Legislature(2023 - 2024)BUTROVICH 205

02/01/2024 03:30 PM Senate HEALTH & SOCIAL SERVICES

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Audio Topic
03:30:39 PM Start
03:31:17 PM Eo 125: Elimination of the Alaska Council on Emergency Medical Services.
03:48:24 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ EO 125 ELIMINATING THE ALASKA TELECONFERENCED
COUNCIL ON EMERGENCY MEDICAL SERVICES
Heard & Held
-- Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                        February 1, 2024                                                                                        
                           3:30 p.m.                                                                                            
                                                                                                                                
                             DRAFT                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator David Wilson, Chair                                                                                                     
Senator James Kaufman, Vice Chair                                                                                               
Senator Cathy Giessel                                                                                                           
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Löki Tobin                                                                                                              
Senator Forrest Dunbar                                                                                                          
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
EO 125 ELIMINATION OF THE ALASKA COUNCIL ON EMERGENCY MEDICAL                                                                   
SERVICES.                                                                                                                       
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
HEIDI HEDBERG, Commissioner                                                                                                     
Department of Health (DOH)                                                                                                      
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Co-presented EO 125.                                                                                      
                                                                                                                                
EUGENE WISEMAN, Emergency Programs Manager                                                                                      
Division of Public Health                                                                                                       
Department of Health                                                                                                            
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Co-presented EO 125.                                                                                      
                                                                                                                                
ROBERTA LEICHTY, representing self                                                                                              
Sitka, Alaska                                                                                                                   
POSITION STATEMENT: Testified in support of EO 125.                                                                           
                                                                                                                                
BRIAN WEBB, representing self                                                                                                   
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of EO 125.                                                                           
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:30:39 PM                                                                                                                    
CHAIR DAVID WILSON  called the Senate Health  and Social Services                                                               
Standing Committee meeting  to order at 3:30 p.m.  Present at the                                                               
call to order were Senators Kaufman, Giessel, and Chair Wilson.                                                                 
                                                                                                                                
^EO 125: Elimination  of the Alaska Council  on Emergency Medical                                                               
Services.                                                                                                                       
            EO 125 ELIMINATION OF THE ALASKA COUNCIL                                                                        
                 ON EMERGENCY MEDICAL SERVICES.                                                                             
                                                                                                                              
3:31:17 PM                                                                                                                    
CHAIR WILSON  announced the consideration of  EO 125: Elimination                                                               
of the Alaska Council on Emergency Medical Services.                                                                            
                                                                                                                                
3:31:53 PM                                                                                                                    
HEIDI HEDBERG, Commissioner, Department  of Health (DOH), Juneau,                                                               
Alaska,  moved to  slide  2  and said  Executive  Order (EO)  125                                                               
removes the Alaska Council on  Emergency Medical Services (ACEMS)                                                               
from  Alaska Statute  and transfers  the responsibilities  to the                                                               
Department of Health. Transferring  the responsibilities does not                                                               
change the original intent. She stated  that if EO 125 passes she                                                               
intends to  create an emergency  medical services  (EMS) advisory                                                               
committee  within  the  Department   of  Health  (DOH).  DOH  did                                                               
outreach to all ACEMS members  and explained that having ACEMS in                                                               
statute  codifies specific  seats.  Having ACEMS  out of  statute                                                               
would  allow the  DOH to  create an  EMS advisory  committee that                                                               
represents all disciplines of pre-hospital care.                                                                                
                                                                                                                                
3:33:33 PM                                                                                                                    
EUGENE WISEMAN,  Emergency Programs  Manager, Division  of Public                                                               
Health, Department of Health, Juneau,  Alaska, moved to slide 3 -                                                               
4 and  spoke to the history  of EMS in  Alaska and why EO  125 is                                                               
needed:                                                                                                                         
                                                                                                                                
          Alaska Council on Emergency Medical Services                                                                        
                                                                                                                                
     • ACEMS was formed in 1977 when EMS was still emerging                                                                     
     as a new industry                                                                                                          
                                                                                                                                
     • The composition of ACEMS members is a reflection of                                                                      
     their early formative years.                                                                                               
                                                                                                                                
                     Why is EO 125 needed?                                                                                    
                                                                                                                              
     • Flexibility                                                                                                              
          • EMS has changed in the last 47 years                                                                                
     • Representation                                                                                                           
           • ACEMS is codified in statute  moving to regs                                                                       
             will allow other stakeholders a voice                                                                              
   • Partnership                                                                                                                
         • Allow DOH to bring in subject matter experts                                                                         
             partners                                                                                                           
     • Responsive                                                                                                               
           • Advance the development of Alaska's EMS system                                                                     
             in a more agile approach Partnership                                                                               
                                                                                                                                
3:37:28 PM                                                                                                                    
SENATOR GIESSEL stated  that from 1974 - 1980 she  was a critical                                                               
care nurse in  Anchorage. At that time, the  medical director was                                                               
beginning  to   offer  education  courses  for   firefighters  on                                                               
ambulances.  Today,   paramedic  save  rates  in   Anchorage  are                                                               
astonishing.  She agreed  that  ACEMS  has changed  a  lot in  47                                                               
years.                                                                                                                          
                                                                                                                                
3:38:10 PM                                                                                                                    
CHAIR WILSON  asked if the  intent is  to maintain the  board why                                                               
not make changes through the legislative process.                                                                               
                                                                                                                                
3:38:34 PM                                                                                                                    
MS.  HEDBERG  replied  there  are  many  legislative  priorities.                                                               
Removing  the   board  from  statute   and  into   DOH  increases                                                               
efficiency.                                                                                                                     
                                                                                                                                
3:39:22 PM                                                                                                                    
CHAIR WILSON  asked if the  administration would object  to using                                                               
the legislative process to create ACMES within DOH.                                                                             
                                                                                                                                
3:39:37 PM                                                                                                                    
MS. HEDBERG replied no.                                                                                                         
                                                                                                                                
3:39:46 PM                                                                                                                    
CHAIR WILSON opened public testimony on EO 125.                                                                                 
                                                                                                                                
3:40:16 PM                                                                                                                    
ROBERTA LEICHTY,  representing self, Sitka, Alaska,  testified in                                                               
support of  EO 125. She  said she  is the director  for Southeast                                                               
Region Emergency Medical  Services in Sitka. There  are seven EMS                                                               
regions in Alaska. Each region  has different challenges, assets,                                                               
and solutions to problems. She  stated she has been involved with                                                               
EMS for 40  years. She suggested that passing EO  125 would bring                                                               
about  evolution ACEMS  not elimination.  She stated  that moving                                                               
ACEMS  under   DOH  would  increase  flexibility   in  appointing                                                               
knowledgeable  representatives. EO  125  would  bring about  more                                                               
seats for data collection  and billing. Furthermore, participants                                                               
who  joined ACEMS  after  its  creation could  have  a seat.  She                                                               
expressed  hope that  under DOH,  ACEMS would  include seats  for                                                               
subcommittee participation.                                                                                                     
                                                                                                                                
3:42:38 PM                                                                                                                    
BRIAN WEBB,  representing self,  Anchorage, Alaska,  testified in                                                               
support of  EO 125. He said  he has been involved  with EMS since                                                               
1978.  He  opined  that  ACEMS   replicates  the  work  of  other                                                               
organizations and  has outrun its  relevance. Efficiency  is good                                                               
for Alaska which is why ACEMS should sunset though EO 125.                                                                      
                                                                                                                                
3:45:00 PM                                                                                                                    
CHAIR WILSON closed public testimony on EO 125.                                                                                 
                                                                                                                                
CHAIR WILSON  asked for  a quick update  on moving  EMS personnel                                                               
under DOH.                                                                                                                      
                                                                                                                                
3:45:23 PM                                                                                                                    
MR. WISEMAN replied  that it has been two  years since paramedics                                                               
moved from  the medical  board to the  State Office  of Emergency                                                               
Medical Services. The transition  was essentially seamless. There                                                               
is  no   longer  a  backlog  for   paramedic  licensure.  License                                                               
processing takes about two weeks.                                                                                               
                                                                                                                                
3:46:10 PM                                                                                                                    
MS. HEDBERG reiterated that EO  125 would create efficiency while                                                               
maintaining the intent for creating ACEMS.                                                                                      
                                                                                                                                
3:46:35 PM                                                                                                                    
SENATOR  GIESSEL asked  if there  were any  constitutional issues                                                               
with EO 125.                                                                                                                    
                                                                                                                                
CHAIR WILSON replied no.                                                                                                        
                                                                                                                                
SENATOR GIESSEL  stated there is  a transmittal document  that is                                                               
filled out after a hearing of an  EO that should be signed by the                                                               
committee.                                                                                                                      
                                                                                                                                
3:47:14 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
3:47:38 PM                                                                                                                    
CHAIR  WILSON  reconvened   the  meeting  and  held   EO  125  in                                                               
committee.                                                                                                                      
                                                                                                                                
3:48:24 PM                                                                                                                    
There being no further business to come before the committee,                                                                   
Chair Wilson adjourned the Senate Health and Social Services                                                                    
Standing Committee meeting at 3:48 p.m.                                                                                         

Document Name Date/Time Subjects
Executive Order No. 125.pdf SHSS 2/1/2024 3:30:00 PM
Legal-Memo-EO125-Emergency-Medical-Services.pdf SHSS 2/1/2024 3:30:00 PM
Executive Order No. 125 - Leg Legal Memo
EO 125 LOS Vinton 1.19.24.pdf SHSS 2/1/2024 3:30:00 PM
Executive Order No. 125 - Letter of Support - Vinton
EO 125 - Southeast Region Emergency Medical Services Council -LOS.pdf SHSS 2/1/2024 3:30:00 PM
EO 125 Southeast Region Emergency Medical Services Council LOS
EO125 Pantiskas LOS.pdf SHSS 2/1/2024 3:30:00 PM
EO 125 Pantiskas LOS
EO 125 Presentation 2.1.24.pdf SHSS 2/1/2024 3:30:00 PM
EO 125 DoH Presentation SHSS 2.1.24
EO 125 DOH Statement of Cost.pdf SHSS 2/1/2024 3:30:00 PM
EO 125 DOH Statement of Cost SHSS 2.1.24