Legislature(2005 - 2006)BUTROVICH 205

05/05/2006 02:00 PM Senate HEALTH, EDUCATION & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ HJR 36 TAIWAN: WORLD HEALTH ASSEMBLY TELECONFERENCED
Moved CSHJR 36(HES) Out of Committee
+ Bills Previously Heard/Scheduled TELECONFERENCED
= HB 467 ADMINISTRATION OF MEDICATION BY A NURSE
Moved CSHB 467(HES) am Out of Committee
= HB 482 SCHOOL:BULLYING/HARASSMENT/INTIMIDATION
Moved CSHB 482(JUD) Out of Committee
                    ALASKA STATE LEGISLATURE                                                                                  
SENATE HEALTH, EDUCATION AND SOCIAL SERVICES STANDING COMMITTEE                                                               
                          May 5, 2006                                                                                           
                           2:02 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Fred Dyson, Chair                                                                                                       
Senator Gary Wilken, Vice Chair                                                                                                 
Senator Lyda Green                                                                                                              
Senator Kim Elton                                                                                                               
Senator Donny Olson                                                                                                             
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
Overview Presentation:   U.S. Ambassador  to Mongolia,  Pamela J.                                                               
Slutz - "A Broader Partnership with Mongolia"                                                                                   
     See 1:33 p.m. joint Senate Community and Regional Affairs                                                                  
     Standing Committee and Senate Health, Education and Social                                                                 
     Services Standing Committee minutes for this date                                                                          
                                                                                                                                
CS FOR HOUSE JOINT RESOLUTION NO. 36(HES)                                                                                       
Urging  the United  States Congress  to support  the granting  of                                                               
official Observer  Status to the  Republic of China at  the World                                                               
Health  Assembly   Annual  Conference  to  be   held  at  Geneva,                                                               
Switzerland, in May 2006.                                                                                                       
     MOVED CSHJR 36(HES) OUT OF COMMITTEE                                                                                       
                                                                                                                                
CS FOR HOUSE BILL NO. 467(HES) am                                                                                               
"An  Act relating  to the  administration of  prescribed remedies                                                               
and dietary supplements by a nurse."                                                                                            
     MOVED CSHB 467(HES) am OUT OF COMMITTEE                                                                                    
                                                                                                                                
CS FOR HOUSE BILL NO. 482(JUD)                                                                                                  
"An  Act relating  to harassment,  intimidation, and  bullying in                                                               
schools."                                                                                                                       
     MOVED CSHB 482(JUD) OUT OF COMMITTEE                                                                                       
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HJR 36                                                                                                                  
SHORT TITLE: TAIWAN:  WORLD HEALTH ASSEMBLY                                                                                     
SPONSOR(s): HEALTH, EDUCATION & SOCIAL SERVICES                                                                                 
                                                                                                                                
04/10/06       (H)       READ THE FIRST TIME - REFERRALS                                                                        
04/10/06       (H)       HES                                                                                                    
04/20/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
04/20/06       (H)       Moved CSHJR 36(HES) Out of Committee                                                                   
04/20/06       (H)       MINUTE(HES)                                                                                            
04/21/06       (H)       HES RPT CS(HES) 5DP                                                                                    
04/21/06       (H)       DP: CISSNA, GARDNER, KOHRING, GATTO,                                                                   
                         WILSON                                                                                                 
04/26/06       (H)       TRANSMITTED TO (S)                                                                                     
04/26/06       (H)       VERSION: CSHJR 36(HES)                                                                                 
04/27/06       (S)       READ THE FIRST TIME - REFERRALS                                                                        
04/27/06       (S)       HES                                                                                                    
05/05/06       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: HB 467                                                                                                                  
SHORT TITLE: ADMINISTRATION OF MEDICATION BY A NURSE                                                                            
SPONSOR(s): REPRESENTATIVE(s) KELLY                                                                                             
                                                                                                                                
02/13/06       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/13/06       (H)       HES, FIN                                                                                               
03/28/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
03/28/06       (H)       <Bill Hearing Postponed to 03/30/06>                                                                   
03/30/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
03/30/06       (H)       -- Meeting Canceled --                                                                                 
04/04/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
04/04/06       (H)       <Bill Hearing Postponed to 04/06/06>                                                                   
04/06/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
04/06/06       (H)       -- Rescheduled from 04/04/06 --                                                                        
04/11/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
04/11/06       (H)       Moved CSHB 467(HES) Out of Committee                                                                   
04/11/06       (H)       MINUTE(HES)                                                                                            
04/12/06       (H)       HES RPT CS(HES) 1DP 2DNP 2AM                                                                           
04/12/06       (H)       DP: ANDERSON;                                                                                          
04/12/06       (H)       DNP: GARDNER, GATTO;                                                                                   
04/12/06       (H)       AM: CISSNA, WILSON                                                                                     
04/13/06       (H)       FIN REFERRAL WAIVED                                                                                    
04/24/06       (H)       BEFORE THE HOUSE                                                                                       
04/24/06       (H)       TRANSMITTED TO (S)                                                                                     
04/24/06       (H)       VERSION: CSHB 467(HES) AM                                                                              
04/25/06       (S)       READ THE FIRST TIME - REFERRALS                                                                        
04/25/06       (S)       HES                                                                                                    
05/01/06       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
05/01/06       (S)       Heard & Held                                                                                           
05/01/06       (S)       MINUTE(HES)                                                                                            
05/05/06       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: HB 482                                                                                                                  
SHORT TITLE: SCHOOL:BULLYING/HARASSMENT/INTIMIDATION                                                                            
SPONSOR(s): REPRESENTATIVE(s) ANDERSON                                                                                          
                                                                                                                                
02/13/06       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/13/06       (H)       EDU, HES, JUD                                                                                          
03/16/06       (H)       EDU AT 11:00 AM CAPITOL 106                                                                            
03/16/06       (H)       Moved CSHB 482(EDU) Out of Committee                                                                   
03/16/06       (H)       MINUTE(EDU)                                                                                            
03/20/06       (H)       EDU RPT CS(EDU) 1DNP 3NR 1AM                                                                           
03/20/06       (H)       DNP: LYNN;                                                                                             
03/20/06       (H)       NR: GARA, THOMAS, NEUMAN;                                                                              
03/20/06       (H)       AM: GATTO                                                                                              
04/03/06       (H)       FIN REFERRAL ADDED AFTER JUD                                                                           
04/04/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
04/04/06       (H)       <Bill Hearing Postponed to 04/06/06>                                                                   
04/06/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
04/06/06       (H)       -- Rescheduled from 04/04/06 --                                                                        
04/10/06       (H)       JUD AT 1:00 PM CAPITOL 120                                                                             
04/10/06       (H)       <Bill Hearing Postponed to 04/12/06>                                                                   
04/11/06       (H)       HES AT 3:00 PM CAPITOL 106                                                                             
04/11/06       (H)       Moved CSHB 482(HES) Out of Committee                                                                   
04/11/06       (H)       MINUTE(HES)                                                                                            
04/12/06       (H)       HES RPT CS(HES) 4DP 1DNP 1AM                                                                           
04/12/06       (H)       DP: CISSNA, GARDNER, ANDERSON, SEATON;                                                                 
04/12/06       (H)       DNP: GATTO;                                                                                            
04/12/06       (H)       AM: WILSON                                                                                             
04/12/06       (H)       JUD AT 1:00 PM CAPITOL 120                                                                             
04/12/06       (H)       Moved CSHB 482(JUD) Out of Committee                                                                   
04/12/06       (H)       MINUTE(JUD)                                                                                            
04/14/06       (H)       JUD RPT CS(JUD) 5DP 1NR                                                                                
04/14/06       (H)       DP: GARA, KOTT, WILSON, ANDERSON,                                                                      
                         MCGUIRE;                                                                                               
04/14/06       (H)       NR: COGHILL                                                                                            
04/21/06       (H)       FIN REFERRAL WAIVED                                                                                    
04/24/06       (H)       TRANSMITTED TO (S)                                                                                     
04/24/06       (H)       VERSION: CSHB 482(JUD)                                                                                 
04/24/06       (H)       FIN AT 1:30 PM HOUSE FINANCE 519                                                                       
04/24/06       (H)       <Bill Hearing Canceled>                                                                                
04/25/06       (S)       READ THE FIRST TIME - REFERRALS                                                                        
04/25/06       (S)       HES, JUD                                                                                               
05/01/06       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
05/01/06       (S)       Scheduled But Not Heard                                                                                
05/05/06       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
WITNESS REGISTER                                                                                                              
REPRESENTATIVE PEGGY WILSON                                                                                                     
Alaska State Capitol                                                                                                            
Juneau, AK 99801-1182                                                                                                           
POSITION STATEMENT:  Sponsor of HJR 36.                                                                                       
                                                                                                                                
AARON DANIELSON, Intern                                                                                                         
Representative Peggy Wilson                                                                                                     
Alaska State Capitol                                                                                                            
Juneau, AK 99801-1182                                                                                                           
POSITION STATEMENT:  Presented HJR 36 on behalf of the sponsor.                                                               
                                                                                                                                
DEREK MILLER, Staff                                                                                                             
Representative Mike Kelly                                                                                                       
Alaska State Capitol                                                                                                            
Juneau, AK 99801-1182                                                                                                           
POSITION STATEMENT:  Responded to questions on HB 467 on behalf                                                               
of the sponsor.                                                                                                                 
                                                                                                                                
PATRICIA SENNER, Chair                                                                                                          
Alaska Nurses Association                                                                                                       
Anchorage, AK                                                                                                                   
POSITION STATEMENT:  Opposed HB 467.                                                                                          
                                                                                                                                
MARY WEYMILLER, LPN                                                                                                             
Board of Nursing                                                                                                                
Fairbanks, AK                                                                                                                   
POSITION STATEMENT:  Opposed HB 467.                                                                                          
                                                                                                                                
SCOTT LUPER, Naturopathic Physician                                                                                             
Fairbanks, AK                                                                                                                   
POSITION STATEMENT:  Supported HB 467.                                                                                        
                                                                                                                                
GENA EDMISTON, Registered Nurse and Associate Administrator                                                                     
Denali Long-term Care Center                                                                                                    
Fairbanks, AK                                                                                                                   
POSITION STATEMENT:  Supported HB 467.                                                                                        
                                                                                                                                
RICK SCHIKORA                                                                                                                   
Fairbanks, AK                                                                                                                   
POSITION STATEMENT:  Supported HB 467.                                                                                        
                                                                                                                                
VIRGINIA SMILEY, Director                                                                                                       
Division of Pioneer Homes                                                                                                       
Department of Health &                                                                                                          
  Social Services                                                                                                               
PO Box 110601                                                                                                                   
Juneau, AK  99801-0601                                                                                                          
POSITION STATEMENT:  Supported HB 467.                                                                                        
                                                                                                                                
MERRITT ANDRUSS, APN                                                                                                            
Juneau, AK                                                                                                                      
POSITION STATEMENT:  Strongly supported HB 467.                                                                               
                                                                                                                                
CRYSTAL NOVOTNEY, Staff                                                                                                         
Representative Tom Anderson                                                                                                     
Alaska State Capitol                                                                                                            
Juneau, AK 99801-1182                                                                                                           
POSITION STATEMENT:  Presented HB 482 on behalf of the sponsor.                                                               
                                                                                                                                
KATIE SINGLETON                                                                                                                 
Bye-Bye Bullies                                                                                                                 
Anchorage, AK                                                                                                                   
POSITION STATEMENT:  Supported HB 482.                                                                                        
                                                                                                                                
DENNIS MALONEY, Attorney                                                                                                        
Anchorage, AK                                                                                                                   
POSITION STATEMENT:  Supported HB 482.                                                                                        
                                                                                                                                
MARGIE KURZBARD                                                                                                                 
Fairbanks, AK                                                                                                                   
POSITION STATEMENT:  Supported HB 482.                                                                                        
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
CHAIR FRED DYSON  called the Senate Health,  Education and Social                                                             
Services  Standing  Committee meeting  to  order  at 2:02:02  PM.                                                             
Present at the call to order  were Senators Lyda Green, Kim Elton                                                               
and  Chair  Fred  Dyson;  Senator  Donny  Olson  arrived  shortly                                                               
thereafter. Senator Gary Wilken joined the meeting in progress.                                                                 
                                                                                                                                
          CSHJR 36(HES)-TAIWAN:  WORLD HEALTH ASSEMBLY                                                                      
                                                                                                                                
CHAIR FRED  DYSON announced  HJR 36 to  be up  for consideration.                                                               
Before the committee was CSHJR 36(HES).                                                                                         
                                                                                                                                
2:02:16 PM                                                                                                                    
REPRESENTATIVE PEGGY  WILSON, sponsor  of HJR 36,  introduced her                                                               
staff member, Aaron Danielson.                                                                                                  
                                                                                                                                
AARON   DANIELSON,  Intern   to   Representative  Peggy   Wilson,                                                               
presented the resolution  on behalf of the  sponsor. He explained                                                               
that HJR  36 urges Congress  to support  Taiwan in its  effort to                                                               
become an  observer at  the World Health  Assembly. Taiwan  has a                                                               
population of 23  million and becoming a  member would facilitate                                                               
access to beneficial information networks.                                                                                      
                                                                                                                                
MR.  DANIELSON emphasized  the importance  of networking  when he                                                               
related that China did not  allow officials from the World Health                                                               
Organization  (WHO) to  enter Taiwan  during  the SARS  outbreak.                                                               
That really  put Taiwan "out  of the  loop" with regard  to world                                                               
health issues,  he said.  Noting that avian  influenza is  a main                                                               
focus  in that  region of  the world  this year,  he said  Taiwan                                                               
wants to  be involved in furthering  information, identification,                                                               
and prevention of such pandemic diseases.                                                                                       
                                                                                                                                
SENATOR OLSON arrived at 2:03:21 PM.                                                                                          
                                                                                                                                
MR. DANIELSON said the U.S.  has traditionally been supportive of                                                               
Taiwan becoming  an observer  even though  it does  not recognize                                                               
Taiwan as  a separate country.  Observer status does  not include                                                               
the right  to voice opinions  or vote  on issues; it  would allow                                                               
involvement  in health  networks as  well as  the opportunity  to                                                               
listen and gather information for distribution.                                                                                 
                                                                                                                                
2:04:46 PM                                                                                                                    
CHAIR  DYSON recalled  that the  legislature  had passed  similar                                                               
resolutions several  times before  and that  the effort  had been                                                               
ongoing for 15 or 20 years.                                                                                                     
                                                                                                                                
MR.  DANIELSON said  the effort  to become  an observer  has been                                                               
ongoing  since the  mid-1990s.  Prior to  that  Taiwan wanted  to                                                               
become a member, but China is adamantly opposed to that.                                                                        
                                                                                                                                
SENATOR KIM  ELTON noted the  date today  and asked how  long the                                                               
May 2006 conference would last.                                                                                                 
                                                                                                                                
MR. DANIELSON replied  the Geneva meeting starts on May  14 or 15                                                               
and lasts about a week.                                                                                                         
                                                                                                                                
2:05:28 PM                                                                                                                    
SENATOR  GREEN  moved  to  report  HJR  36  from  committee  with                                                               
individual  recommendations and  attached  fiscal note(s).  There                                                               
being no  objection, CSHJR 36(HES)  was reported from  the Senate                                                               
Health, Education and Social Services Standing Committee.                                                                       
                                                                                                                                
   CSHB 467(HES) am -ADMINISTRATION OF MEDICATION BY A NURSE                                                                
                                                                                                                                
2:05:46 PM                                                                                                                    
CHAIR FRED  DYSON announced  HB 467 to  be up  for consideration.                                                               
Before the committee was CSHB 467(HES) am.                                                                                      
                                                                                                                                
DEREK  MILLER,  Staff  to  Representative  Mike  Kelly,  said  he                                                               
presented HB 467 at the previous  hearing and now he would answer                                                               
questions.                                                                                                                      
                                                                                                                                
CHAIR DYSON  reminded Mr. Miller  that he  was asked to  get more                                                               
information  at the  previous hearing  and questioned  whether he                                                               
had been successful.                                                                                                            
                                                                                                                                
MR. MILLER reported that Senator  Olson was given the information                                                               
he requested  and the State  Medical Board  was asked to  issue a                                                               
formal letter or  opinion on the bill. Board  members were polled                                                               
and  made the  decision to  maintain  a neutral  position on  the                                                               
bill.                                                                                                                           
                                                                                                                                
SENATOR  DONNY OLSON  said he  assumes  that was  the chair,  Dr.                                                               
Head.                                                                                                                           
                                                                                                                                
MR. MILLER replied  he wasn't sure; he  contacted the legislative                                                               
liaison  with the  Department of  Commerce, Community  & Economic                                                               
Development.                                                                                                                    
                                                                                                                                
CHAIR DYSON opened public testimony.                                                                                            
                                                                                                                                
2:08:12 PM                                                                                                                    
PATRICIA   SENNER,  Chair,   Alaska  Nurses   Association  (ANA),                                                               
Fairbanks,  said  HB  467  brings  up  two  issues  that  require                                                               
discussion.  The   first,  which  is   the  basis  for   the  ANA                                                               
opposition, relates to  whether or not policies set  by the Board                                                               
of Nursing  can be overruled  by legislative process.  The second                                                               
issue  relates to  the safety  of administering  herbal remedies.                                                               
She  advised  that  the   ANA  Professional  Practices  Committee                                                               
researched  the issue  and would  present its  recommendations to                                                               
the Board of Nursing during  the June 2006 meeting. She clarified                                                               
she was not speaking to those findings today.                                                                                   
                                                                                                                                
MS.  SENNER said  the  grounds  for ANA  opposition  to the  bill                                                               
relate to  the issue  of how decisions  are made  about providing                                                               
health care  and the  best practices  for providing  health care.                                                               
She   said   the   nursing  community   works   very   hard   and                                                               
conscientiously  to  base  its  practice on  what  has  basis  in                                                               
medical  research. Therefore  it is  dismaying that  research and                                                               
careful thought  can be overruled  by a legislative  process that                                                               
doesn't appear  to be based  on research  of any kind  of medical                                                               
fact.                                                                                                                           
                                                                                                                                
The big  issue of the safety  of dietary supplements is  based on                                                               
quality control over production.  As quality control improves the                                                               
issue will go away, but currently  there is a question of whether                                                               
or  not knowledgeable  adults  are making  the  decision to  take                                                               
supplements.  Also  there is  the  question  of contaminates  and                                                               
whether the quantities  on the label match the  quantities in the                                                               
bottle.  If a  nurse is  required to  administer medication  to a                                                               
patient it often  means that the patient isn't  capable of making                                                               
the decision  of whether or  not to take  the risk of  taking the                                                               
supplement.                                                                                                                     
                                                                                                                                
SENATOR WILKEN arrived at 2:11:53 PM.                                                                                         
                                                                                                                                
MS. SENNER expressed  the hope that the committee  would not pass                                                               
the  bill such  that the  Board of  Nursing would  be allowed  to                                                               
address the issue at its June meeting.                                                                                          
                                                                                                                                
2:12:30 PM                                                                                                                    
CHAIR  DYSON  said the  current  version  of  HB 467  provides  a                                                               
registered nurse  with the  option so  he questioned  whether she                                                               
was speaking to a different version.                                                                                            
                                                                                                                                
MS. SENNER said no, but  the difficulty arises for nurses working                                                               
inside  facilities.  In  some   instances,  particularly  at  the                                                               
Pioneer Homes, nurses  have been forced to quit  because they did                                                               
not agree with agency policies.                                                                                                 
                                                                                                                                
CHAIR DYSON  asked if it's fair  to infer that the  nurses cannot                                                               
trust the prescribing physician's judgment.                                                                                     
                                                                                                                                
MS.  SENNER responded,  "the subscribing  physician  may write  a                                                               
prescription  for  a  certain  dietary  substance  at  a  certain                                                               
quantity and  he might do  that in  good faith. The  nurse always                                                               
has the obligation  to independently evaluate the  safety of that                                                               
order." If  the nurse is  concerned about where the  product came                                                               
from or whether  it was safely produced, then the  nurse ought to                                                               
have the right to raise the question.                                                                                           
                                                                                                                                
2:14:42 PM                                                                                                                    
MARY  WEYMILLER,   Licensed  Practical  Nurse  (LPN),   Board  of                                                               
Nursing,  Fairbanks,   said  Ms.  Senner   did  a  good   job  of                                                               
articulating the nurses'  concern. She noted that  there has been                                                               
emphasis on  the fact that  the substances are  being prescribed,                                                               
but she would add that there  is no guarantee that the particular                                                               
substance is  really safe.  For that reason  she said  it doesn't                                                               
add a level  of safety. Safety is not increased  when a physician                                                               
prescribes an  unknown and has  a nurse administer  that unknown.                                                               
She related  a hypothetical situation  that might occur  during a                                                               
busy nurse's shift to demonstrate her point.                                                                                    
                                                                                                                                
2:16:50 PM                                                                                                                    
SENATOR WILKEN asked if the  proposed amendment would address the                                                               
concerns Ms. Weymiller articulated.                                                                                             
                                                                                                                                
MR. MILLER responded the amendment has not been distributed.                                                                    
                                                                                                                                
CHAIR  DYSON asked  for confirmation  that the  amendment removes                                                               
the fiscal note.                                                                                                                
                                                                                                                                
MR. MILLER said that is correct.                                                                                                
                                                                                                                                
CHAIR DYSON asked if that would  take it to regulation instead of                                                               
policy.                                                                                                                         
                                                                                                                                
MR. MILLER  said the  amendment removes  the requirement  for the                                                               
board to  adopt regulations and  inserts the  permissive language                                                               
about administering  a prescribed  dietary supplement.  It allows                                                               
the Board  of Nursing to  decide how to permit  administration of                                                               
prescribed dietary supplements.                                                                                                 
                                                                                                                                
SENATOR WILKEN  asked if the  amendment is to address  the issues                                                               
just articulated or is it for other reason.                                                                                     
                                                                                                                                
MR. MILLER replied the amendment is for some other reason.                                                                      
                                                                                                                                
2:18:24 PM                                                                                                                    
SCOTT LUPER,  Naturopathic Physician,  Fairbanks, spoke  in favor                                                               
of  HB   467  because  it   adds  a   level  of  safety   to  the                                                               
administration of supplements. It is  appropriate that a nurse is                                                               
able  to  administer  supplements  because it's  better  to  have                                                               
another  educated,  health-care  trained  person  involved.  This                                                               
increases safety and convenience, he said.                                                                                      
                                                                                                                                
SENATOR ELTON said he is assuming that he can prescribe.                                                                        
                                                                                                                                
DR.  LUPER  replied  he  cannot   prescribe  drugs,  but  he  can                                                               
prescribe supplements.                                                                                                          
                                                                                                                                
SENATOR ELTON  remarked the nurse  could be the control  point in                                                               
that he  or she  might be  the only  person who  understands what                                                               
other medicines are  being administered. Given that,  it seems as                                                               
though the  bar is being  lowered for that  medical professional,                                                               
he said.                                                                                                                        
                                                                                                                                
DR.  LUPER said  the  way  the system  should  work  is that  the                                                               
physician  elicits   a  medical  history  and   takes  that  into                                                               
consideration before prescribing. If  someone doesn't reveal that                                                               
they  are  using  supplements, this  legislation  would  increase                                                               
safety   because  another   health-care  practitioner   would  be                                                               
involved and could voice the concern to the physician.                                                                          
                                                                                                                                
2:22:04 PM                                                                                                                    
CHAIR DYSON asked if he listened to the earlier testimony.                                                                      
                                                                                                                                
DR. LUPER said yes.                                                                                                             
                                                                                                                                
CHAIR DYSON  said it's clear  that some  nontraditional medicines                                                               
are of  value, but  it's also clear  that some  "hucksterism" has                                                               
been  around as  well. The  nurses' concerns  related to  quality                                                               
control  and  whether the  supplement  that  was supposed  to  be                                                               
administered actually was. He asked  if quality control is a real                                                               
issue now in this country.                                                                                                      
                                                                                                                                
DR.  LUPER said  yes it  is  of concern,  but generally  speaking                                                               
quality is going up. There isn't  a need to be overprotective, he                                                               
said.  It's a  balancing  act,  and in  this  situation the  pros                                                               
outweigh the cons.                                                                                                              
                                                                                                                                
2:24:13 PM                                                                                                                    
GENA  EDMISTON, Registered  Nurse (RN),  Associate Administrator,                                                               
Denali Long-term  Care Center, Fairbanks,  stated support  for HB
467. She  said that although  she has tremendous respect  for the                                                               
Alaska  Board  of Nursing,  she  does  not  believe that  HB  467                                                               
compromises the  protection that  the board  works to  ensure for                                                               
patients and nurses.                                                                                                            
                                                                                                                                
CHAIR DYSON  said he assumes her  belief is that nurses  ought to                                                               
be able to trust the prescribing physician's judgment.                                                                          
                                                                                                                                
MS EDMISTON said she would not  word in that way. She would agree                                                               
with the  board and  ANA that nurses  have the  responsibility to                                                               
make  independent  judgments   regarding  prescriptions  for  any                                                               
supplements  or  drugs.  The  benefit   of  that  is  tremendous,                                                               
especially in long-term-care setting  where nurses are serving as                                                               
the "family" for residents.                                                                                                     
                                                                                                                                
CHAIR DYSON apologized that the committee is pressed for time.                                                                  
                                                                                                                                
MS. EDMISTON summarized she supports  HB 467. At the Denali Long-                                                               
term  Care Center,  supplements come  from the  pharmacy and  the                                                               
nurses retain the judgment to administer or not.                                                                                
                                                                                                                                
2:27:29 PM                                                                                                                    
RICK SCHIKORA  reported that  he sent  a supporting  statement to                                                               
Mr. Miller  for distribution. HB  467 mandates that the  Board of                                                               
Nursing adopt regulations such that  nurses would not be required                                                               
to   administer  non-FDA   approved,   but  prescribed,   dietary                                                               
supplements. Although  the board takes the  position that patient                                                               
safety is paramount, the stance  it has taken on this legislation                                                               
is  contraindicative. He  expressed the  hope that  the committee                                                               
pass HB  467 and that  the board adopt meaningful  regulations so                                                               
further legislative involvement is not necessary.                                                                               
                                                                                                                                
In conclusion  he expressed  the view  that older  residents need                                                               
nurses to administer  these prescribed non-FDA-approved remedies.                                                               
He  urged  the  committee  to  give  the  Board  of  Nursing  the                                                               
opportunity to address the issue properly.                                                                                      
                                                                                                                                
2:30:09 PM                                                                                                                    
VIRGINIA SMILEY, Director, Division  of Pioneer Homes, Department                                                               
of Health and Social Services  (DHSS), paraphrased from a written                                                               
statement   outlining  the   division  policy   relating  to   RN                                                               
involvement in administering dietary  supplements. [A copy may be                                                               
found in the bill file.]                                                                                                        
                                                                                                                                
MS. SMILEY  described the process for  administering supplements,                                                               
which   includes   a   written   order   from   the   prescribing                                                               
practitioner.  When the  supplements are  privately purchased,  a                                                               
release form is signed and  the Pioneer Home pharmacy is informed                                                               
so  that   residents'  medication  profiles  can   be  monitored.                                                               
Additionally the division policy  includes voluntary agreement by                                                               
an RN  to administer  supplements on a  case-by-case basis.  If a                                                               
nurse is  unsure about an order,  he or she has  an obligation to                                                               
contact the  prescribing physician.  Nurses are expected  to know                                                               
the residents  and the  risk/benefit of  each medication  that is                                                               
administered. The  division expects  nurses to  treat supplements                                                               
in the same manner.                                                                                                             
                                                                                                                                
MS. SMILEY said  if this legislation does not  pass, Pioneer Home                                                               
residents will  continue to take  supplements in  an unsupervised                                                               
manner.  She  emphasized  that  it  is  in  the  residents'  best                                                               
interest to have RN involvement.  She urged the committee to pass                                                               
HB 467.                                                                                                                         
                                                                                                                                
2:33:54 PM                                                                                                                    
SENATOR ELTON  asked if  he could  assume that  no one  with less                                                               
than RN training would distribute prescribed supplements.                                                                       
                                                                                                                                
MS. SMILEY  replied some certified nursing  assistants complete a                                                               
medication-administration training  course so they  are certified                                                               
to  administer  medications,   including  supplements,  under  RN                                                               
oversight.                                                                                                                      
                                                                                                                                
SENATOR  ELTON asked  if  supplements are  held  and stored  like                                                               
other medications.                                                                                                              
                                                                                                                                
MS. SMILEY said yes.                                                                                                            
                                                                                                                                
2:34:52 PM                                                                                                                    
CHAIR DYSON said  it sounds as though the  process is responsible                                                               
and he appreciates that.                                                                                                        
                                                                                                                                
2:35:11 PM                                                                                                                    
MERRITT  ANDRUSS, Gerontology  Nurse  Practitioner, Juneau,  said                                                               
she  strongly supports  HB 467  for several  reasons. First,  she                                                               
emphasized,  this  legislation  is about  glucosamine,  cranberry                                                               
chews,  and  viacitiv. These  supplements  are  taken to  address                                                               
arthritis   pain,   painful   urinary   tract   infections,   and                                                               
osteoporosis. Without  these supplements older people  would need                                                               
more  and stronger  FDA-approved drugs  that their  systems can't                                                               
always  tolerate  and  expecting  family  members  to  visit  and                                                               
administer these  supplements several times  a day is  a hardship                                                               
and a burden.                                                                                                                   
                                                                                                                                
Second, she  said, nurses should  advocate for patients.  Just as                                                               
they must have  some understanding of the  drugs they administer,                                                               
they should have a similar  understanding of the supplements they                                                               
are  asked  to  administer.  If  a nurse  doesn't  know  about  a                                                               
supplement,  information can  be found  in the  natural medicines                                                               
comprehensive database found online or in hard copy.                                                                            
                                                                                                                                
In conclusion she said nurses owe  it to their patients and their                                                               
patients' families to  know the pros and cons  of each supplement                                                               
they administer and  for a nurse to rigidly  refuse to administer                                                               
any supplement is wrong and  irresponsible. She said she supports                                                               
the bill because it allows  nurses who feel differently to simply                                                               
refrain  from administering  the  supplement.  The argument  that                                                               
they  will be  fired  for  refusing is  not  correct because  all                                                               
nurses have the ability to  refuse to administer any treatment to                                                               
a patient that they believe is harmful.                                                                                         
                                                                                                                                
CHAIR DYSON called an at-ease from 2:40:57 PM to 2:42:08 PM.                                                                
                                                                                                                                
SENATOR LYDA  GREEN referenced the  amendment, which  removes the                                                               
requirement  that  the  board adopt  regulations,  and  asked  if                                                               
making regulations would default to the department.                                                                             
                                                                                                                                
MR. MILLER  said the amendment  removes the requirement  that the                                                               
board adopt regulations  because the sponsor doesn't  feel that a                                                               
joint session of the medical,  pharmaceutical, and nursing boards                                                               
is  required  and that  requirement  has  a $30,000  fiscal  note                                                               
attached to it. The sponsor believes  it can be done with the ANA                                                               
providing  recommendations and  working collaboratively  with the                                                               
Board of Nursing.                                                                                                               
                                                                                                                                
SENATOR  ELTON said  he is  more comfortable  zeroing the  fiscal                                                               
note  than  removing the  requirement.  The  amendment removes  a                                                               
recipe  for  guidance and  he  would  prefer the  alternative  of                                                               
zeroing the fiscal note.                                                                                                        
                                                                                                                                
MR.  MILLER said  he doesn't  believe  the sponsor  would have  a                                                               
problem with that.                                                                                                              
                                                                                                                                
2:44:16 PM                                                                                                                    
CHAIR DYSON  questioned whether  the work  could be  done without                                                               
some fiscal impact.                                                                                                             
                                                                                                                                
SENATOR ELTON said it sounds as  though the work is already being                                                               
done.                                                                                                                           
                                                                                                                                
MR. MILLER  said HB  467, in  combination with  the collaborative                                                               
efforts of the ANA and BON, is the goal.                                                                                        
                                                                                                                                
CHAIR DYSON  asked whether the  sponsor would prefer to  zero the                                                               
fiscal note or adopt the amendment.                                                                                             
                                                                                                                                
MR. MILLER expressed a preference for zeroing the fiscal note.                                                                  
                                                                                                                                
SENATOR ELTON moved  to zero out the fiscal note.  There being no                                                               
objection, it was so ordered.                                                                                                   
                                                                                                                                
2:47:17 PM                                                                                                                    
CHAIR  DYSON announced  that without  objection CSHB  467(HES) am                                                               
moves  from  the Senate  Health,  Education  and Social  Services                                                               
Standing Committee.                                                                                                             
                                                                                                                                
         HB 482-SCHOOL:BULLYING/HARASSMENT/INTIMIDATION                                                                     
                                                                                                                                
CHAIR FRED DYSON announced HB 482 to be up for consideration.                                                                   
Before the committee was CSHB 482(JUD).                                                                                         
                                                                                                                                
2:47:30 PM                                                                                                                    
CRYSTAL NOVOTNEY, Staff to Representative Tom Anderson,                                                                         
paraphrased the following sponsor statement.                                                                                    
                                                                                                                                
   HB 482 addresses a  growing problem in  our schools that  is                                                                 
   often overlooked  by teachers  and administrators.  Bullying                                                                 
   has a truly  negative effect  on the  social environment  of                                                                 
   schools and on the  emotional and mental  well being of  our                                                                 
   children, the students in these schools.                                                                                     
                                                                                                                                
   Recent studies suggest  that bullying creates  a climate  of                                                                 
   fear among students,  inhibits their ability  to learn,  and                                                                 
   leads to  other  anti-social behavior,  such  as  vandalism,                                                                 
   shoplifting, skipping and dropping out of school,  fighting,                                                                 
   and the  use of  drugs  and alcohol.  Sixty percent  of  the                                                                 
   males studied who  were bullies in  grades six through  nine                                                                 
   were convicted of  at least  one crime as  an adult.  Thirty                                                                 
   five to forty percent of  these former bullies had three  or                                                                 
   more convictions  by 24  years of  age. Only  15 of  the  53                                                                 
   school districts in Alaska have  made an attempt to  address                                                                 
   the bullying issue. With the increase in students in  Alaska                                                                 
   today, there is a growing need  to ensure the safety of  our                                                                 
   children's learning environment.                                                                                             
                                                                                                                                
   HB 482 requires school  districts, city and borough  offices                                                                 
   of education,  law enforcement  agencies, and  youth-serving                                                                 
   agencies to develop and implement interagency strategies  on                                                                 
   bullying and harassment.                                                                                                     
                                                                                                                                
   Currently 21  states have  some sort  of anti-bullying  law,                                                                 
   and another  24  states  are  in  the  process  of  adopting                                                                 
   similar legislation.                                                                                                         
                                                                                                                                
   You'll note  in  your  packets endorsement  letters  by  the                                                                 
   National Education  Association  (NEA),  Alaska  Network  on                                                                 
   Domestic Violence &  Sexual Assault, Boys  and Girls  Clubs,                                                                 
   and Allan Morotti, Department Chair of University of Alaska                                                                  
   Fairbanks School of Education.                                                                                               
                                                                                                                                
   Bullying is a problem everywhere,  even in Alaska - and  its                                                                 
   causes and  effects cannot  be overlooked.  This bill  gives                                                                 
   not only teachers and administration officials the tools to                                                                  
   deal with such a  growing issue, but  also allows for  input                                                                 
   from parents, guardians, students  and concerned members of                                                                  
   the  community  in  the   development  of  a  comprehensive                                                                  
   bullying policy.                                                                                                             
                                                                                                                                
   Successful programs to  recognize, prevent, and  effectively                                                                 
   intervene in  bullying  behavior have  improved  safety  and                                                                 
   create a more  inclusive learning environment.  Some of  the                                                                 
   possible programs may  include in-service training  programs                                                                 
   and  other  activities  to  improve  school  attendance  and                                                                 
   reduce school  crime and  violence. HB  482 is  targeted  to                                                                 
   reduce vandalism, drug and  alcohol abuse, gang membership,                                                                  
   gang violence,  hate  crimes,  bullying,  teen  relationship                                                                 
   violence, and discrimination  and all harassment,  including                                                                 
   sexual harassment, in grades K-12.                                                                                           
                                                                                                                                
   Representative  Anderson   urges   your  support   of   this                                                                 
   important legislation.                                                                                                       
                                                                                                                                
2:51:32 PM                                                                                                                    
CHAIR DYSON  asked whether it  is the sponsor's and  her position                                                               
that  some  or many  school  districts  are not  addressing  this                                                               
issue.                                                                                                                          
                                                                                                                                
MS.  NOVOTNEY  said  yes,  bullying  is  such  an  emotional  and                                                               
disturbing act  that students don't  feel they have the  power to                                                               
stand up unless they know for sure that they will be supported.                                                                 
                                                                                                                                
CHAIR DYSON restated his question.                                                                                              
                                                                                                                                
MS. NOVOTNEY answered  she believes the school  districts are not                                                               
adequately addressing the issue.                                                                                                
                                                                                                                                
CHAIR  DYSON  referenced  page  3, and  asked  if  immunity  from                                                               
lawsuits is important.                                                                                                          
                                                                                                                                
MS.  NOVOTNEY said  yes. The  21  states that  have passed  anti-                                                               
bullying legislation have included  a provision for immunity from                                                               
suit. It's  necessary so that  the people who have  witnessed and                                                               
reported bullying will not be sued.                                                                                             
                                                                                                                                
CHAIR  DYSON questioned  whether the  Good Samaritan  laws aren't                                                               
adequate.                                                                                                                       
                                                                                                                                
MS. NOVOTNEY replied according to  reading she has done, the Good                                                               
Samaritan law has not been applied.                                                                                             
                                                                                                                                
2:54:52 PM                                                                                                                    
SENATOR DONNY OLSON  mentioned the spectrum of  pecking order and                                                               
bullying and asked if it isn't just a process of growing up.                                                                    
                                                                                                                                
MS.  NOVOTNEY  said  certainly  there is  a  pecking  order,  but                                                               
there's  a  difference  between   getting  picked  on  and  being                                                               
severely and  pervasively bullied.  It's a very  different matter                                                               
when a  child is scared  to go  to school because  they're afraid                                                               
for their life.                                                                                                                 
                                                                                                                                
2:56:58 PM                                                                                                                    
SENATOR OLSON  said everyone is  bullied at some time  or another                                                               
and  he doesn't  necessarily  believe that  behavior problems  in                                                               
later  life are  the result.  He expressed  the view  that people                                                               
need to be able to cope with such problems.                                                                                     
                                                                                                                                
MS.  NOVOTNEY referenced  the recent  planned  shooting at  North                                                               
Pole. One of  the students explained the behavior  by saying that                                                               
students and  teachers had picked  on them.  HB 482 is  trying to                                                               
prevent students getting  to the point that they  take up weapons                                                               
as a way to retaliate.                                                                                                          
                                                                                                                                
SENATOR OLSON  reiterated that  everyone is  picked on  when they                                                               
are growing up.                                                                                                                 
                                                                                                                                
2:58:59 PM                                                                                                                    
CHAIR DYSON noted  that several school districts  don't favor the                                                               
legislation,  but  don't  want  to testify.  His  sense  is  that                                                               
they're afraid  of lawsuits  if this  were to  be in  statute. He                                                               
asked Ms. Novotney to comment.                                                                                                  
                                                                                                                                
MS. NOVOTNEY replied she understands  the concern, but she hasn't                                                               
heard  any forthright  opposition. She  noted that  lawsuits have                                                               
been filed when schools didn't make an effort to stop bullying.                                                                 
                                                                                                                                
SENATOR GARY  WILKEN mentioned the  concept of local  control and                                                               
said this type  of legislation is disturbing  because it presumes                                                               
that the  legislature knows more  than local school  boards. This                                                               
is one-size-fits-all  legislation designed to fix  a problem that                                                               
may  or  may  not  exist  in a  particular  school  district.  He                                                               
expressed the view that the bill  is well intentioned, but it may                                                               
not  do  anything  other  than  put  in  place  an  unwanted  and                                                               
unnecessary bureaucracy. Even if  the school district believes it                                                               
is necessary,  it may want  to address  the issue in  a different                                                               
manner.                                                                                                                         
                                                                                                                                
3:02:38 PM                                                                                                                    
CHAIR DYSON opened public testimony.                                                                                            
                                                                                                                                
3:02:49 PM                                                                                                                    
KATIE  SINGLETON,  Bye-Bye Bullies,  Anchorage,  said  HB 482  is                                                               
important  and should  pass. The  recent incident  in North  Pole                                                               
demonstrates  that bullying  exists even  in very  small schools.                                                               
She  understands  that  the  North  Pole  7th  graders  who  were                                                               
involved in  the plot were "bully  victims," which is a  term for                                                               
victims who became  bullies themselves because they  had no other                                                               
coping skills.  Experts on  the issue  have proven  that children                                                               
who  are taught  to  deal  with bullying  can  change a  school's                                                               
culture such  that it is  clear that bullying and  harassment are                                                               
not tolerated. In addition the  new skills can serve the children                                                               
well  when  they  become  adults.  Just  as  Ms.  Novotney  said,                                                               
bullying  is  negative  for   everyone.  That  includes  victims,                                                               
perpetrators, bystanders and teachers.                                                                                          
                                                                                                                                
Schools should be held responsible  for student safety, she said.                                                               
Although many schools have  anti-bullying policies, poor policies                                                               
are  useless to  harmful if  the victims  are punished  under the                                                               
zero tolerance policies.                                                                                                        
                                                                                                                                
MS.  SINGLETON  said  bullies  do turn  on  their  schools  using                                                               
vandalism and  lethal violence, which  is what happened  in North                                                               
Pole, Bethel, and Columbine.                                                                                                    
                                                                                                                                
North  Pole recently  adopted a  well-known research-based  anti-                                                               
bullying  program that  appears  to  be working  since  it was  a                                                               
student-bystander who  alerted officials of the  violent plot. It                                                               
has  been proven  that research-based  programs do  reduce school                                                               
violence  and dropout  rates, which  can save  money in  the long                                                               
run. Teachers,  students, and parents  benefit in a  culture that                                                               
is intolerant of bullying.                                                                                                      
                                                                                                                                
3:06:04 PM                                                                                                                    
DENNIS MALONEY, Attorney, Anchorage,  described litigation he was                                                               
involved  in regarding  a  bullying case  in  Anchorage. In  that                                                               
instance a bright  young man was repeatedly  and severely bullied                                                               
up until he hanged himself. That  is the end of the spectrum that                                                               
most  people don't  hear  about, he  said.  Certainly there  will                                                               
always be some  teasing, but bullying is more than  that. It's an                                                               
attempt to  gain power and  ego enrichment by  belittling another                                                               
and it  tends to  spread. An Anchorage  survey indicated  that 10                                                               
percent  of  the middle  school  students  are  afraid to  go  to                                                               
school. Anti-bullying  programs have been shown  to reduce school                                                               
violence by 75  percent within three years  of implementation, he                                                               
said.                                                                                                                           
                                                                                                                                
CHAIR DYSON  asked him to  address the  way this bill  will solve                                                               
the problem.                                                                                                                    
                                                                                                                                
MR. MALONEY said  HB 482 is the first step  in assessing how much                                                               
bullying is  going on.  If administrators  and others  don't know                                                               
what is going on, there is no hope for preventative action.                                                                     
                                                                                                                                
CHAIR DYSON told  Mr. Maloney that the committee  is time limited                                                               
and he was preaching to the choir.                                                                                              
                                                                                                                                
MR. MALONEY  said that reporting and  encouraging reporting would                                                               
put these issues  on the table. It will allow  people to identify                                                               
bullying  behavior and  give the  community  an understanding  of                                                               
what bullying really  is. This will help save the  egos and lives                                                               
of many children.                                                                                                               
                                                                                                                                
3:10:59 PM                                                                                                                    
CHAIR  DYSON mentioned  the issue  of reprisal  and immunity  and                                                               
asked if  people aren't adequately  covered under  existing state                                                               
statute.                                                                                                                        
                                                                                                                                
MR. MAHONEY  said he  didn't believe so.  The Good  Samaritan law                                                               
helps in  instances of  injury, but  it doesn't  provide immunity                                                               
from suits for slander, for instance.                                                                                           
                                                                                                                                
3:12:53 PM                                                                                                                    
MARGIE KURZBARD,  private citizen,  Fairbanks, said she  has been                                                               
working as a trainer in  the Fairbanks North Star Borough schools                                                               
to help prevent bullying in  schools. Currently 13 schools in the                                                               
district have undergone training  and have dedicated resources to                                                               
make schools  a safer  place. However, a  major problem,  and the                                                               
reason she supports  the legislation is that  teachers and others                                                               
are afraid the administration won't  be supportive. She described                                                               
it as  a top down  phenomena and said  it won't work  if teachers                                                               
don't have legal, social and administrative support.                                                                            
                                                                                                                                
MS. KURZBARD  agreed with  Senator Wilken  that most  schools are                                                               
addressing  bullying  in  some  way,   but  it  has  to  be  done                                                               
effectively.  If  the  children  who report  and  those  who  are                                                               
victimized aren't  adequately supported  and protected  they will                                                               
stop reporting  altogether. It's  important that  schools receive                                                               
adequate  administrative,  social  and legislative  support  when                                                               
they address the issue of bullying  so they can take good care of                                                               
the kids.                                                                                                                       
                                                                                                                                
CHAIR  DYSON asked  Ms.  Kurzbard to  let him  know  if she  ever                                                               
conducted training in Anchorage because he would like to attend.                                                                
                                                                                                                                
3:15:58 PM                                                                                                                    
CHAIR DYSON closed the public hearing.                                                                                          
                                                                                                                                
SENATOR KIM  ELTON spoke in  favor of  the bill saying  it offers                                                               
the opportunity  to have  a structured  environment to  deal with                                                               
bullying  or  harassment  complaints.  Last year  he  helped  his                                                               
school deal with a difficult issue  that was made more so because                                                               
people  didn't know  how to  start.  Although administrators  and                                                               
teachers understood what was happening,  a lot of time was wasted                                                               
in deciding  how to deal with  the problem. That would  have been                                                               
avoided if there had been a structure, he said.                                                                                 
                                                                                                                                
SENATOR ELTON  suggested there's  a larger  problem here  and one                                                               
that's harder to  diagnose, so the reporting  requirements in the                                                               
bill might be  very helpful. Noting the high dropout  rate in the                                                               
local high  school, he said  it's correlated to a  certain socio-                                                               
economic strata and he would  suspect that lots of students don't                                                               
go  to school  because  of behaviors  exhibited  toward them.  He                                                               
further speculated  that a number  of students are  home schooled                                                               
because  families don't  know how  to  deal with  the issue  even                                                               
though they might not be the  best type of family to provide home                                                               
schooling. The  decision to  home school may  be made  because of                                                               
fears the child has rather than for academic reasons.                                                                           
                                                                                                                                
Certainly this  bill isn't the total  solution, but it is  a good                                                               
idea and  it will help  those who are  bullied and those  who are                                                               
bullies.  To be  pulled  aside in  a  structured environment  and                                                               
informed of the result of  a destructive behavior strengthens the                                                               
culture of  the school and  makes it easier to  educate children,                                                               
he said.                                                                                                                        
                                                                                                                                
SENATOR  GREEN expressed  concern  that the  bill  had no  fiscal                                                               
note.                                                                                                                           
                                                                                                                                
3:20:35 PM                                                                                                                    
MS. NOVATNEY  explained that there  was a fiscal  note initially,                                                               
but  the  language in  Section  14.33.200(c)  was changed  to  be                                                               
permissive,  which zeroed  out the  fiscal note.  With regard  to                                                               
reporting  incidents,  she  said  school  districts  are  already                                                               
providing the information to the House and Senate.                                                                              
                                                                                                                                
SENATOR GREEN questioned why this is being put in statute.                                                                      
                                                                                                                                
MS.  NOVATNEY   explained  that  bullying  is   not  specifically                                                               
included  in the  section that  addresses procedures  for dealing                                                               
with  harassment or  other events  that result  in suspension  or                                                               
expulsion.                                                                                                                      
                                                                                                                                
CHAIR DYSON  stated that he  believes bullying is a  huge problem                                                               
and it seems as though something  is going on in our culture that                                                               
is desensitizing  people to  brutality and the  impact it  has on                                                               
others.                                                                                                                         
                                                                                                                                
3:22:46 PM                                                                                                                    
CHAIR DYSON asked  whether there was any objection  to moving the                                                               
bill.  There  was  no  objection stated  and  CSHB  482(JUD)  was                                                               
reported from  the Senate Health,  Education and  Social Services                                                               
Standing Committee.                                                                                                             
                                                                                                                                
CHAIR  DYSON  announced  he  was  recessing  the  Senate  Health,                                                               
Education  and Social  Services Standing  Committee meeting  to a                                                               
call of the chair.                                                                                                              
                                                                                                                                

Document Name Date/Time Subjects