Legislature(2013 - 2014)FAHRENKAMP 203

04/15/2014 01:30 PM Senate JUDICIARY


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 140 REGULATIONS: NOTICE, REVIEW, COMMENT TELECONFERENCED
Heard & Held
+= HB 127 OMBUDSMAN TELECONFERENCED
Heard & Held
+= HB 250 MEDICAL MALPRACTICE ACTIONS TELECONFERENCED
Moved CSHB 250(HSS) am Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
               HB 250-MEDICAL MALPRACTICE ACTIONS                                                                           
                                                                                                                                
1:43:52 PM                                                                                                                    
CHAIR  COGHILL announced  the consideration  of HB  250. "An  Act                                                               
making  an   expression  of  apology,   sympathy,  commiseration,                                                               
compassion,   or   benevolence   by  a   health   care   provider                                                               
inadmissible in  a medical malpractice  case; requiring  a health                                                               
care  provider  to  advise  a  patient  or  the  patient's  legal                                                               
representative to  seek legal advice  before making  an agreement                                                               
with the patient  to correct an unanticipated  outcome of medical                                                               
treatment or  care; and  amending Rules 402,  407, 408,  409, and                                                               
801, Alaska Rules of Evidence."  [This was the second hearing and                                                               
CSHB 250(HSS) AM was before the committee.]                                                                                     
                                                                                                                                
1:44:18 PM                                                                                                                    
ERIKA O'SULLIVAN, Staff, Representative  Kurt Olson, Alaska State                                                               
Legislature,  Juneau,  Alaska,  reviewed  the  following  changes                                                               
between HB 250  Version A and Version  P.A: [Original punctuation                                                               
provided.]                                                                                                                      
                                                                                                                                
                                                                                                                                
     On  page  1,  line  1  of the  bill  title,  the  words                                                                    
     'liability'  and 'responsibility'  were deleted.  Under                                                                    
     Sec.  1(a)   on  page  1,   line  12   'liability'  and                                                                    
     'responsibility' were deleted.                                                                                             
                                                                                                                                
     Under Sec.  1(a), page 2,  line 14, subsection  (5) was                                                                    
     added  to read:  "evidence  of a  health care  provider                                                                    
     requesting, demanding, inquiring,  or directing another                                                                    
     to  write-off,   offer  or  promise  to   pay  medical,                                                                    
     hospital,  or similar  expenses, in  whole or  in part,                                                                    
     following   an   unanticipated   outcome   of   medical                                                                    
     treatment or care."                                                                                                        
                                                                                                                                
     Under  Sec. 1,  page  2, line  18,  subsection (b)  was                                                                    
     added to read: "If  an expression of apology, sympathy,                                                                    
     commiseration,  compassion, or  benevolence made  under                                                                    
     (a)(1) of this  section is made in  conjunction with an                                                                    
     admission  of   liability,  or  negligence,   only  the                                                                    
     expression   of   apology,   sympathy,   commiseration,                                                                    
     compassion,  or benevolence  is  inadmissible, and  the                                                                    
     admission   of   liability,   or  negligence   may   be                                                                    
     admissible as evidence."                                                                                                   
                                                                                                                                
     Under  Sec.  09.55.545 on  page  3,  line 7,  "to"  was                                                                    
     deleted, and "in writing that  the patient or patient's                                                                    
     legal representative may" was inserted.                                                                                    
                                                                                                                                
     Under Sec.  2(1), on page  3, line 14,  'liability' and                                                                    
     'responsibility' were deleted.                                                                                             
                                                                                                                                
     Under Sec.  4, page 4,  line 4, the  CONDITIONAL EFFECT                                                                    
     was amended to include Sec. AS 09.55.545.                                                                                  
                                                                                                                                
1:48:40 PM                                                                                                                    
SENATOR WIELECHOWSKI asked if she  was aware of any opposition to                                                               
the bill.                                                                                                                       
                                                                                                                                
MS. O'SULLIVAN said  a trial attorney expressed  concern with the                                                               
original  version, but  most people  have expressed  satisfaction                                                               
with  the   changes  that  exclude  the   words  "liability"  and                                                               
"responsibility."                                                                                                               
                                                                                                                                
SENATOR WIELECHOWSKI asked  if it's fair to say  that the changes                                                               
found in Version  P.A represent a compromise  between the doctors                                                               
and lawyers.                                                                                                                    
                                                                                                                                
MS. O'SULLIVAN  responded that the  intent is to open  the dialog                                                               
with  doctors  while   including  important  consumer  protection                                                               
components in the bill.                                                                                                         
                                                                                                                                
SENATOR  WIELECHOWSKI  asked  if  there  have  been  cases  where                                                               
doctors have apologized and had that used against them in court.                                                                
                                                                                                                                
MS. O'SULLIVAN deferred the question to Mr. Wojcieszak.                                                                         
                                                                                                                                
1:50:16 PM                                                                                                                    
DOUG   WOJCIESZAK,   Founder   of  Sorry   Works,   the   leading                                                               
organization teaching  healthcare professionals how to  talk with                                                               
families and disclose when things  go wrong in a medical setting,                                                               
stated support for HB 250. He  said that states that have apology                                                               
laws offer  encouragement for doctors  to talk with  patients and                                                               
families when a  medical event goes wrong. Data  shows that these                                                               
laws improve  communication in difficult situations,  which is to                                                               
everyone's  benefit.  When  something  goes wrong  from  a  known                                                               
complication or a true error, the  best thing that can happen for                                                               
everyone involved is  to sit down and have  an adult conversation                                                               
about what happened  and try to seek solutions.  When doctors and                                                               
nurses  don't communicate  and  instead choose  to  run away  and                                                               
hide,  consumers are  more inclined  to seek  retribution through                                                               
the legal system.                                                                                                               
                                                                                                                                
Responding to  Senator Wielechowski's  question, he said  a paper                                                               
that came out  several years ago looked at that  question but the                                                               
author couldn't find any cases.  There have been times when trial                                                               
lawyers  have tried  to use  it against  doctors, but  it usually                                                               
backfires because  a doctor who  apologizes doesn't appear  to be                                                               
an unfeeling and uncaring human  being. He reiterated his support                                                               
for HB 250.                                                                                                                     
                                                                                                                                
1:53:40 PM                                                                                                                    
SENATOR  MCGUIRE joined  the committee.  She  disclosed that  her                                                               
father is a surgeon licensed in the state of Alaska.                                                                            
                                                                                                                                
CHAIR COGHILL found no further  testimony, questions, or comments                                                               
and solicited a motion.                                                                                                         
                                                                                                                                
1:54:54 PM                                                                                                                    
SENATOR  DYSON  moved  to  report   HB  250,  Version  P.A,  from                                                               
committee  with individual  recommendations  and attached  fiscal                                                               
note(s).                                                                                                                        
                                                                                                                                
CHAIR COGHILL  announced that without objection  CSHB 250(HSS) AM                                                               
was reported from the Senate Judiciary Standing Committee.                                                                      

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