Legislature(2023 - 2024)DAVIS 106

05/02/2024 03:00 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
04:00:57 PM Start
04:02:55 PM Confirmation Hearing(s):|| Board of Marital and Family Therapy
04:15:28 PM SB115
06:08:18 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- Delayed to 20 Minutes Following Session --
+ Consideration of Governor’s Appointees: Board of TELECONFERENCED
Marital and Family Therapy - Shawnmarie Carpenter
-- Public Testimony --
+ SB 115 PHYSICIAN ASSISTANT SCOPE OF PRACTICE TELECONFERENCED
Moved CSSB 115(HSS) AM Out of Committee
-- Invited & Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                          May 2, 2024                                                                                           
                           4:00 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Mike Prax, Chair                                                                                                 
Representative Justin Ruffridge, Vice Chair                                                                                     
Representative CJ McCormick                                                                                                     
Representative Dan Saddler                                                                                                      
Representative Jesse Sumner                                                                                                     
Representative Zack Fields                                                                                                      
Representative Genevieve Mina                                                                                                   
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
CONFIRMATION HEARING(S)                                                                                                         
                                                                                                                                
Board of Marital and Family Therapy                                                                                           
                                                                                                                                
     Shawnmarie Carpenter - Anchorage                                                                                           
                                                                                                                                
     CONFIRMATION(S) ADVANCED                                                                                                   
                                                                                                                                
CS FOR SENATE BILL NO. 115(HSS) AM                                                                                              
"An Act relating to physician assistants; relating to                                                                           
physicians; and relating to health care insurance policies."                                                                    
                                                                                                                                
     - MOVED CSSB 115(HSS) AM OUT OF COMMITTEE                                                                                  
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 115                                                                                                                  
SHORT TITLE: PHYSICIAN ASSISTANT SCOPE OF PRACTICE                                                                              
SPONSOR(s): SENATOR(s) TOBIN BY REQUEST                                                                                         
                                                                                                                                
03/27/23       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/27/23       (S)       HSS, L&C                                                                                               
01/23/24       (S)       HSS AT 3:30 PM BUTROVICH 205                                                                           

01/23/24 (S) Heard & Held

01/23/24 (S) MINUTE(HSS) 02/06/24 (S) HSS AT 3:30 PM BUTROVICH 205 02/06/24 (S) Heard & Held 02/06/24 (S) MINUTE(HSS) 02/15/24 (S) HSS AT 3:30 PM BUTROVICH 205 02/15/24 (S) Moved CSSB 115(HSS) Out of Committee 02/15/24 (S) MINUTE(HSS) 02/19/24 (S) HSS RPT CS 3DP 2AM SAME TITLE 02/19/24 (S) DP: WILSON, KAUFMAN, DUNBAR 02/19/24 (S) AM: TOBIN, GIESSEL 02/28/24 (S) L&C AT 1:30 PM BELTZ 105 (TSBldg) 02/28/24 (S) Heard & Held 02/28/24 (S) MINUTE(L&C) 04/05/24 (S) L&C AT 1:30 PM BELTZ 105 (TSBldg) 04/05/24 (S) Moved CSSB 115(HSS) Out of Committee 04/05/24 (S) MINUTE(L&C) 04/08/24 (S) L&C RPT CS(HSS) 2DP 1NR 1AM 04/08/24 (S) AM: BJORKMAN 04/08/24 (S) DP: DUNBAR, BISHOP 04/08/24 (S) NR: MERRICK 04/24/24 (S) TRANSMITTED TO (H) 04/24/24 (S) VERSION: CSSB 115(HSS) AM 04/26/24 (H) READ THE FIRST TIME - REFERRALS 04/26/24 (H) HSS, L&C 05/02/24 (H) HSS AT 3:00 PM DAVIS 106 WITNESS REGISTER SHAWNMARIE CARPENTER, Appointee Board of Marital and Family Therapy Anchorage, Alaska POSITION STATEMENT: Testified as appointee to the Board of Marital and Family Therapy. SENATOR L?KI TOBIN Alaska State Legislature Juneau, Alaska POSITION STATEMENT: As prime sponsor, introduced SB 115 to the committee. MICHAEL MASON, Staff Senator L?ki Tobin Alaska State Legislature Juneau, Alaska POSITION STATEMENT: On behalf of Senator Tobin, prime sponsor, read the sectional analysis to SB 115. HAROLD JOHNSTON, MD, Board Member Alaska Primary Care Association Anchorage, Alaska POSITION STATEMENT: Gave invited testimony on SB 115. JENNIFER FAYETTE, PA, President Alaska Academy of Physician Assistants Anchorage, Alaska POSITION STATEMENT: Gave invited testimony on SB 115. KATHERINE VAN ATTA, PA-C, CNM, representing self Wasilla, Alaska POSITION STATEMENT: Testified in support of SB 115. KARI BERNARD, PA-C, representing self Anchorage, Alaska POSITION STATEMENT: Testified in support of SB 115. MOLLY SOUTHWORTH, MD, representing self Anchorage, Alaska POSITION STATEMENT: Testified in opposition to SB 115. KATHRYNE MITCHELL, representing self Anchorage, Alaska POSITION STATEMENT: Testified in opposition to SB 115. MARGARET CARLSON, DO Alaska Chapter of Family Physicians Anchorage, Alaska POSITION STATEMENT: Testified in opposition to SB 115. CHRISTI FROILAND, PA-C Alaska Physician Assistant Academy Anchorage, Alaska POSITION STATEMENT: Testified in support of SB 115. BETSY PACZAN-DOUDS, PA-C, President Alaska Academy of Physician Assistants Palmer, Alaska POSITION STATEMENT: Testified in support of SB 115. MEGHAN HALL, PA-C, representing self Anchorage, Alaska POSITION STATEMENT: Testified in support of SB 115. MARY SWAIN, CEO Cama'i Community Health Center Naknek, Alaska POSITION STATEMENT: Testified in support of SB 115. CAMILLA SULAK, MD, MEd, FACEP, representing self Anchorage, Alaska POSITION STATEMENT: Testified in opposition to SB 115. HELEN ADAMS, MD, Vice President American College of Emergency Physicians Alaska Chapter Anchorage, Alaska POSITION STATEMENT: Testified in opposition to SB 115. CANDACE HICKEL, PA-C Anchorage, Alaska POSITION STATEMENT: Testified in support of SB 115. REPRESENTATIVE ANDREW GRAY Alaska State Legislature Juneau, Alaska POSITION STATEMENT: Testified in support of SB 115. MACKENZIE POPE, Staff Senator L?ki Tobin Alaska State Legislature Juneau, Alaska POSITION STATEMENT: Answered committee questions during the hearing on SB 115 on behalf of Senator Tobin, prime sponsor. SYLVAN ROBB, Director Division of Corporations, Business, and Professional Licensing Department of Commerce, Community & Economic Development Juneau, Alaska POSITION STATEMENT: Answered committee questions on SB 115. ACTION NARRATIVE 4:00:57 PM CHAIR MIKE PRAX called the House Health and Social Services Standing Committee meeting to order at 4:00 p.m. Representatives Saddler, McCormick, Fields, Sumner, Mina, Ruffridge, and Prax were present at the call to order. ^CONFIRMATION HEARING(S): ^Board of Marital and Family Therapy CONFIRMATION HEARING(S) Board of Marital and Family Therapy 4:02:55 PM CHAIR PRAX announced that the first order of business would be the confirmation hearing for the governor's appointee to the Board of Marital and Family Therapy. 4:03:09 PM SHAWNMARIE CARPENTER, Appointee, Board of Marital and Family Therapy, introduced herself to the committee and recounted her time working as a teacher, licensed practitioner, and supervisor. She described her work experience in marital and family therapy and detailed her involvement in meetings with the Board of Marital and Family Therapy (BMFT). She said that she "has the wisdom of an elder" that is ready to be part of the decision-making of the board. 4:07:12 PM CHAIR PRAX thanked Ms. Carpenter for her service as a public school teacher. 4:07:30 PM REPRESENTATIVE SADDLER asked Ms. Carpenter to detail the differences between the types of therapy that she provides. 4:08:05 PM MS. CARPENTER answered by giving the history of emotive, humanistic, and attachment-based family therapies and explained the differences between the three. REPRESENTATIVE SADDLER asked whether there was any connection between someone's wellbeing and their participation in volunteer work. MS. CARPENTER said that there is a dramatic overlap between a person's wellbeing and their involvement in volunteer work or community service. 4:13:08 PM CHAIR PRAX opened public testimony on Shawnmarie Carpenter's confirmation hearing to the Board of Marital and Family Therapy. After ascertaining that there was no one who wished to testify, he closed public testimony. 4:13:52 PM CHAIR PRAX stated that the House Health and Social Services Standing Committee has reviewed the qualifications of the governor's appointees and recommends that the following name be forwarded to a joint session for consideration: Shawnmarie Carpenter, Board of Marital and Family Therapy. He said that signing the report regarding appointments to boards and commissions in no way reflects an individual member's approval or disapproval of the appointee, and the nomination is merely forwarded to the full legislature for confirmation or rejection. 4:14:34 PM The committee took an at-ease from 4:14 p.m. to 4:15 p.m. SB 115-PHYSICIAN ASSISTANT SCOPE OF PRACTICE 4:15:28 PM CHAIR PRAX announced that the final order of business would be CS FOR SENATE BILL NO. 115(HSS) AM, "An Act relating to physician assistants; relating to physicians; and relating to health care insurance policies." 4:15:52 PM SENATOR L?KI TOBIN, Alaska State Legislature, as prime sponsor, introduced CSSB 115(HSS) AM to the committee. She explained that the bill would allow physician assistants to operate within their scope of practice but would not expand their scope of practice in any way. She highlighted that the bill was amended to include a 4,000-hour requirement for physician assistants to operate as independent caregivers and to direct the State Medical Board to establish a regulated physician assistant who may move between different specialties of treatment. She shared data that found that having a physician assistant at a general practice increases the overall availability of care to all patients and highlighted that the availability of a physician assistant allows for more accessible rural health care. 4:23:44 PM MICHAEL MASON, Staff, Senator L?ki Tobin, Alaska State Legislature, on behalf of Senator Tobin, prime sponsor, read the sectional analysis to CSSB 115(HSS) AM [included in the committee packet, which read as follows]: Senate Bill 115: Sectional Analysis Section 1. Amends AS 08.64.107 by changing the term "regulation" to "licensure and scope of practice." Section 2. Amends AS 08.64.107 by adding four new subsections: Subsection (b) describes the procedures and evaluations physician assistants can perform, including their ability to: perform comprehensive health histories and physical examinations of patients; treat disease and injury; and prescribe, dispense, order, and administer schedule II, III, IV, or V controlled substance under federal law if the physician assistant has a valid federal Drug Enforcement Administration registration number. Subsection (c) establishes that a physician assistant with less than 4,000 hours of practice may practice only under collaborative agreement with one (or more) physician to provide care in a hospital, clinic, or other clinical setting. These collaborative agreements must be in writing and describe how the collaboration will be executed between the physician and physician assistant. Subsection (d) requires that a physician assistant in a collaborative agreement or the collaborating physician shall provide a copy of their collaborative agreement and relevant documentation to the State Medical Board upon request. Subsection (e) defines collaborative agreement. Section 3. Amends 08.64.107 to authorize a physician assistant to practice medicine independently, with those practicing with less than 4000 hours required to operate under a collaborative agreement as authorized in the previous section. Section 4. Amends AS 11.71.900 to include physician assistants under the definition of "practitioner." Section 5. Amends AS 21.07.010 to disallow a contract between a participating health care provider and health care insurer from including a provision that imposes a practice, education, or collaboration requirement on physician assistants which is inconsistent with or more restrictive than the requirements stipulated under AS 08.64.107. Section 6. Removes the direct supervision requirement for physician assistants under the definition of "attending physician" as stated in AS 23.30.395, which allows employees to designate physician assistants as responsible for their care under the Alaska Workers Compensation Act. Section 7. Removes the direct supervision requirement for physician assistants under the definition of "health care provider" as stated in AS 33.30.901, which allows physician assistants to provide medical services as a health care provider within the Department of Corrections statute definition. 4:26:59 PM HAROLD JOHNSTON, MD, Board Member, Alaska Primary Care Association, gave invited testimony on SB 115. He explained that the association is primarily comprised of physician assistants and emphasized their support for SB 115. He said that the current legacy system is no longer necessary and has created a barrier for care in many rural communities. He pointed out that there has been a shift in the way that care is delivered and said that physician assistants are beginning to play a larger role in health clinics. 4:32:18 PM CHAIR PRAX asked whether physician assistants working in a rural community would be working independently or with an organization. MR. JOHNSTON replied that the majority of physician assistants he is aware of that are working in Alaska are working through an organization. CHAIR PRAX asked whether the organization Mr. Johnston was referring to was part of a larger network of physician assistants. MR. JOHNSTON confirmed that it is part of a larger organization, though the networking begins with each physician assistant individually. 4:34:24 PM JENNIFER FAYETTE, PA, President, Alaska Academy of Physician Assistants, gave invited testimony on SB 115. She explained how physician assistants serve their community and emphasized the role that they play in delivering healthcare to rural communities in Alaska. She highlighted that there is a shortage of healthcare workers in Alaska and said that physician assistants are the first ones to practice and collaborate with doctors. She said that six other states have passed legislation similar to SB 115 in the previous two years that she has been working with the State Medical Board, and she explained that the proposed legislation would ensure that physician assistants may practice to their fullest potential as healthcare professionals. 4:40:03 PM CHAIR PRAX asked how physician assistants are trained. MS. FAYETTE answered that physician assistants apply to an accredited body comprised of multiple representatives of varying fields of healthcare professionals. 4:41:41 PM SENATOR TOBIN added that physician assistants are required to go through continuing education every two years. 4:42:13 PM REPRESENTATIVE FIELDS asked how leaving the statute pertaining to physician assistants broad could affect medical practice. SENATOR TOBIN answered that SB 115 included specific sections related to physician assistants to make sure that the physician assistant's scope of practice was clear. REPRESENTATIVE FIELDS asked whether physician assistants are already allowed to practice with a degree of independence similar to medical doctors. SENATOR TOBIN directed her answer to public testimony. 4:44:15 PM CHAIR PRAX opened public testimony on CSSB 115(HSS) AM. 4:44:372 PM KATHERINE VAN ATTA, PA-C, CNM, representing self, testified in support of SB 115. She explained her background in healthcare and highlighted that SB 115 would support rural healthcare in a regulatory environment that she opined was hostile toward rural healthcare. She referenced a series of proposed regulations by the State Medical Board and explained how they could have made it "virtually impossible" to legally practice as a physician assistant in rural Alaska. She opined that SB 115 would allow physician assistants to legally practice in rural communities. 4:47:29 PM REPRESENTATIVE RUFFRIDGE asked Ms. Van Atta what she meant when she was referring to it being "virtually impossible" for a physician assistant to legally practice under the State Medical Board's previously proposed regulations. MS. VAN ATTA replied that she was referring to the scope of practice discussion that was occurring within the State Medical Board and said that the proposed regulation would tie the scope of practice of the physician assistant to the associated physician. 4:50:03 PM KARI BERNARD, PA-C, representing self, testified in support of SB 115. She highlighted the scrutiny that Alaska physician assistants are subject to upon their initial certification and during their continued review. She said that SB 115 would expand the already safe certification and review processes that Alaska physician assistants are subject to and urged the committee's support of the proposed legislation. 4:53:12 PM MOLLY SOUTHWORTH, MD, representing self, testified in opposition to SB 115. She highlighted the importance of physician assistants and the role that they play in a clinic's ability to provide quality healthcare to its patients. She explained that the University of Washington has established a rural healthcare program in Soldotna, Alaska, and emphasized that the University of Washington's program is already working to train physician assistants in providing rural healthcare. 4:58:10 PM REPRESENTATIVE RUFFRIDGE asked Ms. Southworth for clarification as to whether she was testifying in opposition to or support of SB 115. MS. SOUTHWORTH clarified that she was testifying in opposition to SB 115. REPRESENTATIVE RUFFRIDGE shared his uncertainty as to how any of the subject matter Ms. Southworth testified on could be studied. MS. SOUTHWORTH answered that physician assistants are not currently allowed to collaborate with their patients' physician collaborators and described a series of examples in which the ability for a physician to collaborate with a physician assistant would have alleviated the adverse outcomes of those examples. REPRESENTATIVE RUFFRIDGE told Ms. Southworth that he would follow up with her later. 5:03:08 PM KATHRYNE MITCHELL, representing self, testified in opposition to SB 115. She said that she was specifically concerned with the "insufficient minimum of 4,000 hours of supervised clinical practice before independence." She highlighted that other states have a figure closer to 8,000 hours and added that she, as a physician, must work another 8,000-10,000 supervised hours after she has already completed thousands of previous hours to obtain her degree. She questioned the safety of a physician assistant being able to work independently at 4,000 hours. 5:06:10 PM MARGARET CARLSON, DO, Alaska Chapter of Family Physicians, testified in opposition to SB 115. She said that the Alaska Chapter of Family Physicians does not agree with the policies of SB 115 as they are currently written, which would remove the benefits of team-based, physician-led care and lead to a higher cost to patients, a higher number of referrals to specialists, and an overall degraded level of care for Alaskans. 5:10:10 PM CHRISTI FROILAND, PA-C, Alaska Physician Assistant Academy, testified in support of SB 115. She emphasized to the committee that no physician assistant is ever going to practice alone, regardless of whether they are approved to work independently. She shared her experience in working as a physician assistant and said that she has always extensively worked with her doctor to ensure that the greatest level of care is given to a patient. She said that SB 115 is "about much more than independence" and urged the committee's support of the bill. 5:12:42 PM The committee took an at-ease from 5:12 p.m. to 5:13 p.m. 5:13:25 PM BETSY PACZAN-DOUDS, PA-C, President, Alaska Academy of Physician Assistants, testified in support of SB 115. She said that the bill would allow Alaska's healthcare system to meet its demands by allowing physician assistants to practice to the fullest extent of their abilities and training. She shared her experience in working as a physician assistant being "regularly confronted" with a shortage of resources to provide to patients and said that SB 115 might be able to alleviate this shortage of resources. 5:16:40 PM MEGHAN HALL, PA-C, representing self, testified in support of SB 115. She explained that physician assistants are already working with their physicians and said that the proposed legislation would address an issue important to all Alaskans. 5:17:52 PM MARY SWAIN, CEO, Cama'i Community Health Center, testified in support of SB 115. She said that her health clinic has not been able to employ a physician for over 15 years due to its remote location. She explained that the cost of a physician's contract is prohibitive to her clinic and highlighted that it would be safe, effective, and less expensive to both the clinic and the patient to allow for physician assistants to provide care to patients. 5:20:35 PM CAMILLA SULAK, MD, MEd, FACEP, representing self, testified in opposition to SB 115. She shared her two concerns with SB 115, one being the implications that the proposed legislation has for general practice medicine in Alaska and the other with regard to Alaska's emergency medicine. She opined that the current collaborative model of the physician assistant and physician relationship is working well and does not need to be changed. 5:24:50 PM HELEN ADAMS, MD, Vice President, American College of Emergency Physicians Alaska Chapter (AK-ACEP), testified in opposition to SB 115. She said that it would be unsafe to allow physician assistants to go "full sail" into independent practice. She suggested the hourly requirement for a physician assistant to go independent to be 10,000 hours and said that a physician assistant that is operating on an independent basis must provide specialized healthcare, not a general practice. 5:27:15 PM CANDACE HICKEL, PA-C, testified in support of SB 115. She said that regulations surrounding physician assistants are "antiquated" and explained that healthcare education and practice has advanced far since then. She highlighted the fact that physician assistants often have twice the hours as that of licensed practical nurses (LPNs), though an LPN is allowed to practice independently with far fewer hours worked than a physician assistant. 5:30:11 PM REPRESENTATIVE RUFFRIDGE asked Ms. Hickel what her transition from neurosurgery to cardiothoracic surgery was like and why she chose to make that transition. MS. HICKEL replied that she is a leader in the physician assistant community in Anchorage and said that she was asked by Providence [Alaska Medical Center] to make the transition between the two types of care. She said that a physician assistant's transition between two specialty types of care would be best managed by their associated practice, organization, or hospital, not the legislature. 5:32:04 PM REPRESENTATIVE ANDREW GRAY, Alaska State Legislature, testified in support of SB 115. He described his education and experience in working as a physician assistant and emphasized the importance of the collaborative model of care for physician assistant that is new or younger in their career. He addressed a few of the concerns raised by previous testifiers and emphasized the ability of a physician assistant to provide independently of their physician. 5:35:10 PM REPRESENTATIVE MINA asked Representative Gray to speak to the disparities that exist between the certification of physician assistants in different states. REPRESENTATIVE GRAY answered that the military will allow a physician assistant to practice as long as they hold a state license from any state in the U.S. He explained that the process for renewing is different in Alaska because the renewal application requires that a physician "sign off" on their application for renewal. 5:37:49 PM MACKENZIE POPE, Staff, Senator L?ki Tobin, Alaska State Legislature, on behalf of Senator Tobin, prime sponsor, commented that SB 115 is a straightforward bill that is meant to improve healthcare in Alaska, not one to compete with doctors. 5:38:36 PM REPRESENTATIVE RUFFRIDGE asked why there is no requirement that a physician assistant's hours not be logged and further questioned whether a physician assistant would have to complete the 4,000-hour requirement of SB 115 after it is passed even if they have already completed those requirements. 5:40:56 PM MS. HICKEL answered that a physician assistant would no longer have to file paperwork with the state if SB 115 were passed. She emphasized that the practical endpoint of SB 115 is to allow healthcare providers to do what they've been trained to do. REPRESENTATIVE RUFFRIDGE commented that he wanted to make sure that the hours worked by a physician assistant are somehow logged. MS. HICKEL explained that she was required to submit proof of her qualifications and training hours to her employer when she first applied to work as a physician assistant. 5:46:20 PM CHAIR PRAX asked whether the system of logging hours would work the same way if the physician assistant were to work on an individual basis. MR. HICKEL answered that physician assistants are required by their associated national certifying organization to complete their education and training and log the times associated with both. 5:47:54 PM REPRESENTATIVE MINA asked how the scope of practice of a physician assistant is defined as it currently relates to existing physician assistant regulations and asked what the current scope of practice is for a physician assistant. MS. POPE answered that the scope of practice of a physician assistant is defined at the clinical site and the specific type of training that the physician assistant has received. 5:52:32 PM CHAIR PRAX asked whether there is concern of malpractice occurring with a physician assistant that has been improperly certified. MS. HICKEL answered that the concern of malpractice is one consistent with all medical providers. 5:53:38 PM REPRESENTATIVE MINA asked how often a physician assistant is actually engaged with their associated physician. 5:54:29 PM MR. HICKEL explained the relationships between all members of a patient's healthcare team and emphasized that a lot of medical situations could be prevented by a physician assistant being present at a local clinic. 5:56:51 PM MS. POPE added that clinics are often employing out-of-state providers for exorbitant amounts of money. MS. HICKEL commented that the $59,000 figure cited by a previous testifier was not an insignificant amount of money. 5:58:01 PM CHAIR PRAX inquired about fiscal notes associated with SB 115. SYLVAN ROBB, Director, Division of Corporations, Business, and Professional Licensing, Department of Commerce, Community & Economic Development (DCCED), offered her understanding that the cost of SB 115 would be absorbed by the state. 5:59:05 PM REPRESENTATIVE RUFFRIDGE asked how hours would be logged if no state agency is keeping record of a physician assistant's time worked. MS. HICKEL responded that the State Medical Board would adopt regulations pertaining to a physician assistant's logging of hours worked. 6:00:45 PM CHAIR PRAX asked for the committee's will on CSSB 115(HSS) AM. REPRESENTATIVE MINA commented that she would be okay to move the bill to the House Labor and Commerce Standing Committee. 6:01:40 PM REPRESENTATIVE SUMNER said that he could take up amendments in the House Labor and Commerce Standing Committee. REPRESENTATIVE MCCORMICK added that he was in support of moving the bill out of the House Health and Social Services Standing Committee. 6:02:20 PM The committee took an at-ease from 6:02 p.m. to 6:05 p.m. 6:05:34 PM CHAIR PRAX, after ascertaining that there was no one else who wished to testify, closed public testimony on SB 115. 6:05:38 PM REPRESENTATIVE RUFFRIDE moved to report CSSB 115(HSS) AM out of committee with individual recommendations and the accompanying fiscal notes. REPRESENTATIVE SADDLER objected. REPRESENTATIVE SUMNER told Representative Saddler that he was a member of the House Labor and Commerce Standing Committee and would be able to make changes to the bill in that committee. 6:07:08 PM A roll call vote was taken. Representatives Sumner, Mina, McCormick, Ruffridge, and Prax voted in favor of reporting CSSB 115(HSS) AM out of committee with individual recommendations and the accompanying fiscal notes. Representative Saddler voted against it. Therefore, CSSB 115(HSS) AM was reported out of the House Health and Social Services Standing Committee by a vote of 5-1. 6:08:18 PM ADJOURNMENT There being no further business before the committee, the House Health and Social Services Standing Committee meeting was adjourned at 6:08 p.m.

Document Name Date/Time Subjects
Shawnmarie Carpenter Marital App_Redacted.pdf HHSS 5/2/2024 3:00:00 PM
Governor's Appointee
Shawnmarie Carpenter Marital Resume_Redacted.pdf HHSS 5/2/2024 3:00:00 PM
Governor's Appointee
SB 115 Version B.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 Sponsor Statement 4.24.2024.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 Summary of Additional Supporting Documents 4.24.2024.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 Senate Floor Amendment 4.24.2024.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 Sectional Analysis Version U 4.22.2024.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 Fiscal Note DCCED.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 Explanation of Changes Version B to U.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 Bill Overview 4.24.2024.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 240 Amendment B.2 #2.pdf HHSS 5/2/2024 3:00:00 PM
SB 240
SB 240 - 16 year olds consent to mental health 4-26-24 HSS.pdf HHSS 5/2/2024 3:00:00 PM
SB 240
SB 240 Ahsogeak Testimony.pdf HHSS 5/2/2024 3:00:00 PM
SB 240
SB 240 Anc School Health Center Testimony.pdf HHSS 5/2/2024 3:00:00 PM
SB 240
SB 240 Parental Rights Testimony.pdf HHSS 5/2/2024 3:00:00 PM
SB 240
SB 115 AMA Issue Brief - Summary of Studies.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 AMA One-Pager.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 AK-ACEP Testimony.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 ACEP Opposition Letter #2.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115- ACEP Opposition.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 Opposition Testimony #1.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 115 ASPS Comments - Scope PA.pdf HHSS 5/2/2024 3:00:00 PM
SB 115
SB 240- School Based Medicaid.pdf HHSS 5/2/2024 3:00:00 PM
SB 240
SB 240 VOA Support.pdf HHSS 5/2/2024 3:00:00 PM
SB 240
SB 240 DOH on Age of Consent Amdnmt_Redacted.pdf HHSS 5/2/2024 3:00:00 PM
SB 240