04/08/2015 01:30 PM Senate HEALTH & SOCIAL SERVICES
| Audio | Topic |
|---|---|
| Start | |
| SB74 | |
| SB53 | |
| SB90 | |
| HB4 | |
| Adjourn |
+ teleconferenced
= bill was previously heard/scheduled
| + | SB 53 | TELECONFERENCED | |
| *+ | SB 90 | TELECONFERENCED | |
| + | HB 4 | TELECONFERENCED | |
| += | SB 74 | TELECONFERENCED | |
ALASKA STATE LEGISLATURE
SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE
April 8, 2015
1:30 p.m.
MEMBERS PRESENT
Senator Bert Stedman, Chair
Senator Cathy Giessel, Vice Chair
Senator Pete Kelly
Senator Johnny Ellis
MEMBERS ABSENT
Senator Bill Stoltze
COMMITTEE CALENDAR
SENATE BILL NO. 74
"An Act relating to permanent fund dividends; relating to a
medical assistance reform program; establishing a personal
health savings account program for medical assistance
recipients; relating to the duties of the Department of Health
and Social Services; establishing medical assistance
demonstration projects; and relating to a study by the
Department of Health and Social Services."
- HEARD & HELD
SENATE BILL NO. 53
"An Act relating to advanced practice registered nursing;
relating to certified direct-entry midwifery; and providing for
an effective date."
- HEARD & HELD
SENATE BILL NO. 90
"An Act relating to the purchase of durable medical equipment
under Medicaid; and providing for an effective date."
- HEARD & HELD
HOUSE BILL NO. 4
"An Act relating to automated external defibrillators."
- HEARD & HELD
PREVIOUS COMMITTEE ACTION
BILL: SB 74
SHORT TITLE: MEDICAID REFORM/PFD/HSAS/ER USE/STUDIES
SPONSOR(s): SENATOR(s) KELLY
03/13/15 (S) READ THE FIRST TIME - REFERRALS
03/13/15 (S) HSS, STA, FIN
03/13/15 (S) HSS AT 1:30 PM BUTROVICH 205
03/13/15 (S) -- Testimony <Invitation Only> --
03/23/15 (S) HSS AT 1:30 PM BUTROVICH 205
03/23/15 (S) Heard & Held
03/23/15 (S) MINUTE(HSS)
04/01/15 (S) HSS AT 1:30 PM BUTROVICH 205
04/01/15 (S) Heard & Held
04/01/15 (S) MINUTE(HSS)
04/02/15 (S) STA AT 9:00 AM BUTROVICH 205
04/02/15 (S) <Pending Referral>
04/03/15 (S) HSS AT 1:30 PM BUTROVICH 205
04/03/15 (S) -- Testimony <Invitation Only> --
BILL: SB 53
SHORT TITLE: ADVANCED PRACTICE REGISTERED NURSES
SPONSOR(s): SENATOR(s) GIESSEL
02/18/15 (S) READ THE FIRST TIME - REFERRALS
02/18/15 (S) L&C, HSS
03/10/15 (S) L&C AT 1:30 PM BELTZ 105 (TSBldg)
03/10/15 (S) Heard & Held
03/10/15 (S) MINUTE(L&C)
03/12/15 (S) L&C AT 1:30 PM BELTZ 105 (TSBldg)
03/12/15 (S) Moved SB 53 Out of Committee
03/12/15 (S) MINUTE(L&C)
03/13/15 (S) L&C RPT 4DP 1NR
03/13/15 (S) DP: COSTELLO, GIESSEL, MEYER, STEVENS
03/13/15 (S) NR: ELLIS
04/08/15 (S) HSS AT 1:30 PM BUTROVICH 205
BILL: SB 90
SHORT TITLE: MEDICAID: USED DURABLE MEDICAL EQUIPMENT
SPONSOR(s): SENATOR(s) STOLTZE
03/25/15 (S) READ THE FIRST TIME - REFERRALS
03/25/15 (S) HSS, FIN
04/08/15 (S) HSS AT 1:30 PM BUTROVICH 205
BILL: HB 4
SHORT TITLE: AUTOMATED EXTERNAL DEFIBRILLATOR
SPONSOR(s): REPRESENTATIVE(s) WILSON
01/21/15 (H) PREFILE RELEASED 1/9/15
01/21/15 (H) READ THE FIRST TIME - REFERRALS
01/21/15 (H) JUD
02/04/15 (H) JUD AT 1:00 PM CAPITOL 120
02/04/15 (H) Moved HB 4 Out of Committee
02/04/15 (H) MINUTE(JUD)
02/06/15 (H) JUD RPT 4DP 1NR
02/06/15 (H) DP: KELLER, MILLETT, CLAMAN, LEDOUX
02/06/15 (H) NR: GRUENBERG
02/11/15 (H) TRANSMITTED TO (S)
02/11/15 (H) VERSION: HB 4
02/13/15 (S) READ THE FIRST TIME - REFERRALS
02/13/15 (S) HSS, JUD
04/08/15 (S) HSS AT 1:30 PM BUTROVICH 205
WITNESS REGISTER
RANDY RUARO, Staff
Senator Bert Stedman
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Addressed the changes in version I of SB 74.
JANE CONWAY, Staff
Senator Cathy Giessel
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Presented the sectional analysis of SB 53.
DR. CARRIE DOYLE, Clinical Nurse Specialist
Alaska Clinical Nurse Specialist Association (ACNSA)
Anchorage, Alaska
POSITION STATEMENT: Testified in support of SB 53.
LAURA SARCONE, Co-Chair
Advanced Practice Registered Nurses (APRN) Alliance
Anchorage, Alaska
POSITION STATEMENT: Testified in support of SB 53.
BRANDON BREFCZYNSKI, Staff
Senator Bill Stoltze
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Presented SB 90 on behalf of the sponsor.
PATRICK REINHART, Director
Governor's Council on Disability & Special Education
Anchorage, Alaska
POSITION STATEMENT: Testified in support of SB 90.
JIM BECK, Executive Director
Access Alaska
Wasilla, Alaska
POSITION STATEMENT: Testified in support of SB 90.
JOHN CANNON, President
Key Coalition of Alaska
Wasilla, Alaska
POSITION STATEMENT: Testified in support of SB 90.
KIM CHAMPNEY, Chief of Services
REACH and Alaska Association on Developmental Disabilities
Juneau, Alaska
POSITION STATEMENT: Testified in support of SB 90.
REPRESENTATIVE TAMMIE WILSON
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Sponsor of HB 4.
DOUG SCHRAGE, Chief
Alaska Fire Chiefs Association
Fairbanks, Alaska
POSITION STATEMENT: Testified in support of HB 4.
JIM FOSTER, Active Resuscitation Community Organizer
Loren Marshall Foundation
Anchorage, Alaska
POSITION STATEMENT: Testified in support of HB 4.
ACTION NARRATIVE
1:30:44 PM
CHAIR BERT STEDMAN called the Senate Health and Social Services
Standing Committee meeting to order at 1:30 p.m. Present at the
call to order were Senators Giessel, Kelly, Ellis, and Chair
Stedman. He listed the order of the four bills to be heard: SB
74, SB 53, SB 90, and HB 4.
SB 74-MEDICAID REFORM/PFD/HSAS/ER USE/STUDIES
1:31:12 PM
CHAIR STEDMAN announced the consideration of SB 74. He noted
that his staff, the sponsor's staff, and the Departments of Law
and Health and Social Services have been working hard on the new
CS for SB 74.
REPRESENTATIVE KELLY moved to adopt the CS for SB 74, labeled
29-LS0692\I, as the working document.
CHAIR STEDMAN objected for discussion.
RANDY RUARO, Staff, Senator Bert Stedman, Alaska State
Legislature, addressed the changes in version I of SB 74. He
read from the following:
The committee substitute for SB 74, version I, makes the
following substantive changes:
· Deletes Sections 1 and 3 of SB 74 related to health savings
accounts and funding the accounts with 10% of a recipients
permanent fund dividend.
· As a conforming change, deletes language in Section 4 of SB
74 that would have put a sunset date on the health savings
account provisions.
· Adds a new Section 1 related to false claims for medical
assistance and providing for a civil penalty to be imposed
by either a court or an administrative agency and providing
for enhanced damages to be awarded to the state.
· Amends Section 2 of SB 74 to make a conforming change by
deleting subparagraph (1) which related to health savings
accounts and renumbering the remaining subparagraphs.
· Amends Section 2, subparagraph (2) of SB 74 by adding
language requiring the DHSS reform program to include
referrals for career and education services.
· Amends Section 2, subparagraph (4) of SB 74 by adding
"behavioral health" to the list of services that
telemedicine should be expanded to include.
· Amends Section 2, subparagraph (9) of SB 74 by adding
language providing that the payment process should be
reformed by implementing fee agreements based on
performance measures that include premium payments for
centers of excellence and penalties for certain hospital
related outcomes, such as hospital acquired infections,
readmissions, and failures of outcomes.
· Amends Section 2, of SB 74 by adding a new section (b) that
requires the identify areas where access to telemedicine
would be most effective and to coordinate with Indian
Health Services providers where appropriate to gain access
to telemedicine equipment.
· Amends Section 2(b) of SB 74, the report section on reforms
by changing the annual report due date from 10 days after
session starts to October 15 of each year, and adds a
number of subparagraphs in (4) - (13) that are designed to
provide information to the legislature on the progress of
reforms and other information relevant to management of the
program.
· Amends Section 2 of SB 74 by adding a new section (d) that
is a definition of telemedicine.
· Section 3 of version I relates to direction to the
department on reducing use of emergency room services.
This was Section 6 in the original version of SB 74. There
was no change between the two sections other than
numbering.
· Section 4, the repeal section of SB 74 is deleted. It
repealed the health savings account sections and the reform
sections. While reform provisions are included in version
I, they are not subject to sunset.
· It is replaced with a new Section 4 relating to efforts at
fighting fraud or waste of Medicaid funds and reporting the
results to the Legislature.
· Section 5 of SB 75, the section on managed care and a
demonstration project using persons enrolled in Denali
KidCare has been amended to be broader in scope in terms of
both the types of actions the Commissioner can take and the
population groups in Medicaid that can be included. This
provides flexibility to the department to obtain the
greatest possible coverage and savings.
· The rest of the sections in the CS are not substantively
different than SB 74 or are related to implementation of
the bill, Section 7 (Medicaid Choice Waiver); Section 8
(Transition Regulations); Section 9 (Conditional Effect),
and Sections 6, 7, 8 have an immediate effective date.
1:38:43 PM
CHAIR STEDMAN withdrew his objection. There being no further
objections, version I was adopted.
SENATOR GIESSEL requested clarification of Section 2 on
telemedicine and the cooperation with Indian Health Service
(IHS) providers. She understood that IHS has been using
telemedicine for several years. She asked if the bill suggests
providing private sector access to the IHS structure and if non-
beneficiaries would be charged for the service.
MR. RUARO explained that the intent is more general than that.
The IHS facilities have been building up telemedicine capacity
over the years, whereas the state doesn't have it in some areas.
The idea in Section 2 is to urge the department to work with IHS
and take advantage of opportunities of sharing equipment and
working together.
1:40:41 PM
SENATOR GIESSEL summarized that it is more of a philosophical
statement of working together, rather than a contract.
MR. RUARO said that is correct; they anticipate that the
department and IHS will work together.
SENATOR GIESSEL thought that was realistic. She appreciated not
duplicating services and costs.
1:41:57 PM
SENATOR GIESSEL asked about new subsection (d) which includes a
definition of telemedicine. She asked about other definitions of
telemedicine in statute.
MR. RUARO did not know of any other definitions of telemedicine.
SENATOR GIESSEL said there are other definitions and she offered
to compare them so they coincide.
CHAIR STEDMAN held SB 74 in committee.
SB 53-ADVANCED PRACTICE REGISTERED NURSES
1:43:24 PM
CHAIR STEDMAN announced the consideration of SB 53.
1:43:51 PM
SENATOR CATHY GIESSEL, sponsor of SB 53, explained that the bill
updates Alaska's 34-year-old statutory title from "Advanced
Nurse Practitioner" (ANP) and "Nurse Anesthetist" (NA) to now be
called "Advanced Practice Registered Nurse" (APRN). She drew
attention to a chart that identifies the various current titles
for practicing nurses and the new titles proposed in the bill.
She said the statutes have not kept up on the titles.
Nationally, the titles are becoming more unified. The use of the
APRN title will increase clarity of practice roles, insurance
billing, Medicare, and Veterans Administration procedures, and
interaction with agencies.
She concluded that nothing in the bill changes scope of
practice, certification or licensing requirements, nor changes
fee structures to the board.
1:48:06 PM
JANE CONWAY, Staff, Senator Cathy Giessel, Alaska State
Legislature, presented the sectional analysis of SB 53. She read
from the following:
Section 1 amends AS 08.02.010 and adds APRNs to the
list of professions that are required to use their
professional titles on stationery, signs, or other
advertising.
Sections 2-4 are conforming amendments that change the
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 5 amends AS 08.68.100(a) by requiring that the
Board of Nursing regulations pertaining to APRNs
include the practices of APRNs who practice as
certified registered nurse anesthetists, certified
clinical nurse specialists, certified nurse
practitioners, or certified nurse midwives and makes
conforming amendments.
Section 6 amends AS 08.68.160 by adding advanced
practice registered nursing to the licenses issued
under AS 08.68 and changes the term "professional
nursing" to "registered nursing."
Section 7 adds a new subsection to AS 08.68.170 that
sets out the qualifications for an advanced practice
registered nursing license.
Section 8 repeals and reenacts AS 08.68.190 concerning
license examinations and adds an advanced practice
registered nursing examination to the licensing
examinations conducted under AS 08.68.
Section 9 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to advance practice registered nurse."
Section 10 amends AS 08.68 by adding a paragraph
requiring the Department of Commerce, community and
Economic Development to set fees related to advanced
practice registered nursing and deletes "vocational"
nursing.
Section 11 amends AS 08.68.230(a) by removing
"licensed professional nurse" from the titles
authorized for persons licensed under AS 08.68.
Section 12 amends AS 08.68.230 by adding new
subsections authorizing the use of the titles
"advanced practice registered nurse", "certified
registered nurse anesthetist", "certified clinical
nurse specialist", "certified nurse practitioner", or
"certified nurse midwife" and associated initials.
Section 13 amends AS 08.65.265 to add advanced
practice registered nurses to the persons authorized
to supervise a practical nurse.
Section 14 adds impersonation of an advanced practice
registered nurse as a grounds for denial, suspension,
or revocation of a nursing license.
Section 15 requires institutions that are applying for
accreditation of advanced practice registered nurse
training to provide certain information to the Board
of Nursing.
Section 16 adds impersonation of an advanced practice
registered nurse as a grounds for denial, suspension,
or revocation of a certificate to practice as a nurse
aide.
Sections 17-19 add advanced practice registered
nursing to the licenses issued by the board, and
change the term "professional nursing" to "registered
nursing" in AS 08.68.360 - 08.68.390, which declare
the unlicensed practice of nursing a public nuisance
and provide for injunctive relief.
Section 20 adds advanced practice registered nurses to
the licensees who may delegate certain nursing duties.
Section 21 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse" and makes a
related technical change.
Section 22 defines the practice of advanced practice
registered nursing.
Section 23-25 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse" and make other
related technical amendments.
Section 26 adds advanced practice registered nurses to
persons who are considered justified in conduct that
would otherwise be considered the use of force when
delivering emergency medical care.
Sections 27-28 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 29 adds advanced practice registered nurses to
those licensees immune from civil liability for an act
or omission in delivering patient care services while
escorting an injured or sick person whose life is in
danger in a conveyance that is not an ambulance.
Section 30 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 31 adds advanced practice registered nurses to
those practitioners authorized to draw blood for tests
of persons charged with sex offenses.
Sections 32-33 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurses."
Section 34 clarifies that nurse-midwives and direct
entry midwives are certified.
Sections 35-38 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse" and make other
related technical amendments.
Section 39 changes the term "registered professional
nursing" to "registered nursing."
Section 40 clarifies that nurse-midwives must be
certified to be a provider under AS 21.87.
Section 41 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Sections 42-43 clarifies that nurse-midwives are
certified and makes other technical amendments.
Sections 44-46 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 47 adds advanced practice registered nurses to
the definition of health care provider in statutory
provisions concerning prisons.
Section 48 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 49 adds advanced practice registered nurses to
licensees with particular training who may assess a
child with respect to the waiver under a statutory
provision concerning home and community based medical
assistance.
Section 50 is a conforming amendment that changes a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse" and makes a
related technical change.
Section 51 adds advanced practice registered nurses to
practitioners who are not liable for providing
information to the Department of Health and Social
Services for the purpose of providing services to
certain children and makes a related technical change.
Sections 52-54 add advanced practice registered nurses
to practitioners who may under statutory provisions
concerning mental health commitment, determine if a
person may be administered psychotropic medication
without the person's consent, and add advanced
practice registered nurses with particular training to
the definition of mental health professionals for
those statutory provisions.
Section 55 adds advanced practice registered nurses to
practitioners who may review a health care plan for an
assisted living home resident.
Sections 56-59 are conforming amendments that change a
statutory reference from "advanced nurse practitioner"
to "advance practice registered nurse."
Section 60 repeals specific statutes.
Section 61 sets July 1, 2015 as the effective date for
the bill.
1:54:08 PM
CHAIR STEDMAN opened public testimony.
DR. CARRIE DOYLE, Clinical Nurse Specialist, Alaska Clinical
Nurse Specialist Association (ACNSA), testified in support of SB
53. She said she is also a member of the Alaska Advanced
Practice Registered Nurses (APRN) Alliance, which is comprised
of all four APRN specialties, University of Alaska - Anchorage,
and the Board of Nursing. She related that nationwide, there are
four types of APRN. This bill will bring Alaska into alignment
with a national move called the APRN Consensus Model. She listed
the types of nurse practitioners contained in the bill.
She related that the Consensus Model was developed by the
National Council of State Boards of Nursing in conjunction with
an APRN work group. The Consensus Model seeks uniformity in APRN
licensure, accreditation, certification, and education.
1:56:25 PM
LAURA SARCONE, Co-Chair, Advanced Practice Registered Nurses
(APRN) Alliance, testified in support of SB 53. She repeated
much of the previous testimony. She said that eleven states are
already in full compliance with the Consensus Model and another
eleven states are three-quarters of the way to compliance.
Alaska is half-way there and SB 53 "brings us over the finish
line" by updating old titles. She thanked the sponsor and urged
the passage of the bill.
CHAIR STEDMAN closed public testimony.
SENATOR GIESSEL stated that the fiscal note contains receipt
services; three professional groups will pay for the expenses of
enacting the bill.
CHAIR STEDMAN held SB 53 in committee.
SB 90-MEDICAID: USED DURABLE MEDICAL EQUIPMENT
1:58:49 PM
CHAIR STEDMAN announced the consideration of SB 90.
1:59:31 PM
BRANDON BREFCZYNSKI, Staff, Senator Bill Stoltze, Alaska State
Legislature, presented SB 90 on behalf of the sponsor. He
summarized that SB 90 will grant the Department of Health and
Social Services (DHSS) the authority to use Medicaid funds for
the purchase of durable medical equipment. Durable medical
equipment includes things like wheel chairs, walkers, bed lifts,
and shower curtains. Currently, the state Medicaid program does
not allow for reimbursement of used durable medical equipment,
even though it is allowed under federal law. Several other
states have created durable medical equipment programs and have
seen real cost savings. SB 90 will not cost the state anything.
2:00:00 PM
CHAIR STEDMAN opened public testimony.
2:00:10 PM
PATRICK REINHART, Director, Governor's Council on Disability &
Special Education, testified in support of SB 90. He shared a
story about a visit to a durable medical equipment store. He
said he would like to see this type of store in Alaska. He noted
that the store's help were people with disabilities.
2:02:59 PM
JIM BECK, Executive Director, Access Alaska, testified in
support of SB 90. He described the equipment that Access Alaska
carries, how they operate, and how much equipment is lent out.
He said there are substantial benefits to the state from SB 90.
2:05:02 PM
JOHN CANNON, President, Key Coalition of Alaska, testified in
support of SB 90. He said that this bill is one of Key
Coalition's top priorities. Currently, the state prohibits the
purchase of used medical equipment. He noted other states'
experiences of cost savings from their durable medical equipment
reuse programs. He made a suggestion to offer re-ownership
policies. He cautioned about the impact on durable medical
equipment industry and providers. He urged passage of the bill.
2:09:21 PM
KIM CHAMPNEY, Chief of Services, REACH and Alaska Association on
Developmental Disabilities, testified in support of SB 90. She
shared a story about one of her clients, the process of working
with an equipment vendor, and the difficulties and expenses
involved. If Medicaid dollars are involved many issues will be
solved. She concluded that Access Alaska has successfully
developed and implemented a pilot program for used durable
medical equipment.
CHAIR STEDMAN closed public testimony.
CHAIR STEDMAN held SB 90 in committee.
HB 4-AUTOMATED EXTERNAL DEFIBRILLATOR
2:12:33 PM
CHAIR STEDMAN announced the consideration of HB 4.
REPRESENTATIVE TAMMIE WILSON, Alaska State Legislature, sponsor
of HB 4. She read the sponsor statement:
On behalf of the Alaska Fire Chiefs Association I am
pleased to introduce HB 4. The purpose of this bill is
to reduce impediments in state law to allow for more
public access to Automated External Defibrillators
(AEDs).
AEDs are automated medical devices that can be safely
used by an untrained bystander to restore a normal
cardia rhythm in a person experiencing sudden cardiac
arrest. The device provides both verbal and written
instructions to the user.
The use of AEDs are currently covered by Alaska's Good
Samaritan Law (AS 09.65.090), which is designed to
encourage would-be rescuers to take action without
fear of litigation However, Alaska's Good Samaritan
attaches conditions to building owners and
institutions that provide AEDs (AS 09.65.087). These
conditions include requirements to provide training,
maintenance, a means to notify 911, and registering
the device(s) with emergency medical services (EMS).
Large companies and institutions cannot confidently
assure that each of the conditions can be reliably
met; therefore, exposing them to liability and
discouraging access to AEDs. Removing these conditions
would encourage the increased availability of AEDs in
our communities.
CHAIR STEDMAN opened public testimony.
2:14:30 PM
DOUG SCHRAGE, Chief, Alaska Fire Chiefs Association, testified
in support of HB 4. He described how the automated external
defibrillator (AED) works. He said the bill is not about
discontinuing CPR and AED training and maintenance programs, nor
is it about de-emphasizing device registration or emergency
notification; it is only about making more AED's available to
the public. He pointed out that the goal of Good Sam
legislation, such as HB 4, is to offer liability protection to
all AED program constituents and to encourage more organizations
to provide AED's. It does not include program design or
operational requirements and should not condition immunity upon
compliance with such requirements.
He noted no opposition to the bill and the following support it:
the American Red Cross and American Heart Association. The bill
has no fiscal impact. He requested support for the bill.
2:17:42 PM
JIM FOSTER, Active Resuscitation Community Organizer, Loren
Marshall Foundation, testified in support of HB 4. He agreed
with Chief Schrage's comments about the best practices. He noted
the bill does not include training or maintenance of the AED. He
opined that it does not belong in the bill. He said the intent
is to help businesses and organizations to be comfortable with
using AED's and to save lives.
2:19:54 PM
SENATOR ELLIS thanked the testifier for mentioning the Loren
Marshall Foundation. He said he is happy his constituent's
legacy lives on.
2:21:02 PM
CHAIR STEDMAN closed public testimony.
REPRESENTATIVE WILSON noted that there are AED's in the capital
building.
CHAIR STEDMAN held HB 4 in committee.
2:21:45 PM
There being nothing further to come before the committee,
Chair Stedman adjourned the Senate Health and Social Services
Standing Committee at 2:21 p.m.