Legislature(2013 - 2014)BUTROVICH 205

04/16/2014 01:30 PM Senate HEALTH & SOCIAL SERVICES


Download Mp3. <- Right click and save file as

Audio Topic
01:46:17 PM Start
01:47:15 PM HB134
01:52:06 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ HB 134 MEDICAID PAYMENT FOR MEDISET PRESCRIPTION TELECONFERENCED
Moved CSHB 134(HSS) Out of Committee
Bills Previously Heard/Scheduled
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                         April 16, 2014                                                                                         
                           1:46 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Bert Stedman, Chair                                                                                                     
Senator Peter Micciche, Vice Chair                                                                                              
Senator Pete Kelly                                                                                                              
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Johnny Ellis                                                                                                            
Senator Kevin Meyer                                                                                                             
                                                                                                                              
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
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."                                                                 
                                                                                                                                
     - MOVED CSHB 134(HSS) OUT OF COMMITTEE                                                                                     
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 134                                                                                                                  
SHORT TITLE: MEDICAID PAYMENT FOR MEDISET PRESCRIPTION                                                                          
SPONSOR(s): REPRESENTATIVE(s) COSTELLO                                                                                          
                                                                                                                                
02/20/13       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/20/13       (H)       HSS, FIN                                                                                               
03/19/13       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/19/13       (H)       Heard & Held                                                                                           
03/19/13       (H)       MINUTE(HSS)                                                                                            
03/28/13       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/28/13       (H)       Heard & Held                                                                                           
03/28/13       (H)       MINUTE(HSS)                                                                                            
04/02/13       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
04/02/13       (H)       Heard & Held                                                                                           
04/02/13       (H)       MINUTE(HSS)                                                                                            
04/04/13       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
04/04/13       (H)       Scheduled But Not Heard                                                                                
04/06/13       (H)       HSS AT 9:00 AM CAPITOL 106                                                                             
04/06/13       (H)       Heard & Held                                                                                           
04/06/13       (H)       MINUTE(HSS)                                                                                            
04/08/13       (H)       FIN AT 8:00 AM HOUSE FINANCE 519                                                                       
04/08/13       (H)       Scheduled But Not Heard                                                                                
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 CSHB 134(HSS) Out of Committee                                                                   
03/14/14       (H)       MINUTE(HSS)                                                                                            
03/17/14       (H)       HSS RPT CS(HSS) NT 4DP 2NR                                                                             
03/17/14       (H)       DP: REINBOLD, NAGEAK, TARR, HIGGINS                                                                    
03/17/14       (H)       NR: PRUITT, KELLER                                                                                     
03/24/14       (H)       FIN AT 8:30 AM HOUSE FINANCE 519                                                                       
03/24/14       (H)       Heard & Held                                                                                           
03/24/14       (H)       MINUTE(FIN)                                                                                            
03/26/14       (H)       FIN AT 7:00 PM HOUSE FINANCE 519                                                                       
03/26/14       (H)       -- MEETING CANCELED --                                                                                 
03/28/14       (H)       FIN RPT CS(HSS) NT 6DP 4NR                                                                             
03/28/14       (H)       DP: GUTTENBERG, HOLMES, MUNOZ, GARA,                                                                   
                         COSTELLO, STOLTZE                                                                                      
03/28/14       (H)       NR:    THOMPSON,    NEUMAN,    T.WILSON,                                                               
                         AUSTERMAN                                                                                              
03/28/14       (H)       FIN AT 8:30 AM HOUSE FINANCE 519                                                                       
03/28/14       (H)       Moved CSHB 134(HSS) Out of Committee                                                                   
03/28/14       (H)       MINUTE(FIN)                                                                                            
04/01/14       (H)       TRANSMITTED TO (S)                                                                                     
04/01/14       (H)       VERSION: CSHB 134(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                                                                           
04/09/14       (S)       Scheduled But Not Heard                                                                                
04/11/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
04/11/14       (S)       -- MEETING CANCELED --                                                                                 
04/14/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
04/14/14       (S)       Heard & Held                                                                                           
04/14/14       (S)       MINUTE(HSS)                                                                                            
04/16/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
CHARLES GUINCHARD, Staff                                                                                                        
Representative Mia Costello                                                                                                     
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented information related to HB 134 on                                                                
behalf of the sponsor.                                                                                                          
                                                                                                                                
                                                                                                                                
WILLIAM STREUR, Commissioner                                                                                                    
Department of Health and Social Services (DHSS)                                                                                 
POSITION STATEMENT: Answered questions related to HB 134.                                                                     
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:46:17 PM                                                                                                                    
CHAIR BERT STEDMAN  called the Senate Health  and Social Services                                                             
Standing Committee meeting  to order at 1:46 p.m.  Present at the                                                               
call to order were Senators Micciche, Kelly, and Chair Stedman.                                                                 
                                                                                                                                
        HB 134-MEDICAID PAYMENT FOR MEDISET PRESCRIPTION                                                                    
                                                                                                                                
1:47:15 PM                                                                                                                    
CHAIR  STEDMAN  announced  the consideration  of  HB  134.  [CSHB
134(HSS)  was before  the committee.]  He said  it is  the second                                                               
hearing  on  the bill.  The  intent  is  to  move the  bill  from                                                               
committee with the attached Letter of Intent.                                                                                   
                                                                                                                                
1:47:26 PM                                                                                                                    
CHARLES  GUINCHARD, Staff,  Representative  Mia Costello,  Alaska                                                               
State Legislature, Juneau,  Alaska, presented information related                                                               
to HB 134 on behalf of the  sponsor. He said that the sponsor has                                                               
no objection to the Letter of Intent.                                                                                           
                                                                                                                                
CHAIR STEMAN read the Letter of Intent:                                                                                         
                                                                                                                                
     It is the  intent of the Alaska  State Legislature that                                                                    
     the  Commissioner  of  the  Department  of  Health  and                                                                    
     Social Services  make every reasonable effort  to adopt                                                                    
     equitable   regulations   providing    the   same   fee                                                                    
     established in  AS 47.07.031 to  all pharmacies  in the                                                                    
     state that  dispense medisets or similar  unit doses to                                                                    
     qualified medical assistance recipients in the state.                                                                      
                                                                                                                                
He explained  that the  committee wanted a  broader reach  and to                                                               
have it apply to smaller pharmacies also.                                                                                       
                                                                                                                                
1:49:03 PM                                                                                                                    
WILLIAM  STREUR, Commissioner,  Department of  Health and  Social                                                               
Services  (DHSS),  introduced  himself   and  offered  to  answer                                                               
questions related to HB 134.                                                                                                    
                                                                                                                                
CHAIR  STEDMAN asked  Commissioner Struer  if he  was comfortable                                                               
with the Letter of Intent.                                                                                                      
                                                                                                                                
COMMISSIONER STREUR  said he  is comfortable  with the  Letter of                                                               
Intent and  the recommendation  contained therein  but, depending                                                               
on how  the Letter  of Intent  is interpreted,  it could  be very                                                               
expensive.                                                                                                                      
                                                                                                                                
CHAIR  STEDMAN  said that  would  be  up  to the  Senate  Finance                                                               
Committee.                                                                                                                      
                                                                                                                                
SENATOR MICCICHE  requested more  information about  the possible                                                               
expense.                                                                                                                        
                                                                                                                                
COMMISSIONER  STREUR  related that  the  department  worked on  a                                                               
fiscal  note  based  on  what would  happen  if  restrictions  in                                                               
regulations were  removed. He  stated that  the Letter  of Intent                                                               
addresses regulations and not the  bill because the bill does not                                                               
speak to  a percentage  of medisets a  pharmacy must  dispense in                                                               
order  to qualify  for  the reimbursement.  If  the provision  is                                                               
opened statewide,  it would cost  about $500,000 more a  year for                                                               
dispensing fees.                                                                                                                
                                                                                                                                
CHAIR  STEDMAN  asked  if  dispensing   fees  are  controlled  by                                                               
regulation.                                                                                                                     
                                                                                                                                
COMMISSIONER STREUR said yes.                                                                                                   
                                                                                                                                
1:51:16 PM                                                                                                                    
SENATOR MICCICHE moved  to report CS for HB 134,  version E, from                                                               
committee with  individual recommendations, attached  zero fiscal                                                               
note, and the attached Letter of Intent.                                                                                        
                                                                                                                                
CHAIR STEDMAN announced that without  objection, CSHB 134(HSS) is                                                               
reported  from the  Senate Health  and  Social Services  Standing                                                               
Committee.                                                                                                                      
                                                                                                                                
1:52:06 PM                                                                                                                    
There being nothing  further to come before  the committee, Chair                                                               
Stedman adjourned the Senate Health  and Social Services Standing                                                               
Committee at 1:52 p.m.                                                                                                          
                                                                                                                                

Document Name Date/Time Subjects
HB 134 letter of intent.pdf SHSS 4/16/2014 1:30:00 PM
HB 134
Pharmacy Regs 2013 Adopted.pdf SHSS 4/16/2014 1:30:00 PM
HB 134