Legislature(2017 - 2018)SENATE FINANCE 532

04/12/2018 09:00 AM FINANCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 285 APPROP: MENTAL HEALTH BUDGET TELECONFERENCED
<Bill Hearing Canceled>
+= HB 286 APPROP: OPERATING BUDGET/LOANS/FUNDS TELECONFERENCED
<Bill Hearing Canceled>
+ SB 193 MED. ASSISTANCE WORK REQUIREMENT TELECONFERENCED
Heard & Held
+ HB 176 EMER. MEDICAL TRANSPORT SERVICE PAYMENTS TELECONFERENCED
<Bill Hearing Rescheduled to 4/13/18 at 9 a.m.>
+ HB 213 PUBLIC SCHOOL TRUST FUND TELECONFERENCED
<Bill Hearing Rescheduled to 4/13/18 at 9 a.m.>
+ HB 215 DHSS: PUBLIC HEALTH FEES TELECONFERENCED
<Bill Hearing Rescheduled to 4/13/18 at 9 a.m.>
+ Bills Previously Heard/Scheduled: TELECONFERENCED
+= HB 79 OMNIBUS WORKERS' COMPENSATION TELECONFERENCED
Heard & Held
<Bill Hearing Rescheduled from 4/10/18 at 9 a.m.>
+= HB 121 OCC. HEALTH AND SAFETY CIVIL PENALTIES TELECONFERENCED
<Bill Hearing Canceled>
<Bill Hearing Rescheduled from 4/10/18 at 9 a.m.>
+= SB 185 REEMPLOYMENT OF RETIRED TEACHERS & ADMIN TELECONFERENCED
Scheduled but Not Heard
                  SENATE FINANCE COMMITTEE                                                                                      
                       April 12, 2018                                                                                           
                         9:24 a.m.                                                                                              
                                                                                                                                
9:24:15 AM                                                                                                                    
                                                                                                                                
CALL TO ORDER                                                                                                                 
                                                                                                                                
Co-Chair  MacKinnon   called  the  Senate   Finance  Committee                                                                  
meeting to order at 9:24 a.m.                                                                                                   
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Lyman Hoffman, Co-Chair                                                                                                 
Senator Anna MacKinnon, Co-Chair                                                                                                
Senator Click  Bishop, Vice-Chair                                                                                               
Senator Peter Micciche                                                                                                          
Senator Donny Olson                                                                                                             
Senator Gary Stevens                                                                                                            
Senator Natasha von Imhof                                                                                                       
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
None                                                                                                                            
                                                                                                                                
ALSO PRESENT                                                                                                                  
                                                                                                                                
Heather  Carpenter, Staff,  Senator  Pete Kelly;  Senator Pete                                                                  
Kelly, Sponsor;  Jeremy Price,  State Director,  Americans for                                                                  
Prosperity;   Alyson  Curry,   Legislative   Liaison,  Planned                                                                  
Parenthood  Votes Alaska;  Monica  Windom, Director,  Division                                                                  
of  Public  Assistance,   Department  of   Health  and  Social                                                                  
Services;  Jon Sherwood,  Deputy  Commissioner,  Department of                                                                  
Health and  Social Services;  Don Etheridge,  AFL-CIO, Juneau;                                                                  
Barbara   Huff   Tuckness,    Director   of   Government   and                                                                  
Legislative  Affairs,   Teamsters  Local  959,  Juneau;  Heidi                                                                  
Drygas,  Commissioner,   Department  of  Labor  and  Workforce                                                                  
Development;   Marie  Marx,  Director,   Division  of  Workers                                                                  
Compensation,    Department    of    Labor    and    Workforce                                                                  
Development.                                                                                                                    
                                                                                                                                
PRESENT VIA TELECONFERENCE                                                                                                    
                                                                                                                                
Mike  Coons,   President,   Alaska  Chapter,   Association  of                                                                  
Mature  American   Citizens,   Palmer;  Laura   Bonner,  Self,                                                                  
Anchorage.                                                                                                                      
                                                                                                                                
SUMMARY                                                                                                                       
                                                                                                                                
SB 185    REEMPLOYMENT OF RETIRED TEACHERS and ADMIN                                                                            
                                                                                                                                
          SB 185 was SCHEDULED but not HEARD.                                                                                   
                                                                                                                                
SB 193    MED. ASSISTANCE WORK REQUIREMENT                                                                                      
                                                                                                                                
          SB 193 was HEARD and HELD in committee for                                                                            
          further consideration.                                                                                                
                                                                                                                                
CSHB 79(FIN)                                                                                                                    
          OMNIBUS WORKERS' COMPENSATION                                                                                         
                                                                                                                                
          CSHB 79(FIN) was HEARD and HELD in committee for                                                                      
          further consideration.                                                                                                
                                                                                                                                
SENATE BILL NO. 193                                                                                                           
                                                                                                                                
     "An  Act requiring  the Department  of Health  and Social                                                                  
     Services  to  apply   for  a  waiver  to  establish  work                                                                  
     requirements  for  certain  adults who  are  eligible for                                                                  
     the state medical assistance program."                                                                                     
                                                                                                                                
9:25:40 AM                                                                                                                    
                                                                                                                                
HEATHER  CARPENTER,  STAFF,  SENATOR  PETE  KELLY,  introduced                                                                  
the  bill.  She  stated  that  a Section   11.15  was a  broad                                                                  
waiver,  and it  was a  way to  "bend the  rules" of  what was                                                                  
currently  required. She shared  that there had  been a change                                                                  
in policy  to  accept waivers  that test  the hypothesis  that                                                                  
requiring  work  or community  engagement  as  a condition  of                                                                  
eligibility   would  result   in   more  beneficiaries   being                                                                  
employed,   or   engaging   in  other   productive   community                                                                  
engagement.  Thus producing  increased  health and  wellbeing.                                                                  
She  shared that  President  Trump signed  an executive  order                                                                  
called,   "Reducing    Poverty   in   America   by   Promoting                                                                  
Opportunity  and  Economic  Mobility."  She  shared  that  the                                                                  
executive  order had a strong  focus on work  requirements for                                                                  
work  capable people.  She  stated that  the Medicaid  program                                                                  
was  established to  help  the most  vulnerable Alaskans,  and                                                                  
it must  continue to  do so; however,  the safety  net program                                                                  
should  not be  used  to hold  people  down indefinitely.  She                                                                  
asserted  that  the legislation  sought  to  use the  Medicaid                                                                  
program  to lift individuals  to a  better quality  of life by                                                                  
requiring  twenty  hours of  work activity,  volunteering,  or                                                                  
subsistence  activities  each week.  The legislation  included                                                                  
several  protections that  would exempt  individuals  from the                                                                  
work  requirement  including  children;  certain  parents  and                                                                  
caretakers;  individuals   with  certain  medical  conditions;                                                                  
individuals  enrolled  in an  education  or training  program;                                                                  
and  people  who  were  pregnant.  She  stated that  the  bill                                                                  
would  impact  approximately  25,095  Medicaid  enrollees,  or                                                                  
approximately 10.5 percent of the total enrollment.                                                                             
                                                                                                                                
9:29:55 AM                                                                                                                    
                                                                                                                                
Ms.  Carpenter  discussed  the  Sectional  Analysis  (copy  on                                                                  
file):                                                                                                                          
                                                                                                                                
     Section 1:                                                                                                                 
                                                                                                                                
     Amends  AS 47.07.036  to direct the  DHSS to  apply for a                                                                  
     section  1115  waiver  of  the  Social  Security  Act  to                                                                  
     establish   a  work   requirement   for  adults   in  the                                                                  
     Medicaid  program   who  not  meet  the  criteria  to  be                                                                  
     exempted.                                                                                                                  
                                                                                                                                
          The waiver must include the following:                                                                                
                                                                                                                                
          (1)  Requires an  able-bodied Medicaid  recipient to                                                                  
          participate  in  work  activities for  a  minimum of                                                                  
          20  hours each  week.  Actively seeking  employment,                                                                  
          participating    in   an   education   or   training                                                                  
          program,   volunteering,  engaging   in  subsistence                                                                  
          activities,    or  caregiving   also   are   counted                                                                  
          towards the 20-hour requirement.                                                                                      
                                                                                                                                
          (2)  If  a  Medicaid  recipient  is  also  receiving                                                                  
          benefits    under   Alaska    Temporary   Assistance                                                                  
          Program    and   in   compliance   with   the   work                                                                  
          requirements  listed  under AS 47.27.035,  then they                                                                  
          automatically   meet   the   work  requirement   for                                                                  
          Medicaid.                                                                                                             
                                                                                                                                
          (3) Exempt Medicaid recipients who are:                                                                               
                                                                                                                                
                a. Children or elderly (Under 18 years old                                                                      
                and over 65 years old)                                                                                          
                                                                                                                                
                b. The parent or caretaker of a dependent                                                                       
                child of up to 12 months of age and the                                                                         
                parent or  caretaker  is  providing  home care                                                                  
                for the child                                                                                                   
                                                                                                                                
                c.  The  parent   or  caretaker   of  a  child                                                                  
                experiencing a  disability  and the  parent or                                                                  
                caretaker  is  providing  home  care  for  the                                                                  
                children                                                                                                        
                                                                                                                                
                d.  The  caretaker   of  a  relative   who  is                                                                  
                experiencing  a disability   and requires  24-                                                                  
                hour care                                                                                                       
                                                                                                                                
                e. The parent  or caretaker  of a  child under                                                                  
                six years of  age and the parent  or caretaker                                                                  
                demonstrated  that appropriate  child  care is                                                                  
                not available                                                                                                   
                                                                                                                                
                f. Unable  to  work  for medical  reasons,  as                                                                  
                determined    by     a    licensed     medical                                                                  
                professional                                                                                                    
                                                                                                                                
                g. Pregnant                                                                                                     
                                                                                                                                
                h.    Currently     receiving     unemployment                                                                  
                insurance benefits                                                                                              
                                                                                                                                
                i. Participating in a tribal work program                                                                       
                                                                                                                                
          (4) Temporary exemptions for:                                                                                         
                                                                                                                                
                a. Experiencing  a family hardship  outside of                                                                  
                the control of the parent or caretaker                                                                          
                                                                                                                                
                b. A victim of domestic violence                                                                                
                                                                                                                                
          (5) Ensure that the work requirement does not                                                                         
          impact a Medicaid recipient from obtaining                                                                            
          substance abuse treatment                                                                                             
                                                                                                                                
          (6)  A notification  to all  Medicaid  receipts once                                                                  
          the  waiver  is approved,  and  a 90  day  notice of                                                                  
          non-compliance   with the  work  requirement  before                                                                  
          benefits are terminated.                                                                                              
                                                                                                                                
9:34:04 AM                                                                                                                    
                                                                                                                                
Senator  Stevens  wondered  how people  would  be notified  of                                                                  
the available  scholarships.  Ms. Carpenter  replied  that the                                                                  
state had  a rich history  within the Department  of Labor and                                                                  
Workforce  Development  (DOLWF).  She  noted  that there  were                                                                  
various  financial  resources  through  that  department.  She                                                                  
shared  that there  was a  Medicaid reform  bill in  2016 that                                                                  
asked that  the department  inform individuals  on Medicaid of                                                                  
education  options or work  availability. She  stated that the                                                                  
department had a process outlined through the fiscal note.                                                                      
                                                                                                                                
Senator  Stevens  assumed that  the  department would  provide                                                                  
what was available.                                                                                                             
                                                                                                                                
Senator   von  Imhof   noted  that   the  Sectional   Analysis                                                                  
included  the   phrase,  "there  parameters   align  with  the                                                                  
current  Temporary   Assistance  for  Needy   Families  (TANF)                                                                  
program."  She wondered  how the  requirements  and exemptions                                                                  
aligned  with  TANF.  Ms.  Carpenter  replied  that they  were                                                                  
almost  completely aligned.  She noted  that there  may be one                                                                  
provision that was not included.                                                                                                
                                                                                                                                
Senator von  Imhof wondered  whether Department  of Health and                                                                  
Social  Services (DHSS)  had  an existing  program  to monitor                                                                  
hours  for Medicaid  recipients.  Ms.  Carpenter  replied that                                                                  
the department  had work requirements  in place  for both food                                                                  
stamps  and   the  temporary   assistance  program,   but  the                                                                  
federal government  had never  allowed a work  requirement for                                                                  
Medicaid.                                                                                                                       
                                                                                                                                
Senator  von  Imhof felt  that  the  tracking  process  was in                                                                  
place,  so the  current  practices  could be  built  upon. Ms.                                                                  
Carpenter agreed.                                                                                                               
                                                                                                                                
Co-Chair  Hoffman appreciated  the  inclusion of  subsistence.                                                                  
He  wondered  how  to  document   subsistence.  Ms.  Carpenter                                                                  
replied  that there  had  not been  a  system for  documenting                                                                  
the  subsistence.  She  stated  that  the waiver  allowed  for                                                                  
flexibility to work with the tribes.                                                                                            
                                                                                                                                
Co-Chair  Hoffman  remarked  that it  should  be tracked  with                                                                  
minimal  paperwork,  because   those  living  the  subsistence                                                                  
life rarely had detail to paperwork.                                                                                            
                                                                                                                                
9:40:20 AM                                                                                                                    
                                                                                                                                
Senator  Olson  wondered   whether  only  10  percent  of  the                                                                  
enrollees   would  be   affected  by   the  legislation.   Ms.                                                                  
Carpenter  replied   that  the  number   with  exemptions  was                                                                  
25,095  individuals,  which was  10.5 percent  of  the current                                                                  
program.                                                                                                                        
                                                                                                                                
Senator   Olson    wondered   whether    there   was   similar                                                                  
implementation  in any other  states, and queried  the success                                                                  
in those  states. Ms.  Carpenter replied  that it  was a brand                                                                  
new  program.   She   stated  that   Kentucky  had   a  waiver                                                                  
approved,  but  there  was   current  litigation  around  that                                                                  
waiver.                                                                                                                         
                                                                                                                                
Vice-Chair Bishop asked for more discussion with DLWD                                                                           
                                                                                                                                
SENATOR PETE KELLY, SPONSOR, discussed the bill.                                                                                
                                                                                                                                
9:44:20 AM                                                                                                                    
                                                                                                                                
JEREMY  PRICE,  STATE  DIRECTOR,   AMERICANS  FOR  PROSPERITY,                                                                  
spoke  in favor  of the  bill.  He stated  that Kaiser  Family                                                                  
Foundation  put Medicaid enrollment  at 1 in 5  in the nation;                                                                  
and 25  million Americans were  within the population  of able                                                                  
bodied  adults that  were  part of  the expansion  population.                                                                  
He noted  that Alaska  was headed  for some serious  problems,                                                                  
because  there  were  no limits  on  enrollment  in  Medicaid.                                                                  
There  was a desire  to preserve  the  program for  those that                                                                  
need it  the most. He felt  that government  assistance should                                                                  
be a  "hand up" and  not a "hand  out", except for  those that                                                                  
truly  need  the  program.  He  noted that  New  York,  Maine,                                                                  
Alabama,  Georgia, and  Kansas enacted  welfare reform  with a                                                                  
focus  on food  stamps.  He stated  that  after enacting  work                                                                  
requirements  for food stamps,  there was a  massive reduction                                                                  
in  welfare  assistance   and  increased  employment  for  low                                                                  
skilled  workers.   He  stressed  that  there  was  clear  and                                                                  
convincing  evidence  that  worklessness  led  to  depression,                                                                  
and depression  led to  bad things.  He felt that  there was a                                                                  
link to mental and physical health.                                                                                             
                                                                                                                                
Senator  Micciche  stressed that  there  may be  opportunities                                                                  
missed without development expectations.                                                                                        
                                                                                                                                
Co-Chair Hoffman  requested  a brief description  of Americans                                                                  
for  Prosperity.   Mr.  Price   replied  that   Americans  for                                                                  
Prosperity   was  an   organization   dedicated   to  removing                                                                  
barriers  of  opportunities  for  Alaskans  and Americans.  He                                                                  
stated that  they advocated  for lowering regulations;  making                                                                  
it  easier   for  people   to  start  small   businesses;  and                                                                  
lowering taxes;  empowering  individuals to develop  their own                                                                  
future and economic fortune.                                                                                                    
                                                                                                                                
Co-Chair  Hoffman queried  the  number of  members  from rural                                                                  
Alaska  in  Americans  for  Prosperity.  Mr.  Price  responded                                                                  
that he did not have that number.                                                                                               
                                                                                                                                
Senator von  Imhof noted that  one of the  possible challenges                                                                  
was  that folks  may  earn income  to  rise above  eligibility                                                                  
limits,  yet  may  not  earn   enough  to  pay  for  insurance                                                                  
coverage.  She  queried   ideas  to  address  that  transition                                                                  
time. Mr. Price replied in the negative.                                                                                        
                                                                                                                                
Senator von  Imhof noted that  Americans for  Prosperity was a                                                                  
strong  think  tank,  and  had  money  to  research  important                                                                  
issues  with nationwide  stakeholders  to discuss  the impacts                                                                  
of  a   particular  issue.   She  urged  examination   of  the                                                                  
program. Mr. Price agreed.                                                                                                      
                                                                                                                                
9:52:45 AM                                                                                                                    
                                                                                                                                
ALYSON CURRY,  LEGISLATIVE  LIAISON, PLANNED  PARENTHOOD VOTES                                                                  
ALASKA,  testified  against  the  bill.  She  stated that,  in                                                                  
Alaska, over  one quarter  of the Planned  Parenthood patients                                                                  
were  Medicaid   beneficiaries;  and  over   80  percent  were                                                                  
women.  She  stressed  that  everyone  had  access  to  needed                                                                  
health  care,  regardless  of their  income.  She stated  that                                                                  
the enrollment  restrictions  in SB 193 would  decrease access                                                                  
to   health    care   in    the   state,   and    would   have                                                                  
disproportionate  impact  on women.  She stated  that Medicaid                                                                  
covered  one in five  women of reproductive  age,  and was the                                                                  
source  of  coverage  for  nearly  one-half  of  women  giving                                                                  
birth. She  stressed that many  women faced barriers  to work,                                                                  
like  transportation,  housing,  and education.  She  remarked                                                                  
that,   in  rural   Alaska,   the   work  requirements   would                                                                  
essentially   prevent   many   women  from   accessing   basic                                                                  
preventative  health   care.  She  remarked  that  restricting                                                                  
women  from  preventative  care,  such as  contraception,  was                                                                  
bad for  women's health  and bad for  the state's  budget. She                                                                  
remarked  that the  state saved  seven  dollars for  every one                                                                  
dollar  it  invested  in   family  planning,  because  it  was                                                                  
cheaper to  invest in contraceptive  coverage than  to pay for                                                                  
costs associated  with unintended  pregnancies.  She felt that                                                                  
the  bill  would remove  many  women  from  Medicaid  who were                                                                  
attempting  to avoid  pregnancy,  but then  require  the state                                                                  
to  cover  the  cost  of  their   unintended  pregnancy  after                                                                  
losing  access  to  publicly   funding  family  planning.  She                                                                  
announced   that  research   had  shown  that   punitive  work                                                                  
requirement  did not  actually decrease  poverty, and  in some                                                                  
cases  could  push  families  deeper  into poverty.  She  felt                                                                  
that  the bill  would  cut  Alaskans off  from  the  care they                                                                  
depend  on without  improving  their  economic stability.  She                                                                  
noted that  the numerous  fiscal notes  made it clear  that it                                                                  
would do so at significant cost to the state.                                                                                   
                                                                                                                                
Vice-Chair  Bishop queried the  definition of  "punitive." Ms.                                                                  
Curry  replied that  it was  punitive to  kick someone  off of                                                                  
Medicaid  because  they were  either  unable to  find  work or                                                                  
unable to work.                                                                                                                 
                                                                                                                                
Vice-Chair  Bishop  did not  feel  that twenty  hours  was not                                                                  
"out  of line."  He asked  that they  meet to discuss  further                                                                  
exemptions. Ms. Curry agreed.                                                                                                   
                                                                                                                                
9:57:05 AM                                                                                                                    
                                                                                                                                
Senator Micciche  noted that  the bill also  allowed volunteer                                                                  
opportunities.  He  wondered  if  there  was  a  problem  with                                                                  
requiring   someone   to   participate   in  valuable   social                                                                  
activities.  Ms. Curry replied  that she found  great value in                                                                  
giving back  to the  community, but  felt it was  a fallacy to                                                                  
believe  that the people  who were  currently on  Medicaid did                                                                  
not have  a desire to contribute  to their community.  She did                                                                  
not  see how  requiring  20  hours  of volunteer  work  rather                                                                  
than  seeking  employment  would increase  someone's  economic                                                                  
standing.                                                                                                                       
                                                                                                                                
Senator  Micciche felt  that the  bill provided  multiple ways                                                                  
for people  to contribute.  He noted that the  government must                                                                  
be  there for  those that  could  not work.  He remarked  that                                                                  
there  were   individuals  who   were  displaced   to  receive                                                                  
services,   because   healthy   individuals   were   receiving                                                                  
services.   He    wondered   whether    services   should   be                                                                  
prioritized  in a way that  recognized someone's  inability to                                                                  
work above  asking  for a reasonable  contribution  from those                                                                  
who  were  capable of  working.  Ms.  Curry  replied  that she                                                                  
felt  that   those  that   were  able  to   community  already                                                                  
contributed  to  the  community  in  their own  capacity.  She                                                                  
stressed  that  Planned  Parenthood  had  a hard  line  stance                                                                  
that everyone  deserves access  to health care.  She felt that                                                                  
the bill focused on the Medicaid expansion population.                                                                          
                                                                                                                                
                                                                                                                                
Senator  Micciche  felt  that the  bill  did  not address  the                                                                  
expansion  population,  because  that population  was  already                                                                  
working.   He  stressed   that  the   focus  was   on  another                                                                  
population in the eligibility categories.                                                                                       
                                                                                                                                
Senator  von Imhof  felt that  Medicaid  eligibility  for some                                                                  
populations  was  not  health  based,  but income  based.  She                                                                  
remarked  that  a  recipient   could  be  healthy,  but  at  a                                                                  
certain  level of income  to qualify  for Medicaid.  She noted                                                                  
the  extraordinary  number  of exemptions   that would  target                                                                  
the  Planned  Parenthood   population.  She  queried  concerns                                                                  
about  a  tribal   work  program  versus   the  Medicaid  work                                                                  
program.  Ms. Curry  replied that  she  could not  answer that                                                                  
question.                                                                                                                       
                                                                                                                                
10:02:48 AM                                                                                                                   
                                                                                                                                
MIKE  COONS,   PRESIDENT,   ALASKA  CHAPTER,   ASSOCIATION  OF                                                                  
MATURE   AMERICAN  CITIZENS,   PALMER  (via   teleconference),                                                                  
spoke  in support  of the  bill.  He stated  that  the welfare                                                                  
reform had  laid the  ground work  to get more  Americans back                                                                  
to work,  while protecting  and  strengthening the  safety for                                                                  
the  truly needy.  He  felt that  federal  agencies  must take                                                                  
advantage   of   the   opportunity   to  roll   back   harmful                                                                  
"Obamacare"  policies  to  trap  families in  dependency,  and                                                                  
cost taxpayers billions.                                                                                                        
                                                                                                                                
Co-Chair MacKinnon CLOSED public testimony.                                                                                     
                                                                                                                                
Senator  Stevens hoped  to provide  educational  opportunities                                                                  
for the recipients.                                                                                                             
                                                                                                                                
Co-Chair  MacKinnon believed  that  health was  important, and                                                                  
services  were available  for some who  could not  provide for                                                                  
themselves.  She wondered whether  benefits were  increased to                                                                  
someone with a child.                                                                                                           
                                                                                                                                
10:07:40 AM                                                                                                                   
                                                                                                                                
MONICA  WINDOM,  DIRECTOR,   DIVISION  OF  PUBLIC  ASSISTANCE,                                                                  
DEPARTMENT   OF  HEALTH   AND   SOCIAL  SERVICES,   introduced                                                                  
herself.                                                                                                                        
                                                                                                                                
Co-Chair  MacKinnon wondered  whether benefits  were increased                                                                  
to  someone  with  a  child.   Ms.  Windom  replied  that  the                                                                  
benefit would not increase.                                                                                                     
                                                                                                                                
Co-Chair  MacKinnon wondered  how many  pregnancies  in Alaska                                                                  
were covered by Medicaid.                                                                                                       
                                                                                                                                
10:08:22 AM                                                                                                                   
                                                                                                                                
JON SHERWOOD,  DEPUTY COMMISSIONER,  DEPARTMENT  OF HEALTH AND                                                                  
SOCIAL  SERVICES,  replied  that  he did  not  have the  exact                                                                  
number.  He   stated  that,  historically,   Medicaid  covered                                                                  
approximately 50 percent of pregnancies.                                                                                        
                                                                                                                                
Co-Chair  MacKinnon stated  that she  already had  the number.                                                                  
She  announced  that  50  percent  of  all  live  births  were                                                                  
covered  by Medicaid.  She noted  that  the bill  would affect                                                                  
program growth in other areas such as food stamps.                                                                              
                                                                                                                                
Senator  Micciche  noted that  the  federal  poverty  line was                                                                  
affected by a child, so it would affect the benefit.                                                                            
                                                                                                                                
Co-Chair  MacKinnon  stressed  that  the child  would  qualify                                                                  
for Medicaid.                                                                                                                   
                                                                                                                                
Ms. Carpenter  announced that  the bill was not  only directed                                                                  
the expansion  population.  She stated  that the  CMS guidance                                                                  
letter  specifically  addressed,  "able  bodied  enrollees  in                                                                  
Medicaid."   She  agreed  that   it  included   the  expansion                                                                  
population,  but was  not entirely  the expansion  population.                                                                  
She agreed  to have conversations  off the record.  She shared                                                                  
that she  had stories of people  who were told  that they were                                                                  
too  disabled to  work,  but felt  that  it was  disingenuous.                                                                  
She  announced that  she  was excited  to see  what  the Trump                                                                  
administration  would   present  for  work  requirements,  and                                                                  
changing  the welfare  programs.  She  felt that  work  was an                                                                  
amazing opportunity to prosper and grow.                                                                                        
                                                                                                                                
SB  193   was  HEARD  and   HELD  in  committee   for  further                                                                  
consideration.                                                                                                                  
                                                                                                                                
CS FOR HOUSE BILL NO. 79(FIN)                                                                                                 
                                                                                                                                
     "An Act  relating to  workers' compensation;  relating to                                                                  
     the  second injury  fund;  relating to  service  fees and                                                                  
     civil  penalties  for the  workers'  safety  programs and                                                                  
     the  workers'  compensation   program;  relating  to  the                                                                  
     liability  of business  entities and certain  persons for                                                                  
     payment  of  workers'  compensation  benefits  and  civil                                                                  
     penalties;    relating    to    civil    penalties    for                                                                  
     underinsuring  or failing  to insure or  provide security                                                                  
     for   workers'   compensation   liability;   relating  to                                                                  
     preauthorization    and  timely   payment   for   medical                                                                  
     treatment  and services  provided  to injured  employees;                                                                  
     relating  to  incorporation  of  reference  materials  in                                                                  
     workers'    compensation    regulations;    relating   to                                                                  
     proceedings   before  the  Alaska  Workers'  Compensation                                                                  
     Board;  relating  to the  authorization  of  the workers'                                                                  
     compensation  benefits  guaranty  fund to  claim  a lien;                                                                  
     excluding    independent   contractors    from   workers'                                                                  
     compensation  coverage;  establishing  the  circumstances                                                                  
     under  which  certain  nonemployee   executive  corporate                                                                  
     officers  and  members  of  limited  liability  companies                                                                  
     may  obtain workers'  compensation coverage;  relating to                                                                  
     the  duties  of injured  employees  to  report  income or                                                                  
     work;  relating  to misclassification   of employees  and                                                                  
     deceptive  leasing;   defining  'employee';  relating  to                                                                  
     the  Alaska  Workers'  Compensation  Board's approval  of                                                                  
     attorney  fees in a  settlement agreement;  and providing                                                                  
     for an effective date."                                                                                                    
                                                                                                                                
10:12:20 AM                                                                                                                   
AT EASE                                                                                                                         
                                                                                                                                
10:18:55 AM                                                                                                                   
RECONVENED                                                                                                                      
                                                                                                                                
10:19:55 AM                                                                                                                   
                                                                                                                                
Co-Chair  MacKinnon stated  that there  was a letter  from her                                                                  
husband in  the packet, and  the testifier was  her niece. She                                                                  
wanted  to  ensure  that   there  was  not  an  appearance  of                                                                  
impropriety.                                                                                                                    
                                                                                                                                
10:21:30 AM                                                                                                                   
                                                                                                                                
LAURA BONNER, SELF, ANCHORAGE (via teleconference), spoke                                                                       
in support of the bill.                                                                                                         
                                                                                                                                
10:23:15 AM                                                                                                                   
                                                                                                                                
DON ETHERIDGE, AFL-CIO, JUNEAU, spoke in support of the                                                                         
legislation.                                                                                                                    
                                                                                                                                
10:25:32 AM                                                                                                                   
                                                                                                                                
BARBARA   HUFF   TUCKNESS,    DIRECTOR   OF   GOVERNMENT   AND                                                                  
LEGISLATIVE  AFFAIRS, TEAMSTERS  LOCAL 959,  JUNEAU, testified                                                                  
in support of the bill.                                                                                                         
                                                                                                                                
Co-Chair MacKinnon CLOSED public testimony.                                                                                     
                                                                                                                                
10:28:53 AM                                                                                                                   
                                                                                                                                
HEIDI   DRYGAS,   COMMISSIONER,   DEPARTMENT   OF  LABOR   AND                                                                  
WORKFORCE  DEVELOPMENT,   stated  that   the  bill  should  be                                                                  
considered  an efficiencies  bill. The  bill would  assist the                                                                  
department's  ability to administer  the workers  compensation                                                                  
system.   The  bill   focused  mainly   on  efficiencies   and                                                                  
modernizing   the   current   system   that   had   not   been                                                                  
significantly  reformed  in more  than ten  years.  She stated                                                                  
that the  bill had been well  vetted and been  through several                                                                  
committees.                                                                                                                     
                                                                                                                                
MARIE  MARX,  DIRECTOR,  DIVISION   OF  WORKERS  COMPENSATION,                                                                  
DEPARTMENT  OF  LABOR  AND  WORKFORCE  DEVELOPMENT,  discussed                                                                  
the  presentation,   "Workers'  Compensation:   HB  79  Senate                                                                  
Finance Committee April 10, 2018" (copy on file).                                                                               
                                                                                                                                
Ms.   Marx   highlighted    slide   2,   "What   is   Workers'                                                                  
Compensation?":                                                                                                                 
                                                                                                                                
     A system of insurance that protects workers and                                                                            
     employers from some of the losses caused by on-the-job                                                                 
     accidents and job-related illnesses                                                                                      
                                                                                                                                
Ms. Marx displayed slide 3, "The 'Grand Bargain'":                                                                              
                                                                                                                                
     An employer provides prompt, necessary medical and                                                                         
     wage loss benefits to an injured worker for a work-                                                                        
     related injury.                                                                                                            
                                                                                                                                
     In exchange, the injured worker receives limited                                                                           
     benefits and gives up the right to sue the employer.                                                                       
                                                                                                                                
10:30:45 AM                                                                                                                   
                                                                                                                                
Ms. Marx  highlighted  slide 4. She  stated that  the Worker's                                                                  
Compensation  Act guided  the  division's administration,  and                                                                  
more  specifically   guided   the  mission  of   the  Worker's                                                                  
Compensation  Act.  The  mission  was  to  ensure  the  quick,                                                                  
efficient,  fair,  and  predictable  delivery  of benefits  to                                                                  
injured  workers  at  a  reasonable  cost  to  employers.  She                                                                  
stressed that any effort of the division was always                                                                             
balancing those five pillars.                                                                                                   
                                                                                                                                
Ms. Marx discussed slide 5, "HB 79: Workers' Compensation                                                                       
Efficiencies Bill":                                                                                                             
                                                                                                                                
     ? Speed up dispute resolution                                                                                              
                                                                                                                                
     ? Improve the delivery of medical care to injured                                                                          
     workers                                                                                                                    
                                                                                                                                
     ?    Strengthen    provisions    to   prevent    workers'                                                                  
     compensation fraud by employers and employees                                                                              
                                                                                                                                
     ? Reduce administrative costs                                                                                              
                                                                                                                                
     ? Ensure adequate funding for the administration of                                                                        
     the workers' compensation and workers' safety programs                                                                     
                                                                                                                                
Ms. Marx addressed slide 6, "SPEED UP DISPUTE RESOLUTION:                                                                       
SECS. 8-10, 19-21, 39":                                                                                                     
                                                                                                                                
     Current law                                                                                                                
                                                                                                                                
          A party requests hearing on claim                                                                                     
                                                                                                                                
          Non-attorneys may represent parties                                                                                 
                                                                                                                                
          Board must approve attorney fees in settlement                                                                        
          agreement                                                                                                             
                                                                                                                                
          Division petitions Board to assess a civil                                                                            
          penalty against uninsured employer                                                                                    
                                                                                                                                
     HB 79                                                                                                                      
                                                                                                                                
          Board will schedule a hearing shortly after claim                                                                     
          is filed (Secs. 19, 21)                                                                                               
                                                                                                                                
          Any person authorized by regulation of the Board                                                                      
          (Sec. 20)                                                                                                             
                                                                                                                                
          Board does not need to approve if fees are sole                                                                       
         issue that needs Board approval (Sec. 39)                                                                              
                                                                                                                                
          Division  assesses  civil penalty  against uninsured                                                                  
          or   underinsured   employer;   party   may   appeal                                                                  
          assessment to Board (Secs. 8-10)                                                                                    
                                                                                                                                
Ms. Marx discussed slide 7, "IMPROVE THE DELIVERY OF                                                                            
MEDICAL CARE: SECS. 14, 23, 25-26":                                                                                           
                                                                                                                                
     Current law                                                                                                                
                                                                                                                                
          No  language  addressing  if and  when a  provider's                                                                  
          written   request    for  medical   care   must   be                                                                  
          preauthorized                                                                                                         
                                                                                                                                
          No   penalty   for  untimely   preauthorization   or                                                                  
          denial                                                                                                                
                                                                                                                                
          Medical bills paid within 30 days                                                                                     
                                                                                                                                
     HB 79                                                                                                                      
                                                                                                                                
          Requires   an  employer  to   preauthorize  or  deny                                                                  
          medical  treatment   within  60  days of  a  medical                                                                  
          provider's written request (Sec. 14)                                                                                  
                                                                                                                                
          Penalty  for  untimely  preauthorization  or  denial                                                                  
          (Secs. 23, 25-26)                                                                                                   
                                                                                                                                
          NO CHANGE                                                                                                             
                                                                                                                                
10:35:41 AM                                                                                                                   
                                                                                                                                
Ms. Marx highlighted slide 8, "Why the Division is Tackling                                                                     
Misclassification":                                                                                                             
                                                                                                                                
     ? Worker safety                                                                                                            
       Risk of uninsured losses                                                                                                 
     ? Law-abiding employers bear greater financial burden                                                                    
                                                                                                                                
Ms. Marx discussed slide 9, "STRENGTHEN FRAUD PROVISIONS:                                                                       
SECS. 7, 9, 10-11, 28-29, 32, 35-38, 40":                                                                                 
                                                                                                                                
     Current law                                                                                                                
                                                                                                                                
          No definition of misclassification                                                                                    
                                                                                                                                
          No  affirmative  duty  to report  work  or wage-loss                                                                
          benefits                                                                                                              
                                                                                                                                
          No owner liability for benefits for some business                                                                     
          entities and no civil penalty liability                                                                               
                                                                                                                                
          No definition of independent contractor and                                                                           
          multifactor balancing test for employee status                                                                        
                                                                                                                                
Co-Chair MacKinnon queried the definition of "independent                                                                       
contractor."                                                                                                                    
                                                                                                                                
10:38:32 AM                                                                                                                   
AT EASE                                                                                                                         
                                                                                                                                
10:38:56 AM                                                                                                                   
RECONVENED                                                                                                                      
                                                                                                                                
10:39:01 AM                                                                                                                   
                                                                                                                                
Ms. Marx announced the definition of "independent                                                                               
contractor." She looked at page 17, line 1 of the bill:                                                                         
                                                                                                                                
     A  person  employed   as  an  independent  contractor;  a                                                                  
     person  is  an independent  contractor  for the  purposes                                                                  
     of  this   chapter  only   if  the  person:   A)  has  an                                                                  
     expressed  contract to perform  the services,  B) is free                                                                  
     from  direction  and control  over the  means  and matter                                                                  
     of  providing  services,  subject  only to  the  right of                                                                  
     the  individual   for  whom  or  entity   for  which  the                                                                  
     services  are provided  to specify  the desired  results,                                                                  
     completion  schedule,  or  range  of  work  hours;  or to                                                                  
     monitor  the  work  for compliance  with  contract  plans                                                                  
     and  specifications,  or  federal,  state,  or  municipal                                                                  
     law,  C) incurs most  of the  expenses for  tools, labor,                                                                  
     and  other  operational costs  necessary  to  perform the                                                                  
     services,   except  for  materials   and  equipment  that                                                                  
     could  be  supplied,  D) has  an opportunity  for  profit                                                                  
     and loss  as a result  of the services  performed for the                                                                  
     other  individual  or  entity,  E) is  free  to hire  and                                                                  
     fire  employees  to help  perform  the  services  for the                                                                  
     contracted  work,  F)  has all  the  business,  trade, or                                                                  
     professional  licenses  required  by  federal,  state, or                                                                  
     municipal  authorities   for  a  business  or  individual                                                                  
     engaging  in the  same type  of services  as  the person,                                                                  
     G)  follows   federal  Internal  Revenue   Service  (IRS)                                                                  
     requirements     by    i)    obtaining     an    employer                                                                  
     identification  number if  required; ii)  filing business                                                                  
     or  self-employment  tax  returns  for  the previous  tax                                                                  
     year  to report  profit  or  income earned  for  the same                                                                  
     type  of  services  provided  under  the  contract;  iii)                                                                  
     intending   to  file  business  or   self-employment  tax                                                                  
     returns  for the  current  tax year  to report  profit or                                                                  
     income  earned  for the  same type  of services  provided                                                                  
     under  the  contract  if the  person's  business  was not                                                                  
     operating  in the  previous year,  and H) meets  at least                                                                  
     two   the   following   criteria:   i)   the  person   is                                                                  
     responsible    for   the   satisfactory   completion   of                                                                  
     services  that the person  has contracted  to perform and                                                                  
     is  subject to liability  for a  failure to  complete the                                                                  
     contracted  work,  or  maintains liability  insurance  to                                                                  
     complete   the  contracted   work   or  other   insurance                                                                  
     policies  necessary to  protect the employee's  financial                                                                  
     interest  in  customers  to  the person's  business;  ii)                                                                  
     the person  maintains a  business location  or a business                                                                  
     mailing  address   separate  from  the  location  of  the                                                                  
     individual   for  whom,  or  the  entity  for  which  the                                                                  
     services  are  performed,  and iii)  the person  provides                                                                  
     contracted   services   for   two   or   more   different                                                                  
     customers  within a  twelve month  period, or  engages in                                                                  
     any  kind  of  business   advertising,  solicitation,  or                                                                  
     other   marketing   efforts   reasonably  calculated   to                                                                  
     obtain new contracts to provide similar services.                                                                          
                                                                                                                                
Co-Chair  MacKinnon  wondered  whether  the  section  affected                                                                  
the  most recent  bill  that was  passed  about ride  sharing.                                                                  
Ms.  Marx  replied that  the  language  would  not affect  the                                                                  
transportation  network  drivers, because  that  bill exempted                                                                  
them from  the provisions  of the Alaska Workers  Compensation                                                                  
Act.                                                                                                                            
                                                                                                                                
Ms. Marx continued to discuss slide 9:                                                                                          
                                                                                                                                
          Injured worker may file lien for benefits but                                                                         
          Benefits                                                                                                              
                                                                                                                                
          Guaranty Fund may not                                                                                                 
                                                                                                                                
     HB 79                                                                                                                      
                                                                                                                                
          Defines misclassification and when it amounts to                                                                      
          fraud (Sec. 36)                                                                                                       
                                                                                                                                
          Affirmative duty to report (Sec. 36)                                                                                  
                                                                                                                                
          More  business entity  owner liability  for benefits                                                                  
          and civil penalties (Secs. 7, 37-38)                                                                                
                                                                                                                                
          Defines   independent   contractor   and   clarifies                                                                  
          statutory definition of employee (Secs. 32, 40)                                                                       
                                                                                                                                
          Benefits   Guaranty    Fund   may  file   lien   for                                                                  
          compensation and civil penalties (Secs. 28-29)                                                                      
                                                                                                                                
Ms. Marx addressed slide 10, "STRENGTHEN FRAUD PROVISIONS                                                                       
CONT.: SECS. 7, 9, 10-11, 28-29, 32, 35-38, 40":                                                                          
                                                                                                                                
     Current law                                                                                                                
                                                                                                                                
          No   penalty  assessed  for   an  employer  who  has                                                                  
          engaged in fraudulent misclassification                                                                               
                                                                                                                                
          Maximum   penalty  of  $1,000   for  each  uninsured                                                                  
          employee workday                                                                                                      
                                                                                                                                
          7 days to pay penalty                                                                                                 
                                                                                                                                
          Board   suspends  failure  to  insure  penalties  in                                                                  
          full or in part and no guidelines for suspension                                                                      
                                                                                                                                
          No interest paid on payment plans                                                                                     
                                                                                                                                
     HB 79                                                                                                                      
                                                                                                                                
          Division may assess a penalty (Secs. 9, 35)                                                                           
                                                                                                                                
          Maximum  civil  penalty of  three times  the premium                                                                  
          an employer should have paid (Sec. 9)                                                                                 
                                                                                                                                
         30 days to pay penalty or appeal to Board                                                                              
          (Secs. 10-11)                                                                                                       
                                                                                                                                
          Failure  to insure  penalties  may not  be suspended                                                                  
          in full or in part (Sec. 11)                                                                                          
                                                                                                                                
          Interest on payment plans (Sec. 11)                                                                                   
                                                                                                                                
10:45:56 AM                                                                                                                   
                                                                                                                                
Vice-Chair  Bishop wondered  whether  the experience  rate was                                                                  
considered  in  the  calculation.  Ms.  Marx  replied  in  the                                                                  
negative.  She explained  that the  calculation would  be very                                                                  
simple.  She noted  that it  would probably  be less  than the                                                                  
premium  paid,  because  the  premium  included  the  building                                                                  
blocks. She stressed that the base rate was used.                                                                               
                                                                                                                                
Co-Chair  MacKinnon looked  at  Sections 9  and 35,  and noted                                                                  
that there  was concern about  how the DLWD was  allowed to do                                                                  
premium  audits. Ms.  Marx  replied that  she  had not  had an                                                                  
opportunity  to  address that  concern.  She  felt that  there                                                                  
may be  a misunderstanding.  She stressed that  the department                                                                  
did not  do premium audits,  rather it investigated  fraud and                                                                  
misclassification.                                                                                                              
                                                                                                                                
Vice-Chair  Bishop  wondered  whether  it was  for  fraudulent                                                                  
and   injured   workers  too.   Ms.   Marx   replied   in  the                                                                  
affirmative.                                                                                                                    
                                                                                                                                
Ms.  Marx announced  that  the department's  goal  was  not to                                                                  
penalize.  She   stressed  that  the  department's   goal  was                                                                  
education.                                                                                                                      
                                                                                                                                
10:50:21 AM                                                                                                                   
                                                                                                                                
Co-Chair  MacKinnon  remarked  that with  no  cap on  attorney                                                                  
fees  there  was no  incentive  to  settle,  but she  stressed                                                                  
that  those were  her words  and not  the letter's  words. Ms.                                                                  
Marx  replied that  the  bill did  not remove  the  statute of                                                                  
limitations.   She   stated  that   there   was  currently   a                                                                  
provision in  the act that said  that once a  claim was filed,                                                                  
and if  an employer  denied it,  the employee  must ask  for a                                                                  
hearing within two years.                                                                                                       
                                                                                                                                
Co-Chair  MacKinnon  noted  the  more  penalties  and  hostile                                                                  
business  work environment.  She  asked  for more  information                                                                  
about  Section   11.  Ms.   Marx  reiterated   that  with  the                                                                  
efficiencies   there  would  be  an  end   to  the  protracted                                                                  
litigation,  which would  reduce attorneys'  fees.  She stated                                                                  
that  Section  11 sets  forth  the  process  for what  happens                                                                  
after a  civil penalty  was assessed.  She explained  that the                                                                  
goal  was  not  to  put  employers  out  of  business,  so  it                                                                  
allowed for a payment plan.                                                                                                     
                                                                                                                                
Co-Chair  MacKinnon wanted  to work  to balance  employees and                                                                  
employers interest. Ms. Marx agreed.                                                                                            
                                                                                                                                
Ms. Marx  discussed  slide 11,  "REDUCE ADMINISTRATIVE  COSTS:                                                                  
SECS. 2-6, 13, 15-18, 22, 24, 27, 30, 33-34, 41, 43":                                                                     
                                                                                                                                
     Current law                                                                                                                
                                                                                                                                
          An employer pays benefits by check                                                                                    
                                                                                                                                
          Division may not require electronic filing                                                                            
                                                                                                                                
          Division  approval  needed  for corporate  executive                                                                  
          officer workers' compensation coverage opt out                                                                        
                                                                                                                                
     HB 79                                                                                                                      
                                                                                                                                
          Does  not  prescribe  a specific  method  of payment                                                                  
          (Sec. 41)                                                                                                             
                                                                                                                                
          Division  may  prescribe  filing format  (Secs.  3-6,                                                               
          16-18, 22, 24, 27)                                                                                                  
                                                                                                                                
          Division  approval  not  required;  not an  employee                                                                  
          if  at  least 10  percent  ownership interest  (Sec.                                                                  
          33)                                                                                                                   
                                                                                                                                
10:55:25 AM                                                                                                                   
                                                                                                                                
Ms. Marx looked at slide 12, "REDUCE ADMINISTRATIVE COSTS                                                                       
CONT.: SECS. 2-6, 13, 15-18, 22, 24, 27, 30, 33-34, 41, 43":                                                              
                                                                                                                                
     Current law                                                                                                                
                                                                                                                                
          Some medical publications not listed                                                                                  
                                                                                                                                
          No  deadline  for  reporting  initial  coverage;  10                                                                  
          day  deadline  for termination  of  coverage  and no                                                                  
          penalty if late                                                                                                       
                                                                                                                                
          Division    administers    contribution     to   and                                                                  
          reimbursement from Second Injury Fund                                                                                 
                                                                                                                                
     HB 79                                                                                                                      
                                                                                                                                
          Adds publications to list (Sec. 15)                                                                                   
                                                                                                                                
          30  day  deadline  to  report initial  coverage  and                                                                  
          termination   of  coverage,   and  penalty  if  late                                                                  
          (Sec. 13)                                                                                                             
                                                                                                                                
          Phases  out  Second Injury  Fund  (Secs. 2,  30, 34,                                                                  
          41, 43)                                                                                                               
                                                                                                                                
Ms. Marx  addressed slide  13, "ENSURE ADEQUATE  FUNDING: SEC.                                                                  
1":                                                                                                                             
                                                                                                                                
     Current Law                                                                                                                
                                                                                                                                
          Worker's compensation insurers pay a fee of 2.7                                                                       
          percent of net workers' compensation premium                                                                          
          written                                                                                                               
                                                                                                                                
          1.82 percent to WSCAA and 0.88 percent to Alaska                                                                      
          Comprehensive Health Insurance Fund (ACHI)                                                                            
                                                                                                                                
     HB 79                                                                                                                      
                                                                                                                                
          NO CHANGE                                                                                                             
                                                                                                                                
          2.5 percent to WSCAA and 0.2 percent to ACHI                                                                          
                                                                                                                                
10:58:10 AM                                                                                                                   
                                                                                                                                
Vice-Chair  Bishop  wanted  an  explanation  of  the  Workers'                                                                  
Safety   and  Compensation   Administration   Account  (WSCAA)                                                                  
funds.  Ms.  Marx  replied   that  the  funds  were  dedicated                                                                  
funding  to  ensure  that  workers'  compensation  and  safety                                                                  
programs operated and sufficient funding.                                                                                       
                                                                                                                                
Co-Chair  MacKinnon  requested  that a  sectional  analysis be                                                                  
presented the following day.                                                                                                    
                                                                                                                                
Co-Chair  MacKinnon  queried  closing  comments.  Commissioner                                                                  
Drygas replied in the negative.                                                                                                 
                                                                                                                                
Co-Chair   MacKinnon   discussed   the   following   meeting's                                                                  
agenda.                                                                                                                         
                                                                                                                                
CSHB  79(FIN) was  HEARD  and HELD  in  committee  for further                                                                  
consideration.                                                                                                                  
                                                                                                                                
SENATE BILL NO. 185                                                                                                           
                                                                                                                                
     "An Act relating to reemployment of persons who retire                                                                     
     under the teachers' retirement system."                                                                                    
                                                                                                                                
SB 185 was SCHEDULED but not HEARD.                                                                                             
                                                                                                                                
ADJOURNMENT                                                                                                                   
11:00:41 AM                                                                                                                   
                                                                                                                                
The meeting was adjourned at 11:00 a.m.                                                                                         
                                                                                                                                
                                                                                                                                

Document Name Date/Time Subjects
HB079 Letters of Support.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB079 Sectional Analysis ver N.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB079 Presentation DOLWD to SFIN 4.10.18.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB079 Summary of Changes ver A to ver N.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB079 Transmittal Letter.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
SB 193 Public Testimony Coons.pdf SFIN 4/12/2018 9:00:00 AM
SB 193
SB 193 Explanation of Changes.pdf SFIN 4/12/2018 9:00:00 AM
SB 193
SB 193 Sectional Analysis.pdf SFIN 4/12/2018 9:00:00 AM
SB 193
SB 193 Sponsor Statement.pdf SFIN 4/12/2018 9:00:00 AM
SB 193
SB 193 Supporting Document - CMS Guidance Letter 1.11.2018.pdf SFIN 4/12/2018 9:00:00 AM
SB 193
SB 193 Supporting Document - Letter of Support FGA.PDF SFIN 4/12/2018 9:00:00 AM
SB 193
HB 79 Painters Union Support.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB79 WC Omnibus IC SFIN 20180412.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony Shattuck.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony F&W Construction.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony Frye.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony AGC of Alaska.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
SB 193 Support Medicaid work requirements.pdf SFIN 4/12/2018 9:00:00 AM
SB 193
SB 193 Fiscal Note Summary Letter to SHSS 3-14-18.pdf SFIN 4/12/2018 9:00:00 AM
SB 193
HB 79 Bilista Holding Testimony Omnibus Workers’ Compensation.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
SB 193_medicaid work reqs_testimony finance.docx SFIN 4/12/2018 9:00:00 AM
SB 193
HB 79 Testimony Macklin.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony Kaiser.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Testimony Laborers' Local 341.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony Reaves.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 AIIAB April 2018 Letter to Senate Finance.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 DOLWD Response to SFIN 4.14.18.docx.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Painters Union Support.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB79 WC Omnibus IC SFIN 20180412.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony Shattuck.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 UPDATED Alaska Chamber Letter.pdf SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony Bonner.msg SFIN 4/12/2018 9:00:00 AM
HB 79
HB 79 Public Testimony Kester.pdf SFIN 4/12/2018 9:00:00 AM
HB 79