Legislature(2019 - 2020)BARNES 124
04/29/2019 03:15 PM House LABOR & COMMERCE
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| Audio | Topic |
|---|---|
| Start | |
| HB97 | |
| HB29 | |
| HB104 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| += | HB 97 | TELECONFERENCED | |
| += | HB 29 | TELECONFERENCED | |
| += | HB 104 | TELECONFERENCED | |
| + | TELECONFERENCED |
ALASKA STATE LEGISLATURE
HOUSE LABOR AND COMMERCE STANDING COMMITTEE
April 29, 2019
3:20 p.m.
MEMBERS PRESENT
Representative Adam Wool, Co-Chair
Representative Gabrielle LeDoux, Co-Chair
Representative Zack Fields
Representative Sara Hannan
Representative Louise Stutes
Representative Josh Revak
Representative Dave Talerico
MEMBERS ABSENT
All members present
COMMITTEE CALENDAR
HOUSE BILL NO. 97
"An Act relating to the prescription of drugs by a physician
assistant without physical examination."
- HEARD & HELD
HOUSE BILL NO. 29
"An Act relating to insurance coverage for benefits provided
through telehealth; and providing for an effective date."
- MOVED HB 29 OUT OF COMMITTEE
HOUSE BILL NO. 104
"An Act relating to exemptions from mortgage loan originator
licensing requirements; and providing for an effective date."
- MOVED CSHB 104(L&C) OUT OF COMMITTEE
PREVIOUS COMMITTEE ACTION
BILL: HB 97
SHORT TITLE: TELEHEALTH: PHYSICIAN ASSISTANTS; DRUGS
SPONSOR(s): REPRESENTATIVE(s) KREISS-TOMKINS
03/15/19 (H) READ THE FIRST TIME - REFERRALS
03/15/19 (H) HSS, L&C
03/26/19 (H) HSS AT 3:00 PM CAPITOL 106
03/26/19 (H) Heard & Held
03/26/19 (H) MINUTE(HSS)
03/28/19 (H) HSS AT 3:00 PM CAPITOL 106
03/28/19 (H) Moved CSHB 97(HSS) Out of Committee
03/28/19 (H) MINUTE(HSS)
03/29/19 (H) HSS RPT CS(HSS) NT 4DP 1NR
03/29/19 (H) DP: CLAMAN, TARR, DRUMMOND, SPOHNHOLZ
03/29/19 (H) NR: PRUITT
03/29/19 (H) FIN REFERRAL ADDED AFTER L&C
04/12/19 (H) L&C AT 3:15 PM BARNES 124
04/12/19 (H) -- MEETING CANCELED --
04/15/19 (H) L&C AT 3:15 PM BARNES 124
04/15/19 (H) Scheduled but Not Heard
04/24/19 (H) L&C AT 3:15 PM BARNES 124
04/24/19 (H) Scheduled but Not Heard
04/29/19 (H) L&C AT 3:15 PM BARNES 124
BILL: HB 29
SHORT TITLE: INSURANCE COVERAGE FOR TELEHEALTH
SPONSOR(s): REPRESENTATIVE(s) SPOHNHOLZ
02/20/19 (H) PREFILE RELEASED 1/11/19
02/20/19 (H) READ THE FIRST TIME - REFERRALS
02/20/19 (H) HSS, L&C
03/26/19 (H) HSS AT 3:00 PM CAPITOL 106
03/26/19 (H) Heard & Held
03/26/19 (H) MINUTE(HSS)
03/28/19 (H) HSS AT 3:00 PM CAPITOL 106
03/28/19 (H) Moved HB 29 Out of Committee
03/28/19 (H) MINUTE(HSS)
03/29/19 (H) HSS RPT 3DP 1NR
03/29/19 (H) DP: CLAMAN, DRUMMOND, SPOHNHOLZ
03/29/19 (H) NR: PRUITT
04/12/19 (H) L&C AT 3:15 PM BARNES 124
04/12/19 (H) -- MEETING CANCELED --
04/15/19 (H) L&C AT 3:15 PM BARNES 124
04/15/19 (H) Scheduled but Not Heard
04/24/19 (H) L&C AT 3:15 PM BARNES 124
04/24/19 (H) Heard & Held
04/24/19 (H) MINUTE(L&C)
04/26/19 (H) L&C AT 3:15 PM BARNES 124
04/26/19 (H) <Bill Hearing Canceled>
04/29/19 (H) L&C AT 3:15 PM BARNES 124
BILL: HB 104
SHORT TITLE: MORTGAGE LOAN ORIGINATOR LICENSING
SPONSOR(s): REPRESENTATIVE(s) WILSON
03/25/19 (H) READ THE FIRST TIME - REFERRALS
03/25/19 (H) L&C
04/10/19 (H) L&C AT 3:15 PM BARNES 124
04/10/19 (H) -- MEETING CANCELED --
04/17/19 (H) L&C AT 3:15 PM BARNES 124
04/17/19 (H) -- MEETING CANCELED --
04/26/19 (H) L&C AT 3:15 PM BARNES 124
04/26/19 (H) Heard & Held
04/26/19 (H) MINUTE(L&C)
04/29/19 (H) L&C AT 3:15 PM BARNES 124
WITNESS REGISTER
REID HARRIS, Staff
Representative Jonathan Kreiss-Tomkins
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Introduced HB 97 on behalf of
Representative Kreiss-Tomkins, prime sponsor.
DEBORAH STOVERN
Department of Commerce, Community & Economic Development
Anchorage, Alaska
POSITION STATEMENT: Answered questions during the hearing on HB
97.
CHRISTOPHER DIETRICH, Assistant Medical Director
Orion Behavioral Health Network
Wasilla, Alaska
POSITION STATEMENT: Testified in support of HB 97.
CHRISTOPHER DIETRICH, Assistant Medical Director
Orion Behavioral Health Network
Wasilla, Alaska
POSITION STATEMENT: Testified in support of HB 29.
CLAUDIA TUCKER, Government Affairs VP
Teladoc Health
Purchase, New York
POSITION STATEMENT: Testified in support of HB 29.
ROBIN MINARD, Chief Communications Officer
Matsu Health Foundation
Wasilla, Alaska
POSITION STATEMENT: Testified in support of HB 29.
LYNN FREEMAN, PhD, CEO
Mind Matters Research LLC
Anchorage, Alaska
POSITION STATEMENT: Testified in support of HB 29.
WADE ERICKSON, MD
Capstone Family Medicine
Wasilla, Alaska
POSITION STATEMENT: Testified in support of HB 29.
STACY HARVILL, Realtor
Madden Real Estate
Fairbanks, Alaska
POSITION STATEMENT: Testified in support of HB 104.
NADINE WINTERS, Executive Director
Fairbanks Neighborhood Housing Services
Fairbanks, Alaska
POSITION STATEMENT: Testified in support of HB 104.
PATRICK ANDERSON CEO
Rural Community Action Program
Anchorage, Alaska
POSITION STATEMENT: Testified in support of HB 104.
PATRICE WALSH, Director
Division of Banking and Securities
Department of Commerce, Community & Economic Development
Anchorage, Alaska
POSITION STATEMENT: Testified during the hearing on HB 104.
ACTION NARRATIVE
3:20:49 PM
CO-CHAIR GABRIELLE LEDOUX called the House Labor and Commerce
Standing Committee meeting to order at 3:20 p.m.
Representatives Revak, Stutes, Hannan, Talerico, LeDoux, and
Wool were present at the call to order. Representative Fields
arrived as the meeting was in progress.
HB 97-TELEHEALTH: PHYSICIAN ASSISTANTS; DRUGS
3:21:28 PM
CO-CHAIR LEDOUX announced that the first order of business would
be HOUSE BILL NO. 97, "An Act relating to the prescription of
drugs by a physician assistant without physical examination."
3:21:46 PM
CO-CHAIR WOOL moved to adopt the proposed committee substitute
(CS) for HB 97, labeled 31-LS0695\S, Fisher, 4/23/19, as the
working draft. There being no further objection, Version S was
before the committee.
3:22:57 PM
REID HARRIS, Staff, Representative Jonathan Kreiss-Tomkins,
Alaska State Legislature, presented HB 97 on behalf of
Representative Kreiss-Tomkins, prime sponsor. He paraphrased
parts of the sponsor statement [included in the committee
packet], which read in its entirety as follows [original
punctuation provided]:
The 2016 Medicaid Reform Bill (SB 74) provided for the
use of telehealth, revising Alaska statutes to require
the Alaska State Medical Board to adopt regulations
and guidelines for physicians rendering a diagnosis;
providing treatment; or prescribing, dispensing, or
administering a prescription drug to a person without
first conducting a physical examination under AS
08.64.364.
However, SB 74 only addressed physicians and the
Board's interpretation was that the bill's provisions
should not apply to physician assistants (PAs). This
effectively barred PAs from practicing telemedicine,
requiring them to first conduct in-person
examinations.
House Bill 97 aligns statute with the intent of the
Medicaid Reform Bill, clarifying that PAs can provide
telemedicine in collaboration with and under the
oversight of physicians. Under HB97, PAs are subject
to the same statutory oversight as physicians
regarding the practice of telemedicine, as well as the
same disciplinary sanctions when appropriate.
Alaska, with its vast geographical challenges and
limited access to vital healthcare, stands to benefit
from this legislation. HB 97 will increase patient
access to care, extending the reach of medicine to
medically underserved areas
3:25:00 PM
MR. HARRIS directed attention to the document labelled, "AAPA,"
from the American Academy of Physician Assistants [included in
the committee packet] and highlighted what physician assistants
(PAs) do, as well as briefly described their education and
experience. He said that PAs are not operating independently
from a physician and must have an active, collaborative plan of
regular contact. Under that plan, physicians authorize their
functions and the medications they can prescribe. He pointed
out that in Alaska, if a physician assistant (PA) has a Drug
Enforcement Administration (DEA) authorization number they can
prescribe schedule 2-5 substances.
MR. HARRIS turned attention to two maps from the Health
Resources & Services Administration (HRSA) [included in the
committee packet] that display health professional shortage
areas (HPSA) and medically underserved populations in the United
States, both of which are present in Alaska. He further noted
that the passage of HB 97 and its companion bill, SB 44, would
allow over 700 PAs to engage in telehealth services within the
state of Alaska.
3:30:19 PM
CO-CHAIR WOOL sought clarification on whether the 700 PAs would
be physically present in Alaska or if they would be out of state
and accessed via telehealth.
MR. HARRIS offered his understanding that they would be in
Alaska. He recounted that when the first telemedicine statutes
were passed several years ago there was concern about medical
jobs being outsourced out of state. However, currently, he said
that isn't happening.
CO-CHAIR WOOL, in reference to Teladoc, contended that
outsourcing is happening.
MR. HARRIS acknowledged that the company Teladoc is in
Tennessee; however, the doctors still reside in the state of
Alaska.
CO-CHAIR WOOL offered his understanding that the doctors working
for Teladoc are on-call 24/7 and located out of state.
3:32:16 PM
DEBORAH STOVERN, Department of Commerce, Community & Economic
Development, in response to Representative Wool, stated that
there are approximately 700 licensed PAs in Alaska. She noted
that in order to enter a collaborative agreement between a
physician and a PA, they must both be licensed in the state of
Alaska; however, there is no requirement that either reside in
the state.
3:34:17 PM
REPRESENTATIVE HANNAN asked why the Alaska State Medical Board
hasn't taken a position on this bill.
MS. STOVERN explained that the Board reviewed HB 97 in February
and took a position in support of the legislation. She noted
that they issued a letter referencing their position, which
could be provided to the committee upon request.
REPRESENTATIVE HANNAN questioned whether leaving PAs out of the
original statute [AS 08.64.364 Prescription of drugs without
physical examination] that gives doctors authorization to
practice telemedicine was intentional.
MR. HARRIS offered his understanding that the original intent of
was to allow both physicians and PAs to practice telemedicine.
He added that it's not irrational that the Board interpreted it
differently, as the original bill only addressed physicians.
MR. HARRIS noted that HB 97 has an effective date of March 1,
2020, per request of the Alaska State Medical Board.
3:36:49 PM
CO-CHAIR LEDOUX opened public testimony.
3:37:00 PM
CHRISTOPHER DIETRICH, Assistant Medical Director, Orion
Behavioral Health Network, informed the committee that he is a
PA practicing adolescent and child psychiatry in Alaska from
Kotzebue to Ketchikan. He noted that he also serves an
underserved demographic by offering is services to the
Department of Corrections (DOC). He stated that PAs are medical
providers who diagnose illnesses, develop and manage treatment
plans, prescribe medications, and often service as a patient's
principal healthcare provider. With thousands of hours of
medical training, he said, PAs are versatile and collaborative.
He expressed his support for HB 97 as to decrease barriers to
his patients in rural access areas and to make it easier for all
patients to have adequate treatment.
3:38:55 PM
CO-CHAIR LEDOUX closed public testimony. She announced that HB
97 was held over.
HB 29-INSURANCE COVERAGE FOR TELEHEALTH
3:39:13 PM
CO-CHAIR LEDOUX announced that the next order of business would
be HOUSE BILL NO. 29, "An Act relating to insurance coverage for
benefits provided through telehealth; and providing for an
effective date."
3:39:40 PM
The committee took an at-ease from 3:39 to 3:41 p.m.
3:42:32 PM
CO-CHAIR LEDOUX opened public testimony on HB 29.
3:42:46 PM
CHRISTOPHER DIETRICH, Assistant Medical Director, Orion
Behavioral Health Network, expressed his support for HB 29. He
offered his belief that when patients who are covered by both
private insurance and Medicaid, receive telehealth service that
their private insurance denies, then the cost is shifted over to
the state. He stated that this bill would help the state of
Alaska save money and help patients receive better care.
3:44:10 PM
CLAUDIA TUCKER, Government Affairs VP, Teladoc Health, offered
support for HB 29. She said that HB 29 will mandate coverage
without getting into the contractual relationship for
reimbursement between providers and the health plan and does not
require a prior in-person [appointment], which she said is good
policy. She reported that Teladoc Health has 47 Alaska licensed
physicians working in the state.
3:45:20 PM
CO-CHAIR WOOL asked if the physicians working for Teladoc Health
are physically located in Alaska.
MS. TUCKER replied that they can be both in Alaska and out of
state. She said that call volume for 2018 shows approximately
30 percent of calls were answered by physicians living in
Alaska. She did note, however, that all Teladoc physicians are
at least licensed in this state.
3:46:22 PM
ROBIN MINARD, Chief Communications Officer, Matsu Health
Foundation, voiced her support for HB 29. She stated that this
bill addresses and solves both transportation and access to care
for Alaskans. She offered her belief that currently, patients
postpone preventive care, medication refills, and early
intervention due to access, cost, weather, and lack of time,
which ultimately increases overall healthcare costs when they
end up in the emergency room (ER). She said that HB 29 will
help to give quality care to more Alaskans.
3:49:21 PM
LYNN FREEMAN, PhD, CEO, Mind Matters Research LLC, testified in
support of HB 29, stating that it is critical for the wellbeing
of patients in Alaska. She informed the committee that her
research supports the notion that telehealth can offer the same
quality of care as in-office appointments. She contended that
in some cases, telehealth can even provide better outcomes.
3:51:34 PM
WADE ERICKSON, MD, Capstone Family Medicine, stated his support
for HB 29. He informed the committee that he has been doing
telemedicine for six years as a family physician, noting that he
uses it for both rural and local patients. He said that with
proper use of telemedicine, he has seen a significant
improvement in patient care, access to care, and a reduction in
the use of both emergency room and urgent care services.
3:53:02 PM
CO-CHAIR LEDOUX closed public testimony.
3:53:20 PM
CO-CHAIR WOOL moved to report HB 29 out of committee with
individual recommendations and the accompanying fiscal notes.
Without objection, HB 29 was moved from the House Labor and
Commerce Standing Committee.
3:53:45 PM
The committee took an at-ease from 3:53 to 3:56 p.m.
HB 104-MORTGAGE LOAN ORIGINATOR LICENSING
3:56:41 PM
CO-CHAIR LEDOUX announced that the next order of business would
be CS FOR HOUSE BILL NO. 104(L&C), "An Act relating to
exemptions from mortgage lender, mortgage broker, and mortgage
loan originator licensing requirements; and providing for an
effective date."
3:57:20 PM
CO-CHAIR LEDOUX opened public testimony.
3:57:34 PM
STACY HARVILL, Realtor, Madden Real Estate, stated her support
for HB 104. She offered her belief that HB 104 provides strong
consumer protection and provides options for people buying and
selling in the state of Alaska. She said that there are often
properties that do not fit the traditional financing mold and
buyers that do not fit the traditional financing standard. She
opined that the solution is owner financing; however, the
current law has made it that a private individual cannot do so
unless the dwelling serves as the individual's residence. She
shared her belief that HB 104 will help to adequately address
owner financing and make it easier for individuals to sell their
properties in many circumstances.
CO-CHAIR WOOL asked if Ms. Harvill was aware that the current
version of the bill allows for nonprofits, as well as
individuals, to sell properties.
MS. HARVILL disclosed that she participated in drafting the bill
and acknowledged that nonprofits were not originally included.
Nonetheless, she said that it makes sense to include nonprofit
organizations and expressed support for that addition.
CO-CHAIR WOOL asked if Ms. Harvill would feel differently if the
nonprofits were large national groups rather than small "mom and
pop" organizations.
MS. HARVILL said, "possibly but not necessarily." She stated
that all the nonprofit organizations that were mentioned during
the previous bill hearing for HB 104 made sense to her.
4:01:06 PM
NADINE WINTERS, Executive Director, Fairbanks Neighborhood
Housing Services, expressed her support for HB 104, adding that
the nonprofit exemption would specifically apply to Fairbanks
Neighborhood Housing Services (FNHS). She said they offer
products that are not available by traditional lenders and would
be exempt by federal law. She opined that this bill would help
FNHS fulfill their mission to help low- and moderate-income
first-time home buyers get into homes.
4:03:52 PM
REPRESENTATIVE HANNAN asked what kind for employee screening is
done to stop the abuse of loan applicants' financial
information.
MS. WINTERS replied that they have confidentiality policies,
mortgage underwriting policies and procedures, as well as a
litany of assurances required by their funding sources.
REPRESENTATIVE HANNAN asked if that includes a criminal
background check.
MS. WINTERS answered yes.
4:05:34 PM
CO-CHAIR WOOL asked if Ms. Winters, a licensed loan originator,
handles all loans in her office.
MS. WINTERS confirmed that. She added that she does the terms
with the assistance from a loan processor who does the
voluminous paperwork requirements.
CO-CHAIR WOOL considered whether a nonprofit group would be, by
definition, a commercial lender if they were to offer the same
kind of loan as a bank. He asked if that would make the
nonprofit ineligible for the exemption.
MS. WINTERS acknowledged that would meet the definition of
"commercial" and the exemption would not apply to them.
CO-CHAIR WOOL sought clarification on the zero percent loan
program offered by FNHS. He speculated that their down payment
helps people get bank loans to buy a house.
MS. WINTERS said, "Exactly," and added that all her nonprofit's
programs are for first-time home buyers. She clarified that
every second mortgage that FNHS does is tied to a first lender
whose client wouldn't have been able to get into their home
without the program assistance offered by the nonprofit.
4:10:46 PM
CO-CHAIR WOOL suggested a scenario in which someone wants to get
a second mortgage on a house they own. He asked if he or she
would be required to come up with the down payment if they are
already paying for the loan on their house.
MS. WINTERS said if that individual already has an existing
mortgage then FNHS would not be assisting them, as the
organization helps first-time home buyers. She reiterated that
someone looking for a second mortgage on top of an original
mortgage would not be a client that they serve. She continued
by saying that FNHS helps people with closing costs and the down
payment.
CO-CHAIR WOOL offered his understanding that FNHS is helping
people out with fees rather than originating their mortgage.
MS. WINTERS acknowledged that they are augmenting a certain
population of homebuyers in the community rather than competing.
4:12:49 PM
PATRICK ANDERSON CEO, Rural Alaska Community Action Program,
informed the committee that Rural Alaska Community Action
Program (RurAL CAP) is a nonprofit agency operating in Alaska
and a licensed mortgage loan originator as required by state
law. He expressed full support for HB 104 as it would exempt
nonprofit organizations like RurAL CAP from the requirements.
He explained that RurAL CAP closes second mortgages for low-
income home buyers that are serviced and funded by Alaska
Housing Finance Corporation, noting that in the past 7 years
they have closed only 36 such loans while expending in excess of
$20,000 in fees to maintain compliance with regulations.
CO-CHAIR WOOL questioned whether RurAL CAP uses a bank to buy
properties.
MR. ANDERSON said that they buy it themselves.
4:19:34 PM
CO-CHAIR WOOL said the committee has heard from nonprofits who
say they don't compete with banks and offer different loans than
banks do. He asked for the Division of Banking and Securities'
response to that.
PATRICE WALSH, Director, Division of Banking and Securities,
Department of Commerce, Community & Economic Development,
replied that she views these nonprofits as public assistance
because they are offering services to a group that isn't
serviced by the state or federally licensed loan originators.
She noted that the federal law already allows for this
exemption, which other states have adopted, leaving Alaska as an
outlier that has yet to convert to keep up with federal law.
4:21:50 PM
CO-CHAIR WOOL asked if the number of loans would increase if HB
104 were to pass.
MS. WALSH offered her belief that there wouldn't be more loans
because the nonprofits get their money through grants, which are
limited. She added that she has never seen the volume increase
for the few licensees that they have.
4:24:18 PM
REPRESENTATIVE HANNAN questioned whether Ms. Walsh believes that
allowing the nonprofit origination of residential mortgage loans
would open a risk to consumers in Alaska.
MS. WALSH answered no, because nonprofits must qualify for this
exemption and in that qualification process there is an
extensive review of each organization that must be renewed
annually.
4:26:41 PM
CO-CHAIR LEDOUX closed public testimony.
4:26:56 PM
The committee took a brief at-ease.
4:27:53 PM
CO-CHAIR WOOL said he wasn't present for the introduction of the
CS at the previous bill hearing. He further noted that the
nonprofits seem to have a limited scope of a limited clientele.
He added that it would have been helpful to hear from the
banking industry during testimony.
4:28:24 PM
CO-CHAIR WOOL moved to report CSHB 104, Version 31-LS0275\S,
Bannister, 4/10/109, out of committee with individual
recommendations and the accompanying fiscal notes. Without
objection, CSHB 104(L&C) was moved from the House Labor and
Commerce Standing Committee.
4:28:49 PM
ADJOURNMENT
There being no further business before the committee, the House
Labor and Commerce Standing Committee meeting was adjourned at
4:28 p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HB 97.Sponsor.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB 97.Bill Version U.PDF |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB 97.Bill Version S CS for Adoption.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB 97. Summary of Changes Version U to Verison S.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB 97.Sectional.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB 97.Fiscal DCCED.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB 97.Backup Support Letter ASHNHA.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document AK Policy Forum 3.27.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document ACoA 3.26.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document AK State Medical Bd Roster 3.21.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document AK State Medical Bd PA scope of practice 3.21.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document DEA Drug Schedules 3.21.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document Dietrich (OBHS) 3.25.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document HRSA -HPSA Underserved Primary Care Areas 3.21.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document Medically Underserved Areas HRSA 3.21.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document Orion BH Emails of Support 3.26.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document PA guidelines AK State Medical Bd 3.21.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document PA Prescriptive Authority (AAC) 3.21.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB0097 Supporting Document AAPA general overview 3.21.19.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 97 |
| HB 29.Sponsor.pdf |
HL&C 4/29/2019 3:15:00 PM SHSS 2/14/2020 1:30:00 PM SHSS 2/19/2020 1:30:00 PM |
HB 29 |
| HB 29.Bill Version A.PDF |
HL&C 4/29/2019 3:15:00 PM SHSS 2/14/2020 1:30:00 PM SHSS 2/19/2020 1:30:00 PM |
HB 29 |
| HB 29.Fiscal Note.pdf |
HL&C 4/29/2019 3:15:00 PM SHSS 2/14/2020 1:30:00 PM SHSS 2/19/2020 1:30:00 PM |
HB 29 |
| HB 29.Sectional.pdf |
HL&C 4/29/2019 3:15:00 PM SHSS 2/14/2020 1:30:00 PM |
HB 29 |
| HB 29.Backup Letters of Support.pdf |
HL&C 4/29/2019 3:15:00 PM SHSS 2/14/2020 1:30:00 PM SHSS 2/19/2020 1:30:00 PM |
HB 29 |
| HB 29.Backup Letter of Support AARP.pdf |
HL&C 4/29/2019 3:15:00 PM SHSS 2/14/2020 1:30:00 PM SHSS 2/19/2020 1:30:00 PM |
HB 29 |
| HB 29.Backup ADN Article.pdf |
HL&C 4/29/2019 3:15:00 PM SHSS 2/14/2020 1:30:00 PM SHSS 2/19/2020 1:30:00 PM |
HB 29 |
| HB 104.Sponsor.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 104 |
| HB 104.Bill Version S CS for adoption.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 104 |
| HB 104.Fiscal DCCED.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 104 |
| HB 104.Backup GFBR.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 104 |
| HB 104.Backup Support Letter Schiewer.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 104 |
| HB 104.Backup Alaska Realtors.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 104 |
| HB 104 Non Profit Organization Exemption.pdf |
HL&C 4/29/2019 3:15:00 PM |
HB 104 |