Legislature(2003 - 2004)

03/24/2004 03:28 PM House L&C

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
                    ALASKA STATE LEGISLATURE                                                                                  
          HOUSE LABOR AND COMMERCE STANDING COMMITTEE                                                                         
                         March 24, 2004                                                                                         
                           3:28 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Tom Anderson, Chair                                                                                              
Representative Carl Gatto, Vice Chair                                                                                           
Representative Nancy Dahlstrom                                                                                                  
Representative Bob Lynn                                                                                                         
Representative Norman Rokeberg                                                                                                  
Representative Harry Crawford                                                                                                   
Representative David Guttenberg                                                                                                 
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
OTHER LEGISLATORS PRESENT                                                                                                     
                                                                                                                                
Representative Jim Holm                                                                                                         
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
HOUSE BILL NO. 434                                                                                                              
"An Act  relating to the  practice of naturopathic  medicine; and                                                               
providing for an effective date."                                                                                               
                                                                                                                                
     - MOVED CSHB 434(L&C) OUT OF COMMITTEE                                                                                     
                                                                                                                                
HOUSE BILL NO. 421                                                                                                              
"An Act relating to reconveyances of deeds of trust."                                                                           
                                                                                                                                
     - MOVED CSHB 421(L&C) OUT OF COMMITTEE                                                                                     
                                                                                                                                
HOUSE BILL NO. 490                                                                                                              
"An Act relating  to the release of  employment security records,                                                               
to the  admissibility of  determinations and  decisions regarding                                                               
unemployment   compensation  benefits,   and  to   contributions,                                                               
interest,  penalties, and  payments under  the Alaska  Employment                                                               
Security   Act;  providing   that  property   under  the   Alaska                                                               
Employment Security Act  is not subject to  the Uniform Unclaimed                                                               
Property Act; and providing for an effective date."                                                                             
                                                                                                                                
     - MOVED HB 490 OUT OF COMMITTEE                                                                                            
                                                                                                                                
HOUSE BILL NO. 330                                                                                                              
"An Act shortening the time periods after which certain                                                                         
unclaimed property is presumed to be abandoned; and providing                                                                   
for an effective date."                                                                                                         
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
HOUSE BILL NO. 391                                                                                                              
"An Act relating to employers and to victims of crime."                                                                         
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 434                                                                                                                  
SHORT TITLE: NATUROPATHIC MEDICINE                                                                                              
SPONSOR(S): REPRESENTATIVE(S) HOLM                                                                                              
                                                                                                                                
02/04/04       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/04/04       (H)       L&C, JUD                                                                                               
02/04/04       (H)       HES REFERRAL ADDED AFTER L&C                                                                           
02/18/04       (H)       L&C AT 3:15 PM CAPITOL 17                                                                              
02/18/04       (H)       Heard & Held <Assigned to Subcmte>                                                                     
02/18/04       (H)       MINUTE(L&C)                                                                                            
03/03/04       (H)       L&C AT 3:15 PM CAPITOL 17                                                                              
03/03/04       (H)       <Bill Hearing Postponed>                                                                               
03/24/04       (H)       L&C AT 3:15 PM CAPITOL 17                                                                              
                                                                                                                                
BILL: HB 421                                                                                                                  
SHORT TITLE: DEED OF TRUST RECONVEYANCE                                                                                         
SPONSOR(S): REPRESENTATIVE(S) ANDERSON                                                                                          
                                                                                                                                
02/02/04       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/02/04       (H)       L&C, JUD                                                                                               
03/19/04       (H)       L&C AT 3:15 PM CAPITOL 17                                                                              
03/19/04       (H)       Scheduled But Not Heard                                                                                
03/24/04       (H)       L&C AT 3:15 PM CAPITOL 17                                                                              
                                                                                                                                
BILL: HB 490                                                                                                                  
SHORT TITLE: EMPLOYMENT SECURITY ACT AMENDMENTS                                                                                 
SPONSOR(S): RULES BY REQUEST OF THE GOVERNOR                                                                                    
                                                                                                                                
02/16/04       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/16/04       (H)       L&C, JUD                                                                                               
03/22/04       (H)       L&C AT 3:15 PM CAPITOL 17                                                                              
03/22/04       (H)       Scheduled But Not Heard                                                                                
03/24/04       (H)       L&C AT 3:15 PM CAPITOL 17                                                                              
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
CLYDE B. JENSEN, Ph.D.                                                                                                          
Oregon Health and Science University                                                                                            
Portland, Oregon                                                                                                                
POSITION STATEMENT:  Testified in support of HB 434.                                                                            
                                                                                                                                
DANIEL JAMES YOUNG, N.D.                                                                                                        
Eagle River, Alaska                                                                                                             
POSITION STATEMENT:  Testified as a naturopathic physician in                                                                   
support of HB 434.                                                                                                              
                                                                                                                                
JASON HARMON, N.D                                                                                                               
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified during the discussion of HB 434.                                                                 
                                                                                                                                
MICHAEL PRICE, Owner                                                                                                            
Mat-Su Title Insurance Agency, Inc. (Wasilla)                                                                                   
and Fidelity Title (Anchorage);                                                                                                 
Member, Board of Directors                                                                                                      
Alaska Land Title Association                                                                                                   
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HB 421 and answered                                                                
questions.                                                                                                                      
                                                                                                                                
JEFF BLAKE                                                                                                                      
Stewart Title of Alaska                                                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HB 421.                                                                            
                                                                                                                                
TERRY BRYAN, President                                                                                                          
First American Title of Alaska                                                                                                  
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of HB 421.                                                                            
                                                                                                                                
JOHN BITNEY, Lobbyist                                                                                                           
for Alaska Land Title Association                                                                                               
Palmer, Alaska                                                                                                                  
POSITION STATEMENT:  Explained Amendment 1 to HB 421.                                                                           
                                                                                                                                
TOM NELSON, Director                                                                                                            
Employment Security Division                                                                                                    
Department of Labor & Workforce Development                                                                                     
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified on sections of HB 490 and                                                                        
answered questions.                                                                                                             
                                                                                                                                
TOBY NANCY STEINBERGER, Assistant Attorney General                                                                              
Labor and State Affairs Section                                                                                                 
Civil Division (Anchorage)                                                                                                      
Department of Law                                                                                                               
Anchorage, Alaska                                                                                                               
POSITION  STATEMENT:   Presented  information  about portions  of                                                               
HB 490 and answered questions.                                                                                                  
                                                                                                                                
BILL KRAMER, Chief of Unemployment Insurance                                                                                    
Division of Employment Security                                                                                                 
Department of Labor & Workforce Development                                                                                     
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions about HB 490.                                                                           
                                                                                                                                
LEONARD M. LINTON, JR., District Attorney                                                                                       
3rd Judicial District (Anchorage)                                                                                               
Department of Law                                                                                                               
Anchorage, Alaska                                                                                                               
POSITION   STATEMENT:     Testified   in  support   of  HB   490,                                                               
specifically Section 2.                                                                                                         
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
TAPE 04-32, SIDE A                                                                                                            
Number 0001                                                                                                                     
                                                                                                                                
CHAIR TOM ANDERSON  called the House Labor  and Commerce Standing                                                             
Committee  meeting  to  order  at   3:28  p.m.    Representatives                                                               
Anderson, Gatto,  Dahlstrom, Lynn, Crawford, and  Guttenberg were                                                               
present at  the call to  order.  Representative  Rokeberg arrived                                                               
as the  meeting was  in progress.   Representative Holm  was also                                                               
present.                                                                                                                        
                                                                                                                                
HB 434-NATUROPATHIC MEDICINE                                                                                                  
                                                                                                                                
CHAIR ANDERSON announced  that the first order  of business would                                                               
be  HOUSE BILL  NO.  434, "An  Act relating  to  the practice  of                                                               
naturopathic medicine; and providing for an effective date."                                                                    
                                                                                                                                
Number 0136                                                                                                                     
                                                                                                                                
CLYDE  B. JENSEN,  Ph.D., Oregon  Health and  Science University,                                                               
noted that  he'd traveled to Juneau  at his own expense  from his                                                               
home in Portland.  He testified:                                                                                                
                                                                                                                                
     I'm  particularly  interested  in rural  care  and  the                                                                    
     impact that  naturopathic medicine can have  upon rural                                                                    
     health care.   I've been introduced earlier  as a Ph.D.                                                                    
     in  pharmacology  and a  medical  educator.   I'm  best                                                                    
     known,   though,  as   an   administrator  of   medical                                                                    
     colleges.   I've  been  responsible  for the  executive                                                                    
     administration  of  colleges   of  allopathic  or  M.D.                                                                    
     [medical doctor] medicine,  osteopathic or D.O. [doctor                                                                    
     of   osteopathy]   medicine,   naturopathic   or   N.D.                                                                    
     [naturopathic doctor] medicine,  and oriental medicine,                                                                    
     so  I'm   frequently  called   upon  to   speak  before                                                                    
     policymaking  groups   on  issues  pertaining   to  the                                                                    
     "curative"  educational   programs  of   those  several                                                                    
     different professions. ...                                                                                                 
                                                                                                                                
Number 0212                                                                                                                     
                                                                                                                                
DR. JENSEN continued:                                                                                                           
                                                                                                                                
     The three bullet points that  I will share with you are                                                                    
     naturopaths  versus naturopathic  physicians; a  second                                                                    
     will be comparative medical education;  a third will be                                                                    
     continuing    medical   education    and   prescription                                                                    
     authority. ...                                                                                                             
                                                                                                                                
     One of  the things that  I have  learned as I  have met                                                                    
     with  some members  of the  legislature  today is  that                                                                    
     there is  not an  awareness of the  fact that  the term                                                                    
     "naturopath" is an  unregulated term.  It  can be owned                                                                    
     by anyone who  chooses to use it.  A  naturopath - or a                                                                    
     person can call himself a  naturopath - in those states                                                                    
     in  which naturopathic  physicians are  not licensed  -                                                                    
     and  there  are no  regulations  in  those states  that                                                                    
     would  prevent that  person from  referring to  himself                                                                    
     and holding himself out as a naturopath.                                                                                   
                                                                                                                                
     I've seen correspondence from  the Alaska State Medical                                                                    
     Association  that suggests  that  there may  not be  an                                                                    
     awareness among  members of the M.D.  profession in the                                                                    
     state  that   not  all   people  who   call  themselves                                                                    
     naturopaths are  trained in  the way  that naturopathic                                                                    
     physicians, of the  type who are seated  behind me, are                                                                    
     trained.                                                                                                                   
                                                                                                                                
     That,  then,  takes me  to  my  next bullet,  which  is                                                                    
     comparative  education.   Naturopathic  physicians  are                                                                    
     trained in  four colleges  in the  United States.   Two                                                                    
     additional colleges  either exist or are  developing in                                                                    
     Canada, and  in each case  it is necessary for  them to                                                                    
     receive a bachelor's degree  before being admitted into                                                                    
     those colleges.   In each  case the course of  study in                                                                    
     those colleges is four years  in duration.  The content                                                                    
     of those  four years  of study  would be  very similar,                                                                    
     and in  many cases identical,  to the training  that is                                                                    
     received in  M.D. and D.O. colleges;  particularly, the                                                                    
     first two years  of that training is  identical to that                                                                    
     which is received in M.D. and D.O. colleges.                                                                               
                                                                                                                                
     The second  two years,  as many of  you know,  is spent                                                                    
     training in  clinics and in hospitals  and, because the                                                                    
     nature of naturopathic medicine  and the practice of it                                                                    
     is  different  from that  of  M.D.  and D.O.  medicine,                                                                    
     naturopathic  physicians receive  clinical training  in                                                                    
     outpatient  clinics and  largely under  the supervision                                                                    
     of naturopathic physicians.                                                                                                
                                                                                                                                
Number 0433                                                                                                                     
                                                                                                                                
DR. JENSEN continued:                                                                                                           
                                                                                                                                
     That, then,  brings me  to the  third and  final bullet                                                                    
     that  I  will  share  with  you,  that  is,  continuing                                                                    
     medical  education and  prescription  authority.   What                                                                    
     I've learned  as I have  visited with a few  members of                                                                    
     the legislature today  is that there are  those who are                                                                    
     concerned  about expanding  the  scope  of practice  of                                                                    
     naturopaths  in  Alaska  to include  the  authority  to                                                                    
     write  prescriptions for  drugs.   And the  question is                                                                    
     asked, "What kind  of training do they have  in the use                                                                    
     of pharmaceutical  products in their practices?"   It's                                                                    
     an excellent question.                                                                                                     
                                                                                                                                
     In the  two years of  training at the beginning  of the                                                                    
     four-year   naturopathic  medical   education  program,                                                                    
     naturopathic medical students  are taught pharmacology;                                                                    
     that  is the  classroom basic  training in  the use  of                                                                    
     drugs.  We teach them  in that coursework how drugs act                                                                    
     upon the  body, how the  body acts  upon the drugs.   I                                                                    
     can tell you, as both  a pharmacologist and as a former                                                                    
     leader of those colleges,  that that classroom training                                                                    
     is the same  whether you are studying to be  an M.D., a                                                                    
     D.O., or an N.D.                                                                                                           
                                                                                                                                
     In the latter  two years of training, M.D.s  will go to                                                                    
     hospitals  and multi-specialty  group practices,  where                                                                    
     they will see a lot  of drugs prescribed.  Naturopathic                                                                    
     medical students  will go to outpatient  clinics, where                                                                    
     they  will see  fewer  drugs  prescribed because,  once                                                                    
     again,  they  are  studying under  the  supervision  of                                                                    
     naturopathic physicians who typically use few drugs.                                                                       
                                                                                                                                
Number 0544                                                                                                                     
                                                                                                                                
DR. JENSEN continued:                                                                                                           
                                                                                                                                
     Continuing medical education is  the process that other                                                                    
     states    that   have    allowed   prescription-writing                                                                    
     authority to  naturopathic physicians to use,  in order                                                                    
     to  ramp up  their  ability  to utilize  pharmaceutical                                                                    
     products  that  they  may  have  had  somewhat  limited                                                                    
     experience in  using while they  were going  to medical                                                                    
     school.                                                                                                                    
                                                                                                                                
     In  my judgment,  those  states  in which  naturopathic                                                                    
     physicians  are   permitted  to  prescribe   drugs  are                                                                    
     sufficiently  well trained  to utilize  the drugs  that                                                                    
     they  prescribe.   I will  also  tell you  that, in  my                                                                    
     experience, naturopathic  physicians are  very reticent                                                                    
     to  prescribe drugs,  because they  became naturopathic                                                                    
     physicians for the  purpose of being able  to use other                                                                    
     types  of therapies  - and  they simply  do that  very,                                                                    
     very well.                                                                                                                 
                                                                                                                                
     My promise  was that  I would be  brief.   I've touched                                                                    
     upon three  bullets, and  there are  a number  of other                                                                    
     topics that might  be of interest to you.   I'll read a                                                                    
     menu   of  things   that  I   can  discuss   if  you're                                                                    
     interested.    Naturopathic  medicine  is  an  emerging                                                                    
     profession;  I  can  speak with  you  about  what  that                                                                    
     means.    I'm  presently  writing  a  book  on  medical                                                                    
     (indisc.)   versus    the   medical    continuum.   ...                                                                    
     Naturopathic medicine  and rural  health, I  think, may                                                                    
     have some  particular importance to this  state because                                                                    
     of the  primary-care shortage in  areas.   Primary care                                                                    
     and  naturopathic medicine  is a  topic that  I'm quite                                                                    
     interested in; those are subjects  that I'd be happy to                                                                    
     address as well.                                                                                                           
                                                                                                                                
Number 0659                                                                                                                     
                                                                                                                                
REPRESENTATIVE  GUTTENBERG said  it  is interesting  to note  the                                                               
reference to the fact that if  "we don't do anything" and there's                                                               
no   licensing  requirements   and   no   statutes  relating   to                                                               
naturopathic medicine,  that anybody can call  himself or herself                                                               
a naturopath.                                                                                                                   
                                                                                                                                
DR. JENSEN  replied that  in Alaska  a license  is required.   He                                                               
said  that in  other  states  healthcare consumers  may  go to  a                                                               
person whose  business card  says naturopath,  but they  will not                                                               
know the  nature of  their training.   Some  people in  the state                                                               
medical association are not aware of this, he noted.                                                                            
                                                                                                                                
Number 0720                                                                                                                     
                                                                                                                                
REPRESENTATIVE  GATTO  said  you   used  the  term  "naturopathic                                                               
physician" several times.                                                                                                       
                                                                                                                                
DR. JENSEN agreed.                                                                                                              
                                                                                                                                
REPRESENTATIVE GATTO said that in  statute it says, "A person who                                                               
practices naturopathy  shall clearly  disclose that  the person's                                                               
training  and   practices  in  naturopathy.  ...   A  person  who                                                               
practices  naturopathy may  not  use the  word  physician in  the                                                               
person's title."  Alaska excludes that possibility, he added.                                                                   
                                                                                                                                
DR. JENSEN said that varies from jurisdiction to jurisdiction.                                                                  
                                                                                                                                
REPRESENTATIVE GATTO asked Dr. Jensen how he feels about that.                                                                  
                                                                                                                                
DR. JENSEN replied, "Those who  are trained in four-year colleges                                                               
of medicine, should  be, deserve to be,  recognized as physicians                                                               
and their patients are already referring to them as such."                                                                      
                                                                                                                                
REPRESENTATIVE GATTO  said he  believes that  the people  who are                                                               
using the word "physicians" would object to that.                                                                               
                                                                                                                                
DR.  JENSEN   said  you   could  expect   that  those   from  the                                                               
conventional  health  care   professions  whose  responsibilities                                                               
includes protecting  the public,  would want  to be  certain that                                                               
those  who call  themselves  physicians  have been  appropriately                                                               
trained.    Dr.  Jensen  opined   that  they  have  been  trained                                                               
appropriately.                                                                                                                  
                                                                                                                                
REPRESENTATIVE GATTO  asked about  the four colleges  and whether                                                               
Dr. Jensen has an association with any of them.                                                                                 
                                                                                                                                
DR. JENSEN replied  that he was at one time  the president of the                                                               
oldest of  the four  colleges in  Portland, Oregon.   He  said he                                                               
served  in  that  capacity  for five  years  and  completed  that                                                               
service about two years ago.                                                                                                    
                                                                                                                                
REPRESENTATIVE  GATTO   asked  if  naturopaths   frequently  sell                                                               
products within  their own offices  and if they  had prescription                                                               
drug rights, if they would be a dispensing pharmacy.                                                                            
                                                                                                                                
Number 0829                                                                                                                     
                                                                                                                                
DR.  JENSEN  replied that  in  many  cases  it is  necessary  for                                                               
naturopaths  to both  compound and  dispense products  from their                                                               
own offices because  [the products] are not  available from other                                                               
retail  sources.   Naturopathic  physicians have  been taught  to                                                               
blend  mixtures of  herbs  and  nutrients in  ways  that are  not                                                               
commercially available, he noted.                                                                                               
                                                                                                                                
REPRESENTATIVE GATTO asked if they do that now.                                                                                 
                                                                                                                                
DR. JENSEN said yes.                                                                                                            
                                                                                                                                
REPRESENTATIVE  GATTO  pointed  out that  the  prescription  drug                                                               
rights [in the  bill] go beyond that and extend  their ability to                                                               
compound  prescription drugs  in addition  to the  existing stock                                                               
that they have.  He asked Dr. Jensen for his opinion on that.                                                                   
                                                                                                                                
DR.  JENSEN  said  that,  personally,  he  feels  that  would  be                                                               
inappropriate.   He said  he does  not believe  that that  is the                                                               
intent of this legislation.                                                                                                     
                                                                                                                                
REPRESENTATIVE GATTO said, "But it would allow it."                                                                             
                                                                                                                                
DR. JENSEN  said he  has not  read the  legislation so  he cannot                                                               
respond to that.                                                                                                                
                                                                                                                                
REPRESENTATIVE  GATTO said  that  the legislation  does call  for                                                               
prescription drug rights to be  given to individuals who now only                                                               
compound  natural  ingredients  for dispensing  or  selling  from                                                               
their own offices.                                                                                                              
                                                                                                                                
Number 0946                                                                                                                     
                                                                                                                                
DR. JENSEN  replied that  Representative Gatto  has asked  a very                                                               
incisive question,  one that Dr. Jensen  has not thought of.   He                                                               
said  there are  two  reasons why  M.D.s and  D.O.s  do not  sell                                                               
products  from  their  offices.    One  is  that  both  of  those                                                               
professions have  codes of ethics  that for purposes  of conflict                                                               
of interest  preclude physicians from selling  products that they                                                               
prescribe.   The second reason  is that most of  those physicians                                                               
also  receive Medicare  and  Medicaid  reimbursements and  cannot                                                               
sell products for private gain.   Naturopathic physicians are not                                                               
compelled by  either of those  two reasons,  he pointed out.   He                                                               
said that  his personal  opinion is  that dispensing  for private                                                               
gain from any practice is a  dubious activity.  He noted that the                                                               
exception to that is when  a naturopathic physician must compound                                                               
products that are  not available from other  retail sources, they                                                               
may have  no choice but  to dispense.   He restated that  he does                                                               
not believe  it is the intent  of this legislation to  permit the                                                               
dispensing and sale of pharmaceutical products.                                                                                 
                                                                                                                                
Number 1038                                                                                                                     
                                                                                                                                
REPRESENTATIVE  CRAWFORD  said that  the  way  that the  bill  is                                                               
written now, it would give  unlimited ability to prescribe drugs.                                                               
He asked if Dr.  Jensen recommends that [naturopathic physicians]                                                               
be able to prescribe addictive and psychotropic drugs.                                                                          
                                                                                                                                
DR. JENSEN said  that he has some apprehensions about  that.  The                                                               
scope of practice that is  needed by most primary care physicians                                                               
is the  scope of practice  that can probably function  quite well                                                               
without   scheduled  substances   or  at   least  [Schedule   II]                                                               
substances where there is a high  abuse potential, he opined.  He                                                               
related that he thinks it is a valid concern.                                                                                   
                                                                                                                                
REPRESENTATIVE GATTO stated that it  does not matter which doctor                                                               
he speaks with, they all  have the same opinion, that naturopaths                                                               
should not  be allowed to  dispense prescription medication.   He                                                               
said that  he has heard  the naturopaths  say that they  have all                                                               
the business they can handle, and  they are not going to make any                                                               
additional income from dispensing drugs.   He asked what argument                                                               
could  be made  in  favor of  allowing  naturopaths to  prescribe                                                               
prescription drugs.                                                                                                             
                                                                                                                                
Number 1138                                                                                                                     
                                                                                                                                
DR.  JENSEN said  he may  not be  the best  person to  answer the                                                               
question because he  is not a naturopath.  He  pointed out that a                                                               
naturopath  is  a  very  comprehensively  trained  physician  and                                                               
Alaska is one of the  most ubiquitous, health personnel shortaged                                                               
states in  the country  because of  the large  land mass  and the                                                               
sparse  population.   Naturopathic  physicians  can  play a  very                                                               
positive and powerful role in  meeting the needs, particularly of                                                               
rural Alaskans, who may not  have access to healthcare otherwise,                                                               
he opined.                                                                                                                      
                                                                                                                                
DR. JENSEN continued:                                                                                                           
                                                                                                                                
     If they are  restricted in their scope  of practice, so                                                                    
     that  naturopathic  physicians  are unable  to  do  the                                                                    
     things  that  they are  really  capable  of doing,  the                                                                    
     people  who  [will]  suffer  are  not  the  physicians.                                                                    
     They'll continue to  make a decent living.   The people                                                                    
     who will  suffer are  the patients  that would  like to                                                                    
     have  access to  adequate and  appropriate health  care                                                                    
     and  whose physicians  are  limited  in performing  the                                                                    
     services that  they should perform.   Now, if I  were a                                                                    
     naturopathic physician  and I had devoted  four or more                                                                    
     years of  my life being  trained, and I practiced  in a                                                                    
     jurisdiction  that   didn't  value  my   training,  I'd                                                                    
     probably  would be  disappointed with  the jurisdiction                                                                    
     and  I may  not practice  there long.   I  suspect that                                                                    
     part of  the rationale  behind this legislation  has to                                                                    
     do  with appropriate  recognition  for  some very  high                                                                    
     quality training.                                                                                                          
                                                                                                                                
REPRESENTATIVE   GATTO   gave   an  example   of   earaches   and                                                               
antibiotics,  which  are  not  given  any  more.    He  asked  if                                                               
naturopaths  would keep  up on  that information  as well  as any                                                               
physician.                                                                                                                      
                                                                                                                                
DR. JENSEN replied that continuing  education is the way that any                                                               
physician is  supposed to  keep up.   "Speaking to  that specific                                                               
example  that  you  have  given,  off  all  of  the  health  care                                                               
professionals with which  I have worked, the  naturopath would be                                                               
the least  likely to venture  into the prescription of  drugs for                                                               
purposes that they may not be warranted," he pointed out.                                                                       
                                                                                                                                
REPRESENTATIVE GATTO  asked if  it is  Dr. Jensen's  opinion that                                                               
the regular physicians are simply in a "turf protection".                                                                       
                                                                                                                                
DR. JENSEN said he is very  reluctant to say that a state medical                                                               
association  or  an  individual   would  oppose  legislation  for                                                               
purposes  of economics,  but  agreed that  there  is an  economic                                                               
impact  that  can be  expected  by  M.D.s, D.O.s,  and  mid-level                                                               
providers  in  the  state,  should   the  scope  of  naturopathic                                                               
physicians  be expanded.   He  pointed out  that naturopaths  are                                                               
taught  to do  something  that a  lot  of conventional  providers                                                               
don't have a  lot of time to  do, and that's to  touch, talk, and                                                               
work with  their patients and  get to know  them.  There  will be                                                               
health care  consumers who will  choose to receive more  of their                                                               
care  from  naturopathic  physicians  as the  scope  of  practice                                                               
enables  them to  provide the  care that  they desire,  he added.                                                               
"These are  physicians who  can compete, and  the time  will come                                                               
when they will," he concluded.                                                                                                  
                                                                                                                                
CHAIR ANDERSON  pointed out that  there is a fear  of devaluation                                                               
of  the   medical  license  of   a  medical   doctor,  scientific                                                               
uncertainty in physicians' minds of  the verifiability of some of                                                               
the practices, the fear of  misdiagnosis, and the question of the                                                               
quality of the  education.  He asked Dr. Jensen  if those are the                                                               
arguments he has heard in other states.                                                                                         
                                                                                                                                
Number 1483                                                                                                                     
                                                                                                                                
DR.  JENSEN  said  they  are.    He  related  that  he  left  the                                                               
University of  Oklahoma in  1996 to  meet his  first naturopathic                                                               
physician  in Oregon,  and until  that  time, that  was also  his                                                               
opinion.    He related  that  during  the  five years  he  became                                                               
somewhat of an expert on the  subject, he found that his concerns                                                               
were unwarranted.                                                                                                               
                                                                                                                                
CHAIR ANDERSON, reporting on refutes  to the three aforementioned                                                               
concerns,  said that  the  education  [of naturopaths]  surpasses                                                               
that of  nurse practitioners, midwives and  physician assistants.                                                               
In terms  of the Western/Eastern medicine  debate, Chair Anderson                                                               
said  that issue  is not  so  easily decided.   In  terms of  the                                                               
devaluation of the  medical license, it has been  stated that the                                                               
naturopath's  patients   aren't  being  taken   from  traditional                                                               
practices, and both have more than  enough patients.  He asked if                                                               
Dr. Jensen agrees.                                                                                                              
                                                                                                                                
DR. JENSEN  agreed.   He added  that as  for the  economic issue,                                                               
naturopathic   physicians    are   not    receiving   entitlement                                                               
reimbursement, so  there is no  competition for that dollar.   In                                                               
most cases, naturopathic physicians  are also not receiving third                                                               
party  reimbursement.   Most people  are  willing to  pay out  of                                                               
pocket for those services.                                                                                                      
                                                                                                                                
Number 1603                                                                                                                     
                                                                                                                                
REPRESENTATIVE  LYNN  pointed  out  that there  is  probably  not                                                               
scientific  certainty for  anything.   He asked  how the  typical                                                               
person chooses from the variety  of medical treatments available.                                                               
He wondered  how a  person knows  where to  go for  their medical                                                               
problem.   He  said he  will probably  vote no  recommendation on                                                               
this bill.                                                                                                                      
                                                                                                                                
DR.  JENSEN replied  that the  average person  probably does  not                                                               
have enough information  to know where to go today.   The average                                                               
person is probably going to  gather information from other health                                                               
care  professionals, and  as the  professionals  become more  and                                                               
more knowledgeable,  they will be  able to make referrals  to one                                                               
another more frequently and more confidently, he related.                                                                       
                                                                                                                                
DR. JENSEN explained:                                                                                                           
                                                                                                                                
     In  the world  of  health  care, we  used  to refer  to                                                                    
     conventional  and  alternative  medicine  and  then  we                                                                    
     discovered  that there  were  things about  alternative                                                                    
     medicine  that were  more compatible  with conventional                                                                    
     medicine than  we thought, and so  we started referring                                                                    
     to  conventional medicine  and alternative  medicine as                                                                    
     complimentary   medicine   because  they   could   work                                                                    
     together.   Today,  there's a  new buzzword  within the                                                                    
     field  and it's  called integrative  medicine.   That's                                                                    
     where M.D.s  and D.O.s  and N.D.s  and D.C.s  and other                                                                    
     types of  health care  professionals can  actually work                                                                    
     as a  team.  I predict  that the day will  come, and it                                                                    
     will  come only  as a  consequence of  legislation that                                                                    
     permits each of the groups  to practice the things that                                                                    
     they have been  taught to practice, but  I predict that                                                                    
     the  day  will come  when  there  will be  health  care                                                                    
     managers in individual offices or  in groups of offices                                                                    
     that  will help  patients  navigate  through this  very                                                                    
     complex assortment  of health  care options.   And, the                                                                    
     day will  come when  M.D.s will  be referring  to N.D.s                                                                    
     and N.D.s to D.C.s - we're  simply not there yet.  But,                                                                    
     you've  raised a  very  difficult  question for  health                                                                    
     care consumers  in the year  2004.  How are  they going                                                                    
     to know?   They  never will know,  though, if  we don't                                                                    
     allow health care professionals  to practice that scope                                                                    
     of practice that they've been trained to deliver.                                                                          
                                                                                                                                
REPRESENTATIVE LYNN opined that it  is a very dangerous thing for                                                               
the consumer  because he or  she is at  the mercy of  health care                                                               
providers.                                                                                                                      
                                                                                                                                
DR. JENSEN  related that there  is a protective mechanism  in all                                                               
jurisdictions  for   the  consumer.     Among   those  protective                                                               
mechanisms are  the board  of examiners  or the  licensing board.                                                               
Whenever a consumer  is confronted by a situation that  he or she                                                               
thinks may  be dubious, he or  she can report that  to the board,                                                               
which is required by law to review it.                                                                                          
                                                                                                                                
Number 1801                                                                                                                     
                                                                                                                                
REPRESENTATIVE  GUTTENBERG asked,  "Are we  licensing here  above                                                               
the education level, or does  this match the authority that we're                                                               
giving naturopaths?"                                                                                                            
                                                                                                                                
DR. JENSEN  replied that the  current license in Alaska  is below                                                               
the  level   of  education  of   a  naturopath.     The  proposed                                                               
legislation would  come closer  to, but not  exceed the  level to                                                               
which they are trained, he opined.   He noted that the mention of                                                               
controlled  substances   earlier  is  one  example   of  what  he                                                               
considers  the high  end of  a primary  care practice.   That  is                                                               
where there is  some risk to which patients would  be exposed, he                                                               
said.                                                                                                                           
                                                                                                                                
CHAIR  ANDERSON  wondered  if   this  legislation  is  setting  a                                                               
precedent  and  is  beyond  the scope  of  what  naturopaths  are                                                               
allowed to do in other states.                                                                                                  
                                                                                                                                
DR. JENSEN said,  "No, there are other states in  which the scope                                                               
and practice  already exceeds that  which is recommended  by this                                                               
legislature."                                                                                                                   
                                                                                                                                
Number 1888                                                                                                                     
                                                                                                                                
REPRESENTATIVE  DAHLSTROM  asked  if  his  appropriate  title  is                                                               
doctor.                                                                                                                         
                                                                                                                                
CHAIR ANDERSON said, "Ph.D."                                                                                                    
                                                                                                                                
DR.  JENSEN replied  that his  daughter says  he is  the kind  of                                                               
doctor who never helps anyone.                                                                                                  
                                                                                                                                
REPRESENTATIVE  DAHLSTROM  thanked  Dr.  Jensen  for  coming  and                                                               
testifying  at his  own  expense.   She  asked for  clarification                                                               
about the four-year  degree and wondered if English  and math are                                                               
part of the course requirements.                                                                                                
                                                                                                                                
DR. JENSEN  replied that the  English and math classes  are taken                                                               
before a person enters the four-year naturopathic program.                                                                      
                                                                                                                                
REPRESENTATIVE  DAHLSTROM said,  "So, I  have a  four-year degree                                                               
already, and this is a second four-year degree on top of it."                                                                   
                                                                                                                                
DR. JENSEN said yes, and thanks for asking that question.                                                                       
                                                                                                                                
REPRESENTATIVE DAHLSTROM  asked for Dr. Jensen's  opinion about a                                                               
naturopathic  physician  having to  team  up  with a  traditional                                                               
physician in the same office in order to practice.                                                                              
                                                                                                                                
DR. JENSEN  said the teaming up  part is happening more  and more                                                               
often for  the convenience  of the  patient, but  for supervision                                                               
purposes there may  be a precedent set in  California where their                                                               
statute  does  call  for some  association  between  naturopathic                                                               
physicians and conventional physicians.                                                                                         
                                                                                                                                
CHAIR ANDERSON asked if that  devaluates the naturopathic license                                                               
and  is very  expensive  because of  the need  to  relocate to  a                                                               
doctor's office.                                                                                                                
                                                                                                                                
DR.  JENSEN said  if he  were a  naturopathic physician  he would                                                               
avoid that  type of relationship  for the reasons  Chair Anderson                                                               
described.                                                                                                                      
                                                                                                                                
Number 2037                                                                                                                     
                                                                                                                                
REPRESENTATIVE DAHLSTROM asked if  the state of California offers                                                               
full prescription rights to their naturopathic physicians.                                                                      
                                                                                                                                
DR. JENSEN said he  does not believe so.  He noted  that it was a                                                               
bill recently passed in the  last legislative session and has not                                                               
yet been implemented.                                                                                                           
                                                                                                                                
REPRESENTATIVE DAHLSTROM  wondered if  Dr. Jensen  would consider                                                               
it to be a  friendly amendment to the bill to  change it to allow                                                               
just Schedule I drugs, a  section that deals with the compounding                                                               
of drugs, and whether they could or  could not be sold out of the                                                               
office.                                                                                                                         
                                                                                                                                
DR.  JENSEN  replied  that  he  understands  the  intent  of  the                                                               
question  but that  he has  to change  the terminology  because a                                                               
Schedule  I substance  is the  most dangerous  of all  the drugs.                                                               
The friendly  amendment would allow prescription  authority up to                                                               
a certain level  of scheduled substances such as  Schedule II, he                                                               
suggested.  He said he would encourage the discussion of that.                                                                  
                                                                                                                                
CHAIR  ANDERSON  noted the  arrival  of  Representative Holm  and                                                               
brought him up to date,  explaining that Representative Dahlstrom                                                               
is  looking into  limitation on  prescriptions and  on dispensing                                                               
from a [naturopath's] office of things like antibiotics.                                                                        
                                                                                                                                
REPRESENTATIVE DAHLSTROM  clarified that  she is not  thinking of                                                               
antibiotics, but of compounds such as acne medicine.                                                                            
                                                                                                                                
Number 2147                                                                                                                     
                                                                                                                                
CHAIR ANDERSON closed public testimony.   He asked Representative                                                               
Gatto to report on the subcommittee's findings.                                                                                 
                                                                                                                                
REPRESENTATIVE GATTO  said he did  not submit a letter  signed by                                                               
all three  members of the  subcommittee, partly because  he could                                                               
not decide  on the issue.   With  regard to question  number one,                                                               
which   asked  for   a  compromise   with   the  Alaska   Medical                                                               
Association, there was none to be  had, he reported.  With regard                                                               
to  question  two,  discussion  of  Section  6,  regarding  minor                                                               
surgery,  most of  the [subcommittee]  agreed that  they did  not                                                               
know what  minor surgery is.   In California minor surgery  is to                                                               
repair    a   laceration    without    sutures,   he    reported.                                                               
Representative Dahlstrom  brought up the fact  that laser surgery                                                               
does not use  sutures, he said.  There was  discussion of whether                                                               
floating  a catheter  through  a  tiny opening  is  surgery or  a                                                               
procedure, and  so the group decided  they were not clear  on the                                                               
definition of minor surgery.   With regard to question three, the                                                               
discussion  of Section  15,  the repeal  of  AS 08.45.040,  which                                                               
refers  to  the  disclosure  that  naturopaths  are  required  to                                                               
disclose to each  patient that their training  is in naturopathy,                                                               
and whether  or not they  have malpractice insurance, he  said he                                                               
is not sure that Section 15 is even in the bill.                                                                                
                                                                                                                                
Number 2251                                                                                                                     
                                                                                                                                
CHAIR  ANDERSON  reported  that  Section 15,  page  7,  line  19,                                                               
repeals AS 08.45.040, which Representative  Gatto as chair of the                                                               
subcommittee referred to, states:                                                                                               
                                                                                                                                
     Disclosures   required   by    person   who   practices                                                                    
     naturopathy.     Subsection   (a)  ...   shall  clearly                                                                    
     disclose that  the person's  training and  practices in                                                                    
     naturopathy  (1)  to  each  patient   and  (2)  on  all                                                                    
     material used  in the practice of  naturopathy and made                                                                    
     available to patients  or to the public.   (b) A person                                                                    
     who  practices  naturopathy  without being  covered  by                                                                    
     malpractice  insurance shall  disclose to  each patient                                                                    
     that the person does not have the insurance.                                                                               
                                                                                                                                
CHAIR ANDERSON  said he is  unclear why that should  be repealed.                                                               
He asked Representative Holm why that is.                                                                                       
                                                                                                                                
REPRESENTATIVE  HOLM  said  he  is unsure  why  that  section  is                                                               
repealed.                                                                                                                       
                                                                                                                                
CHAIR ANDERSON  restated the unresolved questions  that are still                                                               
before the committee.  One  is the reconciliation with the Alaska                                                               
Medical  Association,  which does  not  support  the bill.    The                                                               
parameters dealing with prescriptions  still need to be resolved,                                                               
the definition  of minor surgery  still needs to be  defined, and                                                               
there  is a  repeal of  a disclosure  section to  figure out,  he                                                               
related.   The issue about  prescribing of drugs would  also need                                                               
to be resolved, he added.                                                                                                       
                                                                                                                                
Number 2354                                                                                                                     
                                                                                                                                
REPRESENTATIVE DAHLSTROM requested  that Representative Gatto, as                                                               
chair of  the subcommittee, discuss  those issues with  the maker                                                               
of the bill before the committee votes on the bill.                                                                             
                                                                                                                                
TAPE 04-32, SIDE B                                                                                                            
Number 2365                                                                                                                     
                                                                                                                                
CHAIR ANDERSON  replied that he  is committed to moving  the bill                                                               
out  without objection  from the  committee.   He said  he agrees                                                               
with the general intent of the bill.                                                                                            
                                                                                                                                
REPRESENTATIVE  ROKEBERG  suggested  that   the  members  of  the                                                               
committee offer amendments if they wish to.                                                                                     
                                                                                                                                
Number 2345                                                                                                                     
                                                                                                                                
DANIEL  JAMES  YOUNG,  N.D.,  a   naturopathic  physician  and  a                                                               
licensed  acupuncturist,  addressing  the repealing  of  [Section                                                               
15],  reported that  17 years  ago there  was not  a license  for                                                               
naturopathic  physicians in  Alaska.   He  said  this section  is                                                               
antiquated and refers  to the practice of  naturopathy, which Dr.                                                               
Jensen   explained  is   different   from  the   practice  of   a                                                               
naturopathic physician.  He said  that patients know clearly that                                                               
they  are dealing  with  a  naturopathic physician.    It is  now                                                               
common practice for naturopathic  physicians to carry malpractice                                                               
insurance, and it didn't used to be available, he added.                                                                        
                                                                                                                                
REPRESENTATIVE GATTO asked if malpractice is required.                                                                          
                                                                                                                                
DR. YOUNG  replied that  he is  not sure if  it is  required, but                                                               
everyone has it.                                                                                                                
                                                                                                                                
REPRESENTATIVE GATTO said, "The ones  you know of."  He suggested                                                               
keeping the disclosure in the bill.                                                                                             
                                                                                                                                
DR.  YOUNG  said  it  is   his  understanding  that  naturopathic                                                               
physicians have malpractice insurance and the patients know it.                                                                 
                                                                                                                                
Number 2236                                                                                                                     
                                                                                                                                
CHAIR  ANDERSON suggested  that  if a  naturopathic physician  is                                                               
going  to perform  minor surgery  and  prescribe medication,  the                                                               
bill should mandate malpractice insurance.                                                                                      
                                                                                                                                
REPRESENTATIVE  ROKEBERG  said  there is  no  mandated  insurance                                                               
requirement in any of the licensing  procedures in the state.  He                                                               
asked if  [Section 15] is not  repealed would there be  parity or                                                               
would M.D.s then have to make the same disclosure.                                                                              
                                                                                                                                
Number 2184                                                                                                                     
                                                                                                                                
REPRESENTATIVE DAHLSTROM offered Conceptual  Amendment 1, on page                                                               
2, line  27, with the  intent of  adding the definition  of minor                                                               
surgery.                                                                                                                        
                                                                                                                                
CHAIR ANDERSON  objected.   He stated that  the amendment  is too                                                               
broad.                                                                                                                          
                                                                                                                                
REPRESENTATIVE  ROKEBERG  pointed out  that  there  already is  a                                                               
definition of minor surgery  in the bill on page 6,  line 19.  He                                                               
said he thinks it adequately describes the issue.                                                                               
                                                                                                                                
CHAIR  ANDERSON  clarified that  page  6,  lines 20-30,  describe                                                               
minor surgery.                                                                                                                  
                                                                                                                                
REPRESENTATIVE  DAHLSTROM said  to disregard  that, and  then she                                                               
prepared  to  offer  Conceptual  Amendment  1  dealing  with  the                                                               
prescriptive rights, but  said she did not know  which section to                                                               
add it to.                                                                                                                      
                                                                                                                                
Number 2116                                                                                                                     
                                                                                                                                
REPRESENTATIVE ROKEBERG suggested  page 5, line 16.   He asked if                                                               
Representative  Dahlstrom is  thinking about  adding a  level [of                                                               
drug].                                                                                                                          
                                                                                                                                
REPRESENTATIVE DAHLSTROM said correct.                                                                                          
                                                                                                                                
REPRESENTATIVE  ROKEBERG asked  the  witness for  his opinion  on                                                               
what levels would be appropriate.                                                                                               
                                                                                                                                
Number 2094                                                                                                                     
                                                                                                                                
DR. YOUNG  replied that his  understanding is that the  intent in                                                               
this  area was  to allow  naturopathic physicians  to be  able to                                                               
access  the  prescription-type  medications  that  they  need  to                                                               
practice naturopathic medicine safely.   [This section] was based                                                               
on  state  laws  from  other  states  that  license  naturopathic                                                               
physicians.    Schedule  II  drugs  allow  for  use  of  narcotic                                                               
substances for the  relief of pain, he explained.   Schedules III                                                               
and IV [drugs]  lessen the extent of  potential for psychological                                                               
or  physiologic dependence,  he said.   "We  haven't outlined  it                                                               
here because  we thought  that that would  be in  the regulations                                                               
and that  it also  implies that  not all  naturopathic physicians                                                               
were going to  apply for a DEA  [Drug Enforcement Administration]                                                               
license,  it was  only those  that  had specific  training and  a                                                               
specialization,  as such,  and would  cover additional  pharmacal                                                               
therapeutics ...."                                                                                                              
                                                                                                                                
Number 2017                                                                                                                     
                                                                                                                                
CHAIR  ANDERSON   asked  Representative  Dahlstrom   to  consider                                                               
withholding  Conceptual  Amendment 1  because  of  the fact  that                                                               
there are  two more  committees of  referral and  [the amendment]                                                               
could not  be finished today.   He suggested passing the  bill on                                                               
to  House   Health,  Education,  and  Social   Services  Standing                                                               
Committee to  address all of  this issues.   He also  opined that                                                               
scheduling  HB 434  with House  Judiciary  Standing Committee  is                                                               
unnecessary and could be waived.                                                                                                
                                                                                                                                
REPRESENTATIVE  CRAWFORD  said  he   does  not  feel  comfortable                                                               
letting the  bill move  on without addressing  the concerns.   He                                                               
suggesting limiting the amount of  the ability to prescribe drugs                                                               
to level III and  IV.  He said he does  not want psychotropic and                                                               
anti-psychotic drugs to be included.                                                                                            
                                                                                                                                
CHAIR ANDERSON  asked how  long the  bill has  been held  for the                                                               
subcommittee.  It has been  thirty days and the subcommittee came                                                               
back with nothing,  he opined.  He  said now he is  being told by                                                               
the  whole subcommittee  that there  is  no agreement  on any  of                                                               
these concerns and he is being asked to hold the bill.                                                                          
                                                                                                                                
REPRESENTATIVE ROKEBERG said he would like to move an amendment.                                                                
                                                                                                                                
REPRESENTATIVE   DAHLSTROM  noted   that   she   would  be   more                                                               
comfortable  with  the  amendment about  the  prescriptive  level                                                               
being handled in this committee.                                                                                                
                                                                                                                                
Number 1865                                                                                                                     
                                                                                                                                
REPRESENTATIVE  ROKEBERG moved  to adopt  Amendment 1,  to delete                                                               
[paragraph 4] on page 5, lines 16 and 17.                                                                                       
                                                                                                                                
REPRESENTATIVE  ROKEBERG  explained  that  this  is  a  point  of                                                               
contention and the bill has two more committees to go to.                                                                       
                                                                                                                                
REPRESENTATIVE  CRAWFORD   objected.    He  said   that  deleting                                                               
[paragraph 4] is the  correct thing to do but it  does not go far                                                               
enough.                                                                                                                         
                                                                                                                                
REPRESENTATIVE ROKEBERG  asked if Schedule  III and IV  drugs are                                                               
controlled substances.                                                                                                          
                                                                                                                                
Number 1733                                                                                                                     
                                                                                                                                
DR. YOUNG suggested  dropping it down to Schedule II  drugs.  The                                                               
dangerous psychotropic drugs are in Schedule I, he said.                                                                        
                                                                                                                                
REPRESENTATIVE ROKEBERG  asked if Schedule  I - IV drugs  are DEA                                                               
controlled substances.                                                                                                          
                                                                                                                                
DR. YOUNG  replied yes.   The  schedules are set  up by  the Drug                                                               
Enforcement  Agency.   Schedule  I  are  drugs that  are  usually                                                               
research only and very dangerous, he explained.                                                                                 
                                                                                                                                
REPRESENTATIVE ROKEBERG repeated his question.                                                                                  
                                                                                                                                
DR. YOUNG said yes.                                                                                                             
                                                                                                                                
REPRESENTATIVE ROKEBERG pointed out  that Amendment 1 deletes all                                                               
controlled substances.                                                                                                          
                                                                                                                                
CHAIR ANDERSON asked if abortion is minor surgery.                                                                              
                                                                                                                                
DR. YOUNG said no.                                                                                                              
                                                                                                                                
Number 1621                                                                                                                     
                                                                                                                                
REPRESENTATIVE   CRAWFORD  asked   if  Prozac   and  Zoloft   are                                                               
controlled substances.                                                                                                          
                                                                                                                                
JASON  HARMON,  N.D.,  explained   that  Schedule  II  drugs  are                                                               
medicines that have a high potential  for abuse.  An example of a                                                               
Schedule  III  drug  is  cough   syrup  and  other  codeine-based                                                               
medicines.   Valium  is  an example  of a  Schedule  IV drug,  he                                                               
added.                                                                                                                          
                                                                                                                                
REPRESENTATIVE ROKEBERG  said he  would include  psychotropic and                                                               
psychotherapeutic  drugs as  a friendly  amendment to  Conceptual                                                               
Amendment 1.                                                                                                                    
                                                                                                                                
Number 1491                                                                                                                     
                                                                                                                                
REPRESENTATIVE LYNN asked what schedule RU486 would be under.                                                                   
                                                                                                                                
DR. HARMON said he does not  know.  He asked for clarification of                                                               
the  amendment,  and whether  the  DEA  license for  naturopathic                                                               
physicians would be deleted.                                                                                                    
                                                                                                                                
REPRESENTATIVE ROKEBERG said  that is correct and  there would be                                                               
two other committees to put it back in.                                                                                         
                                                                                                                                
CHAIR  ANDERSON asked  if there  were any  further objections  to                                                               
Conceptual Amendment 1.                                                                                                         
                                                                                                                                
REPRESENTATIVE GUTTENBERG objected.                                                                                             
                                                                                                                                
A roll  call vote was  taken.  Representatives  Gatto, Dahlstrom,                                                               
Lynn,  Rokeberg,  Crawford,  and   Anderson  voted  in  favor  of                                                               
Conceptual Amendment 1.   Representative Guttenberg voted against                                                               
it.  Therefore,  Conceptual Amendment 1 was adopted by  a vote of                                                               
6-1.                                                                                                                            
                                                                                                                                
Number 1396                                                                                                                     
                                                                                                                                
REPRESENTATIVE  DAHLSTROM said  that everyone  in the  room could                                                               
see what just happened in the last ten minutes.  She related:                                                                   
                                                                                                                                
     The  subcommittee  met  and   discussed  this  and  had                                                                    
     meeting  after  meeting   after  meeting,  talked  with                                                                    
     professionals  from every  aspect.   You  can see  what                                                                    
     happened  here  in  the  last  ten  minutes.    We  had                                                                    
     paperwork  that  was  ready to  be  presented;  we  got                                                                    
     information to  change those facts.   I personally have                                                                    
     been working  on this since  June, and so I  don't take                                                                    
     real  kindly   to  someone  telling  me   that  they're                                                                    
     embarrassed   by   what   my  actions   were   in   the                                                                    
     subcommittee and I  state that for you to  consider.  I                                                                    
     mean  I think  that  there certainly  have been  things                                                                    
     that  have  happened  in this  legislature  that  maybe                                                                    
     people could  and should  be embarrassed  about.   I am                                                                    
     not embarrassed  by what our  subcommittee did  and the                                                                    
     intent  that we  had from  the very  first time  we met                                                                    
     until talking just right before we got here have been                                                                      
     the concerns that are still on all of our minds.  And,                                                                     
     I feel it necessary to put that on the record.                                                                             
                                                                                                                                
CHAIR  ANDERSON replied  that his  statement about  embarrassment                                                               
was  simply that  "a lot  of folks  came in  and I  feel that  we                                                               
didn't conclude  or even come to  any consensus."  He  noted that                                                               
his  comments were  not directed  at Representative  Dahlstrom or                                                               
toward any individual person.                                                                                                   
                                                                                                                                
REPRESENTATIVE  LYNN said  that  debate and  voting is  necessary                                                               
based on the  perceived merits and demerits of  the bill, whether                                                               
anyone flew in to testify or not.                                                                                               
                                                                                                                                
Number 1279                                                                                                                     
                                                                                                                                
REPRESENTATIVE GATTO  said a person  does not have to  be present                                                               
to  make sure  that  the bill  passes  out.   He  noted that  the                                                               
subcommittee  did have  agreements and  the agreements  were that                                                               
prescription drug privileges  were not in the best  interest.  He                                                               
said Representative  Dahlstrom is  correct in that  the committee                                                               
did spent  a lot of time  on this bill.   He said that  there was                                                               
concern  because  it  appears that  the  naturopathic  physicians                                                               
already seem to  be taking privileges that are  addressed in this                                                               
bill.                                                                                                                           
                                                                                                                                
DR. HARMON  said he  does not  represent himself  as a  doctor of                                                               
naturopathic medicine even though it states that on his card.                                                                   
                                                                                                                                
CHAIR ANDERSON  said that  the next  subcommittee should  come up                                                               
with some  level of recommendation  in order to be  more concise.                                                               
He said he does appreciate the subcommittee's work.                                                                             
                                                                                                                                
REPRESENTATIVE  GATTO said  that  he  did not  have  a chance  to                                                               
address question  number four, but  the committee  eventually got                                                               
to it.                                                                                                                          
                                                                                                                                
Number 1183                                                                                                                     
                                                                                                                                
REPRESENTATIVE ROKEBERG moved to report  HB 434 out of committee,                                                               
as amended, with individual  recommendations and the accompanying                                                               
fiscal  notes.   There  being  no  objection, CSHB  434(L&C)  was                                                               
reported from the House Labor and Commerce Standing Committee.                                                                  
                                                                                                                                
HB 421-DEED OF TRUST RECONVEYANCE                                                                                             
                                                                                                                                
Number 1123                                                                                                                     
                                                                                                                                
CHAIR ANDERSON  announced that the  next order of  business would                                                               
be  HOUSE BILL  NO. 421,  "An  Act relating  to reconveyances  of                                                               
deeds of trust."                                                                                                                
                                                                                                                                
CHAIR ANDERSON, sponsor, explained that  HB 421 was introduced at                                                               
the request  of the  Alaska Land Title  Association (ALTA).   The                                                               
intent  is  to   provide  a  process  in  state   law  whereby  a                                                               
reconveyance  of  deeds  of  trust   can  be  recorded  within  a                                                               
reasonable timeframe.   Noting  the presence  of people  from the                                                               
title insurance  industry to answer technical  questions, he said                                                               
the  bill's language  may  appear complex,  but  the concept  and                                                               
purpose are intended to be simple.                                                                                              
                                                                                                                                
CHAIR  ANDERSON  offered  details,  saying  in  a  home  purchase                                                               
through a standard  mortgage there is a deed of  trust.  Once the                                                               
homeowner pays  off the mortgage, the  mortgage-servicing company                                                               
isn't required by law to  record the reconveyance of the mortgage                                                               
with  the  State  Recorder's  Office,  under  the  Department  of                                                               
Natural  Resources (DNR),  within  any timeframe;  it could  take                                                               
years  to  get  the  reconveyance   recorded.    These  mortgage-                                                               
servicing companies often are out  of state, a practice likely to                                                               
continue,  and  often find  it  difficult  to  take care  of  the                                                               
reconveyances  with the  recorder's office  in Alaska.   Problems                                                               
arise  when the  homes or  properties are  resold and  additional                                                               
time and complications impede the new sale.                                                                                     
                                                                                                                                
CHAIR  ANDERSON   reported  that   since  introduction   of  this                                                               
legislation,  Representative Berkowitz  and Senator  Stedman have                                                               
identified  this issue  in recent  property purchases.   Pointing                                                               
out that deeds of trust covered  under HB 421 are only those held                                                               
by a  title insurance company, he  said the heart of  the bill is                                                               
on page 1, lines 9-10,  relating to the title insurance company's                                                               
receipt of  satisfactory evidence of  the payment in  full before                                                               
beginning  the  reconveyance.    Much  of  the  bill  focuses  on                                                               
ensuring a  full and proper  notification process,  and standards                                                               
are  established for  the  notification forms  in  order to  help                                                               
ensure quality control.  He  noted that these sections were taken                                                               
from Idaho's law on this matter.                                                                                                
                                                                                                                                
Number 1000                                                                                                                     
                                                                                                                                
MICHAEL  PRICE,  Owner,  Mat-Su   Title  Insurance  Agency,  Inc.                                                               
(Wasilla),  and  Fidelity  Title (Anchorage);  Member,  Board  of                                                               
Directors, Alaska Land Title Association,  offered to be the main                                                               
person  to  answer  technical questions.    Stating  support  for                                                               
HB 421,  he said  20 years  ago perhaps  99 percent  of deeds  of                                                               
trust in  Alaska were  done by  in-state lenders;  when mortgages                                                               
were  paid off,  there  was no  significant  problem with  timely                                                               
recording of releases.  Increasingly,  however, those are done by                                                               
out-of-state companies that may even  sell the mortgages to other                                                               
companies.   Whereas few deeds of  trust experienced reconveyance                                                               
problems  previously, Mr.  Price said  he has  been told  several                                                               
thousands  now are  known  to  have been  satisfied  and yet  the                                                               
reconveyance  has become  seemingly impossible.   He  agreed this                                                               
situation isn't unique to Alaska.                                                                                               
                                                                                                                                
MR. PRICE explained that with  this bill, upon satisfactory proof                                                               
of  evidence of  payment -  which  companies like  his will  have                                                               
because  they'll have  a  negotiated check  or  wire transfer  of                                                               
funds  - there  will  be  a vehicle  and  method  to provide  the                                                               
release.   This  will  benefit  the stream  of  commerce and  all                                                               
Alaskans, he predicted.  He  requested favorable consideration of                                                               
this much-needed bill.                                                                                                          
                                                                                                                                
Number 0801                                                                                                                     
                                                                                                                                
REPRESENTATIVE  LYNN disclosed  that he  is a  licensed associate                                                               
real estate  broker with a  major company that  gets peripherally                                                               
involved with reconveyances.                                                                                                    
                                                                                                                                
CHAIR  ANDERSON  told  members he'd  been  advised  that  members                                                               
didn't need to  disclose conflicts unless they were  on the House                                                               
floor voting.                                                                                                                   
                                                                                                                                
REPRESENTATIVE  ROKEBERG said  that's not  necessarily true.   He                                                               
noted there  is an advisory  opinion before the  Select Committee                                                               
on  Legislative Ethics  [which he's  a  member of]  on that  very                                                               
question.                                                                                                                       
                                                                                                                                
CHAIR  ANDERSON thanked  Representative Lynn  for the  disclosure                                                               
and requested that he vote on the bill if there is a vote.                                                                      
                                                                                                                                
Number 0766                                                                                                                     
                                                                                                                                
REPRESENTATIVE ROKEBERG  asked Mr.  Price why  it was  decided to                                                               
put the  form itself  in statute  and whether there  is a  way to                                                               
avoid that.                                                                                                                     
                                                                                                                                
MR. PRICE  said he presumes  and believes the form  was generated                                                               
as a  result of  having a  specific amount  of information  to be                                                               
provided and to make sure  the notification is uniform, no matter                                                               
where in  the state it occurs.   He surmised that  members of the                                                               
industry  won't  find it  objectionable  because  they deal  with                                                               
statutory  forms such  as  the  general power  of  attorney on  a                                                               
regular basis.                                                                                                                  
                                                                                                                                
Number 0684                                                                                                                     
                                                                                                                                
REPRESENTATIVE  ROKEBERG  mentioned,   "Receipt  of  satisfactory                                                               
payment" and  asked whether the  canceled check, if that  was all                                                               
the company had, would be adequate for the record.                                                                              
                                                                                                                                
MR. PRICE  answered affirmatively,  saying 9 times  out of  10 it                                                               
will be  a combination  of the  payoff information  received from                                                               
the outside  lender and  evidence that a  check or  wire transfer                                                               
was sent  to [that  lender].   He added,  "On some  occasions, we                                                               
will accept  the evidence of  the payoff amount ...  and evidence                                                               
that, let's say, a local bank did  the closing ... as a result of                                                               
a construction loan and that they  sent the money."  Thus he said                                                               
he  could  foresee  taking  the  representation  of  a  reputable                                                               
Alaskan business, principally a bank,  that the payment was made.                                                               
"But most  of the time, I  would say, it's going  to be ourselves                                                               
making the payment," he concluded.                                                                                              
                                                                                                                                
Number 0615                                                                                                                     
                                                                                                                                
REPRESENTATIVE  ROKEBERG asked  how it  works, expressed  concern                                                               
about what  the current  law is regarding  this issue,  and asked                                                               
whether the  lender has  to formally  acknowledge receipt  of the                                                               
payoff of the  note in order for [the title  insurance agency] to                                                               
issue the reconveyance.                                                                                                         
                                                                                                                                
MR. PRICE replied:                                                                                                              
                                                                                                                                
     We receive  a ... request for  reconveyance executed by                                                                    
     the lender,  saying that  it was ...  paid off  in full                                                                    
     and  to release  the  deed of  trust  or mortgage.  ...                                                                    
     However, there is no state  statute, at least that I am                                                                    
     aware of,  that requires the  lender to do that.   Now,                                                                    
     local  lenders  have  always done  it  because  ...  it                                                                    
     serves our stream of commerce. ...                                                                                         
                                                                                                                                
     Where  we're  having  problems ...  are  those  outside                                                                    
     lenders  ...  who know  ...  they  have refinanced  ...                                                                    
     200,000 loans in  the last year, and maybe  in the next                                                                    
     two  or three  years they'll  get around  to doing  the                                                                    
     request for  reconveyance, but they're certainly  in no                                                                    
     hurry  to add  to their  staff to  do so.   So  there's                                                                    
     currently no  law that I'm  aware of ...  that requires                                                                    
     them  to provide  us evidence  that the  loan has  been                                                                    
     paid ... and to release it.                                                                                                
                                                                                                                                
Number 0486                                                                                                                     
                                                                                                                                
REPRESENTATIVE ROKEBERG  pointed out  that Mr.  Price is  a long-                                                               
practicing attorney  in this  area, and  suggested if  he doesn't                                                               
know about  a law,  there isn't one.   He  requested confirmation                                                               
that there's  no statutory mandate  for notification  or delivery                                                               
of the request for reconveyance.                                                                                                
                                                                                                                                
MR. PRICE answered:                                                                                                             
                                                                                                                                
     Believe it or  not, ... we do  not.  It is  a matter of                                                                    
     contract.   And, of course,  those companies  that wish                                                                    
     to do  business in Alaska  are more inclined to  do so.                                                                    
     However, as I  indicated earlier and as  you are aware,                                                                    
     a lot of these deeds of  trust go through three or four                                                                    
     different  assignments that  we have  to chase  down to                                                                    
     get the  payoff, and those  people are not  licensed to                                                                    
     do business in the state  - they're not required to be,                                                                    
     by the way  - and ... they really have  very little, if                                                                    
     any, nexus to the state.  ... Therefore, our ability to                                                                    
     force them to do what is right is somewhat limited.                                                                        
                                                                                                                                
     This puts  the burden on  the title industry.   But, on                                                                    
     the other  hand, it  is our burden  to clear  title and                                                                    
     therefore it is ... the  most responsible group to sort                                                                    
     of require  the release of  these deeds of  trust upon.                                                                    
     ... And  we are, by  the way,  ... an industry  that is                                                                    
     regulated  heavily by  ... the  Division of  Insurance.                                                                    
     ... We  are required  to have  fiduciary bonds.  ... We                                                                    
     are used  to dealing  with people's  monies, and  ... I                                                                    
     think,  are a  trustworthy  group to  release deeds  of                                                                    
     trust when they've been paid.                                                                                              
                                                                                                                                
Number 0300                                                                                                                     
                                                                                                                                
REPRESENTATIVE CRAWFORD asked whether  this bill would change the                                                               
process of  sending the owner a  deed of trust to  record after a                                                               
property was  paid off.   He cited an  example of his  own rental                                                               
properties [in Louisiana].                                                                                                      
                                                                                                                                
MR. PRICE  said no.   What happens to  perhaps 95 percent  of all                                                               
deeds of trust  won't change.  When one is  paid off, the request                                                               
for  reconveyance and  the note  are sent  to the  title company,                                                               
which releases  and reconveys  it almost  immediately.   Once the                                                               
mortgage  is  paid  off,  the  collection  agent  would  send  it                                                               
automatically  to the  title company,  or  would send  it to  the                                                               
owner with advice to send it to  the title company.  He said this                                                               
bill would only affect the approximately  4 to 5 percent of deeds                                                               
of trust that "we cannot  get the lending institution to release,                                                               
though we know they have received their payment."                                                                               
                                                                                                                                
Number 0205                                                                                                                     
                                                                                                                                
REPRESENTATIVE  CRAWFORD said  he  didn't recall  ever sending  a                                                               
deed to a title company.                                                                                                        
                                                                                                                                
REPRESENTATIVE ROKEBERG  explained that  the title  company holds                                                               
the deed  until it's satisfied;  the request for  reconveyance is                                                               
the request  "to send  you the deed  when you paid  it off."   He                                                               
said  that's it  in a  nutshell:   these  outside lenders  aren't                                                               
sending  the  verification or  the  request  for reconveyance  to                                                               
allow the title  company, which holds the deed, to  provide it to                                                               
[the owner].                                                                                                                    
                                                                                                                                
REPRESENTATIVE CRAWFORD  noted that Louisiana doesn't  have title                                                               
companies.                                                                                                                      
                                                                                                                                
REPRESENTATIVE ROKEBERG  said Louisiana  has French  codified law                                                               
and contract  real estate.  However,  Alaska is a "deed  of trust                                                               
state" where a trustee holds the deed until it is paid off.                                                                     
                                                                                                                                
MR. PRICE affirmed the last  statement and said in most instances                                                               
the  local title  company  is named  the trustee.    In order  to                                                               
release  the mortgage,  [the title  company] executes  a document                                                               
called a  "deed of  reconveyance."   He remarked,  "It's somewhat                                                               
fictional in the sense that  we're not deeding back the property,                                                               
we're simply releasing the mortgage."                                                                                           
                                                                                                                                
Number 0051                                                                                                                     
                                                                                                                                
JEFF BLAKE,  Stewart Title of Alaska,  noted that he has  been in                                                               
the  title insurance  business  since 1960  and  in Alaska  since                                                               
1975.   Agreeing  this  problem  has only  appeared  in the  last                                                               
decade  because  of  dealing  with  outside  lenders,  Mr.  Blake                                                               
thanked Chair Anderson for sponsoring  the bill and requested the                                                               
committee's support.   He  said this speaks  to the  consumer who                                                               
doesn't  quite understand  "how  come we  spent  their money  and                                                               
documents  still show  there's an  encumbrance on  their property                                                               
and, at  this point,  we can't effectively  get that  cleared for                                                               
him."  He said he'd like to be able to resolve this problem.                                                                    
                                                                                                                                
TAPE 04-33, SIDE A                                                                                                            
Number 0006                                                                                                                     
                                                                                                                              
TERRY  BRYAN, President,  First American  Title of  Alaska, noted                                                               
that  his company  operates in  10 Alaskan  communities and  does                                                               
business in 20 recording districts.   Concurring with Mr. Price's                                                               
testimony, he  said liability for ensuring  the transaction moves                                                               
forward with this new reconveyance  process "stays with a heavily                                                               
regulated  industry."    Agreeing  with Mr. Blake  that  this  is                                                               
consumer-oriented, Mr.  Bryan described having to  sit across the                                                               
table from  a single  mother or an  elderly couple  and apologize                                                               
that the house cannot be refinanced  or sold because the title is                                                               
clouded,  since  on  the  last   transaction  the  lender  hadn't                                                               
provided what was  needed, despite proof that  the obligation had                                                               
been  satisfied.   Mentioning one  Anchorage  company with  1,485                                                               
transactions  [pending]  from  1993   from  outside  lenders,  he                                                               
surmised that at  least 6,000 consumers now have  this problem of                                                               
transactions  where lenders  haven't  given  the instructions  to                                                               
reconvey after [the terms] have been satisfied.                                                                                 
                                                                                                                                
Number 0160                                                                                                                     
                                                                                                                                
CHAIR  ANDERSON  called attention  to  Amendment  1, labeled  23-                                                               
LS1315\D.1, Bannister, 3/18/04, which read:                                                                                     
                                                                                                                                
     Page 4, line 12:                                                                                                           
          Delete "title insurer's"                                                                                              
          Insert "title insurance company's"                                                                                    
                                                                                                                                
     Page 4, line 27, following "section,":                                                                                     
          Insert                                                                                                                
               "(1)"                                                                                                            
                                                                                                                                
     Page 4, line 28, following "under the trust deed":                                                                         
          Insert ";                                                                                                             
               (2) "title insurance company" means a title                                                                      
     insurance   company  or   a  title   insurance  limited                                                                    
     producer; in this  paragraph, "title insurance company"                                                                    
     and  "title   insurance  limited  producer"   have  the                                                                    
     meanings given in AS 21.66.480"                                                                                            
                                                                                                                                
CHAIR ANDERSON asked Mr. Bitney to explain it.                                                                                  
                                                                                                                                
Number 0178                                                                                                                     
                                                                                                                                
JOHN  BITNEY,   Lobbyist  for  Alaska  Land   Title  Association,                                                               
explained that  Amendment 1  was put  forth at  the association's                                                               
request to clarify those locations  within the bill where it says                                                               
"title insurance  company".  He  said in other  states, insurance                                                               
industries are  brokers, agents,  and carriers.   However, Alaska                                                               
doesn't have carriers; all companies  here have an underwriter or                                                               
a carrier outside the state.   Thus this amendment clarifies that                                                               
this law applies to Alaskan companies.                                                                                          
                                                                                                                                
CHAIR ANDERSON asked whether it  is title insurance companies and                                                               
only changes lines  12, 27, and 28  [of page 4] to  be uniform in                                                               
the bill.                                                                                                                       
                                                                                                                                
MR. BITNEY affirmed that.                                                                                                       
                                                                                                                                
CHAIR ANDERSON closed public testimony.                                                                                         
                                                                                                                                
Number 0297                                                                                                                     
                                                                                                                                
CHAIR  ANDERSON  [moved  to adopt]  Amendment  1  [text  provided                                                               
previously].  There being no objection, it was so ordered.                                                                      
                                                                                                                                
REPRESENTATIVE LYNN  remarked that he  was shocked to  hear there                                                               
were 6,000 of these [pending cases related to this bill].                                                                       
                                                                                                                                
Number 0315                                                                                                                     
                                                                                                                                
REPRESENTATIVE LYNN  moved to report  HB 421, as amended,  out of                                                               
committee  with individual  recommendations and  the accompanying                                                               
fiscal notes.                                                                                                                   
                                                                                                                                
REPRESENTATIVE GUTTENBERG commented that  as someone who isn't in                                                               
the business  but has  bought and sold  real estate,  he'd always                                                               
had the  impression that one  reason for using a  title insurance                                                               
company   is   to   ensure    that   transactions   are   handled                                                               
"instantaneously."  He said it  amazes him to discover one aspect                                                               
of the  industry hasn't been  playing at  the same table,  and if                                                               
this helps, he'll certainly support.                                                                                            
                                                                                                                                
CHAIR  ANDERSON  announced  that  Representative  Guttenberg  had                                                               
removed his objection.                                                                                                          
                                                                                                                                
Number 0415                                                                                                                     
                                                                                                                                
CHAIR  ANDERSON asked  whether there  was any  further objection.                                                               
There being  no objection,  CSHB 421(L&C)  was reported  from the                                                               
House Labor and Commerce Standing Committee.                                                                                    
                                                                                                                                
HB 490-EMPLOYMENT SECURITY ACT AMENDMENTS                                                                                     
                                                                                                                                
CHAIR ANDERSON announced  that the final order  of business would                                                               
be  HOUSE BILL  NO.  490,  "An Act  relating  to  the release  of                                                               
employment   security   records,    to   the   admissibility   of                                                               
determinations and decisions  regarding unemployment compensation                                                               
benefits,   and  to   contributions,  interest,   penalties,  and                                                               
payments  under the  Alaska  Employment  Security Act;  providing                                                               
that property  under the  Alaska Employment  Security Act  is not                                                               
subject to the Uniform Unclaimed  Property Act; and providing for                                                               
an effective date."                                                                                                             
                                                                                                                                
Number 0466                                                                                                                     
                                                                                                                                
TOM  NELSON, Director,  Employment Security  Division, Department                                                               
of  Labor   &  Workforce  Development,  noted   that  he'd  speak                                                               
primarily to  Sections 4-7, 9,  and 11-13.  He  characterized the                                                               
proposed changes  as largely "housekeeping" and  clarification of                                                               
existing statute.  The changes  align Alaska's statutory language                                                               
with federal law, and will  bring Alaska into compliance with the                                                               
unemployment  insurance overpayment  arrangement that  Alaska has                                                               
with other states.                                                                                                              
                                                                                                                                
MR.  NELSON said  Section 4  authorizes the  department to  adopt                                                               
regulations providing  for the  distribution of  unclaimed excess                                                               
contributions,  while Sections  5, 6,  and 9  clarify statute  by                                                               
adding  the terms  "manager" and  "limited liability  company" to                                                               
existing definitions.   Section  7 brings Alaska  into conformity                                                               
with the  interstate reciprocal  overpayment-recovery arrangement                                                               
that  would  allow  Alaska   to  collect  unemployment  insurance                                                               
overpayments on  behalf of  other states  for reasons  other than                                                               
fraud.   He  explained that  other states  participating in  this                                                               
agreement already provide this service to Alaska.                                                                               
                                                                                                                                
MR.  NELSON  further  explained  that  Section  11  aligns  state                                                               
statute  with  federal  law  by   clarifying  which  health  care                                                               
professionals  are excluded  from the  definition of  employment.                                                               
Section 12  clarifies language that  provides exclusion  from the                                                               
definition  of wages,  of  payments or  benefits  provided by  an                                                               
employer,  for  the purposes  of  educational  assistance to  its                                                               
employees.  He noted that  federal law already excludes this type                                                               
of  educational   assistance  from   the  definition   of  wages.                                                               
Section 13 removes  reference to provisions of  the Department of                                                               
Revenue  law  regarding disposal  of  abandoned  property.   This                                                               
would allow  for unclaimed excess  contributions to  be deposited                                                               
back into the  unemployment insurance (UI) trust fund,  as is the                                                               
case with federal law.                                                                                                          
                                                                                                                                
Number 0629                                                                                                                     
                                                                                                                                
MR. NELSON,  in response to Representative  Guttenberg, explained                                                               
that excess  contributions relate  to overpayments for  fraud and                                                               
nonfraud purposes  such as  mistakes on behalf  of a  claimant or                                                               
mistakes that  the department  might make.   An example  would be                                                               
the  department's  mistakenly writing  a  check  in excess  of  a                                                               
claimant's  eligibility.   In further  response, he  said "excess                                                               
contributions" refers  to the benefit-payment  portion of  the UI                                                               
system; he gave the example of  an employer who overpays into the                                                               
UI  system  and  said  this  would  result  in  the  department's                                                               
providing a refund or credit to that employer.                                                                                  
                                                                                                                                
REPRESENTATIVE ROKEBERG  said he dislikes  this type of  bill and                                                               
explained, "You never know if there's a ringer in here."                                                                        
                                                                                                                                
Number 0743                                                                                                                     
                                                                                                                                
REPRESENTATIVE  GUTTENBERG referred  to  Section  7, page 3,  and                                                               
asked whether there is a national standard for entitlement.                                                                     
                                                                                                                                
MR. NELSON  explained that the interstate  reciprocal overpayment                                                               
arrangement with  other states was  written in 1955,  was amended                                                               
in  1977, and  isn't  currently in  alignment  with that  federal                                                               
agreement.    He added,  "Currently  we  only are  providing  the                                                               
fraudulent  pieces  with  the  other states.    Other  states  do                                                               
provide  recovery  of  those  payments back  to  Alaska,  but  we                                                               
currently, because of our statute  definition, do not provide the                                                               
other to the other states."                                                                                                     
                                                                                                                                
REPRESENTATIVE  GUTTENBERG asked  whether Alaska  was facing  any                                                               
sanctions for not being in alignment.                                                                                           
                                                                                                                                
MR.  NELSON  said not  currently,  but  the department  wants  to                                                               
emphasize  recovery   of  overpayments  through   its  regulatory                                                               
processes with the  federal government.  The annual  audit of the                                                               
federal  program  had  mentioned  that the  department  needs  to                                                               
review and update the applicable statute.                                                                                       
                                                                                                                                
REPRESENTATIVE GUTTENBERG  asked who  pays into  the UI  fund and                                                               
how often the  excess in the fund is examined  to recalibrate the                                                               
contributions.                                                                                                                  
                                                                                                                                
MR. NELSON  explained that the  employer contributes  80 percent,                                                               
and  20  percent  is  contributed  by employees.    The  fund  is                                                               
examined  annually, and  there is  a trust  fund solvency  factor                                                               
examined  yearly  that  is  based  on  several  years'  worth  of                                                               
contributions and  payments into and out  of the trust fund.   If                                                               
payments into the  fund exceed outgoing payments,  a reduction in                                                               
taxes could result, and visa versa.                                                                                             
                                                                                                                                
Number 0948                                                                                                                     
                                                                                                                                
TOBY  NANCY STEINBERGER,  Assistant Attorney  General, Labor  and                                                               
State Affairs Section, Civil  Division (Anchorage), Department of                                                               
Law,  noted that  she'd  address Sections  1-3,  which deal  with                                                               
allowing the release of employment  security records for criminal                                                               
investigation  and  prosecution  purposes, and  Section 8,  which                                                               
deals  with  the  binding effects  of  unemployment  compensation                                                               
decisions.  She told members:                                                                                                   
                                                                                                                                
     Sections 1  through 3  of the  bill will  help criminal                                                                    
     prosecutors - state,  federal and municipal prosecutors                                                                    
     - to  investigate and prosecute criminal  cases because                                                                    
     it will help them  locate suspects, witnesses, victims,                                                                    
     and persons who are on parole  or probation.  As way of                                                                    
     background,   employers  provide   payroll  information                                                                    
     quarterly to the  Unemployment Security Division, along                                                                    
     with their employment security taxes. ...                                                                                  
                                                                                                                                
     The  division also  provides  unemployment benefits  to                                                                    
     qualifying persons,  and the division  is substantially                                                                    
     federally funded.  ... The United States  Department of                                                                    
     Labor  has required  that  employment security  records                                                                    
     are  confidential,  but has  allowed  for  a number  of                                                                    
     exceptions within  Alaska Statute 23.20.110.   But none                                                                    
     of  these   exceptions  allows   for  the   release  of                                                                    
     information  for  criminal  prosecution other  than  in                                                                    
     prosecuting   cases   against    claimants   who   have                                                                    
     fraudulently    obtained   unemployment    compensation                                                                    
     benefits.                                                                                                                  
                                                                                                                                
     The  Criminal Division  in the  U.S. Attorney's  Office                                                                    
     has  frequently wanted  employment security  records to                                                                    
     find suspects, witnesses, and  even victims, since this                                                                    
     information  is   updated  so  frequently.     However,                                                                    
     because  the statute  does not  allow for  an exception                                                                    
     for these  criminal purposes,  the division  has denied                                                                    
     the request.                                                                                                               
                                                                                                                                
     We have  had the U.S.  Department of Labor  review this                                                                    
     amendment,  and ...  [it]  has approved  it.   And,  in                                                                    
     fact, the U.S. Department  of Labor has permitted other                                                                    
     states  to allow  the  release  of employment  security                                                                    
     information   for  ...   criminal  investigations   and                                                                    
     prosecutions,  and  these  states  include  Washington,                                                                    
     Iowa, Arkansas, Georgia, Utah, and Oklahoma. ...                                                                           
                                                                                                                                
     Section  8   would  amend  Alaska   Statute  23.20.497.                                                                    
     Currently,  that  statute  provides  that  unemployment                                                                    
     compensation   decisions  are   not  admissible   in  a                                                                    
     subsequent  action  or  proceeding  in  another  forum.                                                                    
     This is  because in unemployment cases,  employers, ...                                                                    
     because they  have little incentive to  participate ...                                                                    
     in  an   unemployment  case  where   someone's  seeking                                                                    
     unemployment  benefits,  ...   because  employers  have                                                                    
     little  financial  interest,  because  they  don't  pay                                                                    
     unless  they  are  self-insured,   they  don't  have  a                                                                    
     financial interest in the outcome.                                                                                         
                                                                                                                                
     This  amendment  would   clarify  that  ...  subsequent                                                                    
     action  would also  include an  arbitration proceeding.                                                                    
     So  it  wouldn't just  be  court  proceedings or  other                                                                    
     administrative  proceedings,  but  also  would  include                                                                    
     arbitration proceedings.                                                                                                   
                                                                                                                                
Number 1152                                                                                                                     
                                                                                                                                
REPRESENTATIVE  ROKEBERG  asked  Ms. Steinberger  to  comment  on                                                               
Section 4.                                                                                                                      
                                                                                                                                
MS.  STEINBERGER   deferred  to  Tom  Nelson,   but  offered  her                                                               
understanding that  this section  refers to  excess contributions                                                               
paid by employers when the  department hasn't been able to locate                                                               
those persons.                                                                                                                  
                                                                                                                                
REPRESENTATIVE GUTTENBERG asked Ms.  Steinberger if she is saying                                                               
there is an arbitration process built into the bill.                                                                            
                                                                                                                                
MS.  STEINBERGER replied  no.   She clarified  that a  person who                                                               
terminates and  files for  unemployment compensation  is entitled                                                               
to benefits  immediately if the  termination was for  good cause.                                                               
If it was  without good cause or because  of misconduct connected                                                               
with the job, benefits are delayed for six weeks.                                                                               
                                                                                                                                
MS.   STEINBERGER  provided   the  example   that  sometimes   an                                                               
individual will claim at the  employment security hearing that he                                                               
or she was  terminated due to discrimination,  while the employer                                                               
isn't able  to attend the  hearing but maintains  the termination                                                               
was because  of poor work habits.   She said it  is possible that                                                               
the  employee would  prevail at  the  hearing and  later bring  a                                                               
lawsuit  against  the  employer;   in  this  case,  the  evidence                                                               
submitted at the initial proceeding  and the decision wouldn't be                                                               
admissible in  a court  proceeding or  a Human  Rights Commission                                                               
proceeding.  She pointed out that  this bill would add that it is                                                               
also not admissible in an arbitration proceeding.                                                                               
                                                                                                                                
Number 1297                                                                                                                     
                                                                                                                                
REPRESENTATIVE  ROKEBERG requested  clarification  on Section  4;                                                               
particularly  the  part  indicating  that the  bill  deletes  the                                                               
sentence that says the regulations  must be substantially similar                                                               
to the provisions of the statute.  He remarked:                                                                                 
                                                                                                                                
     That just scares ... me. ...  Then I looked over at the                                                                    
     sectional analysis, and  then it told me  ... what your                                                                    
     motives  were here.    That's why  I  wanted to  verify                                                                    
     this.    Under  the  sectional it  says  that  the  ESD                                                                    
     [Employment   Security   Division]  may   have   excess                                                                    
     contributions  from  employers.   Currently,  they  are                                                                    
     disposed of  under the Uniform Unclaimed  Property Act.                                                                    
     ...  So it  would appear  that ...  the intent  of this                                                                    
     section  is  to  allow  the  department  to  write  new                                                                    
     regulations  that will  allow you  to dispose  of these                                                                    
     unclaimed  funds,  as  your new  regulations  see  fit,                                                                    
     without  having to  go  through  the Uniform  Unclaimed                                                                    
     Property Act.  Would that be a correct assertion?                                                                          
                                                                                                                                
Number 1403                                                                                                                     
                                                                                                                                
BILL  KRAMER,  Chief  of   Unemployment  Insurance,  Division  of                                                               
Employment   Security,   Department    of   Labor   &   Workforce                                                               
Development, responded:                                                                                                         
                                                                                                                                
     Section   4   authorized   the  department   to   adopt                                                                    
     regulations   providing   for   the   distribution   of                                                                    
     unclaimed,  excess contributions,  taxes.   The  change                                                                    
     removes reference  to the provisions of  the Department                                                                    
     of   Revenue  law   regarding  disposal   of  abandoned                                                                    
     property.  ...   Unemployment  insurance   federal  law                                                                    
     requires   that  unclaimed   excess  contributions   be                                                                    
     deposited  back  into  the  federally  administered  UI                                                                    
     trust fund, and that's the  reason that this section is                                                                    
     here.                                                                                                                      
                                                                                                                                
REPRESENTATIVE ROKEBERG  asked if  the intent of  the legislature                                                               
had  to be  subverted because  of federal  law and  the supremacy                                                               
clause in the U.S. Constitution.   He asked if the department had                                                               
tried to refund excess payments to employers.                                                                                   
                                                                                                                                
MR.   KRAMER  affirmed   that  the   department  refunds   excess                                                               
contributions  directly  to the  employer  and  said that  wasn't                                                               
being challenged in  Section 4.  He said under  the Department of                                                               
Revenue's laws,  unclaimed or abandoned  property is to  be swept                                                               
back into the  general fund.  The  federal unemployment insurance                                                               
tax Act  stipulates that these  dollars be returned to  the trust                                                               
fund.                                                                                                                           
                                                                                                                                
Number 1506                                                                                                                     
                                                                                                                                
LEONARD M. LINTON, Jr., District  Attorney, 3rd Judicial District                                                               
(Anchorage), Department  of Law,  testified regarding  Section 2.                                                               
He said this  provision allows his department to  stay in contact                                                               
with  victims of  crime and  witnesses through  sometimes-lengthy                                                               
court proceedings.   When people  relocate, the  department often                                                               
doesn't  have current  contact information.   He  said this  bill                                                               
helps  locate out-of-state  witnesses  and victims  of crime  and                                                               
also aids in the investigation  of sophisticated fraud cases, for                                                               
example,  a  doctor who  is  cheating  Medicaid or  an  insurance                                                               
broker  by  not  forwarding  premium payments  to  the  insurance                                                               
company.    The  district  attorney can  locate  and  investigate                                                               
former employees through their UI records.                                                                                      
                                                                                                                                
CHAIR ANDERSON, upon  determining no one else  wished to testify,                                                               
closed public testimony.                                                                                                        
                                                                                                                                
Number 1627                                                                                                                     
                                                                                                                                
REPRESENTATIVE DAHLSTROM moved to report  HB 490 out of committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
notes.   There being no objection,  HB 490 was reported  from the                                                               
House Labor and Commerce Standing Committee.                                                                                  
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Labor and  Commerce Standing Committee  meeting was  adjourned at                                                               
5:30 p.m.                                                                                                                       

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