Legislature(2013 - 2014)BARNES 124

04/15/2014 03:15 PM LABOR & COMMERCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ SB 156 DIRECT-ENTRY MIDWIVES TELECONFERENCED
Moved Out of Committee
+ SB 166 BOARD OF NURSING; NURSES TELECONFERENCED
Moved Out of Committee
+ SB 167 MULTIPLE VEHICLE INSURANCE POLICIES TELECONFERENCED
Moved Out of Committee
+ SB 183 EXTEND EMERGING ENERGY TECHNOLOGY FUND TELECONFERENCED
Moved Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
          HOUSE LABOR AND COMMERCE STANDING COMMITTEE                                                                         
                         April 15, 2014                                                                                         
                           3:25 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Kurt Olson, Chair                                                                                                
Representative Mike Chenault                                                                                                    
Representative Bob Herron                                                                                                       
Representative Dan Saddler                                                                                                      
Representative Andy Josephson                                                                                                   
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Lora Reinbold, Vice Chair                                                                                        
Representative Charisse Millett                                                                                                 
Representative Craig Johnson                                                                                                    
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 156                                                                                                             
"An Act relating to direct-entry midwives."                                                                                     
                                                                                                                                
     - MOVED SB 156 OUT OF COMMITTEE                                                                                            
                                                                                                                                
COMMITTEE SUBSTITUTE FOR SENATE BILL NO. 166(FIN)                                                                               
"An Act relating to nursing and to the Board of Nursing."                                                                       
                                                                                                                                
     - MOVED CSSB 166(FIN) OUT OF COMMITTEE                                                                                     
                                                                                                                                
SENATE BILL NO. 167                                                                                                             
"An  Act  relating  to  the   maximum  amount  of  uninsured  and                                                               
underinsured  coverage  payable   under  multiple  motor  vehicle                                                               
insurance  policies  issued  by  the same  insurer  in  the  same                                                               
household."                                                                                                                     
                                                                                                                                
     - MOVED SB 167 OUT OF COMMITTEE                                                                                            
                                                                                                                                
SENATE BILL NO. 183                                                                                                             
"An Act extending the termination date of the emerging energy                                                                   
technology fund and grant program."                                                                                             
                                                                                                                                
     - MOVED SB 183 OUT OF COMMITTEE                                                                                            
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 156                                                                                                                  
SHORT TITLE: DIRECT-ENTRY MIDWIVES                                                                                              
SPONSOR(s): SENATOR(s) KELLY                                                                                                    
                                                                                                                                
02/05/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/05/14       (S)       L&C                                                                                                    
03/11/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/11/14       (S)       -- MEETING CANCELED --                                                                                 
03/13/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/13/14       (S)       Heard & Held                                                                                           
03/13/14       (S)       MINUTE(L&C)                                                                                            
03/18/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/18/14       (S)       -- MEETING CANCELED --                                                                                 
03/20/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/20/14       (S)       Moved  SB 156 Out of Committee                                                                         
03/20/14       (S)       MINUTE(L&C)                                                                                            
03/21/14       (S)       L&C RPT  2DP 1NR                                                                                       
03/21/14       (S)       DP: MICCICHE, STEDMAN                                                                                  
03/21/14       (S)       NR: OLSON                                                                                              
03/31/14       (S)       TRANSMITTED TO (H)                                                                                     
03/31/14       (S)       VERSION: SB 156                                                                                        
04/01/14       (H)       READ THE FIRST TIME - REFERRALS                                                                        
04/01/14       (H)       L&C                                                                                                    
04/15/14       (H)       L&C AT 3:15 PM BARNES 124                                                                              
                                                                                                                                
BILL: SB 166                                                                                                                  
SHORT TITLE: BOARD OF NURSING; NURSES                                                                                           
SPONSOR(s): SENATOR(s) GIESSEL BY REQUEST                                                                                       
                                                                                                                                
02/07/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/07/14       (S)       L&C                                                                                                    
03/04/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/04/14       (S)       Heard & Held                                                                                           
03/04/14       (S)       MINUTE(L&C)                                                                                            
03/13/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/13/14       (S)       Moved CSSB 166(L&C) Out of Committee                                                                   
03/13/14       (S)       MINUTE(L&C)                                                                                            
03/14/14       (S)       L&C RPT CS  2DP 3NR  SAME TITLE                                                                        
03/14/14       (S)       DP: DUNLEAVY, MICCICHE                                                                                 
03/14/14       (S)       NR: ELLIS, STEDMAN, OLSON                                                                              
03/14/14       (S)       FIN REFERRAL ADDED AFTER L&C                                                                           
03/27/14       (S)       FIN AT 9:00 AM SENATE FINANCE 532                                                                      
03/27/14       (S)       Moved CSSB 166(FIN) Out of Committee                                                                   
03/27/14       (S)       MINUTE(FIN)                                                                                            
03/28/14       (S)       FIN RPT CS  4DP 1NR   SAME TITLE                                                                       
03/28/14       (S)       DP: KELLY, MEYER, BISHOP, FAIRCLOUGH                                                                   
03/28/14       (S)       NR: OLSON                                                                                              
04/02/14       (S)       TRANSMITTED TO (H)                                                                                     
04/02/14       (S)       VERSION: CSSB 166(FIN)                                                                                 
04/03/14       (H)       READ THE FIRST TIME - REFERRALS                                                                        
04/03/14       (H)       L&C                                                                                                    
04/15/14       (H)       L&C AT 3:15 PM BARNES 124                                                                              
                                                                                                                                
BILL: SB 167                                                                                                                  
SHORT TITLE: MULTIPLE VEHICLE INSURANCE POLICIES                                                                                
SPONSOR(s): SENATOR(s) HUGGINS BY REQUEST                                                                                       
                                                                                                                                
02/10/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/10/14       (S)       L&C                                                                                                    
03/04/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/04/14       (S)       Heard & Held                                                                                           
03/04/14       (S)       MINUTE(L&C)                                                                                            
03/13/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/13/14       (S)       Moved SB 167 Out of Committee                                                                          
03/13/14       (S)       MINUTE(L&C)                                                                                            
03/14/14       (S)       L&C RPT 3DP 2NR                                                                                        
03/14/14       (S)       DP: DUNLEAVY, STEDMAN, MICCICHE                                                                        
03/14/14       (S)       NR: ELLIS, OLSON                                                                                       
03/26/14       (S)       TRANSMITTED TO (H)                                                                                     
03/26/14       (S)       VERSION: SB 167                                                                                        
03/27/14       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/27/14       (H)       L&C                                                                                                    
04/15/14       (H)       L&C AT 3:15 PM BARNES 124                                                                              
                                                                                                                                
BILL: SB 183                                                                                                                  
SHORT TITLE: EXTEND EMERGING ENERGY TECHNOLOGY FUND                                                                             
SPONSOR(s): SENATOR(s) MCGUIRE                                                                                                  
                                                                                                                                
02/19/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/19/14       (S)       L&C                                                                                                    
03/20/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/20/14       (S)       Heard & Held                                                                                           
03/20/14       (S)       MINUTE(L&C)                                                                                            
03/27/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/27/14       (S)       Moved SB 183 Out of Committee                                                                          
03/27/14       (S)       MINUTE(L&C)                                                                                            
03/28/14       (S)       L&C RPT   2DP 2NR                                                                                      
03/28/14       (S)       DP: DUNLEAVY, ELLIS                                                                                    
03/28/14       (S)       NR: STEDMAN, OLSON                                                                                     
03/28/14       (S)       TRANSMITTED TO (H)                                                                                     
03/28/14       (S)       VERSION: SB 183                                                                                        
03/31/14       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/31/14       (H)       L&C                                                                                                    
04/15/14       (H)       L&C AT 3:15 PM BARNES 124                                                                              
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
HEATHER SHATTUCK, Staff                                                                                                         
Senator Pete Kelly                                                                                                              
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified during the discussion of SB 156.                                                               
                                                                                                                                
CHERYL CORRICK, Certified Direct-Entry Midwife (CDM)                                                                            
Chair, Board of Certified Direct-Entry Midwives (BCDM)                                                                          
Department of Commerce, Community & Economic Development                                                                        
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT:  Testified during the discussion of SB 156.                                                               
                                                                                                                                
SUSAN TERWILLIGER, Certified Direct-Entry Midwife and President,                                                                
Midwives Association of Alaska (MAA)                                                                                            
Eagle River, Alaska                                                                                                             
POSITION STATEMENT:  Testified during the discussion of SB 156.                                                               
                                                                                                                                
SENATOR CATHY GIESSEL                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified as prime sponsor of SB 166.                                                                    
                                                                                                                                
NANCY SANDERS, Ph.D., RN;                                                                                                       
Executive Administrator, Board of Nursing                                                                                       
Department of Commerce, Community & Economic Development (DCCED)                                                                
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified during the discussion of SB 166.                                                               
                                                                                                                                
JANA SHOCKMAN, Registered Nurse;                                                                                                
President, Alaska Nurses Association                                                                                            
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of SB 166.                                                                          
                                                                                                                                
BETH FARNSTROM, Registered Nurse                                                                                                
Board of Nursing, Chair                                                                                                         
Department of Commerce, Community & Economic Development                                                                        
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of SB 166.                                                                          
                                                                                                                                
PATRICIA SENNER, Advanced Nurse Practitioner (ANP)                                                                              
Alaska Nurses Association (ANA)                                                                                                 
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of SB 166.                                                                          
                                                                                                                                
KAREN PURDUE, President and CEO                                                                                                 
Alaska State Hospital Nursing Home Association (ASHNHA)                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified in support of SB 166.                                                                          
                                                                                                                                
BEVERLY SMITH, Media and Legislative                                                                                            
Christian Science Church                                                                                                        
Douglas, Alaska                                                                                                                 
POSITION STATEMENT:  Testified during the discussion of SB 166.                                                               
                                                                                                                                
ASHTON COMPTON, Staff                                                                                                           
Senator Charlie Huggins                                                                                                         
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified on behalf of the prime sponsor,                                                                
Senator Huggins, during the discussion of SB 167.                                                                               
                                                                                                                                
SHELDON E. WINTERS, Attorney                                                                                                    
Lessmeier & Winters, LLC                                                                                                        
Lobbyist, State Farm Insurance                                                                                                  
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified during the discussion of SB 167.                                                               
                                                                                                                                
JESSE LOGAN, Staff                                                                                                              
Senator Lesil McGuire                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Testified during the discussion of SB 183.                                                               
                                                                                                                                
EMILY FORD                                                                                                                      
Public Outreach Liaison                                                                                                         
Alaska Energy Authority                                                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Testified during the discussion of SB 183.                                                               
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:25:32 PM                                                                                                                    
                                                                                                                                
CHAIR KURT  OLSON called  the House  Labor and  Commerce Standing                                                             
Committee  meeting  to  order  at   3:25  p.m.    Representatives                                                               
Chenault, Herron, Josephson,  and Olson were present  at the call                                                               
to order.   Representative Saddler arrived as the  meeting was in                                                               
progress.                                                                                                                       
                                                                                                                                
                  SB 156-DIRECT-ENTRY MIDWIVES                                                                              
                                                                                                                                
3:26:01 PM                                                                                                                    
                                                                                                                                
CHAIR OLSON announced  that the first order of  business would be                                                               
SENATE BILL NO. 156, "An Act relating to direct-entry midwives."                                                                
                                                                                                                                
3:26:06 PM                                                                                                                    
                                                                                                                                
HEATHER  SHATTUCK,  Staff,  Senator   Pete  Kelly,  Alaska  State                                                               
Legislature, stated  the concept  for SB 156  was brought  to the                                                               
sponsor  by the  Midwives Association  of Alaska.   The  statutes                                                               
pertaining to  the practice of  midwifery were put into  place in                                                               
1992  but  have  not  been   updated  since.    Placing  specific                                                               
practices  of   a  profession  in  statute   stymies  growth  and                                                               
management of  the profession.  These  initial required practices                                                               
were  placed  into  statute  prior  to  a  functioning  board  of                                                               
certified direct-entry midwives                                                                                                 
                                                                                                                                
MS. SHATTUCK  said the Board  of Certified  Direct-Entry Midwives                                                               
(BCDM)  has  tried  to  establish  and  develop  a  comprehensive                                                               
regulatory framework through  practice regulations and guidelines                                                               
crafted  to ensure  public  safety  and professional  discipline.                                                               
However, the  outdated statute cements certain  obsolete practice                                                               
requirements in  place and can only  be updated by an  act of the                                                               
legislature.   This bill will  update the statutes and  place the                                                               
certified  direct-entry  midwives  into  regulation  rather  than                                                               
statute.   The  proposed changes  in  the bill  will also  ensure                                                               
greater public  safety in the  field of midwifery.   This enables                                                               
the  Board  to  oversee  the   profession  more  effectively  and                                                               
incorporate current  nationally-recognized best practices.   This                                                               
type  of authority  is  granted to  most  professional boards  in                                                               
order to  develop and  maintain professional  practice standards.                                                               
The public  safety provisions are addressed  in a few ways.   The                                                               
midwives association requested a  higher threshold of training in                                                               
order for a licensed certified  direct-entry midwife (CDM) to act                                                               
as a  supervisor to an  apprentice midwife.   In addition  to the                                                               
requirement  to be  licensed and  practicing for  two years,  the                                                               
bill further requires a licensed CDM  to attend 50 or more births                                                               
as  a primary  or  assistant  midwife in  order  to supervise  an                                                               
apprentice  direct-entry midwife.   The  proposed changes  to the                                                               
threshold  will ensure  a  greater level  of  expertise prior  to                                                               
providing  supervision.    The also  would  help  ensure  greater                                                               
public safety in the field of midwifery.                                                                                        
                                                                                                                                
3:28:28 PM                                                                                                                    
                                                                                                                                
MS. SHATTUCK related  that under SB 156 well-baby  care will also                                                               
be covered under  the scope of CDM practice for  up to four weeks                                                               
after birth.   This helps  to ensure that the  delivering midwife                                                               
can properly  follow up with both  mother and baby, and  it helps                                                               
ensure  the  baby will  thrive  while  midwives can  maintain  an                                                               
ongoing  relationship  with  the  patient.    Additionally,  some                                                               
required  tests  for newborns  are  performed  after the  current                                                               
seven-day  set-off in  statute.   This  has put  midwives in  the                                                               
situation of  providing services without being  reimbursed, where                                                               
applicable, by Medicaid.                                                                                                        
                                                                                                                                
MS. SHATTUCK said that SB  156 also repeals the cultural midwives                                                               
exemption, requiring  all CDMs  in the state  to be  licensed and                                                               
under the  disciplinary regulation  of the  BCDM.   Currently, an                                                               
individual whose cultural traditions  have included, for at least                                                               
two generations,  the attendance  of midwives  at birth,  and has                                                               
assisted in at least 10 births  does not fall under regulation of                                                               
the board.   As noted  in a letter  in members' packets  from the                                                               
Division  of Corporations,  Business, and  Professional Licensing                                                               
(DCBPL),  state  licensing  exemptions  exist  for  employees  of                                                               
tribal health  programs.   She discussed  the exemption  with the                                                               
Alaska   Native  Tribal   Health  Consortium   (ANTHC)  and   the                                                               
organization agreed with the provision being removed.                                                                           
                                                                                                                                
3:29:44 PM                                                                                                                    
                                                                                                                                
MS.  SHATTUCK offered  her belief  that midwives  provide a  good                                                               
option for women with low-risk  pregnancy in Alaska.  She pointed                                                               
out that  these services  represent a  lower financial  impact on                                                               
Medicaid  eligible   patients  under   Denali  Kid  Care.     She                                                               
emphasized the  sponsor's intent  to make  the BCDM  as effective                                                               
and efficient as possible in the oversight of this field.                                                                       
                                                                                                                                
3:30:14 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  JOSEPHSON  asked  whether the  expansion  of  the                                                               
practice for  the first four weeks  after birth is the  period in                                                               
which babies would receive inoculations.                                                                                        
                                                                                                                                
MS.  SHATTUCK  acknowledged  that  is  her  understanding.    She                                                               
referred to  last year's  bill [SB 87]  by Senator  Micciche that                                                               
required newborn  testing.  Currently, midwives  can only receive                                                               
reimbursement  from Medicaid  for services  provided up  to seven                                                               
days for newborns, but some  testing is provided after two weeks.                                                               
She deferred to midwives available to testify.                                                                                  
                                                                                                                                
3:31:08 PM                                                                                                                    
                                                                                                                                
MS. SHATTUCK provided a section-by-section  analysis of the bill.                                                               
Section  1  would  provide  conforming   language  to  remove  an                                                               
exemption that Section 6 repeals  relating to cultural traditions                                                               
exclusions.   Section 2  would clarify  the board's  authority to                                                               
adopt   regulations    necessary   for    establishing   practice                                                               
requirements   and  guidelines.     Section   3  would   add  the                                                               
requirement for a  licensed CDM to attend 50 or  more births as a                                                               
primary or assistant midwife in  order to supervise an apprentice                                                               
midwife.   Section  4  would update  the  required practices  and                                                               
directs the board to adopt  regulations regarding the practice of                                                               
direct-entry midwifery.   Section  5 would update  the definition                                                               
of  the  "practice of  midwifery"  and  includes well  baby  care                                                               
through the age  of four weeks and preventative  measures for the                                                               
infant.     Section  6  would  repeal   the  cultural  traditions                                                               
exclusion   allowing  a   person   to   practice  midwifery   for                                                               
compensation   without  meeting   the   education  and   practice                                                               
requirements for practicing midwifery.                                                                                          
                                                                                                                                
3:32:18 PM                                                                                                                    
                                                                                                                                
CHERYL  CORRICK,  Certified  Direct-Entry Midwife  and  Chair  of                                                               
BCDM, stated that  she is a certified  direct-entry midwife (CDM)                                                               
in Alaska and a certified  professional midwife with the National                                                               
Association of  Registered Midwives.   She has  over 20  years of                                                               
experience in  the field of midwifery  and has worked at  a birth                                                               
center  in a  group  practice in  Fairbanks.   Additionally,  she                                                               
currently serves as  the chair of the Board  of Certified Direct-                                                               
Entry Midwives (BCDM).  She  explained that SB 156 would increase                                                               
the  requirements for  CDMs  by requiring  the  experience of  50                                                               
births as  the primary  or assisting midwife  in addition  to the                                                               
current  requirement of  two  years of  experience.   This  would                                                               
require  preceptors  with  experience   closer  to  the  national                                                               
standards.   This  bill would  also remove  the cultural  midwife                                                               
exemption that allows  an individual who meets  the definition to                                                               
practice  as a  midwife and  receive compensation  with the  only                                                               
required training to have assisted  another cultural midwife with                                                               
10 births.   This level  of training is extremely  inadequate and                                                               
is simply  not safe for  our mothers  and babies.   The practices                                                               
have been in  statute for over 20 years during  which time health                                                               
care practices have greatly changed.   She said she has served on                                                               
the BCDM  for six years, during  which time the board's  goal has                                                               
been  to support  legislation to  remove  the required  practices                                                               
from  statute   and  allow  the   board  to  update   and  revise                                                               
regulations to  maintain current state and  national standards of                                                               
care.    On February  21,  2014  the  BCDM unanimously  voted  to                                                               
support SB 156 and the companion  bill, HB 311, and sent a letter                                                               
of support [in  members' packets].  She urged  members to support                                                               
SB 156.                                                                                                                         
                                                                                                                                
3:34:28 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  JOSEPHSON wondered  how CDM's  would ensure  that                                                               
newborns receive vaccinations if they cannot administer them.                                                                   
                                                                                                                                
MS.  CORRICK responded  that  the initial  vaccine  would be  for                                                               
Hepatitis  B,  which  is  given  at  the  hospital  or  by  their                                                               
pediatrician at  one month  visit.  Other  vaccines are  given at                                                               
two  months, and  midwives do  not  administer the  vaccinations;                                                               
however,  they  are  required by  regulation  to  recommend  that                                                               
parents and newborns see a  physician within the first seven days                                                               
of life.                                                                                                                        
                                                                                                                                
3:35:48 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  JOSEPHSON  asked  whether any  historic  problems                                                               
have arisen since  1992 in terms of  the certified direct-midwife                                                               
practice or if  things have gone relatively smoothly  in the past                                                               
22 years.                                                                                                                       
                                                                                                                                
MS. CORRICK  offered her  belief that  they have  gone relatively                                                               
smoothly, although  midwifery has had occasional  problems as all                                                               
professions experience.   She reported  that the latest  data set                                                               
from the  U.S. Centers for  Disease Control and  Prevention (CDC)                                                               
actually  shows that  Alaska  has  the highest  rate  of "out  of                                                               
hospital" births and the lowest rate of [Caesarean sections].                                                                   
                                                                                                                                
3:36:47 PM                                                                                                                    
                                                                                                                                
SUSAN   TERWILLIGER,   Certified  Direct-Entry   Midwife   (CDM);                                                               
President, Midwives  Association of  Alaska (MAA), stated  she is                                                               
also a certified professional midwife  with the national registry                                                               
of midwives and  the president of Midwives  Association of Alaska                                                               
(MAA).  She  reported that she has been in  practice for 17 years                                                               
in Texas  and for the  past 9 years in  Alaska with a  small home                                                               
birth practice.   She related that the MAA supports  SB 156.  She                                                               
urged members to  support the bill so the  standards for midwives                                                               
can be  updated.  Initially, the  CDMs did not have  a board, but                                                               
the BCDM  has been in place  for a number of  years, and doctors,                                                               
CDMs, public members serve on the board.                                                                                        
                                                                                                                                
3:38:39 PM                                                                                                                    
                                                                                                                                
CHAIR  OLSON,  after first  determining  no  one else  wished  to                                                               
testify, closed public testimony on SB 156.                                                                                     
                                                                                                                                
3:38:52 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE CHENAULT referred to  page [4], lines 3-4, Section                                                               
5, to  the well-baby  care of  infant and  preventative measures.                                                               
He asked who pays for this.                                                                                                     
                                                                                                                                
MS.  SHATTUCK answered  that  infant  care up  to  four weeks  is                                                               
covered by Denali  Kid Care.  She related  her understanding that                                                               
it would  move the scope  from the pediatrician to  the midwives.                                                               
Otherwise, private insurance would cover it, she said.                                                                          
                                                                                                                                
3:40:53 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CHENAULT asked  whether [CDMs]  currently provide                                                               
this  service  or would  it  be  an  increased workload  for  the                                                               
midwives.                                                                                                                       
                                                                                                                                
MS.  SHATTUCK suggested  that this  provision was  requested with                                                               
respect to  children covered by  Denali Kid Care.   She explained                                                               
that the  midwives are currently  providing the care but  are not                                                               
eligible for reimbursement.                                                                                                     
                                                                                                                                
REPRESENTATIVE  CHENAULT  related  his  understanding  that  this                                                               
language  would allow  [CDMs] to  be reimbursed.   He  asked what                                                               
happens if the child cannot qualify for Denali Kid Care.                                                                        
                                                                                                                                
3:41:30 PM                                                                                                                    
                                                                                                                                
MS.  CORRICK answered  that  Denali Kid  Care  and Medicare  have                                                               
typically covered  midwifery services through six  or eight weeks                                                               
but last  year after  conducting a massive  audit decided  not to                                                               
cover CDMS  since the care  was not  in their scope  of practice.                                                               
The CDMs  argued for coverage,  which was extended  until January                                                               
2014; however,  currently the Denali  Kid Care doesn't  cover CDM                                                               
care  beyond seven  days  [after  birth].   Part  of the  problem                                                               
results  because  CDMs  are  required   to  provide  services  by                                                               
regulation for  the [phenylketonuria] PKU screening.   The second                                                               
screening  is traditionally  done  between two  and three  weeks.                                                               
Thus, midwives must  provide the care per regulation  but are not                                                               
reimbursed.    This  language  would allow  the  midwives  to  be                                                               
reimbursed.   In  response to  an earlier  question, she  said if                                                               
Medicaid or Denali  Kid Care did not cover the  care, it would be                                                               
covered by  the parents through  private insurance, just  as they                                                               
receive coverage for their pediatricians.                                                                                       
                                                                                                                                
3:42:55 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CHENAULT understood  this  language would  extend                                                               
coverage  that  has  not  been allowed  since  January  2014  for                                                               
services beyond seven days.                                                                                                     
                                                                                                                                
MS. CORRICK  answered that is correct.   She added that  prior to                                                               
January 2014,  midwives did  receive reimbursement  for providing                                                               
these services.                                                                                                                 
                                                                                                                                
REPRESENTATIVE  CHENAULT  noted a  lack  of  a fiscal  note,  and                                                               
although  this  is  not  a  new  charge  since  Denali  Kid  Care                                                               
previously picked up the costs, but he anticipated an increase.                                                                 
                                                                                                                                
3:44:04 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HERRON  moved to  report SB  156 out  of committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
note.   There being no  objection, SB  156 was reported  from the                                                               
House Labor and Commerce Standing Committee.                                                                                    
                                                                                                                                
3:44:31 PM                                                                                                                    
                                                                                                                                
The committee took a brief at-ease from 3:44 p.m. to 3:46 p.m.                                                                  
                                                                                                                                
                SB 166-BOARD OF NURSING; NURSES                                                                             
                                                                                                                                
3:46:31 PM                                                                                                                    
                                                                                                                                
CHAIR OLSON  announced that the  next order of business  would be                                                               
CS FOR SENATE BILL NO. 166(FIN),  "An Act relating to nursing and                                                               
to the Board of Nursing."                                                                                                       
                                                                                                                                
3:46:35 PM                                                                                                                    
                                                                                                                                
SENATOR CATHY GIESSEL, Alaska State  Legislature, stated that she                                                               
holds  two  licenses under  the  jurisdictions  of the  Board  of                                                               
Nursing  (BON), as  a registered  nurse (RN)  and as  an advanced                                                               
nurse practitioner (ANP).   She has served two terms  on the BON,                                                               
serving five years as chair.  She  said SB 166 is a "clean-up" or                                                               
"revisor's"  bill.   The Legislative  Legal  Services doesn't  do                                                               
revisor's  bills for  professional  boards due  to the  technical                                                               
nature.                                                                                                                         
                                                                                                                                
3:47:38 PM                                                                                                                    
                                                                                                                                
SENATOR GIESSEL  stated that this  bill revises the  board member                                                               
qualifications, requiring that licensed  practical nurses have at                                                               
least two  years of clinical  practice before being  appointed to                                                               
the BON.   The registered nurse or nurse educator  on the BON can                                                               
also be working in a  program that provides graduate, bachelor's,                                                               
or associate  degrees, noting  that, previously,  the requirement                                                               
was for  a minimum of  a bachelor's  degree.  The  advanced nurse                                                               
practitioner must  have at  a minimum of  four years  of advanced                                                               
practice prior  to being appointed  to the board.   Additionally,                                                               
the bill establishes a retired  nurse status and "cleans up" some                                                               
practical nurse education  program criteria.  She  noted that the                                                               
qualifications  and duties  of the  executive administrator  have                                                               
been revised.   The term has changed from  executive secretary to                                                               
administrator  and   requires  the  person  to   have  a  minimum                                                               
education of a Masters' degree in Nursing.                                                                                      
                                                                                                                                
3:48:55 PM                                                                                                                    
                                                                                                                                
SENATOR  GIESSEL  said  that  this   has  been  raised  in  other                                                               
committees so  she elaborated that  holding an advance  degree is                                                               
rather   common,  and   there   are  over   900  advanced   nurse                                                               
practitioners  (ANPs)  in  Alaska.     She  commented  that  this                                                               
represents the  minimal level of entry  for an ANP.   She related                                                               
that for the  past 25 years, the executive  administrator has had                                                               
either a  masters' degree or a  doctorate.  In fact,  the current                                                               
administrator  holds  a  Ph.D.,  she said.    She  explained  the                                                               
changes  made  for   testing,  such  that  SB   166  removes  the                                                               
requirement  for   written  exams  since  electronic   exams  are                                                               
administered.    The  bill  would  repeal  language  that  allows                                                               
licensing  through   the  Canadian  Nurses   Association  testing                                                               
examination, which  is no longer  considered valid  for licensure                                                               
in  the  U.S.    The  bill removes  an  obsolete  term,  licensed                                                               
vocational nurse.   Under the  bill, the board would  continue to                                                               
do  background checks  and competency  requirements to  reinstate                                                               
lapsed licenses.  The board  allows a physician's assistant to be                                                               
authorized to supervise a licensed  practical nurse and would add                                                               
a new  section that  requires an  employer to  report to  the BON                                                               
when a nurse or nurse aide  is fired or suspended.  She explained                                                               
the reporting  is no longer required  to be done under  oath.  It                                                               
would  also provide  protection  for nurses  that  may refuse  to                                                               
delegate  a task  if  the person  delegated  to lacks  sufficient                                                               
training.    The reporting  was  deemed  important since  it  may                                                               
require disciplinary action be taken by the BON.                                                                                
                                                                                                                                
3:50:56 PM                                                                                                                    
                                                                                                                                
SENATOR  GIESSEL  related  the  committee  hearings  raised  some                                                               
issues.  One  concern related to the  criminal background checks,                                                               
noting that the BON has  performed criminal background checks for                                                               
a number of years.   Health care professionals have very intimate                                                               
contact with  their patients and Alaska  is an "end of  the road"                                                               
jurisdiction  so  criminal  background   checks  have  been  very                                                               
important to  ensure public safety.   In fact, the  BON's mission                                                               
is  to  ensure safety  through  the  regulation of  safe  nursing                                                               
practices.   In 2009,  someone asked  the executive  director why                                                               
barrier crimes were  being imposed on nurses  practicing in their                                                               
facilities.  It turns out  that the federal government had placed                                                               
a  restriction  on any  health  care  facility receiving  federal                                                               
funds.   The BON does not  have any barrier crimes  to licensure.                                                               
It  has conducted  background checks;  however, any  questionable                                                               
criminal background  is reviewed  individually by  the BON.   She                                                               
acknowledged  that  for  the  most part,  the  BON  continues  to                                                               
license the individual  unless the crime is egregious,  such as a                                                               
murder conviction.  Since the  federal government created barrier                                                               
crimes and  required a second background  check, some duplication                                                               
exists.   The BON has  contacted the Federal  Executive Institute                                                               
(FEI)  on  numerous  occasions  and has  been  advised  that  the                                                               
federal  administrative  procedure  restricts the  sharing  of  a                                                               
criminal background check by one entity with another.                                                                           
                                                                                                                                
3:52:53 PM                                                                                                                    
                                                                                                                                
SENATOR GIESSEL  referred to an  audit performed by  the Division                                                               
of  Legislative Audit.    She pointed  out that  the  BON was  in                                                               
compliance for the authorized use  of criminal background checks,                                                               
but  were found  out of  compliance  since the  board stores  its                                                               
records for  license applications  in the  Alaska archives.   She                                                               
characterized this as being a "ding"  by the FBI, which shows how                                                               
stringent the  agency is in terms  of sharing the document.   She                                                               
referred  to page  3 of  the  audit that  showed the  BON was  in                                                               
compliance in  having a reason  to request the information.   She                                                               
said  these  audits  are  "very  real," and  the  FBI  takes  its                                                               
jurisdiction   and  prevention   of  sharing   background  checks                                                               
seriously.   Some health care  providers finish  their education,                                                               
seek licensure,  and must submit  to a criminal  background check                                                               
for the  BON for licensure.   She related  a scenario in  which a                                                               
nurse then applies  for work at a hospital in  Bethel.  The nurse                                                               
must submit  to a second  background check.   On March  21, 2014,                                                               
the BON formulated a subcommittee  that plans to meet this summer                                                               
with Alaska  State Hospital and Nursing  Home Association (ASHNA)                                                               
and  the FBI  to discuss  and  find solutions  for the  duplicate                                                               
requirements and associated costs to new employees.                                                                             
                                                                                                                                
3:54:56 PM                                                                                                                    
                                                                                                                                
SENATOR  GIESSEL  next  referred  to   an  issue  raised  by  the                                                               
Christian  Science  Committee on  Publication  for  Alaska.   She                                                               
stated  that  as a  religious  community,  the Christian  Science                                                               
community has  religious ministers  that the community  refers to                                                               
as "nurses."   She explained  that these ministers go  into homes                                                               
and  provide services  such  as  cooking, bathing,  housekeeping,                                                               
encouragement, and  spiritual guidance.   These services  are all                                                               
non-medical.  She noted that  the Christian Science Community has                                                               
come to the BON on  numerous occasions requesting an exemption to                                                               
use the protected  term "nurse" for their church  members who are                                                               
preforming these services.  The  board has repeatedly denied this                                                               
exemption since "nurse"  is a protected term.  She  referred to a                                                               
letter [dated September 3, 2013]  from the Department of Law that                                                               
limits the term  of "nurse" since AS  08.68.340 (a)(4) identifies                                                               
a  nurse as  a  medical  health care  provider  and  it would  be                                                               
inappropriate to  make an  exemption.   Also, the  BON recognizes                                                               
that the public assigns a certain identity to the term "nurse."                                                                 
                                                                                                                                
3:56:17 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE JOSEPHSON  asked about  notice to  the board  of a                                                               
termination of a  nurse.  He asked whether that  is done in other                                                               
professions.                                                                                                                    
                                                                                                                                
SENATOR  GIESSEL  answered  yes,  that  the  BON  provisions  are                                                               
modeled after the state medical profession statutes.                                                                            
                                                                                                                                
REPRESENTATIVE  JOSEPHSON  surmised that  the  BON  would make  a                                                               
distinction  for personality  conflicts and  not much  more would                                                               
happen.                                                                                                                         
                                                                                                                                
SENATOR GIESSEL  answered that would raise  other questions about                                                               
fair employment practices.  She  clarified that these are related                                                               
to professional conduct and competency.                                                                                         
                                                                                                                                
3:57:17 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  JOSEPHSON  referred   to  the  Christian  Science                                                               
Committee on  Publication letter  in members' packets  that read,                                                               
"Notably,  the   Alaska  Medical  Practice  Act   already  has  a                                                               
religious  exception in  place."   He asked  whether any  analogy                                                               
exists.                                                                                                                         
                                                                                                                                
SENATOR GIESSEL  said she has  reviewed the medical  statutes and                                                               
the statement exists;  however, she recalled the  next section of                                                               
statutes relates  to the  definitions and it  is very  clear that                                                               
the term "physician"  and "doctor" are protected  terms under the                                                               
medical statutes.   The medial board does not  allow other people                                                               
to use  the terms,  "physician" or  "medical doctor"  unless they                                                               
are scientifically and medically trained physicians.                                                                            
                                                                                                                                
CHAIR  OLSON  remarked that  the  committee  has seen  naturopath                                                               
issues that have arisen in terms of the title "doctor."                                                                         
                                                                                                                                
REPRESENTATIVE  JOSEPHSON  recalled  that  naturopaths  advertise                                                               
themselves in that manner.                                                                                                      
                                                                                                                                
CHAIR OLSON  responded that the naturopaths  advertise themselves                                                               
as being "naturopathic  doctors" or "NDs."  He  asked the sponsor                                                               
if the BON has had that experience.                                                                                             
                                                                                                                                
SENATOR GIESSEL agreed he is correct.                                                                                           
                                                                                                                                
3:58:58 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE JOSEPHSON  asked whether some compromise  could be                                                               
reached  in which  the Christian  Science community  could use  a                                                               
term other than  "nurse" or term that said "pastoral  nurse."  He                                                               
further asked whether that has been discussed.                                                                                  
                                                                                                                                
SENATOR GIESSEL said  it has and the  Christian Science community                                                               
wants to use  the term "nurse."  She explained  that the BON does                                                               
not  have  any  opposition  to   the  services  provided  by  the                                                               
spiritual guides but the term  "nurse" is protected.  She offered                                                               
her  belief  that  Alaska's  citizens   believe  that  a  "nurse"                                                               
represents a medically trained individual.                                                                                      
                                                                                                                                
3:59:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  asked for  the reason that  the Christian                                                               
Science community  has for using  the term  "nurse" and if  it is                                                               
motivated  by  respect,   professional  standing,  or  additional                                                               
billing status.                                                                                                                 
                                                                                                                                
SENATOR GIESSEL  answered that using  the term would  enable them                                                               
to advertise and to be reimbursed by insurance for services.                                                                    
                                                                                                                                
4:00:38 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER referred  to page 4, line  2, to paragraph                                                               
(3),  to  the required  education  for  a  practical nurse.    He                                                               
related his  understanding that if  a registered nurse  fails the                                                               
exam, the individual could be licensed as a practical nurse.                                                                    
                                                                                                                                
SENATOR  GIESSEL  agreed.   This  is  something the  board  would                                                               
review  before   licensure.    She  deferred   to  the  executive                                                               
administrator to provide more details.                                                                                          
                                                                                                                                
4:01:24 PM                                                                                                                    
                                                                                                                                
CHAIR OLSON  suggested that the  Christian Science  community may                                                               
wish to  seek a  separate bill  to address  their issue  since it                                                               
would raise several other concerns.                                                                                             
                                                                                                                                
REPRESENTATIVE  HERRON  referred to  page  3,  paragraph (10)  of                                                               
Section 2.  He commended Dr.  Nancy Sanders, who was helpful with                                                               
respect to nurse aide classes in  rural Alaska.  He said that she                                                               
helped foster a  solution for the Bethel Health Center.   He said                                                               
he was considering  an amendment.  He asked  whether the existing                                                               
AS  08.68.101 could  be  amended  to allow,  but  not require,  a                                                               
criminal background check previously ordered by the department.                                                                 
                                                                                                                                
REPRESENTATIVE    HERRON    appreciated    hearing    that    the                                                               
administrator,  Dr. Nancy  Sanders, will  convene a  workgroup to                                                               
work  with all  the parties  with respect  to the  FBI ruling  on                                                               
criminal background  checks.  He  suggested that this  would give                                                               
the  board an  opportunity to  use the  background check  working                                                               
group in anticipation that the  legislature could address the law                                                               
next session.   In  this way  the working group  could work  on a                                                               
solution,  totally   within  their  purview,  but   come  to  the                                                               
legislature next session.                                                                                                       
                                                                                                                                
4:04:31 PM                                                                                                                    
                                                                                                                                
SENATOR GIESSEL  acknowledged this  is the  reason the  board has                                                               
convened the  subcommittee; however, she expressed  concern about                                                               
inserting permissive  language in the event  a potential licensee                                                               
contests the  board saying  it could  have used  another criminal                                                               
background  check.  [Referring to  the  2/11/14  letter from  the                                                               
executive administrator, Nancy Sanders,  that under AS 08.68.344]                                                               
the  Board  of Nursing  may  deny  a  certification or  impose  a                                                               
disciplinary  sanction.   She hoped  the FBI  will be  helpful in                                                               
finding a solution, although she  did find letters dating back to                                                               
2007 denying the  double use.  Thus, she was  unsure of the FBI's                                                               
outcome and  how quickly it  might act.   She offered  her belief                                                               
that  it is  possible  to  more quickly  address  the issue  next                                                               
session based  on the interim work.   At that point  the BON will                                                               
know if  it has permission  to use  the background check  for two                                                               
different  facilities;   however,  currently  it  may   just  add                                                               
confusion  to the  administration  of  the licensing  procedures.                                                               
She deferred to the executive administrator.                                                                                    
                                                                                                                                
4:06:10 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HERRON asked  whether the  FBI's initial  concern                                                               
was  about a  Department  of Health  and  Social Services  (DHSS)                                                               
requested background check.                                                                                                     
                                                                                                                                
SENATOR GIESSEL answered  yes.  She read [from  a U.S. Department                                                               
of  Justice] letter  dated July  5,  2005, which  read, in  part,                                                               
"Criminal history  information obtained under this  authority may                                                               
be  used  solely   for  the  purpose  requested   and  cannot  be                                                               
disseminated   outside   the   receiving   departments,   related                                                               
agencies, or other authorized entities."                                                                                        
                                                                                                                                
4:07:18 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HERRON  looked  forward  to the  outcome  of  the                                                               
working group.   He  referred to  proposed language  [in members'                                                               
packets,  not  yet offered]  that  would  amend AS  08.68.101  to                                                               
allow,  but not  require, use  of a  background check  previously                                                               
ordered  by  the  department.   He  asked  whether  his  proposed                                                               
language would help, in advance of the working group's solution.                                                                
                                                                                                                                
NANCY  SANDERS,  Ph.D.,  RN; Executive  Administrator,  Board  of                                                               
Nursing,   Department   of   Commerce,   Community   &   Economic                                                               
Development answered  that she thought  it would be  premature to                                                               
do so.   She suggested some decisions  need to be made.   The BON                                                               
asked for background  checks to make a  decision about licensing.                                                               
The DHSS asked for an  employment background check, which are two                                                               
very  separate  purposes.    In  terms  of  putting  in  proposed                                                               
language  changes, the  BON  does not  currently  have a  process                                                               
since  the FBI  will not  allow sharing  the criminal  background                                                               
information.   She understood the  DHSS could not share  with the                                                               
Board of Nursing and hoped  more information would be forthcoming                                                               
via the work group to figure out how to streamline this.                                                                        
                                                                                                                                
4:10:34 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HERRON  asked  what  talent and  skill  sets  Dr.                                                               
Sanders will bring to the work group.                                                                                           
                                                                                                                                
DR. SANDERS envisioned a representative  from DHSS would serve on                                                               
the work  group.  She  also hoped she would  serve, as well  as a                                                               
member  from   the  Alaska  State   Hospital  and   Nursing  Home                                                               
Association.   She  suggested that  someone from  the FBI  should                                                               
provide  consultation  and  added  that the  full  complement  of                                                               
people to serve has not yet been identified.                                                                                    
                                                                                                                                
4:11:30 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HERRON asked  whether she  would consider  adding                                                               
someone from  the Kuskokwim Health Corporation  to participate in                                                               
the work group.                                                                                                                 
                                                                                                                                
MS. SANDERS answered she would  entertain that idea; however, she                                                               
said  that the  proposed  language would  not  just affect  nurse                                                               
aides but  would affect everyone  licensed by the  BON, including                                                               
registered  nurses,  licensed  practical  nurses,  and  certified                                                               
nurse  assistants.    She  suggested   she  would  like  a  broad                                                               
representation, including  someone from  a rural setting  such as                                                               
the Yukon Kuskokwim Delta.                                                                                                      
                                                                                                                                
4:12:43 PM                                                                                                                    
                                                                                                                                
CHAIR OLSON suggested the language could affect 16,000 people.                                                                  
                                                                                                                                
DR. SANDERS acknowledged  that's the current number,  but it also                                                               
would affect those  applying to be licensed or  certified as well                                                               
as those seeking reinstatement.  It  might be 1,000 to 1,300 more                                                               
per year, she said.                                                                                                             
                                                                                                                                
CHAIR OLSON noted that was a significant number.                                                                                
                                                                                                                                
REPRESENTATIVE HERRON asked  to put on record that  he would like                                                               
the FBI involved in the work group.                                                                                             
                                                                                                                                
SENATOR GIESSEL answered  that she believed that  was the intent.                                                               
She  also appreciated  the suggestion  to have  a rural  facility                                                               
represented.   She acknowledged that  the board  seeks geographic                                                               
distribution in its composition, too.                                                                                           
                                                                                                                                
CHAIR  OLSON asked  whether she  would  work with  Representative                                                               
Herron on a letter of intent to SB 166.                                                                                         
                                                                                                                                
SENATOR GIESSEL answered that she would be happy to do so                                                                       
                                                                                                                                
4:14:38 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  referred to page  2, line 16,  which adds                                                               
retired nurse status.   He asked what activities  a retired nurse                                                               
would be allowed.                                                                                                               
                                                                                                                                
DR. SANDERS answered  that this category of licensure  is one the                                                               
BON is  continually asked to issue.   This does not  allow nurses                                                               
to  continue  to  work,  even  in  a  voluntary  capacity.    She                                                               
characterized  it as  keeping an  honorarium since  nurses worked                                                               
hard  for their  licenses  and  would like  to  be recognized  as                                                               
nurses.                                                                                                                         
                                                                                                                                
4:15:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER  clarified that  it doesn't allow  them to                                                               
practice.   He asked whether there  is any legal status  given to                                                               
retired nurses.                                                                                                                 
                                                                                                                                
DR. SANDERS answered no; it just provides an honorary title.                                                                    
                                                                                                                                
REPRESENTATIVE  SADDLER   related  that   he  is  married   to  a                                                               
registered nurse.                                                                                                               
                                                                                                                                
REPRESENTATIVE  SADDLER said  the sponsor  statement states  that                                                               
this is  the first improvement  to nursing statutes in  10 years.                                                               
He asked for any trends in nursing.                                                                                             
                                                                                                                                
DR.  SANDERS offered  her  belief  that a  bill  would likely  be                                                               
introduced  next   year  to   introduce  the   advanced  practice                                                               
registered nurses  (APRNs) consensus model for  advanced practice                                                               
nurses.    Currently a  subgroup,  the  APRN alliance,  has  been                                                               
working on the  national movement.  She envisioned  that if nurse                                                               
practitioners or certified nurse midwives  move out of state that                                                               
their practice would be similar to their practice in Alaska.                                                                    
                                                                                                                                
4:17:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SADDLER   referred  to   page  2,  line   17,  to                                                               
subparagraph   (D),  which   read,  "establishing   criteria  for                                                           
approval  of  practical nurse  education  programs  that are  not                                                           
accredited by  a national  nursing accrediting  body;"   He asked                                                           
whether the programs are educational programs in Alaska.                                                                        
                                                                                                                                
DR. SANDERS  said that many  practical nurse  programs throughout                                                               
the U.S.  are not nationally accredited  nursing programs through                                                               
the national nursing  accreditation.  This would  allow the board                                                               
to consider  an applicant's transcript  to determine  whether the                                                               
applicant has  met the same  educational standard as  programs in                                                               
the state.  She explained  that the regulations in Alaska require                                                               
the   practical    nurse   program   "will"    achieve   national                                                               
accreditation,  but  many  programs  in  the  Lower  48  are  not                                                               
nationally accredited.                                                                                                          
                                                                                                                                
REPRESENTATIVE  SADDLER  asked  whether   the  BON  expects  many                                                               
applicants to come from non-accredited programs.                                                                                
                                                                                                                                
4:18:57 PM                                                                                                                    
                                                                                                                                
DR. SANDERS  said there  are a significant  number of  people who                                                               
have  graduated   from  these  programs  that   might  apply  for                                                               
licensure in Alaska.  She was  unsure of the percentage, but they                                                               
may  be  accredited through  a  regional  accreditation, but  not                                                               
specifically  a nursing  accreditation.   There  is one  advanced                                                               
practice nurse program  (APN) in Alaska, which  is moving towards                                                               
becoming nationally nursing accredited.                                                                                         
                                                                                                                                
4:19:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER asked for an  assessment of the quality of                                                               
education for consumers.                                                                                                        
                                                                                                                                
DR.  SANDERS  answered  that the  BON  currently  licenses  APNs;                                                               
however,  the BON  is tightening  its  regulations about  nursing                                                               
education, regarding the minimum level  of education.  This would                                                               
allow the BON  to scrutinize their education.   Currently, as the                                                               
administrator, she will go the  applicant's home jurisdiction and                                                               
board  site  and  compare the  minimum  qualifications  for  that                                                               
jurisdiction  and   compare  it   to  Alaska's   requirements  to                                                               
determine equivalency.                                                                                                          
                                                                                                                                
4:21:02 PM                                                                                                                    
                                                                                                                                
JANA  SHOCKMAN,   Registered  Nurse,  President,   Alaska  Nurses                                                               
Association,  related that  the ANA  supports the  requirement in                                                               
this  bill for  the executive  administrator to  hold a  Master's                                                               
degree in  Nursing as  a minimum.   This position  requires broad                                                               
knowledge of nursing  issues that range from  the certified nurse                                                               
assistant   (CNA)  level   to   the   advanced  practice   nurse.                                                               
Historically,  this position  has been  filled for  the past  two                                                               
decades  with  that background.    She  reported that  there  are                                                               
currently more than  1,000 nurses who meet  that qualification in                                                               
Alaska.  The ANA believes  that any background check amendment is                                                               
premature.   The plans  underway for the  work group  meeting are                                                               
also supported  by the  ANA.   She stated that  the ANA  does not                                                               
support the  Christian Science  nurses use  of the  title "nurse"                                                               
although it  recognizes the value  of the services  they provide.                                                               
She pointed out  that the Christian Science  spiritual guides are                                                               
not educated as nurses.  The  use of the title could be confusing                                                               
to  the public.   She  concluded that  the ANA  supports SB  166,                                                               
without any amendments.                                                                                                         
                                                                                                                                
4:23:07 PM                                                                                                                    
                                                                                                                                
BETH  FARNSTROM,  Registered  Nurse;  Chair,  Board  of  Nursing,                                                               
Department of Commerce, Community  & Economic Development, stated                                                               
that  the BON  supports SB  166, without  any amendments  for the                                                               
various reasons previously stated.                                                                                              
                                                                                                                                
PATRICIA  SENNER, Advanced  Nurse  Practitioner  (ANP), asked  to                                                               
speak in support of SB 166 as has been brought to the committee.                                                                
                                                                                                                                
4:24:26 PM                                                                                                                    
                                                                                                                                
KAREN  PURDUE, President  & CEO,  Alaska  State Hospital  Nursing                                                               
Home Association  (ASHNHA), stated that the  association supports                                                               
this  bill  and is  interested  in  having the  background  issue                                                               
addressed.    She emphasized  that  the  ASHNHA employs  numerous                                                               
nurses  and nursing  assistants in  their facilities.   She  said                                                               
that  ASHNHA depends  on the  BON  to maintain  a qualified  work                                                               
force.   She offered support  for rigorous  licensing, background                                                               
checks,  and the  type  of work  that the  board  conducts.   She                                                               
clarified that  the complexity of  the background check  has been                                                               
added to  because the  legislature passed  another bill  in 2008.                                                               
She  recalled that  Representative  Herron referred  to the  DHSS                                                               
background check.   Part of  the issue  arises from the  FBI, but                                                               
also part  of it  is that  the state  has a  duplicate background                                                               
check system.   Basically,  each individual who  is working  in a                                                               
facility  licensed by  the DHSS  or paid  by the  department must                                                               
submit to a background check conducted by the DHSS.                                                                             
                                                                                                                                
MS. PURDUE  offered her belief  that this has added  thousands of                                                               
background checks  to the process,  even though it uses  the same                                                               
seminal   information   that   the  licensing   board   and   FBI                                                               
fingerprinting uses.   The ASHNHA  questions whether this  can be                                                               
more efficient  but not lower  the standards or impact  the BON's                                                               
ability to  regulate licensees.   She  further asked  if expenses                                                               
and  complexity will  be cut.   She  looked forward  to the  work                                                               
group process  and to  participating vigorously.   She  closed by                                                               
saying  that the  recent  focus has  been on  the  CNA, so  those                                                               
individuals have  a very short  training time and make  about $16                                                               
per hour.  These jobs provide  the backbone of the care industry.                                                               
She emphasized that  she is very focused on  jobs being available                                                               
in rural Alaska.  Anything that  the ASHNHA can do to ensure that                                                               
those individuals obtain employment  is important, which includes                                                               
background  checks,  taking  timely   tests,  and  ensuring  that                                                               
classes  are available.   She  thanked members  and assured  them                                                               
that the ASHNHA is ready to participate in the process.                                                                         
                                                                                                                                
REPRESENTATIVE HERRON  noted that  she raised  a good  point that                                                               
the issue  might not  rest with  the FBI and  may rest  with [the                                                               
legislature and the state].                                                                                                     
                                                                                                                                
4:27:36 PM                                                                                                                    
                                                                                                                                
BEVERLY SMITH,  Media and Legislative, Christian  Science Church,                                                               
stated that she has no desire to  hold up the bill.  She has held                                                               
discussions  with  the Chair  of  the  Board  of Nursing  and  is                                                               
willing to  work with the board  during the interim.   First, the                                                               
Christian Science  Nurses refer to themselves  only as "Christian                                                               
Science  Nurses"  and  would  never  hold  themselves  out  as  a                                                               
"nurse."  She explained that they  have been in operation for 106                                                               
years  and there  has never  been any  confusion anywhere  in the                                                               
world  with this  term.   The "Christian  Science Nurses"  do not                                                               
advertise in  the yellow pages,  but do advertise in  a religious                                                               
publication  so  someone seeking  the  services  of a  "Christian                                                               
Science Nurse"  would know where  to look  for the service.   She                                                               
thinks  it is  a  little  strange that  a  person  could live  in                                                               
Michigan  and  practice  this  religious  practice  and  use  the                                                               
services  of  "Christian Science  Nurses"  but  cannot do  so  in                                                               
Alaska and thought that there  should be some accommodation.  She                                                               
referred  to a  letter  in members'  packets  from the  Christian                                                               
Science - Committee on Publication  for Alaska [dated 4/15/2014].                                                               
She pointed  out the first  amendment issue for  practicing one's                                                               
religion.   She mentioned  the model  nurse practices  act, which                                                               
has  a  suggested  accommodation  for  caring  for  the  sick  in                                                               
accordance  with  tenets  and   practices  related  to  religious                                                               
denomination  that  teaches  reliance   on  spiritual  means  for                                                               
healing.   She reported that  most other  states in the  U.S. and                                                               
other countries do permit "Christian  Science nurses" to practice                                                               
in their  jurisdiction through  regulation, statute,  or advisory                                                               
opinion.   Again,  the Christian  Science church  is looking  for                                                               
such  an  accommodation  in  Alaska   so  its  citizens  who  are                                                               
Christian Scientists can practice their religion fully.                                                                         
                                                                                                                                
CHAIR OLSON said that working with the BON is a good start.                                                                     
                                                                                                                                
4:31:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   SADDLER  asked   how   many  Christian   Science                                                               
practitioners are in Alaska.                                                                                                    
                                                                                                                                
MS. SMITH answered that the  practitioners are different than the                                                               
"Christian Science nurses."   She estimated that  perhaps five or                                                               
six practitioners are  in the state and  fewer "Christian Science                                                               
nurses" since they currently cannot practice in Alaska.                                                                         
                                                                                                                                
4:32:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SADDLER  asked how  many  practice  the faith  in                                                               
Alaska.                                                                                                                         
                                                                                                                                
MS. SMITH  suggested it is a  small group, in the  hundreds.  She                                                               
related Christian  Science nursing facilities exist  in the Lower                                                               
48, similar  to a  hospital, and the  services are  reimbursed by                                                               
Medicare  and other  insurance companies.   She  anticipated that                                                               
the potential  "Christian Science nurse" would  provide home care                                                               
in Alaska.                                                                                                                      
                                                                                                                                
CHAIR  OLSON,  after first  determining  no  one else  wished  to                                                               
testify, closed public testimony on SB 166.                                                                                     
                                                                                                                                
REPRESENTATIVE  JOSEPHSON remarked  that this  is an  interesting                                                               
issue  and is  something he  taught about  the constitution.   He                                                               
said if  a law has  general application then everyone  is subject                                                               
to it.  The other theory is that  one has to be sensitive to free                                                               
exercise  issues  and  accommodate  those  issues  in  the  least                                                               
restrictive way possible.   He said two  strains of jurisprudence                                                               
exist and he has previously  represented nurses [as a lawyer], so                                                               
he understands the need to  keep the "nurse" title as privileged.                                                               
He also  recalled that naturopaths called  themselves doctors and                                                               
sometimes the terms are a  little confusing.  He acknowledged his                                                               
comments just represent a discussion point.                                                                                     
                                                                                                                                
4:34:57 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HERRON  moved  to  report CSSB  166(FIN)  out  of                                                               
committee  with individual  recommendations and  the accompanying                                                               
fiscal  notes.   There  being  no  objection, CSSB  166(FIN)  was                                                               
reported from the House Labor and Commerce Standing Committee.                                                                  
                                                                                                                                
The committee took a brief at-ease.                                                                                             
                                                                                                                                
           SB 167-MULTIPLE VEHICLE INSURANCE POLICIES                                                                       
                                                                                                                                
4:36:29 PM                                                                                                                    
                                                                                                                                
CHAIR OLSON  announced that the  next order of business  would be                                                               
SENATE BILL  NO. 167, "An Act  relating to the maximum  amount of                                                               
uninsured and underinsured coverage  payable under multiple motor                                                               
vehicle  insurance policies  issued by  the same  insurer in  the                                                               
same household."                                                                                                                
                                                                                                                                
4:36:38 PM                                                                                                                    
                                                                                                                                
ASHTON  COMPTON, Staff,  Senator  Charlie  Huggins, Alaska  State                                                               
Legislature, stated that SB 167  corrects a drafting oversight in                                                               
Alaska  law  that  creates  an  unintended  loophole  harmful  to                                                               
consumers of  Uninsured/Underinsured Motorist  (U/UIM) insurance.                                                               
In 1984,  when the legislature created  U/UIM insurance coverage,                                                               
it precluded restricting the combining  or "stacking" of multiple                                                               
U/UIM coverage.   In 1990,  the legislature revised  the statutes                                                               
to provide for  expanded coverage in consumer choice.   This made                                                               
it easier for consumers to  choose predictable levels of coverage                                                               
and  reaffirm   that  "stackable"  coverage  is   not  permitted.                                                               
Unfortunately,  language adopted  in 1990  created an  unintended                                                               
loophole  that  does  not   consistently  accomplish  the  stated                                                               
purpose.    Under  the  language, if  the  consumer  insures  the                                                               
vehicles under separate policies  from the same insurer, stacking                                                               
is precluded only  for the "named insured"  - ironically allowing                                                               
all  the other  coverage to  be  stacked for  all other  persons.                                                               
There is no  logical reason for this discrepancy.   It needlessly                                                               
forces the consumer  to pay for "stackable" coverage  that is not                                                               
desired and their choices are limited.                                                                                          
                                                                                                                                
MS. COMPTON referred  to a graph in members'  packets that should                                                               
help illustrate  situations in which  "stacking" is  mandated and                                                               
illustrates  the additional  coverage imposed.   She  stated that                                                               
there isn't  any legislative  history or  rationale to  treat the                                                               
named insured differently based  on whether the multiple vehicles                                                               
owned by policyholders are listed in one or multiple policies.                                                                  
                                                                                                                                
MS.  COMPTON explained  that  with a  simple  change by  removing                                                               
"named  insured"  and  clarifying that  multiple  auto  insurance                                                               
policies are to  be issued to the same policy  holder in the same                                                               
household,  SB 167  will help  protect insurance  rates, consumer                                                               
choice, and  predictability.  It  would resolve  an inconsistency                                                               
that  unfairly and  unnecessarily  forces  consumers to  purchase                                                               
insurance  coverage  they  don't   desire  or  need  and  protect                                                               
insurance rates,  consumer choice,  and predictability  under all                                                               
policy forms as original intended.                                                                                              
                                                                                                                                
4:38:47 PM                                                                                                                    
                                                                                                                                
SHELDON  E.   WINTERS,  Attorney,   Lessmeier  &   Winters,  LLC;                                                               
Lobbyist, State Farm  Insurance, stated that he  is legal counsel                                                               
for State  Farm Insurance  Companies.   He thanked  the committee                                                               
and the sponsor.  He offered  to address three things:  uninsured                                                               
motorists, the statutory language, and  to offer his view on what                                                               
this bill accomplishes and does not do.                                                                                         
                                                                                                                                
4:39:50 PM                                                                                                                    
                                                                                                                                
MR. WINTERS  pointed out that when  mandatory liability insurance                                                               
was  enacted,  the legislature  received  some  "push back"  from                                                               
insurance companies.   The insurance  companies did not  want the                                                               
misperception that  with mandatory insurance that  everyone would                                                               
be insured.   The reality  is that has never  been the case.   He                                                               
noted that about 13-15 percent of drivers are uninsured.                                                                        
                                                                                                                                
CHAIR OLSON  recalled that  when the bill  went into  effect, the                                                               
uninsured motorist rate was about 50 percent.                                                                                   
                                                                                                                                
4:40:42 PM                                                                                                                    
                                                                                                                                
MR. WINTERS  related his  understanding that  mandatory liability                                                               
insurance  came  into  place  the  same  time  as  the  uninsured                                                               
motorist  coverage.    He  recalled   the  plan  was  to  mandate                                                               
liability  insurance, but  the  insurance  companies believed  it                                                               
wouldn't resolve  the whole problem  and suggested  also enacting                                                               
uninsured motorist  coverage.  In 1984,  the legislature mandated                                                               
uninsured/underinsured motorist  insurance ("U/UIM")  coverage as                                                               
a means  to protect  motorists against an  accident caused  by an                                                               
uninsured or  underinsured driver.   The  major challenge  was to                                                               
keep it affordable and that still  remains the challenge.  One of                                                               
the prime ways of keeping  U/UIM insurance coverage affordable is                                                               
to prohibit  "stacking" of  insurance coverage.   He  offered his                                                               
belief  that members  understand  the  term.   He  referred to  a                                                               
letter  in  members'  packets  [dated   February  27,  2014  from                                                               
Lessmeier & Winters]  that provides the legislative  history.  It                                                               
was  clear in  1984 that  the  legislature intended  to limit  or                                                               
preclude "stacking."  He read the statute, in part, which read:                                                                 
                                                                                                                                
     If an insured is  entitled to uninsured or underinsured                                                                    
     motorists coverage under more  than one policy of motor                                                                    
     vehicle insurance,  or under more than  one coverage if                                                                    
     two or more vehicles are  insured under one policy, the                                                                    
      maximum amount an insured may recover may not exceed                                                                      
     the highest limit of any one policy or coverage.                                                                           
                                                                                                                                
MR. WINTERS  explained that consumers can  purchase insurance one                                                               
of two ways  depending on the way the insurance  company does it.                                                               
For  example, one  model is  that the  policyholder will  buy all                                                               
their cars  under one single policy.   The second model,  the one                                                               
State Farm  Insurance uses, is  that the policyholder will  buy a                                                               
separate  policy for  each  vehicle.   The  1984 statute  allowed                                                               
either,  but did  not allow  "stacking" under  either model.   In                                                               
1990, the  legislature expanded uninsured motorist  coverage with                                                               
the stated intent of providing  consumers more choice and to make                                                               
the insurance coverage more predictable.   One provision expanded                                                               
the range available, and insurers  were mandated to offer $50,000                                                               
to $1 million.   He recalled the options  were $50,000, $100,000,                                                               
$300,000,  $500,000 or  $1 million.   Therefore,  there was  even                                                               
more  reason not  to allow  "stacking" since  the consumer  could                                                               
select the level  of coverage.  Unfortunately,  the language that                                                               
was  adopted   didn't  accomplish   it  entirely.     In  certain                                                               
situations the language actually requires "stacking."                                                                           
                                                                                                                                
MR.  WINTERS provided  legislative  history, such  that the  bill                                                               
version that  went to the  Senate floor precluded  "stacking" for                                                               
multi-vehicle  policies,  but  omitted  language  that  precluded                                                               
"stacking" for  the single  vehicle policies.   An  amendment was                                                               
offered and a letter explained it.   The second important note is                                                               
that the  memo explained  the intent  of the  proposed amendment,                                                               
which was  to make single  vehicle policies equivalent  to multi-                                                               
vehicle  policies and  prevent "stacking."   However,  that isn't                                                               
what occurred.   He referred to SB 167, AS  28.20.445 (c), noting                                                               
the  first sentence  precludes "stacking"  for the  multi-vehicle                                                               
policy, but it  does not address single-vehicle  policies.  Thus,                                                               
the 1990  language read, in part,  "If a person is  entitled as a                                                               
named insured ...."  He interpreted the language  as meaning that                                                               
"stacking" is precluded for the  named insured, bit everyone else                                                               
is not  precluded.  He  said that  is the problem  that currently                                                               
exists, which is explained in the letter in members' packets.                                                                   
                                                                                                                                
4:45:50 PM                                                                                                                    
                                                                                                                                
MR. WINTERS offered his belief that  SB 167 will fix this problem                                                               
and  render  the  statute  consistent  with  the  1984  and  1990                                                               
legislative  intent.   This bill  isn't about  whether "stacking"                                                               
should or should  not be allowed since  the legislature addressed                                                               
it.     This  bill  makes   the  language  consistent   with  the                                                               
legislative intent.                                                                                                             
                                                                                                                                
4:46:18 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HERRON  asked whether he  was aware of  any people                                                               
who took advantage of this.                                                                                                     
                                                                                                                                
MR.  WINTERS acknowledged  that there  were lots  of claims  that                                                               
were allowed to "stack" due to  the statute, which is part of the                                                               
problem.  The  effect is that the claims are  put right back into                                                               
the  rates, and  insurance  companies that  are selling  policies                                                               
under  this scenario  have notably  higher rates.   He  said that                                                               
eight  states   allow  "stacking"  in  some   fashion  and  their                                                               
uninsured motorist rates are about twice that of other states.                                                                  
                                                                                                                                
4:47:20 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HERRON  asked whether  more dollars would  be kept                                                               
in Alaskans' pockets under the bill.                                                                                            
                                                                                                                                
MR.  WINTERS  cautioned  that  so  many  things  go  into  rates;                                                               
however,  he knows  that  insurance rates  in  states that  allow                                                               
"stacking" have  rates about  twice the cost.   Second,  in State                                                               
Farm's insurance experience,  and it is the  largest auto insurer                                                               
in the  state, literally  millions have  paid out  in "stackable"                                                               
claims that wouldn't  be paid out under the bill  and those costs                                                               
are built  into the rates.   Thus, he offered his  belief that it                                                               
should impact rates, but he was unsure of the amount.                                                                           
                                                                                                                                
4:48:19 PM                                                                                                                    
                                                                                                                                
CHAIR  OLSON  suggested it  could  be  the  lawyers and  not  the                                                               
insured that have "stumbled" on to this.                                                                                        
                                                                                                                                
MR. WINTERS  argued that  "stacking" is not  only allowed  but is                                                               
required under  the existing law.   He suggested the  lawyers are                                                               
representing  their  clients  and  the  insurance  companies  are                                                               
paying them.                                                                                                                    
                                                                                                                                
CHAIR OLSON acknowledged it was legal.                                                                                          
                                                                                                                                
MR. WINTERS agreed.                                                                                                             
                                                                                                                                
4:48:54 PM                                                                                                                    
                                                                                                                                
CHAIR  OLSON,  after first  determining  no  one else  wished  to                                                               
testify, closed public testimony on SB 167.                                                                                     
                                                                                                                                
REPRESENTATIVE HERRON  moved to  report SB  167 out  of committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
note.   There being no  objection, SB  167 was reported  from the                                                               
House Labor and Commerce Standing Committee.                                                                                    
                                                                                                                                
4:49:46 PM                                                                                                                    
                                                                                                                                
The committee took a brief at-ease from 4:49 p.m. to 4:50 p.m.                                                                  
                                                                                                                                
         SB 183-EXTEND EMERGING ENERGY TECHNOLOGY FUND                                                                      
                                                                                                                                
4:50:47 PM                                                                                                                    
                                                                                                                                
CHAIR OLSON announced  that the final order of  business would be                                                               
SENATE BILL  NO. 183, "An  Act extending the termination  date of                                                               
the emerging energy technology fund and grant program."                                                                         
                                                                                                                                
4:51:04 PM                                                                                                                    
                                                                                                                                
JESSE  LOGAN,   Staff,  Senator   Lesil  McGuire,   Alaska  State                                                               
Legislature, stated that  SB 183 would extend the  sunset date of                                                               
the Emerging Energy  Technology Fund (EETF) from  January 1, 2015                                                               
to January  1, 2020.  The  EETF grant program was  established in                                                               
AS 42.45.375 in  the Alaska Sustainable Energy Act of  2010.  The                                                               
grants available,  including the  matching grant from  the Denali                                                               
Commission, totaled $8.9 million.   Round one of the grant awards                                                               
has commenced and was awarded in  2012 and round two is currently                                                               
underway.   He pointed out that  the EETF is not  an "angel fund"                                                               
but  is  designed  specifically  for  technologies  that  have  a                                                               
reasonable expectation  of being commercially viable  within five                                                               
years.   Without the  extension of this  sunset date,  the Alaska                                                               
Energy Authority will still need  to manage these grants but will                                                               
lack the statutory authority to do so.                                                                                          
                                                                                                                                
4:52:20 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE JOSEPHSON asked for the  future of these grants if                                                               
the Denali Commission is moribund.                                                                                              
                                                                                                                                
MR. LOGAN indicated about $2  million is available for the second                                                               
round  for projects  that  must be  commercially  viable in  five                                                               
years.                                                                                                                          
                                                                                                                                
4:52:51 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CHENAULT referred  to round  one of  $8.9 million                                                               
but only  a small amount  has been committed consisting  of 10-12                                                               
projects.   He recalled  round two  consists of  $2 million.   He                                                               
asked when those projects were due to be awarded.                                                                               
                                                                                                                                
MR.  LOGAN  agreed.    He  indicated that  the  second  round  of                                                               
projects has been selected.   He reported that five projects have                                                               
been selected for the remaining $2 million in the grant fund.                                                                   
                                                                                                                                
REPRESENTATIVE CHENAULT asked him to identify the five projects.                                                                
                                                                                                                                
MR. LOGAN indicated  that he was aware of four  projects from the                                                               
Alaska Energy Authority.                                                                                                        
                                                                                                                                
4:53:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SADDLER asked  him  to also  identify the  EETF's                                                               
best successes.   He further  asked him to identify  the projects                                                               
he was most proud of thus far.                                                                                                  
                                                                                                                                
MR.  LOGAN cautioned  he  was not  at liberty  to  say since  the                                                               
projects  have   not  been  deployed   for  the   full  five-year                                                               
timeframe.   He could say  that in  the first round  the projects                                                               
included increasing  energy efficiency  for diesel  generators to                                                               
enhanced  wind  turbines.    Prior   to  his  employment  at  the                                                               
legislature,  he  was  a  recipient of  EETF  funds  for  several                                                               
projects  from  the  Denali Commission,  which  this  program  is                                                               
modeled after, and he was  about to deploy technologies in Alaska                                                               
that had only been used in the Lower 48.                                                                                        
                                                                                                                                
REPRESENTATIVE SADDLER  asked for further clarification  on which                                                               
technologies.                                                                                                                   
                                                                                                                                
MR.  LOGAN answered  that  he deployed  the  first solar  thermal                                                               
heating projects above the Arctic Circle in Alaska.                                                                             
                                                                                                                                
REPRESENTATIVE CHENAULT asked how much was available for loans.                                                                 
                                                                                                                                
MR.  LOGAN  responded  that  a matching  grant  from  the  Denali                                                               
Commission and a total of $8.9 million was available.                                                                           
                                                                                                                                
4:55:18 PM                                                                                                                    
                                                                                                                                
EMILY  FORD, Public  Outreach Liaison,  Alaska Energy  Authority,                                                               
stated that  in round one,  $8.9 million  was available for  a 50                                                               
percent matching grant  via the Denali Commission.   She reported                                                               
that   $8,127,568   was   awarded   to   projects,   which   left                                                               
approximately $416,000 carried over to  "round two."  Last year's                                                               
capital budget  also included a  $2 million  appropriation, which                                                               
was combined with the $416,000.   Additionally, about $345,000 of                                                               
the  Denali  Commission  funds were  used  for  data  collection,                                                               
leaving  nearly  $11,000  remaining from  the  Denali  Commission                                                               
funds.   These funds were  specifically allocated for  the "round                                                               
one"  projects, so  the  AEA  has been  working  with the  Denali                                                               
Commission to reappropriate that funding to new projects.                                                                       
                                                                                                                                
4:56:25 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CHENAULT said  it  appears that  $2.4 million  is                                                               
remaining.  He  asked whether anything is in  the current capital                                                               
budget to use for matching funds.                                                                                               
                                                                                                                                
MS. FORD  answered there aren't  any funds  in the FY  15 capital                                                               
budget.                                                                                                                         
                                                                                                                                
REPRESENTATIVE  JOSEPHSON said  it didn't  sound like  much money                                                               
remains.                                                                                                                        
                                                                                                                                
CHAIR OLSON,  after first determining  no one wished  to testify,                                                               
closed public testimony on SB 183.                                                                                              
                                                                                                                                
4:57:42 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SADDLER stated he learned  a great deal about this                                                               
program when he previously served  on the House Special Committee                                                               
on Energy.   He said  he is  looking forward to  the technologies                                                               
that the EETF incubates and  the wider application of utility for                                                               
Alaskans, and he supports it.                                                                                                   
                                                                                                                                
CHAIR OLSON said he supports the  bill since it could be used for                                                               
some small projects.                                                                                                            
                                                                                                                                
REPRESENTATIVE JOSEPHSON  said he  thinks the projects  have been                                                               
worthy,  the sunset  date should  be extended,  and he  hoped the                                                               
legislature could recapitalize the fund.                                                                                        
                                                                                                                                
4:58:41 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HERRON  moved to  report SB  183 out  of committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
note.   There being no  objection, SB  183 was reported  from the                                                               
House Labor and Commerce Standing Committee.                                                                                    
                                                                                                                                
4:59:03 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no further business before the committee, the House                                                                 
Labor and Commerce Standing Committee meeting was adjourned at                                                                  
4:59 p.m.                                                                                                                       

Document Name Date/Time Subjects
SB166 ver H.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Sponsor Statement ver H.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Sectional Analysis (H).pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Fiscal Note- DCCED-CBPL-3-14-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Summary of Changes ver R to H.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Draft Proposed Amendment ver H.1.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Opposing Documents-Email and Letter Beth Gartner Farnstrom 4-05-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-2014 Nursing Stats.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-FBI Integrated Automated Fingerprint ID System Audit pgs 1-3.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-Email Evans 2-28-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-Email Gillette 2-9-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-Letter APNO 3-14-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-Letter DCCED re Background Checks 02-11-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-Letter Farnstrom 3-01-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-Letter AG-Christian Science Committee 10-13.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-Letter FBI to DCCED 7-5-05.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB166 Supporting Documents-Letter DCCED Sanders 2-28-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 166
SB156 ver U.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Sponsor Statement.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Fiscal Note-DCCED-CBPL-03-07-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Sectional Analysis.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-Letter from Darcy Lucey 2-6-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-Letter from Peggy Downing 2-5-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-Letter from Sarah Taygan 2-3-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-Letter from Susan Terwilliger MAA 2-3-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-CDM Annual Report FY 13.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-CDM Statutes and Regulations 9-2013.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-Letter from Barbara Norton 1-30-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-Letter from Don Habeger SL&C Follow up 3-17-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB156 Supporting Documents-Letter from Cheryl Corrick CDM Board 2-21-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 156
SB167 ver A.pdf HL&C 4/15/2014 3:15:00 PM
SB 167
SB167 Sponsor Statement.pdf HL&C 4/15/2014 3:15:00 PM
SB 167
SB167 Fiscal Note-DCCED-DOI-02-20-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 167
SB167 Supporting Documents-Letter NAMIC.pdf HL&C 4/15/2014 3:15:00 PM
SB 167
SB167 Supporting Documents-Infograph (2).pdf HL&C 4/15/2014 3:15:00 PM
SB 167
SB167 Supporting Documents-Letter Lessmeier & Winters 2-27-2014.pdf HL&C 4/15/2014 3:15:00 PM
SB 167
SB183 Ver A.pdf HL&C 4/15/2014 3:15:00 PM
SB 183
SB183 Sponsor Statement.pdf HL&C 4/15/2014 3:15:00 PM
SB 183
SB183 Fiscal Note-DCCED-AEA-03-17-14.pdf HL&C 4/15/2014 3:15:00 PM
SB 183
SB183- Supporting Document- EETF Fund Award Project Write Ups 11 16 12.pdf HL&C 4/15/2014 3:15:00 PM
SB 183
SB183- Supporting Document- EETF Award News Release 11 16 12.pdf HL&C 4/15/2014 3:15:00 PM
SB 183
SB183- Supporting Document- EETF Round 1 Project Status Updates - Feb 2014 (2).pdf HL&C 4/15/2014 3:15:00 PM
SB 183