Legislature(2019 - 2020)BARNES 124
04/01/2019 03:15 PM House LABOR & COMMERCE
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| Audio | Topic |
|---|---|
| Start | |
| HB45 | |
| HB79 | |
| Confirmation Hearing(s):|| Board of Nursing | |
| Alaska State Board of Public Accountancy|| Board of Barbers and Hairdressers|| Board of Dental Examiners|| Alaska Labor Relations Agency|| Board of Marital and Family Therapy | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| += | HB 45 | TELECONFERENCED | |
| += | HB 79 | TELECONFERENCED | |
| + | TELECONFERENCED | ||
| + | TELECONFERENCED |
ALASKA STATE LEGISLATURE
HOUSE LABOR AND COMMERCE STANDING COMMITTEE
April 1, 2019
3:19 p.m.
MEMBERS PRESENT
Representative Gabrielle LeDoux, Co-Chair
Representative Adam Wool, Co-Chair
Representative Zack Fields
Representative Sara Hannan
Representative Louise Stutes
Representative Dave Talerico
MEMBERS ABSENT
Representative Josh Revak
COMMITTEE CALENDAR
HOUSE BILL NO. 45
"An Act extending the termination date of the Board of Dental
Examiners; and providing for an effective date."
- MOVED HB 45 OUT OF COMMITTEE
HOUSE BILL NO. 79
"An Act relating to participation of certain peace officers and
firefighters in the defined benefit and defined contribution
plans of the Public Employees' Retirement System of Alaska;
relating to eligibility of peace officers and firefighters for
medical, disability, and death benefits; relating to liability
of the Public Employees' Retirement System of Alaska; and
providing for an effective date."
- MOVED HB 79 OUT OF COMMITTEE
CONFIRMATION HEARING(S):
Board of Nursing
Danette Schloeder - Anchorage
Julie Tisdale - Anchorage
- CONFIRMATION(S) ADVANCED
Alaska State Board of Public Accountancy
Karen Smith - Anchorage
Wes Tegeler - Wasilla
- CONFIRMATION(S) ADVANCED
Board of Barbers and Hairdressers
Jessica Steele - Wasilla
- CONFIRMATION(S) ADVANCED
Board of Dental Examiners
Brittany Dschaak - Dillingham
Dr. Jesse Hronkin - Palmer
Dr. Kelly Lucas - Wasilla
Dr. David Nielson - Anchorage
Dr. Jonathan P. Woller - Fairbanks
- CONFIRMATION(S) ADVANCED
Alaska Labor Relations Agency
Paula Harrison - Anchorage
Dennis Moen - Eagle River
- CONFIRMATION(S) ADVANCED
Board of Marital and Family Therapy
Noah Shields - Kenai
- CONFIRMATION(S) ADVANCED
PREVIOUS COMMITTEE ACTION
BILL: HB 45
SHORT TITLE: EXTEND BOARD OF DENTAL EXAMINERS
SPONSOR(s): REPRESENTATIVE(s) ORTIZ
02/20/19 (H) READ THE FIRST TIME - REFERRALS
02/20/19 (H) L&C, FIN
03/27/19 (H) L&C AT 3:15 PM BARNES 124
03/27/19 (H) Heard & Held
03/27/19 (H) MINUTE(L&C)
03/29/19 (H) L&C AT 3:15 PM BARNES 124
03/29/19 (H) -- MEETING CANCELED --
04/01/19 (H) L&C AT 3:15 PM BARNES 124
BILL: HB 79
SHORT TITLE: PEACE OFFICER/FIREFIGHTER RETIRE BENEFITS
SPONSOR(s): REPRESENTATIVE(s) KOPP
03/06/19 (H) READ THE FIRST TIME - REFERRALS
03/06/19 (H) L&C, FIN
03/20/19 (H) L&C AT 3:15 PM BARNES 124
03/20/19 (H) Heard & Held
03/20/19 (H) MINUTE(L&C)
03/22/19 (H) L&C AT 3:15 PM BARNES 124
03/22/19 (H) Heard & Held
03/22/19 (H) MINUTE(L&C)
03/25/19 (H) L&C AT 3:15 PM BARNES 124
03/25/19 (H) Heard & Held
03/25/19 (H) MINUTE(L&C)
04/01/19 (H) L&C AT 3:15 PM BARNES 124
WITNESS REGISTER
KEN TRUITT, Staff
Representative Chuck Kopp
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Answered questions during the hearing on HB
79, on behalf of Representative Kopp, prime sponsor.
REPRESENTATIVE CHUCK KOPP
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: As prime sponsor of HB 79, answered
questions from the committee.
DANETTE SCHLOEDER, Appointee
Board of Nursing
Anchorage, Alaska
POSITION STATEMENT: Testified as appointee to the Board of
Nursing.
JULIE TISDALE, Appointee
Board of Nursing
Anchorage, Alaska
POSITION STATEMENT: Testified as appointee to the Board of
Nursing.
ACTION NARRATIVE
3:19:59 PM
CO-CHAIR GABRIELLE LEDOUX called the House Labor and Commerce
Standing Committee meeting to order at 3:19 p.m. Representatives
Fields, Hannan, Stutes, Talerico, LeDoux, and Wool were present
at the call to order.
HB 45-EXTEND BOARD OF DENTAL EXAMINERS
3:20:52 PM
CO-CHAIR LEDOUX announced that the first order of business would
be HOUSE BILL NO. 45, "An Act extending the termination date of
the Board of Dental Examiners; and providing for an effective
date."
3:21:20 PM
CO-CHAIR WOOL moved to report HB 45 out of committee with
individual recommendations and the accompanying fiscal notes.
There being no objection, HB 45 was reported out of the House
Labor and Commerce Standing Committee.
3:21:51 PM
The committee took a brief at-ease at 3:21 p.m.
HB 79-PEACE OFFICER/FIREFIGHTER RETIRE BENEFITS
3:21:59 PM
CO-CHAIR LEDOUX announced that the next order of business would
be HOUSE BILL NO. 79, "An Act relating to participation of
certain peace officers and firefighters in the defined benefit
and defined contribution plans of the Public Employees'
Retirement System of Alaska; relating to eligibility of peace
officers and firefighters for medical, disability, and death
benefits; relating to liability of the Public Employees'
Retirement System of Alaska; and providing for an effective
date."
3:24:40 PM
REPRESENTATIVE HANNAN asked when to anticipate receiving the
actuarial fiscal note.
3:25:08 PM
KEN TRUITT, Staff, Representative Chuck Kopp, Alaska State
Legislature, on behalf of Representative Kopp, prime sponsor of
HB 79, offered his understanding that with retirement bills, its
typical for the actuarial fiscal note to get produced in the
finance committee after its evident the bill has a chance at
passing.
REPRESENTATIVE HANNAN asked if the Department of Administration
(DOA) fiscal note is the only one this committee is responsible
for.
MR. TRUITT answered that's correct.
REPRESENTATIVE HANNAN asked why it would take more employees to
administer the program, as the employees are already currently
covered by Tier 4.
3:27:08 PM
REPRESENTATIVE CHUCK KOPP, Alaska State Legislature, prime
sponsor of HB 79, said it's an excellent question that will most
likely be answered in the House Finance committee.
CO-CHAIR WOOL, in response to Rep Hannan, offered his
understanding that it may be set up costs or software for the
system's reorganization.
CO-CHAIR WOOL addressed the importance of HB 79 and expressed
his support for passing it out of committee.
CO-CHAIR LEDOUX noted that the current bill "has been a long,
long time coming" and expressed her support for passing it out
of committee.
3:30:13 PM
CO-CHAIR WOOL moved to report HB 79 out of committee with
individual recommendations and the accompanying fiscal notes.
There being no objection, HB 45 was reported out of the House
Labor and Commerce Standing Committee.
3:30:43 PM
The committee took an at-ease from 3:30 p.m. to 3:32 p.m.
^CONFIRMATION HEARING(S):
^Board of Nursing
CONFIRMATION HEARING(S):
Board of Nursing
3:32:33 PM
CO-CHAIR LEDOUX announced that the next order of business would
be confirmation hearings for the various boards and commissions.
3:33:04 PM
DANETTE SCHLOEDER, Appointee, Board of Nursing, informed the
committee she is a second generation Alaskan and has been a
registered nurse licensed in the state of Alaska for the last 24
years, adding she is current a perinatal clinical specialist at
Providence Alaska Medical center as well as part-time faculty
member in an RN to BSN program for the University of Providence.
She gave a short description of her educational background and
her experience working in the healthcare industry. She stated
her most significant contributions to the health and safety of
Alaskans has been her work on improving the outcomes for women
with morbidly adherent placenta, obstetrical mass transfusion,
and hemolytic disorder of pregnancy. She said her current work
is in the development of a care pathway for pregnant woman with
opiate use disorder.
3:36:13 PM
REPRESENTATIVE HANNAN thanked Ms. Schloeder for her longtime
work with women and children. She referenced an audit on the
Board of Nursing from 2018, asking how the delivery of care
could be improved via nursing education using telemedicine in
rural Alaska.
3:37:04 PM
MS. SCHLOEDER said she has been fortunate to have been involved
in all aspects of telemedicine through the Providence ICU, which
has allowed her to watch how closely physicians and nurses can
remotely manage very complex situations in areas of which
patients would have been afforded no other option. She noted
that in a state like Alaska telemedicine is a necessity, adding
that it needs to be managed and regulated so that its safe
REPRESENTATIVE HANNAN stated that the Board of Nursing audit
found that the board did not have appropriate regulatory
notification when a nurse's ability to do prescription oversight
had been pulled. She asked if Ms. Schloeder could see that as
an area where her insight and career could help guide the
development of regulations that would be practical and timely to
insure that the Board of Nursing is adequately prepared to
address the fact there may be an extended pharmaceutical
responsibility on Nurses that, when denied, notifications must
be made in a practical matter so that they do not continue to
prescribe opiates.
MS. SCHLOEDER offered her belief that boards need to work
together to protect Alaskans, adding that if there is an
individual operating outside their scope of practices or who has
had their privileges withdrawn there needs to be an absolute way
in which everyone is informed of that. She offered her belief
that she could offer expertise and assistance in making sure
that is never an issue again.
3:41:00 PM
REPRESENTATIVE FIELDS questioned whether the Board of Nursing
could impact the delivery of reproductive healthcare services.
MS. SCHLOEDER offered that nurse practitioners and certified
nurse midwives are highly involved in women's reproductive
health.
REPRESENTATIVE FIELDS asked what role the Board of Nursing
should play in reproductive healthcare and whether there are
opportunities for the board to influence the delivery of
reproductive healthcare.
MS. SHLOEDER replied that any issue brought in front of the
board should be looked at as how it affects the scope of
practice of nursing, adding that it is very important to keep
the practice of nursing separate from the practice of medicine.
REPRESENTATIVE FIELDS, in attempt to clarify Ms. Schloeder's
response, asked if she believes the boards role is limited to
issues of scope and practice more than regulating or restricting
the delivery of reproductive healthcare. He asked if that was
an accurate understanding.
MS. SCHLOEDER answered yes and opined that the board does do
regulations that are related to the practice of nursing.
3:43:54 PM
CO-CHAIR LEDOUX opened public testimony. After ascertaining
that no one wished to testify, she closed public testimony.
3:44:31 PM
The committee took a brief at-ease at 3:44 p.m.
3:44:46 PM
JULIE TISDALE, Appointee, Board of Nursing, informed the
committee she was born and raised in Alaska and gave a short
description of her educational background and volunteer
experience. Her interest in serving on the board as a public
member stems from the "wonderful" experiences she's had with
nurses in Anchorage. She offered her understanding that her
role on the board would be to listen to nurses' concerns, adding
that she looks forward to serving.
3:46:26 PM
REPRESENTATIVE FIELDS asked if Ms. Tisdale had any professional
experience in nursing or women's health.
MS. TISDALE answered no.
REPRESENTATIVE FIELDS observed that Ms. Tisdale sought
appointments on two boards and commissions, the Alaska Bar
Association and the Board of Nursing. He asked why the Bar
Association was her first choice.
MS. TISDALE replied she has friends that are attorneys and is
interested in law. She further noted that she has no legal
experience.
REPRESENTATIVE FIELDS asked for Ms. Tisdale's view on abortion
rights.
MS. TISDALE answered "pro-life."
REPRESENTATIVE FIELDS asked for further clarification on what
that means and how it aligns with or against the Alaska
Constitution.
MS. TISDALE stated she respects that abortion is legal. She
voiced that her personal view is "pro-life;" however, women have
the right to have an abortion because it is a legal procedure.
REPRESENTATIVE FIELDS asked if Ms. Tisdale has any concerns with
the health risks of abortion on women, either physical or
psychological.
MS. TISDALE answered yes.
3:48:52 PM
REPRESENTATIVE FIELDS asked whether the Board of Nursing could
play a role in informing women about what she sees as those
risks.
MS. TISDALE shared her belief that abortion is beyond the scope
of the Board of Nursing.
REPRESENTATIVE FIELDS questioned whether Ms. Tisdale would
anticipate in her role on the board having any influence on the
delivery of reproductive health services.
MS. TISDALE answered no.
3:49:56 PM
CO-CHAIR LEDOUX opened public testimony. After ascertaining
that no one wished to testify, she closed public testimony.
3:50:20 PM
REPRESENTATIVE HANNAN, referencing the 2018 legislative audit on
the Board of Nursing and their recommendations, stated that
there was found to be an inadequate timeframe for responding to
investigations about potential licensures being pulled from both
CNAs and LPNs. She asked what Ms. Tisdale could bring to the
board to facilitate a quicker response and corrective action.
MS. TISDALE offered her understanding that in those instances
the board is notified and given a list of licenses that are
being pulled and should "deal with it" at the next board
meeting. She was surprised that, according to the audit, it
took more than a year to resolve those issues.
REPRESENTATIVE HANNAN, referencing another recommendation from
the audit, stated that there are 22 CNA training programs in the
state of Alaska and that the Board of Nursing had not adequately
conducted their onsite reviews. She asked how, in a time of
budget constraints, Ms. Tisdale would make sure that adequate
on-site overviews of the training programs are met without the
opportunity to visit them in person.
MS. TISDALE offered her understanding that the board would not
be responsible for traveling to training facilities in remote
locations, instead a state employee would be responsible.
3:54:51 PM
CO-CHAIR WOOL asked if the board is currently composed of mostly
new members.
MS. TISDALE answered yes.
CO-CHAIR WOOL asked if Ms. Tisdale is concerned with the lack of
experience on the board.
MS. TISDALE explained that the current chair has previous
experience, having served on the board for a year. She stated
that, despite being mostly new, the members work well together,
adding that the nurses who serve on the board are well-educated.
CO-CHAIR WOOL asked why all the members are new.
MS. TISDALE answered no.
3:56:42 PM
CO-CHAIR WOOL established a scenario in which a nurse got a
Driving Under the Influence (DUI) and asked if that should be
grounds for revocation of his or her license.
MS. TISDALE answered possibly.
CO-CHAIR WOOL asked if there is a nursing shortage in Alaska and
whether things are being done to counter it.
MS. TISDALE offered her understanding that there is a small
nursing shortage in Alaska.
3:58:17 PM
REPRESENTATIVE FIELDS asked for Ms. Tisdale's view on the new
UA/APU partnership with respect to the training of nurses.
MS. TISDALE said she is not familiar with that partnership.
3:59:01 PM
CO-CHAIR WOOL asked if any of the nurses on the board have
experience in psychiatric nursing.
MS. TISDALE replied she doesn't know.
CO-CHAIR WOOL asked if having at least one nurse with
psychiatric nursing experience should be a requirement of the
board, seeing as there are problems in the state with behavioral
health and the difficulty API has had with hiring any
psychiatric nurses.
MS. TISDALE offered her belief that it would be helpful but not
necessary.
CO-CHAIR WOOL offered that psychiatric nursing is a sub-
discipline and although many nurses have experience with
patients who have mental issues it's not the same thing. He
suggested that the board give it further consideration.
4:00:55 PM
REPRESENTATIVE FIELDS asked if would be valuable to have a board
member who has experience with workforce development in the
field of nursing or closely related occupations.
MS. TISDALE said it would be helpful.
4:02:21 PM
CO-CHAIR LEDOUX instructed the committee to keep the
conversation focused on Ms. Tisdale's qualifications to be a
member of the Board of Nursing.
4:02:51 PM
REPRESENTATIVE STUTES emphasized the importance of having a
diverse group of board members to widen the scope and think
outside the box. She expressed her appreciation that Ms.
Tisdale took the time to apply for the public seat on the Board
of Nursing.
4:03:41 PM
REPRESENTATIVE HANNAN pointed out that there is a bill to extend
the Board of Nursing as it is currently set to sunset in June.
She asked if Ms. Tisdale if, as a public member, she had thought
about advocating for its continuation and whether the board had
discussed the potential for it to sunset.
MS. TISDALE noted that there was some small discussion on it,
adding that she absolutely thinks it's an important board that
should continue.
REPRESENTATIVE HANNAN questioned whether advocating for the
passage of the bill that continues the Board of Nursing is
within Ms. Tisdale's ability in her role as a public member.
MS. TISDALE said she would be willing to advocate for the
board's continuation; however, she was unsure if it would be
appropriate as a board member.
4:05:27 PM
CO-CHAIR LEDOUX thanked Ms. Tisdale for applying to be a member
of the Board of Nursing.
4:05:58 PM
CO-CHAIR WOOL made a motion to advance the confirmations of
Danette Schloeder and Julie Tisdale, appointees to the Board of
Nursing, to the joint session for consideration. He reminded
members that signing the reports regarding appointments to
boards and commissions in no way reflects individual members'
approval or disapproval of the appointees, and the nominations
are merely forwarded to the full legislature for confirmation or
rejection.
^Alaska State Board of Public Accountancy
^Board of Barbers and Hairdressers
^Board of Dental Examiners
^Alaska Labor Relations Agency
^Board of Marital and Family Therapy
Alaska State Board of Public Accountancy
Board of Barbers and Hairdressers
Board of Dental Examiners
Alaska Labor Relations Agency
Board of Marital and Family Therapy
4:06:31 PM
CO-CHAIR LEDOUX turned the committee's attention to the
remaining boards and commissions. She stated that she has not
had any requests from members to have anyone appear before the
committee.
4:07:19 PM
CO-CHAIR WOOL moved to advance the confirmations for appointees
referred to the House Labor and Commerce Standing Committee for
consideration to the joint session of the House and Senate for
consideration. He reminded members that signing the reports
regarding appointments to boards and commissions in no way
reflects individual members' approval or disapproval of the
appointees, and the nominations are merely forwarded to the full
legislature for confirmation or rejection.
The committee took a brief at-ease.
4:08:27 PM
ADJOURNMENT
There being no further business before the committee, the House
Labor and Commerce Standing Committee meeting was adjourned at
[4:08] p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HB 45.Sponsor Statement.pdf |
HL&C 3/27/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 45 |
| HB 45.Bill Version A.PDF |
HL&C 3/27/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 45 |
| HB 45.Backup Sunset Review.pdf |
HL&C 3/27/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 45 |
| HB 45.Fiscal Note DCCED.pdf |
HL&C 3/27/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 45 |
| HB 79.Sponsor Statement UPDATED.pdf |
HL&C 4/1/2019 3:15:00 PM |
HB 79 |
| HB79 version U.pdf |
HL&C 3/20/2019 3:15:00 PM HL&C 3/22/2019 3:15:00 PM HL&C 3/25/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 79 |
| HB79 Sectional Analysis ver U 3.12.2019.pdf |
HL&C 3/20/2019 3:15:00 PM HL&C 3/22/2019 3:15:00 PM HL&C 3/25/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 79 |
| HB 79.Fiscal Note DOA.pdf |
HL&C 4/1/2019 3:15:00 PM |
HB 79 |
| HB79 Additional Information DPS Commissioned Employee Engagement Survey Results Overview December 2017 3.11.2019.pdf |
HL&C 3/20/2019 3:15:00 PM HL&C 3/22/2019 3:15:00 PM HL&C 3/25/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 79 |
| HB79 PERS Tier Comparisons for Bill 3.18.2019.pdf |
HL&C 3/20/2019 3:15:00 PM HL&C 3/22/2019 3:15:00 PM HL&C 3/25/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 79 |
| HB 79. Backup. Letter of Opposition.pdf |
HL&C 3/20/2019 3:15:00 PM HL&C 3/22/2019 3:15:00 PM HL&C 3/25/2019 3:15:00 PM HL&C 4/1/2019 3:15:00 PM |
HB 79 |
| HB 79.Backup Updated Letters of Support 4.1.19.pdf |
HL&C 4/1/2019 3:15:00 PM |
HB 79 |
| Julie Tisdale_Redacted.pdf |
HL&C 4/1/2019 3:15:00 PM |
|
| Danette Schloeder_Redacted.pdf |
HL&C 4/1/2019 3:15:00 PM |