Legislature(2015 - 2016)BELTZ 105 (TSBldg)

02/25/2016 01:30 PM Senate LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ SB 127 INSURER'S USE OF CREDIT HISTORY/SCORES TELECONFERENCED
Heard & Held
*+ SB 149 AIDEA:DIVIDEND TO STATE;INCOME;VALUATION TELECONFERENCED
Heard & Held
*+ SB 152 MONEY SERVICES BUSINESS: REQS; LICENSING; TELECONFERENCED
<Bill Hearing Canceled>
*+ SB 118 DNR LAND DISPOSAL SURVEYS; PEER REVIEW TELECONFERENCED
<Bill Hearing Canceled>
+ Bills Previously Heard/Scheduled: TELECONFERENCED
-- Public Testimony --
+= SB 72 DESIGNATED CAREGIVERS FOR PATIENTS TELECONFERENCED
Moved CSSB 72(L&C) Out of Committee
+= SB 141 E-CIGS: SALE TO AND POSSESSION BY MINOR TELECONFERENCED
Moved CSSB 141(L&C) Out of Committee
           SB  72-DESIGNATED CAREGIVERS FOR PATIENTS                                                                        
                                                                                                                                
1:32:32 PM                                                                                                                    
CHAIR COSTELLO  announced the  consideration of  SB 72.  She noted                                                              
that  public testimony  was closed  on  2/23/16, and  asked for  a                                                              
motion to adopt the work draft committee substitute (CS).                                                                       
                                                                                                                                
1:32:53 PM                                                                                                                    
SENATOR  GIESSEL moved  to  adopt the  work  draft CS  for SB  72,                                                              
labeled 29-LS0047\L, as the working document.                                                                                   
                                                                                                                                
1:33:07 PM                                                                                                                    
CHAIR COSTELLO objected for an explanation.                                                                                     
                                                                                                                                
1:33:24 PM                                                                                                                    
JANE  CONWAY, Staff,  Senator Cathy  Giessel,  said these  changes                                                              
were  made   working  in  conjunction   with  the   Alaska  Nurses                                                              
Association  and  the  Alaska  State  Hospital  and  Nursing  Home                                                              
Association  (ASHNHA).  She  read   from  the  following  prepared                                                              
explanations of changes: [Original punctuation provided.]                                                                       
                                                                                                                                
     1. Deletes the word "lay" in these places:                                                                                 
          Page 1, line 8, 11, 14                                                                                              
          Page 2, line 1, 3, 7, 18                                                                                            
                                                                                                                                
     Explanation: Eliminates  use of term "lay  caregiver" as                                                                   
     a   defined  term   (which  we've   deleting  from   the                                                                   
     definitions)  and uses  the  term we're  using which  is                                                                   
     "designated caregiver."                                                                                                    
                                                                                                                                
     2. On page 1, line 9:                                                                                                    
          Delete "in the patient's home"                                                                                      
          Insert "in a private residence"                                                                                     
                                                                                                                                
     Explanation: Patients  may not always  receive aftercare                                                                   
     in their  home, but  perhaps in  a sibling's or  child's                                                                   
     home.                                                                                                                      
                                                                                                                                
     3. On page 2, lines 8-9:                                                                                                 
          After "patient", delete ".",                                                                                        
          insert "," and the  following new language:                                                                         
          "including professional  follow-up as specified                                                                     
          in the discharge plan."                                                                                             
                                                                                                                                
     Explanation:   The  purpose  of   the  addition   is  to                                                                   
     explicitly  acknowledge  that often  follow  up will  be                                                                   
     required  by the patient's  primary  care provider or  a                                                                   
     specialized care provider.                                                                                                 
                                                                                                                                
     4. Page 2, line 29 deletes "an instruction contractor"                                                                   
          and adds                                                                                                              
          " a person who contracts with the hospital to provide                                                               
          instruction to a designated caregiver"                                                                              
                                                                                                                                
     5.  Page 3,  line  7  deletes "individual"  and  inserts                                                                 
          "patient"                                                                                                         
                                                                                                                                
     6. On  page 3, line 16  deletes the word "lay"  and adds                                                                 
       "in a private residence" after the word "patient"                                                                    
                                                                                                                                
     Explanation: This clarifies that the caregiving will                                                                       
     not be occurring in a healthcare facility.                                                                                 
                                                                                                                              
     7. Page  3, line 22-24  Adds the definition  of "private                                                                 
          residence":                                                                                                         
                                                                                                                              
     "private  residence does  not  include a  rehabilitative                                                               
     facility,  a  hospital,  a  nursing  home,  an  assisted                                                               
     living  facility,  a  group  home  or  another  licensed                                                               
     health care facility."                                                                                                 
                                                                                                                                
     8. On page 3, lines 20-21 of version F                                                                                   
          Delete the definition of "lay caregiver"                                                                            
                                                                                                                                
     Explanation:  Keeping   this  in  as  a   definition  is                                                                   
     confusing and  redundant with definition  of "designated                                                                   
     lay  caregiver" in this  same section.  There's no  need                                                                   
     to define the term.                                                                                                        
                                                                                                                                
1:37:32 PM                                                                                                                    
SENATOR  STEVENS  asked  if  the bill  defines  the  training  the                                                              
hospital will provide to caregivers.                                                                                            
                                                                                                                                
MS. CONWAY replied  there was a specific list  initially, but this                                                              
version directs hospitals  to write their own policies  using best                                                              
practice  methods. This  gives hospitals  more  latitude to  write                                                              
their  policies  and  provide  training  that is  pertinent  to  a                                                              
patient's particular needs.                                                                                                     
                                                                                                                                
SENATOR STEVENS  said he'd like more specific  direction regarding                                                              
what the hospital is being asked to do.                                                                                         
                                                                                                                                
SENATOR  GIESSEL  said  the  Centers  for  Medicaid  and  Medicare                                                              
Services   already  have   checklists  that   hospitals  use   for                                                              
discharge planning  so the very specific list in  the initial bill                                                              
raised   concern.  Most   hospitals   already  provide   discharge                                                              
training and  this bill is intended  to ensure that  all hospitals                                                              
do that.                                                                                                                        
                                                                                                                                
1:40:01 PM                                                                                                                    
CHAIR  COSTELLO removed  her objection  and version  L was  before                                                              
the  committee.  Finding no  further  questions,  she solicited  a                                                              
motion.                                                                                                                         
                                                                                                                                
1:40:12 PM                                                                                                                    
SENATOR GIESSEL  moved to  report the  CS for  SB 72, labeled  29-                                                              
LS0047\L,  from  committee  with  individual  recommendations  and                                                              
attached fiscal note(s).                                                                                                        
                                                                                                                                
1:40:25 PM                                                                                                                    
CHAIR COSTELLO announced  that without objection,  CSSB 72(L&C) is                                                              
reported from the Senate Labor and Commerce Standing Committee.                                                                 

Document Name Date/Time Subjects
SB 127.PDF SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Hearing Request L&C.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Sponsor Statement.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Sectional Analysis.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Credit-Based Insurance Scores Consumer Brochure.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents - NAMIC 1-25-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents - State Farm.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Email Brenda Pearce 2-4-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Email Cindi Heal 2-10-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Email Jeff Case 2-10-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Email Kay Rodriguez 2-10-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Email Kelly Snodgrass 2-10-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Email Stan Tebow 2-8-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Fax Tim Maudsley 2-10-16.PDF SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Letter Nancy Boeshart 2-16-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 Supporting Documents- Letter Stacey Matteson 2-11-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 127 - Fiscal Note DCCED.pdf SL&C 2/25/2016 1:30:00 PM
SB 127
SB 149.PDF SL&C 2/25/2016 1:30:00 PM
SB 149
SB 149 Transmittal Letter.pdf SL&C 2/25/2016 1:30:00 PM
SB 149
SB 149 Sectional Analysis.pdf SL&C 2/25/2016 1:30:00 PM
SB 149
SB 149 Hearing Request.pdf SL&C 2/25/2016 1:30:00 PM
SB 149
SB 149 Fiscal Note-DCCED-AIDEA-11-20-16.PDF SL&C 2/25/2016 1:30:00 PM
SB 149
SB 149 02.25.16 Presentation.pdf SL&C 2/25/2016 1:30:00 PM
SB 149
SB 141 - AAAS E-Cigs More Dangerous Than Tobacco.pdf SL&C 2/25/2016 1:30:00 PM
SB 141
Changes from CS SB 72(HSS) to CS vsn L 2-23-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 72
SB 141 - Background Harvard Gazette E-Cigs Flavorings Harmful.pdf SL&C 2/25/2016 1:30:00 PM
SB 141
SB 141 - Version P Bill Summary.pdf SL&C 2/25/2016 1:30:00 PM
SB 141
SB 141 E-Cigs Slideshow.PDF SL&C 2/25/2016 1:30:00 PM
SB 141
SB 141 Version P Sectional.pdf SL&C 2/25/2016 1:30:00 PM
SB 141
SB 141 Version P.pdf SL&C 2/25/2016 1:30:00 PM
SB 141
SB72 Designated Caregiver vsn L 2-22-16.pdf SL&C 2/25/2016 1:30:00 PM
SB 72