Legislature(2009 - 2010)BUTROVICH 205

02/22/2010 01:30 PM HEALTH & SOCIAL SERVICES


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01:31:44 PM Start
01:32:05 PM SB168
01:46:55 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= SB 168 TRAUMA CARE CENTERS/FUND TELECONFERENCED
Moved CSSB 168(HSS) Out of Committee
Bills Previously Heard/Scheduled
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                       February 22, 2010                                                                                        
                           1:31 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Bettye Davis, Chair                                                                                                     
Senator Joe Paskvan, Vice Chair                                                                                                 
Senator Johnny Ellis                                                                                                            
Senator Joe Thomas                                                                                                              
Senator Fred Dyson                                                                                                              
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 168                                                                                                             
"An  Act  relating  to  state  certification  and  designation  of                                                              
trauma centers;  creating  the uncompensated  trauma care  fund to                                                              
offset  uncompensated  trauma  care   provided  at  certified  and                                                              
designated trauma centers; and providing for an effective date."                                                                
                                                                                                                                
     - MOVED CSSB 168(HSS) OUT OF COMMITTEE                                                                                     
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 168                                                                                                                  
SHORT TITLE: TRAUMA CARE CENTERS/FUND                                                                                           
SPONSOR(s): HEALTH & SOCIAL SERVICES BY REQUEST                                                                                 
                                                                                                                                
03/27/09       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/27/09       (S)       HSS, FIN                                                                                               
04/08/09       (S)       HSS AT 1:30 PM BELTZ 211                                                                               
04/08/09       (S)       Heard & Held                                                                                           
04/08/09       (S)       MINUTE(HSS)                                                                                            
02/10/10       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
02/10/10       (S)       Heard & Held                                                                                           
02/10/10       (S)       MINUTE(HSS)                                                                                            
02/22/10       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
REPRESENTATIVE COGHILL                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, AK                                                                                                                      
POSITION STATEMENT: Sponsor of SB 168.                                                                                        
                                                                                                                                
ROD BETIT, President                                                                                                            
Alaska State Hospital and Nursing Home Association                                                                              
Juneau, AK                                                                                                                      
POSITION STATEMENT:  Testified in  favor of  the amendment  to the                                                            
committee substitute to SB 168.                                                                                                 
                                                                                                                                
WARD HURLBURT M.D., MPH, Chief Medical Officer                                                                                  
Department Of Health and Social Services (DHSS)                                                                                 
Division of Public Health                                                                                                       
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Supported SB 168.                                                                                         
                                                                                                                                
DR. REGINA CHENAULT, Chair                                                                                                      
College of Surgeon's Committee on Alaska Trauma                                                                                 
Anchorage, AK                                                                                                                   
POSITION STATEMENT: Supported SB 168.                                                                                         
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:31:44 PM                                                                                                                    
CHAIR BETTYE  DAVIS called the  Senate Health and  Social Services                                                            
Standing Committee  meeting to order  at 1:31 p.m. Present  at the                                                              
call to order were Senators, Ellis, Dyson, Paskvan and Davis.                                                                   
                                                                                                                                
                SB 168-TRAUMA CARE CENTERS/FUND                                                                             
                                                                                                                                
1:32:05 PM                                                                                                                    
CHAIR DAVIS announced consideration of SB 168.                                                                                  
                                                                                                                                
1:33:45 PM                                                                                                                    
REPRESENTATIVE  COGHILL  provided  an overview  of  the  committee                                                              
substitute (CS) for  SB 168. The CS contains  language that points                                                              
to the  alcohol tax as  a funding source to  be used, not  only to                                                              
help   fill  the   fund  itself,   but  to   help  match   federal                                                              
disproportionate  share  money  [Medicaid  disproportionate  share                                                              
hospital (DSH) payment adjustment program].                                                                                     
                                                                                                                                
The  amendment to  the CS  removes the  word "uncompensated"  from                                                              
the title  and other  parts of  the CS.  According to  the state's                                                              
Medicaid official,  this will increase the state's  flexibility in                                                              
the use  of disproportionate  share money. Representative  Coghill                                                              
said he is comfortable with the amendment.                                                                                      
                                                                                                                                
1:36:42 PM                                                                                                                    
ROD  BETIT, President,  Alaska  State  Hospital and  Nursing  Home                                                              
Association, Juneau,  Alaska, testified in favor  of the amendment                                                              
to the  committee substitute, which  broadens the language  in the                                                              
bill  to include  more  than uncompensated  care.  That  is a  key                                                              
factor  that  has kept  hospitals  from  moving to  higher  trauma                                                              
designation levels.  Broadening the use of those  funds will allow                                                              
the  Department  of Health  and  Social  Services (DHSS)  to  work                                                              
through barriers  to accomplish the  purpose of this  bill without                                                              
compromising the use of disproportionate share funds.                                                                           
                                                                                                                                
1:38:01 PM                                                                                                                    
WARD  HURLBURT M.D.,  MPH, Chief  Medical  Officer, Department  Of                                                              
Health And Social  Services, Division of Public  Health, testified                                                              
that,  in his  experience  as  a  surgeon, alcohol  is  definitely                                                              
associated with unintentional trauma in Alaska.                                                                                 
                                                                                                                                
1:39:15 PM                                                                                                                    
DR.  REGINA CHENAULT,  Chair, College  of  Surgeon's Committee  on                                                              
Alaska Trauma;  member of  the Violent  Crimes Compensation  Board                                                              
and the  Alaska State Trauma  System Review Committee,  Anchorage,                                                              
Alaska, thanked  the committee  for recognizing  the link  between                                                              
alcohol  and trauma  in the  state.  She said  the violent  crimes                                                              
board tracked the  association of drugs and alcohol  to trauma for                                                              
several  years and  found  that it  was  a factor  from  70 to  88                                                              
percent of the time.                                                                                                            
                                                                                                                                
1:40:33 PM                                                                                                                    
CHAIR DAVIS closed public testimony.                                                                                            
                                                                                                                                
SENATOR PASKVAN  moved to adopt the proposed  committee substitute                                                              
(CS) to  SB 168, labeled 26-LS0799\R,  as the working  document of                                                              
the  committee. There  being no  objection, version  R was  before                                                              
the committee.                                                                                                                  
                                                                                                                                
SENATOR  PASKVAN provided  an  overview of  Amendment  1 to  draft                                                              
version  R.   He  said   the  purpose  is   to  remove   the  word                                                              
"uncompensated"  throughout the  bill, where  it refers to  trauma                                                              
care.                                                                                                                           
                                                                                                                                
CHAIR DAVIS asked for a motion to adopt the amendment.                                                                          
                                                                                                                                
SENATOR PASKVAN  moved to adopt  Amendment R.1 to CSSB  168. There                                                              
being no objection, Amendment R.1 was adopted.                                                                                  
                                                                                                                                
SENATOR THOMAS read  from page 2, line 14(d),  which provides that                                                              
"the commissioner  may  not provide  more than  25 percent  of the                                                              
total assets,  including earnings,  of the fund  in a  fiscal year                                                              
to one trauma  center." He said  50 percent of that  fund [Alcohol                                                              
and Other  Drug Treatment and  Prevention Fund (ADTP)]  is already                                                              
dedicated for  drug and  alcohol related  prevention and  asked if                                                              
the 25  percent refers  to the  entire amount,  or the  50 percent                                                              
that remains beyond the dedicated amount.                                                                                       
                                                                                                                                
TOM  OBERMEYER  said  the  statutory  authority  is  found  in  AS                                                              
43.60.050.                                                                                                                      
                                                                                                                                
REPRESENTATIVE COGHILL  said his understanding is  that the amount                                                              
of the tax  available to the  [trauma care] fund from  the alcohol                                                              
tax  is   a  specified   amount  and  the   amount  that   can  be                                                              
appropriated  from the  fund is  also  limited, so  there are  two                                                              
different limitations.  The intent  was that  only so much  of the                                                              
alcohol tax would come into this fund.                                                                                          
                                                                                                                                
1:45:50 PM                                                                                                                    
SENATOR  PASKVAN moved  to report  CSSB  168 as  amended from  the                                                              
committee  with  individual recommendations  and  attached  fiscal                                                              
note(s).  There  being  no objection,  CSSB  168(HSS)  moved  from                                                              
committee.                                                                                                                      
                                                                                                                                
1:46:55 PM                                                                                                                    
There  being no  further business  to come  before the  committee,                                                              
Chair Davis adjourned the meeting at 1:46 p.m.                                                                                  
                                                                                                                                

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