Legislature(2013 - 2014)BUTROVICH 205

04/09/2014 01:30 PM Senate HEALTH & SOCIAL SERVICES


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
Bills Previously Heard/Scheduled:
+= SB 209 REGULATION OF SMOKING TELECONFERENCED
Moved CSSB 209(HSS) Out of Committee
+= HB 134 MEDICAID PAYMENT FOR MEDISET PRESCRIPTION TELECONFERENCED
Scheduled But Not Heard
+= HCR 19 SUPPORTING EFFORTS OF RECOVER ALASKA TELECONFERENCED
Moved CSHCR 19(HSS) Out of Committee
+ Presentation: Illegal Drugs in Alaska TELECONFERENCED
<Above Item Removed from Agenda>
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                         April 9, 2014                                                                                          
                           1:32 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Bert Stedman, Chair                                                                                                     
Senator Peter Micciche, Vice Chair                                                                                              
Senator Johnny Ellis                                                                                                            
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Kevin Meyer                                                                                                             
Senator Pete Kelly                                                                                                              
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 209                                                                                                             
"An Act prohibiting smoking in certain locations; and providing                                                                 
for an effective date."                                                                                                         
                                                                                                                                
     - MOVED CSSB 209(HSS) OUT OF COMMITTEE                                                                                     
                                                                                                                                
COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 134(HSS)                                                                                
"An Act requiring Medicaid payment for medication compliance                                                                    
packaging, delivery, and dispensing services of a prescription                                                                  
for specified recipients; and providing for an effective date."                                                                 
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                                
CS FOR HOUSE CONCURRENT RESOLUTION NO. 19(HSS)                                                                                  
Supporting Recover Alaska in its efforts to reduce excessive                                                                    
alcohol consumption and its effects.                                                                                            
                                                                                                                                
     - MOVED CSHCR 19(HSS) OUT OF COMMITTEE                                                                                     
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 209                                                                                                                  
SHORT TITLE: REGULATION OF SMOKING                                                                                              
SPONSOR(s): SENATOR(s) MICCICHE                                                                                                 
                                                                                                                                
02/26/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/26/14       (S)       STA, HSS, FIN                                                                                          
04/03/14       (S)       STA AT 9:00 AM BUTROVICH 205                                                                           
04/03/14       (S)       Moved CSSB 209(STA) Out of Committee                                                                   
04/03/14       (S)       MINUTE(STA)                                                                                            
04/04/14       (S)       STA RPT CS  1DP 2AM  NEW TITLE                                                                         
04/04/14       (S)       DP: WIELECHOWSKI                                                                                       
04/04/14       (S)       AM: DYSON, GIESSEL                                                                                     
04/07/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
04/07/14       (S)       -- MEETING CANCELED --                                                                                 
04/09/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: HCR 19                                                                                                                  
SHORT TITLE: SUPPORTING EFFORTS OF RECOVER ALASKA                                                                               
SPONSOR(s): REPRESENTATIVE(s) HERRON                                                                                            
                                                                                                                                
02/21/14       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/21/14       (H)       HSS                                                                                                    
03/13/14       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/13/14       (H)       Scheduled But Not Heard                                                                                
03/14/14       (H)       HSS AT 8:00 AM CAPITOL 106                                                                             
03/14/14       (H)       Moved CSHCR 19(HSS) Out of Committee                                                                   
03/14/14       (H)       MINUTE(HSS)                                                                                            
03/17/14       (H)       HSS RPT CS(HSS) NT 6DP                                                                                 
03/17/14       (H)       DP: REINBOLD, PRUITT, KELLER, NAGEAK,                                                                  
                         TARR, HIGGINS                                                                                          
04/01/14       (H)       TRANSMITTED TO (S)                                                                                     
04/01/14       (H)       VERSION: CSHCR 19(HSS)                                                                                 
04/02/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
04/02/14       (S)       HSS                                                                                                    
04/07/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
04/07/14       (S)       -- MEETING CANCELED --                                                                                 
04/09/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
LARRY HACKENMILLER, Secretary/Treasurer                                                                                         
CHARR                                                                                                                           
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
SHALONDA RILEY, representing herself                                                                                            
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 209.                                                                           
                                                                                                                                
BETTY MACTAVISH, representing herself                                                                                           
Kodiak, Alaska                                                                                                                  
POSITION STATEMENT: Testified in support of SB 209.                                                                           
                                                                                                                                
GEORGE CATTER, representing himself                                                                                             
Kodiak, Alaska                                                                                                                  
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
CARMEN LUNDE, Director                                                                                                          
Kodiak-CHARR                                                                                                                    
Kodiak, Alaska                                                                                                                  
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
ROBIN MINARD, Director of Public Affairs                                                                                        
Mat-Su Health Foundation                                                                                                        
Wasilla, Alaska                                                                                                                 
POSITION STATEMENT: Testified in support of SB 209.                                                                           
                                                                                                                                
ANDREA THOMAS, representing herself                                                                                             
Sitka, Alaska                                                                                                                   
POSITION STATEMENT: Testified in favor of SB 209.                                                                             
                                                                                                                                
RYAN KAUFFMAN, representing himself                                                                                             
Sitka, Alaska                                                                                                                   
POSITION STATEMENT: Testified in support of SB 209.                                                                           
                                                                                                                                
MATT WAGGONER, Owner                                                                                                            
Fatboy Vapors Alaska, LLC                                                                                                       
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
DALE FOX, President                                                                                                             
Alaska CHARR                                                                                                                    
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
ANGELO REALE, Owner                                                                                                             
Reale Vapes                                                                                                                     
Wasilla, Alaska,                                                                                                                
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
JENNIE OLENDORFF, representing herself                                                                                          
Soldotna, Alaska                                                                                                                
POSITION STATEMENT: Testified in support of SB 209.                                                                           
                                                                                                                                
DANIEL LYNCH, representing herself                                                                                              
Soldotna, Alaska                                                                                                                
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
GARY SUPERMAN, Owner                                                                                                            
Hunger Hut Bar/Motel/Liquor Store                                                                                               
Nikiski, Alaska                                                                                                                 
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
PATRICIA PATTERSON, Owner                                                                                                       
Lucky Raven Tobacco                                                                                                             
Soldotna, Alaska                                                                                                                
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
CHRYSTAL SCHOENROCK, Bar Owner                                                                                                  
Nikiski, Alaska,                                                                                                                
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
JOHN BINDER, Division Operations Manager                                                                                        
Statewide Aviation                                                                                                              
Department of Transportation and Public Facilities                                                                              
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Recommended adding an exemption for                                                                       
international lounges to SB 209.                                                                                                
                                                                                                                                
MIKE COONS, representing himself                                                                                                
Palmer, Alaska                                                                                                                  
POSITION STATEMENT: Testified in opposition to SB 209.                                                                        
                                                                                                                                
GAIL SHEMAN, representing herself                                                                                               
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 209.                                                                           
                                                                                                                                
MICHAEL PATTERSON, representing himself                                                                                         
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified in support of SB 209.                                                                           
                                                                                                                                
EMILY NENON, Alaska Government Relations Director                                                                               
American Cancer Society                                                                                                         
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 209.                                                                           
                                                                                                                                
DR. BOB URATA, Volunteer                                                                                                        
American Heart Association                                                                                                      
Wrangell, Alaska                                                                                                                
POSITION STATEMENT: Testified in support of SB 209 and the                                                                    
inclusion of e-cigarettes, but against the opt-out provision.                                                                   
                                                                                                                                
JILL LEWIS, Deputy Director                                                                                                     
Alaska Division of Public Health                                                                                                
Department of Health and Social Services (DHSS)                                                                                 
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Answered questions related to the fiscal                                                                  
note for SB 209.                                                                                                                
                                                                                                                                
REPRESENTATIVE BOB HERRON                                                                                                       
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Sponsor of HCR 19.                                                                                        
                                                                                                                                
ALEESHA TOWNS-BAIN, Program Officer                                                                                             
Rasmuson Foundation                                                                                                             
Anchorage, Alaska                                                                                                               
POSITION  STATEMENT: Presented  information related  to HCR  19 -                                                             
Supporting Efforts of Recover Alaska.                                                                                           
                                                                                                                                
DIANE KAPLAN, President                                                                                                         
Rasmuson Foundation                                                                                                             
Anchorage, Alaska                                                                                                               
POSITION  STATEMENT:   Shared  information  related   to  Recover                                                             
Alaska.                                                                                                                         
                                                                                                                                
ELZABTEH RIPLEY, Executive Director                                                                                             
Mat-Su Health Foundation                                                                                                        
Wasilla, Alaska                                                                                                                 
POSITION  STATEMENT:  Presented  information related  to  Recover                                                             
Alaska.                                                                                                                         
                                                                                                                                
JEFF JESSEE, CEO                                                                                                                
Alaska Mental Health Trust Authority                                                                                            
Anchorage, Alaska                                                                                                               
POSITION  STATEMENT:  Presented  information related  to  Recover                                                             
Alaska.                                                                                                                         
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:32:11 PM                                                                                                                    
CHAIR BERT STEDMAN  called the Senate Health  and Social Services                                                             
Standing Committee meeting  to order at 1:32 p.m.  Present at the                                                               
call to order were Senators Micciche, Ellis, and Chair Stedman.                                                                 
                                                                                                                                
                  SB 209-REGULATION OF SMOKING                                                                              
                                                                                                                                
1:32:38 PM                                                                                                                    
CHAIR STEDMAN announced  the consideration of SB 209.  He said it                                                               
is  the first  hearing on  the  bill. The  intent is  to adopt  a                                                               
committee  substitute,   hear  from  the  sponsor,   take  public                                                               
testimony, and look to the will of the committee.                                                                               
                                                                                                                                
1:33:54 PM                                                                                                                    
SENATOR  ELLIS moved  to adopt  the CS  for SB  209, labeled  28-                                                               
LS1539\P, as the working document.                                                                                              
                                                                                                                                
CHAIR STEDMAN objected for explanation purposes.                                                                                
                                                                                                                                
SENATOR PETER MICCICHE, sponsor of  SB 209, said the only changes                                                               
in version P were to include  a municipality's ability to opt out                                                               
of the provisions in the  bill, to remove airport fuel facilities                                                               
from the list, and to exempt stand-alone e-cigarette shops.                                                                     
                                                                                                                                
CHAIR  STEDMAN  removed his  objection.  There  being no  further                                                               
objection, the motion carried.                                                                                                  
                                                                                                                                
SENATOR  MICCICHE related  that  SB 209  protects Alaska  workers                                                               
from the effects of secondhand  smoke. He stated that people have                                                               
the right to  smoke except when it interferes with  the rights of                                                               
Alaskan  workers.   He  commented  about  the   repercussions  of                                                               
exposure  to secondhand  smoke. He  said  it is  a public  health                                                               
issue  similar  to  regulation   of  safety  standards  in  cars,                                                               
electrical codes, and child safety car seats.                                                                                   
                                                                                                                                
He said  another reason  the bill  is needed  is because  it will                                                               
save money on  health care. Third, many  communities and boroughs                                                               
are restricted  from passing a  local ordinance and they  want to                                                               
level  the playing  field.  He  spoke of  hundreds  of emails  in                                                               
support of  the bill versus a  few against the bill.  Several bar                                                               
owners  who  have   fought  this  for  years,   now  support  the                                                               
legislation.  He noted  that smoking  is still  allowed in  smoke                                                               
shops and in e-cigarette shops.                                                                                                 
                                                                                                                                
He concluded that the bill does  not ban smoking; "it asks you to                                                               
take it  outside." It does not  require employers to hire  or not                                                               
hire  employees   because  they  smoke.  It   does  not  prohibit                                                               
employers  from   having  stronger  restrictions.  It   does  not                                                               
prohibit local  governments from adopting  stronger restrictions.                                                               
He  recalled when  a  similar  initiative was  on  the ballot  in                                                               
Anchorage, 72 percent were against it.                                                                                          
                                                                                                                                
1:39:05 PM                                                                                                                    
SENATOR STEDMAN asked about the sections of the bill.                                                                           
                                                                                                                                
SENATOR MICCICHE explained  that Section 1 creates  a new Article                                                               
4  within AS  18.35  describing where  smoking  is prohibited  or                                                               
regulated. Lines 7-14 prohibit smoking  in enclosed areas, within                                                               
or  at  places  of   employment,  public  places,  transportation                                                               
facilities, schools,  health care facilities,  restaurants, bars,                                                               
hotels, motels,  child care  locations, marine  vessels operating                                                               
as a shore-based fisheries business, and public meeting rooms.                                                                  
                                                                                                                                
He summarized  that the bill  exempts things that make  sense. He                                                               
said page  2 describes other  areas where smoking  is prohibited,                                                               
included outdoor  arenas, stadiums, or amphitheaters,  areas at a                                                               
public school  or playgrounds, and  within a certain  distance of                                                               
health care  facilities, bars  and other  buildings. Page  2 also                                                               
lists five  exceptions to  the prohibitions:  private residences,                                                               
unless  used for  adult or  child care,  or if  located within  a                                                               
health care facility  or within a hotel or  motel, marine vessels                                                               
when the  vessel is operating as  a work place for  commercial or                                                               
sport  charter   fishing,  vehicles   used  exclusively   by  one                                                               
employee, and  stand-alone retail tobacco stores  and e-cigarette                                                               
stores.                                                                                                                         
                                                                                                                                
He  explained that  page 3  describes  obligations of  employers,                                                               
owners, and operators  to post no smoking signs  within places or                                                               
vehicles  where  smoking  is prohibited.  It  also  requires  the                                                               
Department of Health and Social  Services (DHSS) to furnish signs                                                               
upon request.                                                                                                                   
                                                                                                                                
He  related that  page 4  re-enacts existing  law to  require the                                                               
commissioner  of DHSS  to develop  and maintain  a procedure  for                                                               
processing   and  investigating   reports   of  violations.   The                                                               
expectation  is that  it will  be  self-policing. The  experience                                                               
around the  state has  been very successful.  There have  been no                                                               
violations reported in Anchorage after seven years.                                                                             
                                                                                                                                
CHAIR  STEDMAN noted  the seven  fiscal notes:  one indeterminate                                                               
fiscal  note from  DHSS; four  fiscal notes  from DOTPF  totaling                                                               
$23,000 in FY 15, one  fiscal note for international airports for                                                               
$8,500 for  signs, one for  the Alaska Marine Highway  System for                                                               
$2,400 for signs, one for  transportation management and security                                                               
for  $10,600 for  signs, one  for the  state equipment  fleet for                                                               
$1,500  for signs;  a zero  fiscal  note from  the Department  of                                                               
Administration; and  a zero  fiscal note  from the  Department of                                                               
Environmental Conservation.                                                                                                     
                                                                                                                                
1:43:28 PM                                                                                                                    
SENATOR MICCICHE  said he believes  that those expenses  would be                                                               
lower.                                                                                                                          
                                                                                                                                
CHAIR  STEDMAN  said finances  would  be  taken  up by  the  next                                                               
committee.                                                                                                                      
                                                                                                                                
CHAIR STEDMAN opened public testimony.                                                                                          
                                                                                                                                
1:44:23 PM                                                                                                                    
LARRY  HACKENMILLER,   Secretary/Treasurer,  I-CHARR,  Fairbanks,                                                               
Alaska,  testified  in  opposition  to   SB  209.  He  said  OSHA                                                               
maintains  that smoking  is not  hazardous in  the workplace.  He                                                               
said the  risk of  secondhand smoke  is non-existent.  He opposed                                                               
the  amendment that  states the  bill would  protect the  general                                                               
public. The bill  supersedes constitutional rights to  smoke in a                                                               
private resident. He  said business owners should  have the right                                                               
to allow smoking.                                                                                                               
                                                                                                                                
1:49:18 PM                                                                                                                    
SHALONDA   RILEY,   representing  herself,   Fairbanks,   Alaska,                                                               
testified in  support of SB  209. She  said she believes  she has                                                               
the right to  not be exposed to secondhand smoke.  She said there                                                               
are health issues related to someone else's smoke.                                                                              
                                                                                                                                
1:51:58 PM                                                                                                                    
BETTY MACTAVISH, representing  herself, Kodiak, Alaska, testified                                                               
in support of  SB 209. She said  she worked in a bar  and now has                                                               
the lungs  of a smoker  due to  secondhand smoke. She  wanted the                                                               
same standard for secondhand smoke for rural Alaskans.                                                                          
                                                                                                                                
1:53:52 PM                                                                                                                    
GEORGE  CATTER, representing  himself, Kodiak,  Alaska, testified                                                               
in opposition to  SB 209. He maintained that the  bill is full of                                                               
penalties  for private  property.  He said  it  infringes on  his                                                               
rights as a bar owner.                                                                                                          
                                                                                                                                
1:55:58 PM                                                                                                                    
CARMEN  LUNDE,   Director,  Kodiak   -  CHARR,   Kodiak,  Alaska,                                                               
testified in opposition to SB  209. She suggested that smokers be                                                               
allowed the right  to smoke. In 1993 EPA published  a ruling, was                                                               
taken  to  court,  and  found   to  be  flawed.  Banning  smoking                                                               
infringes on private property rights.                                                                                           
                                                                                                                                
1:58:27 PM                                                                                                                    
ROBIN  MINARD,   Director  of   Public  Affairs,   Mat-Su  Health                                                               
Foundation, Wasilla, Alaska, testified in  support of SB 209. She                                                               
related that smoking leads to  health concerns. She noted that e-                                                               
cigarettes should also not be used in public places.                                                                            
                                                                                                                                
2:00:00 PM                                                                                                                    
ANDREA THOMAS, representing herself,  Sitka, Alaska, testified in                                                               
favor of SB 209. She said  she agrees e-cigarettes should also be                                                               
banned in  public places. She  said she  has seen the  results of                                                               
smoking. She stated the bill will save money on medical costs.                                                                  
                                                                                                                                
2:02:05 PM                                                                                                                    
RYAN KAUFFMAN, representing himself,  Sitka, Alaska, testified in                                                               
support of SB 209.  He said he does not support  the option for a                                                               
local  opt  out   -  the  provisions  should  be   true  for  all                                                               
communities.  He  concluded  that  the bill  will  have  positive                                                               
financial effects.                                                                                                              
                                                                                                                                
2:03:24 PM                                                                                                                    
MATT  WAGGONER,  Owner,  Fatboy Vapors  Alaska,  LLC,  Anchorage,                                                               
Alaska,  testified in  opposition to  SB 209.  He was  especially                                                               
opposed to the  inclusion of e-cigarettes in the  bill. He quoted                                                               
studies that show  e-cigarettes do not have  the same second-hand                                                               
effects and they are an effective means of quitting smoking.                                                                    
                                                                                                                                
2:06:42 PM                                                                                                                    
DALE FOX,  President, Alaska CHARR, Anchorage,  Alaska, testified                                                               
in opposition  to SB 209.  He said  bars should be  exempted from                                                               
not being able to smoke. People  should be able to make their own                                                               
decisions about smoking.                                                                                                        
                                                                                                                                
2:08:56 PM                                                                                                                    
ANGELO REALE,  Owner, Reale Vapes, Wasilla,  Alaska, testified in                                                               
opposition  to  SB  209.  He  objected to  the  inclusion  of  e-                                                               
cigarettes  in  the bill.  He  said  the  science quoted  is  not                                                               
accurate.                                                                                                                       
                                                                                                                                
2:10:47 PM                                                                                                                    
JENNIE   OLENDORFF,  representing   herself,  Soldotna,   Alaska,                                                               
testified in  support of  SB 209. She  related her  experience of                                                               
working  in a  smoke-filled office.  It is  a bill  that protects                                                               
fundamental rights to be in a smoke-free workplace.                                                                             
                                                                                                                                
2:12:39 PM                                                                                                                    
DANIEL LYNCH,  representing herself, Soldotna,  Alaska, testified                                                               
in  opposition to  SB 209.  He said  the bill  is about  freedom;                                                               
freedom for  the right  to smoke. All  of his  previous employees                                                               
were able to make their own rules.                                                                                              
                                                                                                                                
2:14:51 PM                                                                                                                    
GARY SUPERMAN, Owner, Hunger  Hut Bar/Motel/Liquor Store Nikiski,                                                               
Alaska, testified  in opposition to  SB 209.  He said he  did not                                                               
think  that  the legislature  had  the  right  to tell  him  that                                                               
customers cannot  smoke in his  bar. He said  it should be  up to                                                               
the business owner to decide.                                                                                                   
                                                                                                                                
2:17:18 PM                                                                                                                    
PATRICIA  PATTERSON,   Owner,  Lucky  Raven   Tobacco,  Soldotna,                                                               
Alaska,  testified  in opposition  to  SB  209. She  thanked  the                                                               
sponsor for the provision to  include smoking in a tobacco store.                                                               
She  said  she knows  she  will  be  audited  more due  to  these                                                               
changes. She said there is no research on e-cigarettes.                                                                         
                                                                                                                                
2:19:21 PM                                                                                                                    
CHRYSTAL  SCHOENROCK, Bar  Owner, Nikiski,  Alaska, testified  in                                                               
opposition  to SB  209.  She maintained  that  smoking should  be                                                               
allowed in bars in small towns. She said it is about rights.                                                                    
                                                                                                                                
2:21:49 PM                                                                                                                    
JOHN  BINDER, Division  Operations  Manager, Statewide  Aviation,                                                               
Department  of Transportation  and Public  Facilities, Anchorage,                                                               
Alaska,  recommended   adding  an  exemption   for  international                                                               
lounges to SB 209.                                                                                                              
                                                                                                                                
SENATOR MICCICHE  suggested that  this could have  been discussed                                                               
earlier.                                                                                                                        
                                                                                                                                
2:25:09 PM                                                                                                                    
MIKE COONS,  representing himself,  Palmer, Alaska,  testified in                                                               
opposition to SB  209. He maintained that this bill  is about the                                                               
sin tax, which will be the next step.                                                                                           
                                                                                                                                
2:28:13 PM                                                                                                                    
GAIL SHEMAN,  representing herself, Anchorage,  Alaska, testified                                                               
in  support of  SB  209. She  shared  that she  has  worked as  a                                                               
bartender for over  20 years before there was  any protection for                                                               
people  working  in   this  industry.  She  now   has  COPD  from                                                               
secondhand smoke.                                                                                                               
                                                                                                                                
2:29:24 PM                                                                                                                    
MICHAEL   PATTERSON,   representing  himself,   Juneau,   Alaska,                                                               
testified in support  of SB 209. He shared his  story as a former                                                               
smoker. He  said he changed his  opinion now that he  is dying of                                                               
COPD. He said that he has  also watched a child die of secondhand                                                               
smoke.  He stressed  that it  is  very hard  to avoid  secondhand                                                               
smoke. He  stated that  science has  proved that  e-cigarettes do                                                               
cause  cancer. He  emphasized that  it is  necessary to  have the                                                               
protection provided by this bill.                                                                                               
                                                                                                                                
EMILY  NENON,  Alaska  Government  Relations  Director,  American                                                               
Cancer  Society, Anchorage,  Alaska, testified  in support  of SB
209. She said she has been  working on a smoke-free workplace for                                                               
13  years.  She  listed  partnerships with  the  American  Cancer                                                               
Society:  the  American  Heart  Association,  the  American  Lung                                                               
Association, the  Alaska Native Health Board,  AARP. She referred                                                               
to letters  of support in  members' packets. She noted  that over                                                               
400  businesses and  organizations around  the state  have signed                                                               
resolutions  of support  for a  statewide smoke-free  indoor work                                                               
places policy.                                                                                                                  
                                                                                                                                
She  discussed  the  economic   benefits  of  smoke-free  working                                                               
establishments. She  said implementation of smoke-free  laws will                                                               
be subtle,  will be  a matter  of public  education, and  will be                                                               
self-enforcing.                                                                                                                 
                                                                                                                                
2:37:36 PM                                                                                                                    
DR. BOB  URATA, Volunteer, American Heart  Association, Wrangell,                                                               
Alaska, testified in support of SB 209 and the inclusion of e-                                                                  
cigarettes,  but   against  the  opt-out  provision.   He  shared                                                               
statistics  about cigarette  smoking being  the leading  cause of                                                               
preventable disease and  cause of death in the  United States and                                                               
in Alaska.  In Alaska it is  the number one and  number two cause                                                               
of death. He  said about 20 percent of Americans  still smoke and                                                               
it  is  estimated that  88  million  non-smokers are  exposed  to                                                               
second-hand smoke.  It kills nearly 50,000  Americans every year.                                                               
Smoke-free workplace laws are an  important part in improving the                                                               
health of this  country and this state and in  reducing death and                                                               
disabilities.                                                                                                                   
                                                                                                                                
He related  that it is estimated  in the next 20  years, the cost                                                               
of  treating  cardiovascular  disease in  America  will  increase                                                               
threefold. It now cost about $3 billion.                                                                                        
                                                                                                                                
He reported  in Pueblo, Colorado, the  smoke-free ordinance found                                                               
a 20 percent gain in bar  and restaurant sales tax from increased                                                               
sales and 27 percent fewer  heart attacks. He noted the immediate                                                               
health benefits of the ordinance.                                                                                               
                                                                                                                                
He  opined  that e-cigarettes  should  be  included in  the  bill                                                               
because the  safety of them is  unknown. In a study  in 2009, the                                                               
FDA found some cancer-causing substances  and nicotine in some e-                                                               
cigarettes and  it will be coming  out with a statement  soon. He                                                               
suggested,  first,  do no  harm.  He  described what  would  have                                                               
happened if  cigarettes had been  adequately studied a  long time                                                               
ago.                                                                                                                            
                                                                                                                                
JILL LEWIS,  Deputy Director, Alaska  Division of  Public Health,                                                               
Department of Health and Social  Services (DHSS), Juneau, Alaska,                                                               
answered questions  related to  the fiscal note  for SB  209. She                                                               
said the division has for  some time emphasized the importance of                                                               
reducing smoking and exposure to  second-hand smoke. She said the                                                               
department submitted  an indeterminate fiscal note  that reflects                                                               
different interpretations  of the  bill. Additional  clarity from                                                               
the  sponsors  and the  legislature  is  requested regarding  the                                                               
scope  and   depth  of  the   role  of  the  department   in  the                                                               
implementation of the bill.                                                                                                     
She related that the department will  be able, as directed by the                                                               
bill,  to provide  access to  educational programs  and printable                                                               
brochures  within  current  program  and  budget  levels  in  the                                                               
Tobacco  Prevention   and  Control  Program,  and   is  doing  so                                                               
currently. The bill requires the  department to provide signs for                                                               
each  entrance  of  all  public  venues,  places  of  employment,                                                               
buildings,   facilities,  private   businesses,  residents,   and                                                               
vehicles statewide in  which smoking will be  prohibited, if that                                                               
is requested.  The department can  create an  electronic template                                                               
available on its  website for individuals and  entities to access                                                               
and  print  for themselves.  If  the  department is  required  to                                                               
produce and  ship metal signage  to businesses in the  state, the                                                               
cost will  increase. The department  does currently not  have the                                                               
infrastructure  and  staff  to   actively  process,  report,  and                                                               
investigate   alleged    violations.   Passive   complaint-driven                                                               
enforcement would reduce costs.                                                                                                 
                                                                                                                                
CHAIR  STEDMAN  noted the  bill  has  a  referral to  the  Senate                                                               
Finance Committee next.  He suggested that the  sponsor work with                                                               
the department on their suggestions.                                                                                            
                                                                                                                                
SENATOR MICCICHE  said clarifications  for the department  can be                                                               
worked through.                                                                                                                 
                                                                                                                                
SENATOR ELLIS moved  to report CS for SB 209  from committee with                                                               
individual recommendations and attached fiscal notes.                                                                           
                                                                                                                                
CHAIR STEDMAN announced that without  objection, CSSB 209(HSS) is                                                               
reported  from the  Senate Health  and  Social Services  Standing                                                               
Committee to the next committee of referral.                                                                                    
                                                                                                                                
2:45:35 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
2:46:10 PM                                                                                                                    
CHAIR STEDMAN  reconvened the meeting  and announced that  HB 134                                                               
would be heard at a later date.                                                                                                 
                                                                                                                                
          HCR 19-SUPPORTING EFFORTS OF RECOVER ALASKA                                                                       
                                                                                                                                
2:46:47 PM                                                                                                                    
CHAIR  STEDMAN  announced the  consideration  of  HCR 19.  [CSHCR
19(HSS)  was before  the  committee.]  He said  it  is the  first                                                               
hearing  of the  resolution. The  intent is  to have  the sponsor                                                               
introduce  the  resolution, take  public  testimony,  and set  it                                                               
aside.                                                                                                                          
                                                                                                                                
REPRESENTATIVE  BOB  HERRON,  Alaska State  Legislature,  Juneau,                                                               
Alaska, sponsor of  HCR 19. He said HCR 19  is a brief resolution                                                               
that supports the efforts of  Recover Alaska. It brings awareness                                                               
to  a  group of  Alaskans  that  want  to recover,  reclaim,  and                                                               
restore  the strength  of Alaska's  families  and communities  by                                                               
getting to the  root causes of excessive  alcohol consumption. He                                                               
referred  to information  in members'  packets on  Recover Alaska                                                               
partners.                                                                                                                       
                                                                                                                                
SENATOR ELLIS thanked Recover Alaska  and the Rasmuson Foundation                                                               
for  their support.  He said  he has  been involved  with Recover                                                               
Alaska  since   its  inception.  He  requested   the  committee's                                                               
support.                                                                                                                        
                                                                                                                                
CHAIR STEDMAN noted one zero fiscal note from the Legislature.                                                                  
                                                                                                                                
2:48:57 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
2:49:19 PM                                                                                                                    
ALEESHA   TOWNS-BAIN,  Program   Officer,  Rasmuson   Foundation,                                                               
Anchorage,  Alaska, presented  information  related to  HCR 19  -                                                               
Supporting Efforts of  Recover Alaska. She began with  a video of                                                               
an  alcoholic's   story,  an   investment  in   partnership  with                                                               
Anchorage Daily News.                                                                                                           
                                                                                                                                
2:53:53 PM                                                                                                                    
MS. TOWNS-BAIN  described what Recover  Alaska is;  an initiative                                                               
to identify the  root causes of excessive  alcohol consumption, a                                                               
solutions-based program.                                                                                                        
                                                                                                                                
2:54:25 PM                                                                                                                    
DIANE KAPLAN, President,  Rasmuson Foundation, Anchorage, Alaska,                                                               
shared  information related  to Recover  Alaska. She  related the                                                               
history  of  Recover  Alaska.  She said  about  four  years  ago,                                                               
Rasmuson  Foundation convened  a broad-based  group of  people to                                                               
discuss  ways to  combat  the  root causes  of  alcohol abuse  in                                                               
Alaska. They decided to put the  focus on building solutions at a                                                               
high decision-maker  level and assembled  a group of  people they                                                               
felt could  have an impact.  Early on, colleagues such  as Robert                                                               
Wood Johnson  Foundation were brought  in. Part of the  secret of                                                               
success  was a  wide  variety of  partners; representatives  from                                                               
judicial, health providers, and  other non-profits serving on the                                                               
steering committee.                                                                                                             
                                                                                                                                
ELZABTEH  RIPLEY, Executive  Director, Mat-Su  Health Foundation,                                                               
Wasilla,  Alaska,   presented  information  related   to  Recover                                                               
Alaska. She  spoke as  a funding partner  of Recover  Alaska. She                                                               
said the results of the  Healthy Alaskans 2020 Survey showed that                                                               
alcohol  use and  abuse  is  the top  health  issue important  to                                                               
Alaskans. It  is a pervasive problem  in the state and  uses many                                                               
resources  without   seeing  positive  impacts.  She   noted  the                                                               
financial impact of alcohol on Alaska's economy of #1.2 billion.                                                                
                                                                                                                                
2:57:24 PM                                                                                                                    
JEFF  JESSEE,   CEO,  Alaska   Mental  Health   Trust  Authority,                                                               
Anchorage,  Alaska,  presented  information  related  to  Recover                                                               
Alaska.  He  mentioned  two  other   efforts  Recover  Alaska  is                                                               
undertaking;  working in  conjunction with  the Alcohol  Beverage                                                               
Control Board  to look  at the Title  4 alcohol  beverage control                                                               
statutory  framework,  and with  a  social  norm campaign  around                                                               
underage  drinking  around the  state.  Science  is showing  that                                                               
negative ads are not as persuasive to kids as positive ads are.                                                                 
                                                                                                                                
MS.  TOWNS-BAIN reported  on places  Alaskans can  look for  help                                                               
using a referral system in partnership with United Way 211.                                                                     
                                                                                                                                
2:58:56 PM                                                                                                                    
SENATOR ELLIS moved  to report CS for HCR  19(HSS) from committee                                                               
with individual recommendations and attached fiscal note.                                                                       
                                                                                                                                
CHAIR STEDMAN announced that without  objection, CSHCR 19(HSS) is                                                               
reported  from the  Senate Health  and  Social Services  Standing                                                               
Committee to the next committee of referral.                                                                                    
                                                                                                                                
2:59:49 PM                                                                                                                    
There being nothing  further to come before  the committee, Chair                                                               
Stedman adjourned the Senate Health  and Social Services Standing                                                               
Committee at 2:59 p.m.                                                                                                          
                                                                                                                                

Document Name Date/Time Subjects
HCR 19 Recover Alaska Presentation.pptx SHSS 4/9/2014 1:30:00 PM
HCR 19