Legislature(2025 - 2026)SENATE FINANCE 532

04/15/2025 09:00 AM Senate FINANCE

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Audio Topic
09:01:23 AM Start
09:02:52 AM University of Alaska Finance Budget Subcommittee of the Whole Close-out
09:08:11 AM SB92
09:29:11 AM SB137
09:45:45 AM SB133
09:53:02 AM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ University of Alaska Finance Subcommittee TELECONFERENCED
Budget Close Out
-- Testimony <Invitation Only> --
+= SB 92 CORP. INCOME TAX; OIL & GAS ENTITIES TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+ SB 137 EXTEND BOARDS: MIDWIVES, NURSING, PAROLE TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+ SB 133 INSURANCE; PRIOR AUTHORIZATIONS TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
Bills Previously Heard/Scheduled
**Streamed live on AKL.tv**
                 SENATE FINANCE COMMITTEE                                                                                       
                      April 15, 2025                                                                                            
                         9:01 a.m.                                                                                              
                                                                                                                                
9:01:23 AM                                                                                                                    
                                                                                                                                
CALL TO ORDER                                                                                                                 
                                                                                                                                
Senator Kiehl  called the  Senate Finance  Committee meeting                                                                    
to order at 9:01 a.m.                                                                                                           
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Lyman Hoffman, Co-Chair                                                                                                 
Senator Donny Olson, Co-Chair                                                                                                   
Senator Bert Stedman, Co-Chair                                                                                                  
Senator Mike Cronk                                                                                                              
Senator James Kaufman                                                                                                           
Senator Jesse Kiehl                                                                                                             
Senator Kelly Merrick                                                                                                           
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
None                                                                                                                            
                                                                                                                                
ALSO PRESENT                                                                                                                  
                                                                                                                                
Cathy  Schlingheyde,  Staff,  Senator Jesse  Kiehl;  Senator                                                                    
Cathy  Giessel, Sponsor;  Senator  Jesse Bjorkman,  Sponsor;                                                                    
Liz  Harpold,  Staff,  Senator  Donny  Olson;  Kris  Curtis,                                                                    
Director,  Legislative  Audit;  Jared Kosin,  President  and                                                                    
Chief  Executive  Officer,  Alaska Hospital  and  Healthcare                                                                    
Association.                                                                                                                    
                                                                                                                                
PRESENT VIA TELECONFERENCE                                                                                                    
                                                                                                                                
Rebecca  Logan,  Chief   Executive  Officer,  The  Alliance,                                                                    
Anchorage;  Adam Hasse-Zamudio,  Self,  Washington DC;  Mary                                                                    
May, Self, Soldotna; Thomas  Bacherk, Self, Fairbanks; Scott                                                                    
Crass,  Self,  Fairbanks;  Sarah  Furman,  Self,  Fairbanks;                                                                    
Cathy  Walling,  Self,  Fairbanks;  Jesse  Carlstrom,  Self,                                                                    
Anchorage;   Theresa   Obermeyer,  Self,   Anchorage;   Gary                                                                    
Strannigan, Premera  Blue Cross  and Blue Shield  of Alaska,                                                                    
Everett, Washington.                                                                                                            
                                                                                                                                
SUMMARY                                                                                                                       
                                                                                                                                
SB 92     CORP. INCOME TAX; OIL & GAS ENTITIES                                                                                  
                                                                                                                                
          SB 92 was HEARD and HELD in committee for further                                                                     
          consideration.                                                                                                        
                                                                                                                                
SB 133    INSURANCE; PRIOR AUTHORIZATIONS                                                                                       
                                                                                                                                
          SB 133 was HEARD and HELD in committee for                                                                            
          further consideration.                                                                                                
                                                                                                                                
SB 137    EXTEND BOARDS: MIDWIVES, NURSING, PAROLE                                                                              
                                                                                                                                
          SB 137 was HEARD and HELD in committee for                                                                            
          further consideration.                                                                                                
                                                                                                                                
UNIVERSITY  OF ALASKA  FINANCE  BUDGET  SUBCOMMITTEE OF  THE                                                                    
WHOLE CLOSE-OUT                                                                                                                 
                                                                                                                                
Senator Kiehl discussed the agenda.                                                                                             
                                                                                                                                
^UNIVERSITY  OF ALASKA  FINANCE BUDGET  SUBCOMMITTEE OF  THE                                                                  
WHOLE CLOSE-OUT                                                                                                               
                                                                                                                                
9:02:52 AM                                                                                                                    
                                                                                                                                
Co-Chair Hoffman  MOVED to  ADOPT the  FY 26  Senate Finance                                                                    
Budget Subcommittee budget action  report for the University                                                                    
of  Alaska and  give  the Legislative  Finance Division  the                                                                    
authority to make technical and conforming changes.                                                                             
                                                                                                                                
Senator Kiehl OBJECTED for discussion.                                                                                          
                                                                                                                                
9:03:49 AM                                                                                                                    
                                                                                                                                
CATHY  SCHLINGHEYDE, STAFF,  SENATOR  JESSE KIEHL,  reviewed                                                                    
the Narrative  Closeout Report for the  University of Alaska                                                                    
(UA)  Subcommittee  (copy  on file).  She  listed  the  fund                                                                    
groups and position recommendations as follows:                                                                                 
                                                                                                                                
     Fund Group: (dollars are in thousands) Senate Sub                                                                          
     Unrestricted General Funds (UGF) 347,566.9                                                                                 
     Designated General Funds 312,888.3                                                                                         
     Other Funds 219,148.0                                                                                                      
     Federal Funds 214,786.2                                                                                                    
     TOTAL FUNDS 1,094,389.4                                                                                                    
                                                                                                                                
     Positions:                                                                                                                 
     Permanent Full-time 3,860                                                                                                  
     Permanent Part Time 343                                                                                                    
     Temporary 0                                                                                                                
     TOTAL POSITIONS 4,203                                                                                                      
                                                                                                                                
Ms. Schlingheyde relayed that  the subcommittee took a close                                                                    
look  at the  budget,  and an  even-handed  approach to  the                                                                    
requests  from all  three universities.  The Senate  Finance                                                                    
Subcommittee approved all structural  changes related to the                                                                    
establishment of  new Facilities Operations  and Maintenance                                                                    
allocations,  moving  the   technical  vocational  education                                                                    
program to the language section  of the budget, and renaming                                                                    
the  Fairbanks  campus to  match  its  indigenous name.  The                                                                    
subcommittee accepted all university-generated funds.                                                                           
                                                                                                                                
Ms.  Schlingheyde continued  that the  subcommittee accepted                                                                    
the  adjusted base,  including contractual  pay and  benefit                                                                    
increases, but did not accept  discretionary pay and benefit                                                                    
increases.  The subcommittee  found  greater efficiency  was                                                                    
possible  in  the  Board  of  Regents  and  reduced  travel,                                                                    
catering,  and  the  second   support  staff  position.  The                                                                    
university  had  found three  positions  that  would not  be                                                                    
refilled as a  result of board action,  and the subcommittee                                                                    
recommended   deleting  the   positions.  The   subcommittee                                                                    
recommended  the full  Finance  Committee reappropriate  the                                                                    
remaining unspent funds  to pursue R1 status from  the FY 25                                                                    
budget  as the  University is  not  on track  to achieve  R1                                                                    
status in this cycle                                                                                                            
                                                                                                                                
Senator  Kiehl noted  that there  were UA  staff online  for                                                                    
answering questions.                                                                                                            
                                                                                                                                
9:05:24 AM                                                                                                                    
                                                                                                                                
Senator  Kiehl  WITHDREW  his   objection.  There  being  NO                                                                    
OBJECTION, it was so ordered.                                                                                                   
                                                                                                                                
Senator Kiehl thanked the committee.                                                                                            
                                                                                                                                
9:05:56 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:07:44 AM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
Senator Kiehl handed the gavel to Co-Chair Hoffman.                                                                             
                                                                                                                                
SENATE BILL NO. 92                                                                                                            
                                                                                                                                
     "An Act establishing an income tax on certain entities                                                                     
     producing or transporting oil or gas in the state; and                                                                     
     providing for an effective date."                                                                                          
                                                                                                                                
9:08:11 AM                                                                                                                    
                                                                                                                                
SENATOR   CATHY    GIESSEL,   SPONSOR,    reintroduced   the                                                                    
legislation.  She  expressed  that  the bill  was  a  simple                                                                    
update  to the  state's  corporate tax  structure and  would                                                                    
place  the   same  responsibility  on  the   many  types  of                                                                    
corporations that  were profiting  from the state's  oil and                                                                    
gas resources.  She stressed that  the bill  effectuated the                                                                    
state  constitution  in  ensuring that  the  state  received                                                                    
maximum benefit for the people in the state.                                                                                    
                                                                                                                                
9:09:07 AM                                                                                                                    
                                                                                                                                
Co-Chair Hoffman OPENED public testimony.                                                                                       
                                                                                                                                
9:09:40 AM                                                                                                                    
                                                                                                                                
REBECCA  LOGAN,  CHIEF   EXECUTIVE  OFFICER,  THE  ALLIANCE,                                                                    
ANCHORAGE  (via teleconference),  testified  against SB  92.                                                                    
The  Alliance opposed  the bill,  which she  thought clearly                                                                    
targeted  one company  and one  industry and  ignored future                                                                    
investment. She  asserted that Hilcorp had  invested in Cook                                                                    
Inlet, which  had led  to increased  oil and  gas production                                                                    
and  delayed shortages.  Hilcorp had  invested in  the North                                                                    
Slope, resulting in greater  production than would otherwise                                                                    
have happened.  She thought the  tax policy in 2012  had led                                                                    
to more production and more royalties.                                                                                          
                                                                                                                                
9:11:35 AM                                                                                                                    
                                                                                                                                
ADAM    HASSE-ZAMUDIO,    SELF,     WASHINGTON    DC    (via                                                                    
teleconference),  spoke in  support of  the legislation.  He                                                                    
supported closing  the tax  loophole that  benefited out-of-                                                                    
state  corporations.  He  did not  think  the  tax  loophole                                                                    
incentivized companies  to support  the state's  economy. He                                                                    
referenced the constitution.                                                                                                    
                                                                                                                                
9:12:50 AM                                                                                                                    
                                                                                                                                
MARY MAY, SELF, SOLDOTNA  (via teleconference), testified in                                                                    
support of  SB 92. She  thought 77 percent of  Alaskans were                                                                    
in support of the bill's  proposal. She referenced the state                                                                    
constitution. She thought Hilcorp  paid taxes in every state                                                                    
except  Alaska. She  emphasized that  there was  no evidence                                                                    
that giving a  tax break to S corporations  would bring more                                                                    
revenue  to the  state.  She noted  that  the bill  targeted                                                                    
companies with taxable income over  $5 million and would not                                                                    
affect small  businesses. She thought  it was far  past time                                                                    
that the  state benefited from the  extraction of resources.                                                                    
She mentioned attrition  because of crumbling infrastructure                                                                    
and under funded schools.                                                                                                       
                                                                                                                                
9:16:05 AM                                                                                                                    
                                                                                                                                
THOMAS BACHERK, SELF,  FAIRBANKS (via teleconference), spoke                                                                    
in support  of the bill. He  thought it was far  overdue for                                                                    
such  a   change.  He   thoguht  there   was  no   reason  S                                                                    
corporations   should  be   given   an   advantage  over   C                                                                    
corporations. He  approved of the additional  funds to state                                                                    
coffers  to fund  education and  state services.  He pointed                                                                    
out that  the company  could deduct any  state tax  from its                                                                    
federal tax liability.                                                                                                          
                                                                                                                                
9:17:51 AM                                                                                                                    
                                                                                                                                
SCOTT   CRASS,   SELF,   FAIRBANKS   (via   teleconference),                                                                    
testified  in support  of the  legislation.  He thought  the                                                                    
bill  was common-sense  reform that  would  bring over  $100                                                                    
million into the state's revenue.  He thought Alaska was the                                                                    
only  state  that   did  not  collect  income   tax  from  C                                                                    
corporations. He  did not think  the bill was  punitive, but                                                                    
thought it  leveled the playing  field. He thought  the bill                                                                    
was  a   long-overdue  alignment   with  other   states.  He                                                                    
referenced  the state  constitution. He  thought the  reform                                                                    
would allow the  state to recapture tax dollars  sent to the                                                                    
federal government.  He thought the bill  encapsulated years                                                                    
of recommendations from fiscal working groups.                                                                                  
                                                                                                                                
9:20:12 AM                                                                                                                    
                                                                                                                                
SARAH  FURMAN, SELF,  FAIRBANKS (via  teleconference), spoke                                                                    
in support of the bill.  She was concerned about the outlook                                                                    
for  the  state  budget  and   the  projected  deficit.  She                                                                    
referenced  school  closures  in  Fairbanks.  She  supported                                                                    
increases in  education spending  and energy  investment and                                                                    
thought  the bill  would bring  in much-needed  revenue. She                                                                    
thought  it was  unfair  that some  corporations paid  state                                                                    
income tax  while others  did not.  She thought  every other                                                                    
state required S  corporations to pay tax.  She cited recent                                                                    
polling that indicated 70 percent  of Alaskans supported the                                                                    
bill.                                                                                                                           
                                                                                                                                
9:22:37 AM                                                                                                                    
                                                                                                                                
CATHY   WALLING,  SELF,   FAIRBANKS  (via   teleconference),                                                                    
testified  in support  of the  legislation. She  thanked the                                                                    
other testifiers and echoed their  comments. She thought the                                                                    
bill  was a  long-awaited effort  to close  a loophole.  She                                                                    
supported more  revenue generation and leveling  the playing                                                                    
field.  She thought  the state  and country  were in  a very                                                                    
different position than it was in 2012.                                                                                         
                                                                                                                                
9:25:06 AM                                                                                                                    
                                                                                                                                
JESSE  CARLSTROM,  SELF,   ANCHORAGE  (via  teleconference),                                                                    
spoke against the  bill. He had lived in Alaska  for over 30                                                                    
years and  worked in the  shipping industry. He  thought the                                                                    
bill  was  bad policy  that  targeted  one company  and  one                                                                    
industry. He thought the bill  ignored what Hilcorp had done                                                                    
for the  state. He discussed Hilcorp's  payment of royalties                                                                    
and  its  investments. He  discussed  job  creation. He  was                                                                    
concerned about the  message the bill sent  to those wanting                                                                    
to invest in the state.                                                                                                         
                                                                                                                                
9:26:47 AM                                                                                                                    
                                                                                                                                
THERESA  OBERMEYER,  SELF, ANCHORAGE  (via  teleconference),                                                                    
testified  in support  of  the  legislation. She  associated                                                                    
herself with  the comments  made earlier  in support  of the                                                                    
bill. She lived  in the state for 47 years.  She thought the                                                                    
state was  at a  turning point. She  thought the  tax regime                                                                    
should  have  been changed  in  2020.  She mentioned  former                                                                    
Governor Frank Murkowski and his support of the bill.                                                                           
                                                                                                                                
Co-Chair Hoffman CLOSED public testimony.                                                                                       
                                                                                                                                
SB  92  was   HEARD  and  HELD  in   committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
SENATE BILL NO. 137                                                                                                           
                                                                                                                                
     "An Act extending the termination  date of the Board of                                                                    
     Certified   Direct-Entry    Midwives;   extending   the                                                                    
     termination  date of  the Board  of Nursing;  extending                                                                    
     the  termination  date  of the  Board  of  Parole;  and                                                                    
     providing for an effective date."                                                                                          
                                                                                                                                
9:29:11 AM                                                                                                                    
                                                                                                                                
SENATOR    JESSE   BJORKMAN,    SPONSOR,   introduced    the                                                                    
legislation.  He  relayed that  the  bill  would extend  the                                                                    
board  sunset  date  for  three   boards  from  the  current                                                                    
statutory sunset dates  of June 30 of the  current year. The                                                                    
state's 2024  audits of the Board  of Certified Direct-Entry                                                                    
Midwives and the Board of  Nursing recommended a termination                                                                    
date of 6 years until 3031,  while the audit of the Board of                                                                    
Parole  recommended  extending  the termination  date  by  4                                                                    
years. The bill followed  the state audit's recommendations.                                                                    
He read a list of testifiers to speak to the bill.                                                                              
                                                                                                                                
Senator Kiehl  MOVED to ADOPT  the committee  substitute for                                                                    
SB 137, Work Draft 34-LS0732\N (Gunther, 4/11/25).                                                                              
                                                                                                                                
Co-Chair Hoffman OBJECTED for discussion.                                                                                       
                                                                                                                                
9:31:33 AM                                                                                                                    
                                                                                                                                
LIZ  HARPOLD,  STAFF,  SENATOR DONNY  OLSON,  explained  the                                                                    
committee substitute. She detailed  that the CS included the                                                                    
Board  of  Veterinary  Examiners. The  audit  recommended  a                                                                    
five-year extension  for the board,  which would  now sunset                                                                    
in 2031.                                                                                                                        
                                                                                                                                
Co-Chair  Hoffman  removed  his objection.  There  being  NO                                                                    
OBJECTION, it was so ordered.                                                                                                   
                                                                                                                                
9:32:29 AM                                                                                                                    
                                                                                                                                
KRIS  CURTIS,  DIRECTOR,  LEGISLATIVE AUDIT,  discussed  the                                                                    
audit. The CS  extended the sunset date of  four boards. She                                                                    
read from  the audit for  the Board of  Veterinary Examiners                                                                    
(copy on file):                                                                                                                 
                                                                                                                                
     The audit concluded that the  board served the public's                                                                    
     interest  by   conducting  meetings  in   an  effective                                                                    
     manner;  actively   amending  regulations   to  address                                                                    
     statutory changes, protect the  public, and improve the                                                                    
     licensing    process;    and   effectively    licensing                                                                    
     veterinary  professionals.  The  audit  also  concluded                                                                    
     that   board  related   cases  were   not  consistently                                                                    
     investigated in  a timely  manner, two  board positions                                                                    
     had  expired terms,  and as  of January  31, 2024,  one                                                                    
     board  position   had  been   vacant  for   31  months.                                                                    
     Additionally, the  audit found  that the  final version                                                                    
     of  regulation  changes  published   in  2023  was  not                                                                    
     reviewed or approved by the board.                                                                                         
                                                                                                                                
Ms.  Curtis  discussed  three recommendations  beginning  on                                                                    
page 11:                                                                                                                        
                                                                                                                                
     Recommendation   1  DCBPL's   director  should   create                                                                    
     procedures  to ensure  the final  draft of  regulations                                                                    
     are  provided to  occupational  boards  for review  and                                                                    
     approval   before  regulations   are  filed   and  made                                                                    
     effective.                                                                                                                 
                                                                                                                                
     Recommendation  2 The  Boards and  Commissions director                                                                    
     should  work  with  the  board  to  identify  potential                                                                    
    applicants to fill board seats in a timely manner.                                                                          
                                                                                                                                
     Recommendation 3 DCCED's  commissioner should work with                                                                    
     policymakers to  improve the recruitment  and retention                                                                    
     of investigators.                                                                                                          
                                                                                                                                
Ms.  Curtis  explained that  it  was  found that  the  final                                                                    
version  of  the  veterinarian-client  patient  relationship                                                                    
regulations  had   omitted  language  that  the   board  had                                                                    
intended to be  enacted. The discrepancy was  due to changes                                                                    
made  by the  Department of  Law  that were  intended to  be                                                                    
inconsequential.                                                                                                                
                                                                                                                                
Ms.  Curtis  relayed  that  auditors  reviewed  nine  board-                                                                    
related  cases  open for  over  180  days during  the  audit                                                                    
period  and  found  four  with   the  following  periods  of                                                                    
unjustified  inactivity that  ranged from  111 days  to 695.                                                                    
Management's response  to the  audit began  on page  23. The                                                                    
commissioner,  the  board chair,  and  the  director of  the                                                                    
Division   of  Corporations,   Business,  and   Professional                                                                    
Licensing (DCBPL) and concurred with the conclusions.                                                                           
                                                                                                                                
Ms. Curtis addressed the audit  of the Board of Parole (copy                                                                    
on file). She recommended only  a four-year extension of the                                                                    
board,  which   reflected  the  need   for  a   more  timely                                                                    
legislative oversight  in light  of the  report conclusions.                                                                    
She addressed  the conclusions  beginning on  page 8  of the                                                                    
audit:                                                                                                                          
                                                                                                                                
     Board  staff positions  authorized by  criminal justice                                                                    
     reform continued  to be  funded despite  the subsequent                                                                    
     repeal.                                                                                                                    
                                                                                                                                
Ms. Curtis explained that an  additional four parole hearing                                                                    
officers  and  one  additional criminal  justice  technician                                                                    
were authorized during  FY 17 as part of  a criminal justice                                                                    
reform  bill  (SB  91)  for   a  recurring  annual  cost  of                                                                    
$591,000. The  positions helped  the board  effectively cope                                                                    
with the increase in workload.  Most criminal justice reform                                                                    
bills  were repealed  by  HB 49  in 2019,  and  as a  result                                                                    
discretionary parole  hearings decreased. She  cited Exhibit                                                                    
3 on  page 9 of  the audit, which showed  that discretionary                                                                    
parole hearings  returned to the  level that  existed before                                                                    
SB  91.  Exhibit   4  showed  that  the   number  of  parole                                                                    
revocation hearings  after HB  49 was  lower than  the level                                                                    
before passage of  SB 91. Despite the  decrease in workload,                                                                    
HB  49 did  not reduce  the  staff positions  and the  audit                                                                    
questioned whether the additional positions were necessary.                                                                     
                                                                                                                                
Ms. Curtis moved  to page 10 of the audit,  which cited that                                                                    
the  board  had  generally   conducted  parole  hearings  in                                                                    
compliance  with state  law, however  the  audit noted  that                                                                    
parole  was approved  at a  much lower  rate after  criminal                                                                    
justice reform bills were  repealed. She highlighted Exhibit                                                                    
5 on page  11, and relayed that the board  could not provide                                                                    
an   explanation  for   the  decrease.   She  listed   three                                                                    
recommendations beginning on page 14:                                                                                           
                                                                                                                                
     Recommendation 1                                                                                                           
     The board chair should  work with DOC's commissioner to                                                                    
     ensure  all hearings  are conducted  in a  confidential                                                                    
     manner.                                                                                                                    
                                                                                                                                
     Recommendation 2                                                                                                           
     The board  chair and  DOC's commissioner  should ensure                                                                    
     regulations are updated in a timely manner.                                                                                
                                                                                                                                
     Recommendation 3                                                                                                           
     DOC's  commissioner  should  ensure  fiscal  notes  for                                                                    
     pending  legislation  properly  reflect  decreases,  as                                                                    
     appropriate.                                                                                                               
                                                                                                                                
Ms.   Curtis  highlighted   that   the   audit  found   that                                                                    
preliminary revocation hearings held  at the Hiland Mountain                                                                    
Correctional  Center   were  periodically  conducted   in  a                                                                    
general  population  area  during   the  audit  period.  She                                                                    
continued that  the parole regulations had  not been updated                                                                    
since 2015 despite significant statutory changes.                                                                               
                                                                                                                                
Ms. Curtis  relayed that management's response  to the audit                                                                    
began   on   page   25.  The   Department   of   Corrections                                                                    
commissioner   and   board    chair   concurred   with   the                                                                    
recommendation.  Corrective action  had taken  place related                                                                    
to conducing  parole hearings in  a confidential  manner and                                                                    
updated regulations. The board chair  did not agree with the                                                                    
report's  conclusions  regarding  the decreasing  rate  that                                                                    
parole  had been  approved.  He had  stated  that Exhibit  5                                                                    
created inaccurate comparisons  and suggested the individual                                                                    
parole hearings could not be compared as each was unique.                                                                       
                                                                                                                                
Co-Chair Stedman was glad to  hear the audit found there was                                                                    
a decrease  in paroles  granted. He  realized the  state was                                                                    
struggling with the  cost of prisons. He  thought the public                                                                    
was better off than previously.                                                                                                 
                                                                                                                                
9:39:09 AM                                                                                                                    
                                                                                                                                
Ms.  Curtis addressed  the audit  for the  Board of  Nursing                                                                    
(copy on file).  She detailed that overall,  the audit found                                                                    
the  Board  of  Nursing  served  the  public's  interest  by                                                                    
effectively  conducting  its   meetings,  actively  amending                                                                    
nursing  regulations,  and   effectively  licensing  nursing                                                                    
professionals. The  audit also concluded  that board-related                                                                    
cases  were  not  consistently   investigated  in  a  timely                                                                    
manner,  and  one board  position  had  been vacant  for  an                                                                    
extended period. The audit  recommended a six-year extension                                                                    
for the board.                                                                                                                  
                                                                                                                                
Ms. Curtis directed attention to  Exhibit 3 on page 8, which                                                                    
showed that as  of February 2024, the board  had over 27,000                                                                    
active licenses,  which was a  37 percent  increase compared                                                                    
to  2018  audit.  The  increase   was  largely  made  up  of                                                                    
registered  nurses traveling  to Alaska  in response  to the                                                                    
COVID-19 pandemic.  The board's schedule of  revenues was on                                                                    
page  10.   As  of  2024,   the  board  had  a   surplus  of                                                                    
approximately $3.4  million. Despite the large  surplus, the                                                                    
board  was  not  anticipating decreasing  fees;  because  it                                                                    
believed  the  high number  of  licenses  would decrease  as                                                                    
people did not renew in the future.                                                                                             
                                                                                                                                
Ms. Curtis cited that the  audit included one recommendation                                                                    
for improvement on page 14:                                                                                                     
                                                                                                                                
     Recommendation 1                                                                                                           
     Department   of   Commerce,  Community   and   Economic                                                                    
     Development's  (DCCED)  commissioner should  work  with                                                                    
     policy makers to improve  the recruitment and retention                                                                    
     of investigators.                                                                                                          
                                                                                                                                
Ms. Curtis  detailed that the  audit had reviewed  35 board-                                                                    
related  cases  and  found   approximately  25  percent  had                                                                    
unjustified  periods of  inactivity. Some  of the  cases had                                                                    
multiple periods  of inactivity,  which were listed  on page                                                                    
14. The delays  were caused by turnover,  vacancies, and the                                                                    
time   taken  to   train  new   investigators.  Management's                                                                    
response to the  audit started on page  23, the commissioner                                                                    
and the board  chair concurred with the  conclusions and the                                                                    
recommendations.                                                                                                                
                                                                                                                                
Ms. Curtis  addressed the audit  for the Board  of Certified                                                                    
Direct-Entry  Midwives.  The  audit  found  that  the  board                                                                    
served the  public's interest by effectively  conducting its                                                                    
meetings  in  accordance with  state  law,  and by  actively                                                                    
amending regulations  to enhance  public safety  and improve                                                                    
the  certification process.  The audit  also concluded  that                                                                    
the board  generally certified  midwives in  compliance with                                                                    
state  law,  but  documentation  improvements  were  needed.                                                                    
Furthermore,  the  audit  found  the  board  did  not  audit                                                                    
compliance  with  certification  renewal requirements  in  a                                                                    
timely manner. The audit recommended a six-year renewal.                                                                        
                                                                                                                                
Ms. Curtis directed attention to  page 5 of the audit, which                                                                    
discussed   a  change   in  how   midwives  were   certified                                                                    
(certified  was  another  term for  licensure).  In  January                                                                    
2023,  the board  adopted regulation  changes that  required                                                                    
certified direct-entry  midwives to  hold a  credential from                                                                    
the  North  American  Registry  of  Midwives  (NARM).  As  a                                                                    
result,  some board  functions duplicated  the functions  of                                                                    
the  national organization.  Prior to  the change,  midwives                                                                    
already had  one of  the highest costs  of licensure  of any                                                                    
occupation, and as a result the cost increased.                                                                                 
                                                                                                                                
Ms. Curtis discussed audit  recommendations starting on page                                                                    
12:                                                                                                                             
                                                                                                                                
     Recommendation 1:                                                                                                          
     The  Office of  the  Governor,  Boards and  Commissions                                                                    
     director  should  work  with   the  board  to  identify                                                                    
     potential  applicants to  fil board  seats in  a timely                                                                    
     manner.                                                                                                                    
                                                                                                                                
     Recommendation 2.                                                                                                          
     DCBPL's  director  should  improve training  to  ensure                                                                    
     certifications     are     supported    by     adequate                                                                    
     documentation,  and  board  members  should  adequately                                                                    
     review applications prior to approval.                                                                                     
                                                                                                                                
     Recommendation 3:                                                                                                          
     DCCED's commissioner  should work with  policymakers to                                                                    
     improve   the  recruitment   and  retention   of  DCBPL                                                                    
     licensing staff.                                                                                                           
                                                                                                                                
Ms.  Curtis noted  that the  physician board  seat had  been                                                                    
vacant the  entire audit period,  and that it had  been many                                                                    
years  since the  seat had  been filled.  It was  also found                                                                    
that  staff were  not auditing  compliance with  the renewal                                                                    
requirements  due   to  changes  in  management   and  staff                                                                    
shortages. Management's response to  the audit began on page                                                                    
23.  In general,  the  commissioner and  the  Office of  the                                                                    
Governor  Boards and  Commissions director  concur with  the                                                                    
conclusions and  recommendations. The  board chair  was less                                                                    
agreeable, and  her response began  on page 27.  She pointed                                                                    
out that  the recommendations  were mostly addressed  to the                                                                    
Office of the  Governor or DCBPL, and as  such she requested                                                                    
a full eight-year extension.                                                                                                    
                                                                                                                                
9:43:45 AM                                                                                                                    
                                                                                                                                
Co-Chair Hoffman OPENED public testimony.                                                                                       
                                                                                                                                
Co-Chair Hoffman CLOSED public testimony.                                                                                       
                                                                                                                                
9:44:17 AM                                                                                                                    
                                                                                                                                
Senator  Kiehl  addressed  FN  1   from  the  Department  of                                                                    
Commerce,  Community  and  Economic  Development  OMB  2360,                                                                    
which  covered both  the nursing  and midwifery  boards. The                                                                    
note   addressed  ongoing   $38,600  in   receipt  supported                                                                    
services, which was included in  the governor's FY 26 budget                                                                    
request and projected the same cost in the future.                                                                              
                                                                                                                                
Senator  Kiehl  spoke  to  FN   2  from  the  Department  of                                                                    
Corrections, OMB  Component 695. The note  showed $1,938,800                                                                    
in  Unrestricted  General Funds  that  was  included in  the                                                                    
governor's FY 26 budget request.  The amount was expected to                                                                    
continue unchanged  until the new  sunset date  following FY                                                                    
30.                                                                                                                             
                                                                                                                                
SB  137  was  HEARD  and   HELD  in  committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
SENATE BILL NO. 133                                                                                                           
                                                                                                                                
     "An Act  relating to  prior authorization  requests for                                                                    
     medical  care   covered  by  a  health   care  insurer;                                                                    
     relating   to   a   prior   authorization   application                                                                    
     programming  interface; relating  to step  therapy; and                                                                    
     providing for an effective date."                                                                                          
                                                                                                                                
9:45:45 AM                                                                                                                    
                                                                                                                                
SENATOR JESSE  BJORKMAN, SPONSOR,  introduced the  bill. The                                                                    
bill  dealt  with prior  authorization  and  focused on  the                                                                    
process before  someone received medical care.  He discussed                                                                    
long  wait  times  prior to  insurance  approval  for  vital                                                                    
health care.  He relayed that medical  providers, hospitals,                                                                    
and  insurance companies  had  met over  the  course of  the                                                                    
previous  interim   and  summer  to  streamline   the  prior                                                                    
authorization system.  The bill established a  timeframe for                                                                    
approvals,   specific    communication   requirements,   and                                                                    
deadlines.  If  insurance  did not  approve  healthcare  nor                                                                    
receive  a   response,  it  would  default   to  care  being                                                                    
provided.  The bill  encouraged the  use of  electronic data                                                                    
transmission through  the insurer's  website or  portal, and                                                                    
the  bill  provided  the  director  of  insurance  with  the                                                                    
authority to monitor compliance  and provide enforcement. He                                                                    
relayed that the director was available for questions.                                                                          
                                                                                                                                
9:48:14 AM                                                                                                                    
                                                                                                                                
JARED KOSIN,  PRESIDENT AND CHIEF EXECUTIVE  OFFICER, ALASKA                                                                    
HOSPITAL  AND HEALTHCARE  ASSOCIATION, commented  in support                                                                    
of the  bill. He strongly  supported the bill,  which sought                                                                    
the reform  of the  prior authorization process.  He thought                                                                    
the current process was useful  but flawed, in that it could                                                                    
lead  to long  delays. He  recognized  that the  bill was  a                                                                    
collaborative effort  to improve thew process  for patients.                                                                    
The bill would  speed up the process from 5  working days to                                                                    
72 hours  and would provide long-term  approvals for chronic                                                                    
conditions. He  thought the bill  was comprehensive  and had                                                                    
many stakeholders in support.                                                                                                   
                                                                                                                                
9:49:54 AM                                                                                                                    
                                                                                                                                
GARY  STRANNIGAN,  PREMERA BLUE  CROSS  AND  BLUE SHIELD  OF                                                                    
ALASKA,  EVERETT, WASHINGTON  (via teleconference),  relayed                                                                    
that  Premera was  a non-profit  health plan  that had  been                                                                    
serving  Alaskans since  before statehood.  He relayed  that                                                                    
Premera felt  that efforts to  promote the  affordability of                                                                    
its  products was  key  to continuing  to  provide care.  He                                                                    
discussed  affordability restricting  access to  healthcare.                                                                    
He  thought it  was well-publicized  that some  carriers had                                                                    
been  aggressive  and  using   prior  authorization  for  20                                                                    
percent of all claims, while  Premera used it for 2 percent.                                                                    
He  thought  the bill  would  help  providers modernize  and                                                                    
streamline  the  process. He  thought  the  bill would  help                                                                    
incentivize  the  adoption  of  an  electronic  process.  He                                                                    
thought   the  bill   represented   a   set  of   reasonable                                                                    
compromises by all parties.                                                                                                     
                                                                                                                                
Co-Chair Hoffman OPENED public testimony.                                                                                       
                                                                                                                                
Co-Chair Hoffman CLOSED public testimony.                                                                                       
                                                                                                                                
Senator Kiehl  reviewed FN  1, a zero  fiscal note  from the                                                                    
Department of Commerce, Community and Economic Development.                                                                     
                                                                                                                                
SB  133  was  HEARD  and   HELD  in  committee  for  further                                                                    
consideration.                                                                                                                  
                                                                                                                                
ADJOURNMENT                                                                                                                   
9:53:02 AM                                                                                                                    
                                                                                                                                
The meeting was adjourned at 9:53 a.m.                                                                                          
                                                                                                                                

Document Name Date/Time Subjects
SB137 Public Testimony-Letter-Board of Direct Entry Midwives 03.19.25 - final.pdf SFIN 4/15/2025 9:00:00 AM
SB 137
SB137 Sectional Analysis Ver. A.pdf SFIN 4/15/2025 9:00:00 AM
SL&C 3/24/2025 1:30:00 PM
SB 137
SB137 Sponsor Statement Ver. A.pdf SFIN 4/15/2025 9:00:00 AM
SL&C 3/24/2025 1:30:00 PM
SB 137
SB137 Supporting Documents - Audit Midwives.pdf SFIN 4/15/2025 9:00:00 AM
SL&C 3/24/2025 1:30:00 PM
SB 137
SB137 Supporting Documents - Audit Parole.pdf SFIN 4/15/2025 9:00:00 AM
SL&C 3/24/2025 1:30:00 PM
SB 137
SB137 Supporting Documents - Audit Nursing.pdf SFIN 4/15/2025 9:00:00 AM
SL&C 3/24/2025 1:30:00 PM
SB 137
SB 92 Public Testimony 041425.pdf SFIN 4/15/2025 9:00:00 AM
SB 92
SB 133 2025.03.28 ANTHC LOS SB133.pdf SFIN 4/15/2025 9:00:00 AM
SB 133
SB 133 Summary of Changes ver N to ver I.pdf SFIN 4/15/2025 9:00:00 AM
SB 133
SB 133 Sectional Summary ver. I.pdf SFIN 4/15/2025 9:00:00 AM
SB 133
SB 133 Letters of Support ver. I - combined as of 4.03.2025.pdf SFIN 4/15/2025 9:00:00 AM
SB 133
SB 133 Sponsor Statement ver. I.pdf SFIN 4/15/2025 9:00:00 AM
SB 133
SB 92 Sponsor Statement 04.15.25.pdf SFIN 4/15/2025 9:00:00 AM
SB 92
041525 UA Subcommittee Budget Action Report.pdf SFIN 4/15/2025 9:00:00 AM
041525 UA Subcommittee Narrative.pdf SFIN 4/15/2025 9:00:00 AM
SB 133 Public Testimony Allermoth.pdf SFIN 4/15/2025 9:00:00 AM
SB 133
SB 137 Allermoth PUBLIC TESTIMONY ON SB 137.pdf SFIN 4/15/2025 9:00:00 AM
SB 137
SB 137 Supporting Documents-Audit Vets Examiners Brd.pdf SFIN 4/15/2025 9:00:00 AM
SB 137
SB 92 Public Testimony 041525.pdf SFIN 4/15/2025 9:00:00 AM
SB 92
SB 137 Explanation of Changes ver A to ver N.pdf SFIN 4/15/2025 9:00:00 AM
SB 137
SB 137 work draft version N.pdf SFIN 4/15/2025 9:00:00 AM
SB 137
SB 133 DOG_ASCO_SB 133_Prior Authorization_Support_Senate Finance.pdf SFIN 4/15/2025 9:00:00 AM
SB 133