WILSON moved Amendment 2, labeled 30-LS0451\L.7. 30-LS0451\L.7 Laffen 4/3/18 AMENDMENT 2 OFFERED IN THE SENATE BY SENATOR WILSON TO: CSHB 151(FIN) Page 13, line 31: Delete "one year" Insert "90 days" Delete ", 11 - 13, and 15" Insert "and 11 - 13" Page 14, lines 4 - 5: Delete "AS 47.14.100(i), as amended by sec. 13 of this Act, and AS 47.14.112(a)(3)(A), enacted by sec. 15 of this Act;" Insert "and AS 47.14.100(i), as amended by sec. 13 of this Act;" Page 14, line 6: Delete "three years" Insert "one year" Page 14, line 11: Delete "(a)(3)(B), (b), and (c)" Insert "(a)(3)(A) and (b)" Page 14, following line 13: Insert a new paragraph to read: "(3) two years after the effective date of sec. 15 of this Act, implement the changes made by AS 47.14.112(a)(3)(B) and (a)(4), enacted by sec. 15 of this Act." 2:06:28 PM SENATOR VON IMHOF objected for purposes of discussion. 2:06:34 PM CHAIR WILSON said this is a request from the bill sponsor to amend the timelines for completing legislation. 2:07:51 PM SENATOR VON IMHOF removed her objection. 2:07:56 PM CHAIR WILSON found no further objection and Amendment 2 passed. 2:08:05 PM CHAIR WILSON moved Amendment 3, labeled 30-LS0451\L.6. 2:08:14 PM SENATOR VON IMHOF objected for purposes of discussion. 30-LS0451\L.6 Laffen 4/3/18 AMENDMENT 3 OFFERED IN THE SENATE BY SENATOR WILSON TO: CSHB 151(FIN) Page 10, line 22: Delete "report" Insert "reports" Page 12, line 6, following "under": Insert "(a) of" Page 12, following line 16: Insert a new subsection to read: "(d) The division of the department with responsibility over the custody of children shall prepare and make available to the legislature an annual report on employee recruitment and retention, including a five-year plan, for the division. The department shall deliver the report to the senate secretary and the chief clerk of the house of representatives and notify the legislature that the report is available not later than November 15 of each year. The report prepared under this subsection is separate from the annual report to the legislature required under AS 18.05.020." 2:08:21 PM CHAIR WILSON said Amendment 3 requires an annual report from OCS on employee recruitment and retention, including a five-year plan. This is separate from the report required under AS 18.05.020. This is similar to what the Department of Public Safety has done. He said he wants to see a formalized, strategic plan. The Director of OCS, Christy Lawton, has spoken about seeing the same issues occur during her years of service. He said he wants to start a conversation with a written plan that they can refer to instead of an oral statement and plan. SENATOR BEGICH asked the sponsor his opinion of the amendment. 2:10:06 PM REPRESENTATIVE GARA answered that it is consistent with the legislation and makes it stronger. He wants the department to do the things required in the bill and the amendment reinforces that. SENATOR VON IMHOF asked if anyone from the department was present to testify about this section. 2:10:45 PM Tracy Spartz Campbell, Deputy Director, Office of Children's Services, Department of Health and Social Services (DHSS), testified on HB 151. She said OCS is comfortable with the plan. They have various strategies that they are working on and so this plan may be a good option for to consolidate those into one plan. They are supportive of the amendment. 2:11:11 PM SENATOR VON IMHOF removed her objection. 2:11:17 PM CHAIR WILSON found no further objection and Amendment 3 passed. 2:11:35 PM SENATOR VON IMHOF moved the Senate Committee Substitute for Committee Substitute for HB 151 from committee with individual recommendations and forthcoming fiscal notes. 2:11:50 PM CHAIR WILSON found no objection and SCS CSHB 151(HSS) moved from the Senate Health and Social Services Standing Committee. 2:12:25 PM At ease. HB 123-DISCLOSURE OF HEALTH CARE COSTS 2:14:28 PM CHAIR WILSON announced the consideration of HB 123. [The committee adopted the work draft SCS for CSHB 123, labeled 30- LS0380\G, on 3/16/18.] 2:15:01 PM CHAIR WILSON moved Amendment 1, 30-LS0380\G.3. 30-LS0380\G.3 Bruce 3/30/18 AMENDMENT 1 OFFERED IN THE SENATE BY SENATOR WILSON TO: SCS CSHB 123( ), Draft Version "G" Page 5, line 26: Delete "$5,000" Insert "$10,000" Page 6, line 25: Delete all material. Reletter the following subparagraph accordingly. 2:15:17 PM SENATOR VON IMHOF objected for purposes of discussion. 2:15:30 PM CHAIR WILSON explained that on page 5, line 26, Amendment 1 changes the cap on the amount of civil penalties from $5,000 to $10,000 and on page 6, line 25, includes tribal facilities with health care facilities so that they have to comply with the bill's requirements. SENATOR BEGICH asked if he worked with the bill sponsor. 2:16:10 PM REPRESENATIVE IVY SPOHNHOLZ, Alaska State Legislature, sponsor of HB 123 said she did discuss the changes and supports them. 2:16:32 PM SENATOR VON IMHOF removed her objection. 2:16:37 PM CHAIR WILSON found no further objection and Amendment 1 passed. 2:16:41 PM CHAIR WILSON moved Amendment 2, labeled 30-LS0380\G.5. 30-LS0380\G.5 Bruce 4/3/18 AMENDMENT 2 OFFERED IN THE SENATE BY SENATOR WILSON TO: SCS CSHB 123( ), Draft Version "G" Page 7, following line 20: Insert new bill sections to read: "* Sec. 3. The uncodified law of the State of Alaska is amended by adding a new section to read: TRANSITION: REGULATIONS. The Department of Health and Social Services may adopt regulations necessary to implement the changes made by this Act. The regulations take effect under AS 44.62 (Administrative Procedure Act), but not before the effective date of the law implemented by the regulation. * Sec. 4. Section 3 of this Act takes effect immediately under AS 01.10.070(c)." Renumber the following bill section accordingly. Page 7, line 21: Delete "This" Insert "Except as provided in sec. 4 of this Act, this" SENATOR VON IMHOF objected for purposes of discussion. 2:16:52 PM CHAIR WILSON said these changes were requested by DHSS so that it can adopt regulations necessary to implement the changes made by this Act. 2:17:34 PM SENATOR VON IMHOF removed her objection. 2:17:41 PM There being no objection, Amendment 2 passed. 2:17:46 PM CHAIR WILSON moved Amendment 3, labeled 30-LS0380\G.6. 30-LS0380\G.6 Bruce 4/3/18 AMENDMENT 3 OFFERED IN THE SENATE BY SENATOR WILSON TO: SCS CSHB 123( ), Draft Version "G" Page 1, line 1, following "information;": Insert "relating to health care insurers;" Page 4, line 6: Delete "or health care facility" Insert ", health care facility, or health care insurer" Page 4, line 8: Delete "or health care facility" Insert ", health care facility, or health care insurer" Page 4, line 14: Delete "or health care facility" Insert ", health care facility, or health care insurer" Page 4, lines 23 - 24: Delete "or health care facility" Insert ", health care facility, or health care insurer" Page 5, line 17: Delete "or health care facility" Insert ", health care facility, or health care insurer" Page 5, line 25, following "section": Insert "or a health care insurer that fails to comply with the requirements of (g) and (h) of this section" Page 5, line 31: Delete "or health care facility" Insert ", health care facility, or health care insurer" Page 7, following line 20: Insert a new bill section to read: "* Sec. 3. AS 21.96 is amended by adding a new section to read: Sec. 21.96.200. Good faith estimate. Upon request of a covered person who is receiving nonemergency health care services, a health care insurer shall provide a good faith estimate of the amount of the reasonably anticipated charges for treating the patient's specific condition under AS 18.23.400(g) and (h)." Renumber the following bill section accordingly. 2:18:08 PM SENATOR VON IMHOF objected for purposes of discussion. CHAIR WILSON said the amendment adds health care insurers to entities that shall provide a good faith estimate to patients who request non-emergency health care services. SENATOR BEGICH asked what the intent of the amendment was. CHAIR WILSON answered that the intent was to allow good faith estimates to be provided not only from those providing the services, but the insurers also because the posted prices may not be applicable for people who have insurance. If the doctor's office cannot contact the insurer, the patient can give the codes to the insurer to get a more detailed, specific estimate. It allows the same time frame to comply with the good faith estimates. SENATOR BEGICH asked if the bill sponsor supports the amendment. 2:20:20 PM REPRESENTATIVE SPOHNHOLZ said it is welcomed. Getting a good faith estimate from insurers in a timely manner is a reasonable thing to expect. SENATOR VON IMHOF asked for clarification that with this amendment, insurers will be participating in good faith estimates but not posting prices like health care facilities and providers are being asked to do. CHAIR WILSON said correct. SENATOR VON IMHOF asked if there is another definition of insurer that says private insurer, self-insured, Medicare/Medicaid, TRICARE, etc. 2:21:47 PM BERNICE NESBITT, Staff, Representative Ivy Spohnholz, Alaska State Legislature, testified on HB 123. She said page 6, line 30, of the bill states that "health care insurer" has the meaning given in AS 21.54.500. 2:22:25 PM At ease. 2:24:26 PM CHAIR WILSON reconvened the meeting. 2:24:41 PM SENATOR GIESSEL asked Director Wing-Heier to comment on the insurer component of the bill. LORI WING-HEIER, Director, Division of Insurance, Department of Commerce, Community and Economic Development (DCCED), testified on HB 123. She said that for transparency, the amount paid is an important factor that needs to be addressed. The amount paid is most often going to be what the insurance company has either negotiated or the insurer can inform the consumer how they will pay if it is the 80th percentile or some other formula, so that the consumer will understand what they may pay out of pocket. Without that component, a consumer might look at provider prices and decide to not go forward because the cost of services look too high. SENATOR GIESSEL asked if it would be impossible for insurers to put their reimbursement amounts up because it is so personalized to each insured person. MS. WING-HEIER said correct. Network contracts may differ between employers and health care plans may differ in deductibles and copays. Those factors have to be taken into account when someone is looking at the cost. SENATOR GIESSEL asked if insurers are required now to respond to client's request for that information. MS. WING-HEIER said yes. One of the largest insurers has a good website for clients to go to. Insurers are becoming more transparent to empower consumers to do the research on their own. It's a long way from perfect, but the attempt is starting. 2:27:20 PM SENATOR VON IMHOF removed her objection. 2:27:32 PM CHAIR WILSON found no further objection and Amendment 3 passed. SENATOR VON IMHOF thanked Representative Spohnholz for bringing the bill forward. It is a good start. She said she has put a lot of thought into this bill and would like to continue dialogue with Representative Spohnholz to do a new bill next year that adds the other components of the health care cycle. Providers such as doctors and hospitals provide the procedures and then insurers pay for the procedures. Health care trusts manage health care plans for public entities and then patients need to compare prices and pay attention to value and ask for good faith estimates. HB 123 addresses providers and insurers to an extent, it encourages patients to ask for good faith estimates, but there is more work to be done building on this bill to bend the cost of health care growth in the future. CHAIR WILSON said as Representative Spohnholz described, the bill is the first couple of steps in a marathon. There is a long way to go to lower health cost and unravel the complexity of health care in this state. This is a good faith effort toward that. 2:30:23 PM SENATOR VON IMHOF moved to report the Senate Committee Substitute for Committee Substitute for HB 123, Version G, as amended, from committee with individual recommendations and forthcoming fiscal notes. 2:30:39 PM CHAIR WILSON found no objection and SCS CSHB 123(HSS) moved from the Senate Health and Social Services Standing Committee. 2:30:58 PM At ease. 2:32:59 PM There being no further business to come before the committee, Chair Wilson adjourned the Senate Health and Social Services Standing Committee at 2:32 p.m.

Document Name Date/Time Subjects
HB0123 Explanation of Changes ver I to ver G.PDF SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Sponsor Statement 4.10.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Sectional Analysis 4.10.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Fiscal Note DHS-N 4.10.17.PDF SHSS 4/4/2018 1:30:00 PM
HB 123
HB 123 FN DHSS Public Health Bureau of Vital Stats 2.23.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB 123 FN DHSS Public Health Bureau of Vital Stats 3.6.18.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Explanation of Changes 4.10.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB123 Comparsion of ver. I and ver. G 02-22-18 chart.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB123 Comparsion of ver. I and ver. G 02-22-18.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 ver I 4.10.17.PDF SHSS 4/4/2018 1:30:00 PM
HB 123
HB 123 Thomson Reuters 2012.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB 123 Center for American Progress 2014.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
CSHB 123 Disclosure of Health Costs Ak Comm on Aging.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Additional Letters of Support 03.15.18.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Supporting Document - AK Options for Health Policy Reform 2.26.18.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Supporting Document-AAMC Price Transparency in the News 4.10.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Supporting Document-Article ADN-A Doctor's Quest to Remain Human Inside an Insane Medical System 4.10.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Supporting Document-NYT Those Indecipherable Medical Bills 4.10.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB0123 Supporting Document-Support Letters 4.10.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
Fosselman Letter of Support HB 123.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB 151 version L.PDF SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Sponsor Statement Senate HSS.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Alaska Caseloads FY 17 and 18.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
Conference Committee Action 6-21 on OCS funding increase.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Additional letters of support (Trust, AMHB, ARC, Access Alaska, FFCA).pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Applying the Science of Child Development in Child Welfare Systems excerpt.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Article - High caseloads hinder face-to-face visits with foster kids.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Article - Iowa's social workers see growing foster care loads.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 article High Caseloads Hinder Face-to-Face Visists with Foster Kids.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Article High Turnover, Caseloads in Louisiana Foster Care System.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Article Indiana Foster Care System is in Crisis.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 article Opioid Crisis Strains Indiana Foster Care System.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Caseload and Workload Management.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
MSHF Letter of Support HB151.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
LetterOfSupport-R.O.C.K.MatSu-HB151.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB151 Support Mark Lackey.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB151 LOS All Alaska Pediatric Partnership.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151Letter of Support_kristina andrew.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Syummary of New Jersey Settlement Agreement.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 15. Casey Family Programs Testimony.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 14. Letters of Support.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 10. Relevant Statistics.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 3. Children Waiting to be Adopted 2014.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 2. High Caseloads How Do They Impact Health and Human Services 3.1.17.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Supporting Document 1. OCS Office by Office Caseloads.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Reunification, Bringing Your Child Home from Foster Care.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 New Jersey's Child Welfare Outcomes Report 2017.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 New Jersey DCF Work Force Report excerpt.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 National Child Welfare Workforce Institute Brief on the Importance of Manageable Caseloads.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 How Heroin is Hitting the Foster Care System.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Foster Care PowerPoint for SEN HSS.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 FN DHSS Front Line Social Workers.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 FN DHSS Children's Services Training.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 FN Dept Admin Ofc Public Advocacy.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Family Reunification, What the Evidence Shows.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Facts about Child Abuse in Alaska.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Sectional analysis version L.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
SCS HB 123 version G.PDF SHSS 4/4/2018 1:30:00 PM
HB 123
LOS Ulrich HB 151.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
Letter from Fresenius Medical Care HB 123.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
Fosselman Letter of Support HB 123.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB151 LOS All Alaska Pediatric Partnership.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
SCS HB 123 version G.PDF SHSS 4/4/2018 1:30:00 PM
HB 123
HB 123 Wilson Amdt 1 Cap Tribal 30-LS0380 G.3.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB 123 Wilson Amdt 2 Transition Regs 30-LS0380 G.5.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB 123 Wilson Amdt 3 Insurers 30-LS0380 G.6.pdf SHSS 4/4/2018 1:30:00 PM
HB 123
HB 151 Wilson Amdt 1 Rock Mat-Su 30-LS0451 L.5.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Wilson Amdt 2 Eff Date Change 30-LS0451 L.7.pdf SHSS 4/4/2018 1:30:00 PM
HB 151
HB 151 Wilson Amdt 3 R& R Report 30-LS0451 L.6.pdf SHSS 4/4/2018 1:30:00 PM
HB 151