Legislature(2011 - 2012)BUTROVICH 205

04/09/2012 01:30 PM HEALTH & SOCIAL SERVICES


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01:33:51 PM Start
01:35:34 PM HB310
01:52:04 PM Presentation: Alaska Ehealth Network
02:17:25 PM HB218
02:46:12 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ HB 310 STATE IMMUNIZATION PROGRAM TELECONFERENCED
Moved CSHB 310(FIN) Out of Committee
+ HB 218 PRESCRIPTION DRUG SPECIALTY TIERS TELECONFERENCED
Moved CSHB 218(L&C) Out of Committee
+ Confirmation of Governor's Appointment TELECONFERENCED
Board of Certified Direct-Entry Midwives
Deborah Schneider - Wasilla
+ Presentation - Hawaii-Alaska Health Information TELECONFERENCED
Management System Society: Bill Sorrells,
Chapter President
Bills Previously Heard/Scheduled
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                         April 9, 2012                                                                                          
                           1:33 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Bettye Davis, Chair                                                                                                     
Senator Dennis Egan                                                                                                             
Senator Kevin Meyer                                                                                                             
Senator Fred Dyson                                                                                                              
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Johnny Ellis                                                                                                            
                                                                                                                                
OTHER LEGISLATORS PRESENT                                                                                                     
                                                                                                                                
Senator Cathy Giessel                                                                                                           
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
CS FOR HOUSE BILL NO. 310(FIN)                                                                                                  
"An Act temporarily reinstating the child and adult immunization                                                                
program in the Department of Health and Social Services; and                                                                    
providing for an effective date."                                                                                               
                                                                                                                                
     - MOVED CSHB 310(FIN) OUT OF COMMITTEE                                                                                     
                                                                                                                                
CS FOR HOUSE BILL NO. 218(L&C)                                                                                                  
"An Act prohibiting an insurer from using a drug formulary                                                                      
system of specialty tiers under certain circumstances; and                                                                      
providing for an effective date."                                                                                               
                                                                                                                                
     - MOVED CSHB 218(L&C) OUT OF COMMITTEE                                                                                     
                                                                                                                                
CONFIRMATION: BOARD CERTIFIED DIRECT-ENTRY MIDWIVES                                                                             
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PRESENTATION: ALASKA eHEALTH NETWORK                                                                                            
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 310                                                                                                                  
SHORT TITLE: STATE IMMUNIZATION PROGRAM                                                                                         
SPONSOR(s): REPRESENTATIVE(s) HERRON                                                                                            
                                                                                                                                
02/01/12       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/01/12       (H)       HSS, FIN                                                                                               
02/14/12       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
02/14/12       (H)       Heard & Held                                                                                           
02/14/12       (H)       MINUTE(HSS)                                                                                            
02/28/12       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
02/28/12       (H)       Moved CSHB 310(HSS) Out of Committee                                                                   
02/28/12       (H)       MINUTE(HSS)                                                                                            
02/29/12       (H)       HSS RPT CS(HSS) 5DP 1NR                                                                                
02/29/12       (H)       DP: KERTTULA, DICK, SEATON, MILLER,                                                                    
                         HERRON                                                                                                 
02/29/12       (H)       NR: KELLER                                                                                             
04/03/12       (H)       FIN AT 1:30 PM HOUSE FINANCE 519                                                                       
04/03/12       (H)       Moved CSHB 310(FIN) Out of Committee                                                                   
04/03/12       (H)       MINUTE(FIN)                                                                                            
04/04/12       (H)       FIN RPT CS(FIN) 4DP 4NR 2AM                                                                            
04/04/12       (H)       DP: COSTELLO, GUTTENBERG, GARA, EDGMON                                                                 
04/04/12       (H)       NR: T.WILSON, DOOGAN, STOLTZE, THOMAS                                                                  
04/04/12       (H)       AM: FAIRCLOUGH, NEUMAN                                                                                 
04/05/12       (H)       TRANSMITTED TO (S)                                                                                     
04/05/12       (H)       VERSION: CSHB 310(FIN)                                                                                 
04/06/12       (S)       READ THE FIRST TIME - REFERRALS                                                                        
04/06/12       (S)       HSS                                                                                                    
04/09/12       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: HB 218                                                                                                                  
SHORT TITLE: PRESCRIPTION DRUG SPECIALTY TIERS                                                                                  
SPONSOR(s): HEALTH & SOCIAL SERVICES                                                                                            
                                                                                                                                
03/31/11       (H)       READ THE FIRST TIME - REFERRALS                                                                        
03/31/11       (H)       HSS, L&C                                                                                               
02/28/12       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
02/28/12       (H)       Heard & Held                                                                                           
02/28/12       (H)       MINUTE(HSS)                                                                                            
03/15/12       (H)       HSS RPT 2DP 4NR                                                                                        
03/15/12       (H)       DP: KERTTULA, MILLER                                                                                   
03/15/12       (H)       NR: MILLETT, SEATON, HERRON, KELLER                                                                    
03/15/12       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/15/12       (H)       Moved Out of Committee                                                                                 
03/15/12       (H)       MINUTE(HSS)                                                                                            
03/16/12       (H)       L&C AT 3:15 PM BARNES 124                                                                              
03/16/12       (H)       Heard & Held                                                                                           
03/16/12       (H)       MINUTE(L&C)                                                                                            
03/26/12       (H)       L&C AT 3:15 PM BARNES 124                                                                              
03/26/12       (H)       Moved CSHB 218(L&C) Out of Committee                                                                   
03/26/12       (H)       MINUTE(L&C)                                                                                            
03/28/12       (H)       L&C RPT CS(L&C) NT 3DP 4NR                                                                             
03/28/12       (H)       DP: HOLMES, MILLER, OLSON                                                                              
03/28/12       (H)       NR:    CHENAULT,   THOMPSON,    SADDLER,                                                               
                         JOHNSON                                                                                                
04/05/12       (H)       TRANSMITTED TO (S)                                                                                     
04/05/12       (H)       VERSION: CSHB 218(L&C)                                                                                 
04/06/12       (S)       READ THE FIRST TIME - REFERRALS                                                                        
04/06/12       (S)       HSS                                                                                                    
04/09/12       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
REPRESENTATIVE BOB HERRON                                                                                                       
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Sponsor of HB 310.                                                                                        
                                                                                                                                
WARD HURLBURT, M.D.                                                                                                             
Director                                                                                                                        
Division of Public Health                                                                                                       
Department of Health and Social Services                                                                                        
POSITION STATEMENT: Testified during the hearing of HB 310.                                                                   
                                                                                                                                
GEORGE RHYNEER, M.D.                                                                                                            
Alaska Physicians and Surgeons                                                                                                  
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of HB 310.                                                                           
                                                                                                                                
MARIE DARLIN, AARP                                                                                                              
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified in support of SB 310.                                                                           
                                                                                                                                
BILL SORRELLS, Executive Director                                                                                               
Alaska eHealth Network (HIMSS)                                                                                                  
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified during the presentation of the                                                                  
Alaska eHealth Network.                                                                                                         
                                                                                                                                
JANET OGAN, Staff                                                                                                               
Representative Wes Keller                                                                                                       
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Introduced HB 218 on behalf of the House                                                                  
Health and Social Services Committee, sponsor.                                                                                  
                                                                                                                                
                                                                                                                                
BRENDA ROBERTSON, representing herself,                                                                                         
Eagle River, Alaska                                                                                                             
POSITION STATEMENT: Testified in support of HB 218.                                                                           
                                                                                                                                
CECIL BYKERK, Executive Director                                                                                                
Alaska Comprehensive Health Insurance Association (ACHIA)                                                                       
Omaha, Nebraska                                                                                                                 
POSITION STATEMENT: Testified in support of HB 218.                                                                           
                                                                                                                                
REPRESENTATIVE WES KELLER,                                                                                                      
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Speaking on behalf  of the House  Health and                                                             
Social Services Committee, offered information on HB 218.                                                                       
                                                                                                                                
MARILYN KASMAR, Volunteer Board Member                                                                                          
Alaska  Comprehensive   Health  Insurance   Association  (ACHIA),                                                               
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of HB 218.                                                                           
                                                                                                                                
JIM FREEBURG, Advocacy Director                                                                                                 
National Multiple Sclerosis Society                                                                                             
Seattle, Washington                                                                                                             
POSITION STATEMENT: Testified in support of HB 218.                                                                           
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:33:51 PM                                                                                                                    
CHAIR BETTYE DAVIS  called the Senate Health  and Social Services                                                             
Standing Committee meeting  to order at 1:33 p.m.  Present at the                                                               
call  to  order were  Senators  Dyson,  Meyer, and  Chair  Davis.                                                               
Senator Egan arrived shortly thereafter.                                                                                        
                                                                                                                                
               HB 310-STATE IMMUNIZATION PROGRAM                                                                            
                                                                                                                                
1:35:34 PM                                                                                                                    
CHAIR DAVIS announced  that the first order of  business would be                                                               
HB 310. She recognized Senator Giessel in attendance.                                                                           
                                                                                                                                
SENATOR EGAN noted that CSHB  310(FIN), version I, was before the                                                               
committee.                                                                                                                      
                                                                                                                                
REPRESENTATIVE  BOB  HERRON, sponsor  of  HB  310, presented  the                                                               
bill.  He thanked  several people  for  their work  on the  bill,                                                               
including Senators Giessel and Olson.  He related that the Alaska                                                               
Immunization  Program  was  once  under the  watch  of  the  late                                                               
Senator  Ted Stevens.  In 2010  federal  monies for  immunization                                                               
dropped from $4.3  million to $700,000. He said it  was time that                                                               
Alaskans  figure  out how  to  run  a fully  funded  immunization                                                               
program. He related that SB 144  is just a temporary act and over                                                               
the  next  few years  the  legislature  will  figure out  how  to                                                               
provide  an  immunization program  for  Alaska.  The Health  Care                                                               
Commission does not  endorse any legislation, but  does support a                                                               
program for immunization for disease prevention.                                                                                
                                                                                                                                
He pointed  out that the  legislation does not affect  a family's                                                               
choice to not vaccinate their children.                                                                                         
                                                                                                                                
1:38:53 PM                                                                                                                    
SENATOR EGAN noted there was an attached fiscal note.                                                                           
                                                                                                                                
SENATOR MEYER recalled hearing SB  144 previously and wondered if                                                               
HB 310 was different.                                                                                                           
                                                                                                                                
REPRESENTATIVE HERRON explained that  both bills were once nearly                                                               
identical.  The House  Finance  version [I]  includes  a list  of                                                               
school-required vaccines  plus, on page 3,  line 5, meningococcal                                                               
rotavirus,  influenza,  and  pneumococcal vaccines,  as  well  as                                                               
zoster,  or shingles,  on line  8. Lines  9 through  15 give  the                                                               
responsibility  and  the authority  to  the  commissioner to  add                                                               
vaccines  or  subtract vaccines  based  upon  criteria. Lines  16                                                               
through  20  provide  that  if there  is  scientific  evidence  a                                                               
vaccine can be  subtracted.  Lines 19 and 20  provide that if the                                                               
revenue  stream  declines,  vaccines  can  be  dropped  from  the                                                               
recommended list. He  noted that the bill passed the  House 37 to                                                               
0.                                                                                                                              
                                                                                                                                
1:41:48 PM                                                                                                                    
WARD  HURLBURT,  M.D.,  Director,   Division  of  Public  Health,                                                               
Department of  Health and Social  Services, testified  during the                                                               
hearing of  HB 310. He noted  that there have been  more than 600                                                               
cases  of whooping  cough in  Washington  State and  about 35  in                                                               
Idaho. The  funding from the  bill will enable Alaska  to protect                                                               
the  25  percent  of  children   for  whom  there  are  no  other                                                               
resources, which will, in turn, protect the whole population.                                                                   
                                                                                                                                
1:43:03 PM                                                                                                                    
GEORGE RHYNEER,  M.D., Alaska Physicians and  Surgeons, testified                                                               
in support  of HB 310.  He emphasized  that the bill  provides so                                                               
much for so little. He  called it an extremely cost-effective way                                                               
of improving  the health of Alaskans  and it is the  humane thing                                                               
to do.                                                                                                                          
                                                                                                                                
MARIE DARLIN, AARP,  testified in support of SB 310.  She noted a                                                               
letter of support  by AARP. She discussed how important  it is to                                                               
have  free immunizations  for older  citizens. She  mentioned the                                                               
large number of grandparents who  are raising their grandchildren                                                               
and the importance of vaccinating their grandchildren.                                                                          
                                                                                                                                
1:46:59 PM                                                                                                                    
CHAIR  DAVIS noted  that the  committee  heard Senator  Giessel's                                                               
companion bill to HB 310.                                                                                                       
                                                                                                                                
She closed public testimony.                                                                                                    
                                                                                                                                
SENATOR  EGAN moved  to  report CSHB  310(FIN),  version I,  from                                                               
committee  with  individual   recommendations  and  the  attached                                                               
fiscal  note.  There  being  no   objection,  CSHB  310(FIN)  was                                                               
reported  from the  Senate Health  and  Social Services  Standing                                                               
Committee.                                                                                                                      
                                                                                                                                
At-ease from 1:49 p.m. to 1:50 p.m.                                                                                             
                                                                                                                                
1:50:04 PM                                                                                                                    
                                                                                                                                
^Confirmation: Board Certified Direct-Entry Midwives                                                                            
      Confirmation: Board Certified Direct-Entry Midwives                                                                   
                                                                                                                                
CHAIR DAVIS announced that the next  order of business would be a                                                               
confirmation  of   the  governor's   appointment  to   the  Board                                                               
Certified   Direct-Entry  Midwives.   The   nominee  is   Deborah                                                               
Schneider of Wasilla.                                                                                                           
                                                                                                                                
CHAIR DAVIS asked  if any members have any questions.  She read a                                                               
statement that said  Ms. Schneider's name would  be forwarded for                                                               
confirmation.                                                                                                                   
                                                                                                                                
^Presentation: Alaska eHealth Network                                                                                           
              Presentation: Alaska eHealth Network                                                                          
                                                                                                                                
1:52:04 PM                                                                                                                    
CHAIR DAVIS announced that the next  order of business would be a                                                               
presentation by the Alaska eHealth Network.                                                                                     
                                                                                                                                
BILL  SORRELLS,   Executive  Director,  Alaska   eHealth  Network                                                               
(HIMSS), testified during the presentation  of the Alaska eHealth                                                               
Network. He addressed  the goals of HIMSS and  shared its vision.                                                               
He noted that  HIMSS is the expert on  organization and education                                                               
for improving health care all over the world.                                                                                   
                                                                                                                                
1:54:33 PM                                                                                                                    
MR. SORRELLS  spoke of  the membership  of HIMSS,  which includes                                                               
43,000  individual  members,  500   corporate  members,  90  plus                                                               
committees, 54  chapters and 150 plus  not-for-profits. He stated                                                               
that offices are located in the United States and overseas.                                                                     
                                                                                                                                
He  shared Health  Information Technology  (HIT) policy  guidance                                                               
for state-level  decision-makers. He discussed the  reference for                                                               
development  of  state  health   policy,  executive  orders,  and                                                               
legislation. He shared the goal  to help streamline care delivery                                                               
by  leveraging  HIT.  HIMSS  can  help  state  officials  through                                                               
legislative analyses, forecasting and HIT specific information.                                                                 
                                                                                                                                
1:58:56 PM                                                                                                                    
MR. SORRELLS related how HIMSS  provides state officials guidance                                                               
on protecting  and supporting funding and  incentives, supporting                                                               
consumer  engagement,  privacy  and security,  role  of  publicly                                                               
funded programs, and government relations and regional affairs.                                                                 
                                                                                                                                
He   provided  information   about  the   HIMSS  federal   health                                                               
community,  which  is  a complimentary  networking  platform  and                                                               
community  of  professionals  for  HIMSS  members  who  are  also                                                               
federal  government employees.  The  FHC works  to foster  cross-                                                               
agency information sharing and in order for members to network.                                                                 
                                                                                                                                
2:03:16 PM                                                                                                                    
MR. SORRELLS related that HIMSS  entertains global conferences in                                                               
various places: Las Vegas, Copenhagen,  Singapore, Abu Dhabi, and                                                               
Washington, D.C.                                                                                                                
                                                                                                                                
He discussed  current regulatory tracking. He  shared information                                                               
about various  agencies and their  publications and key  dates of                                                               
release of  information. He  described several  publications such                                                               
as the Electronic Fund Transfer Standard.                                                                                       
                                                                                                                                
He continued to discuss HIMSS's  involvement with various federal                                                               
agencies  and with  several programs.  He discussed  HIPPA, civil                                                               
rights, security, and privacy.                                                                                                  
                                                                                                                                
2:08:13 PM                                                                                                                    
MR.  SORRELLS  concluded by  listing  where  more information  on                                                               
HIMSS and the state health IT policy guidance can be found.                                                                     
                                                                                                                                
CHAIR  DAVIS  thanked the  presenter.  She  voiced concern  about                                                               
those  who  travel  not  knowing   information  about  their  own                                                               
medications.                                                                                                                    
                                                                                                                                
MR. SORRELLS  spoke of the  ability of electronic  health records                                                               
to provide  that information. He  spoke of a  personal experience                                                               
in the  military with  having an  electronic health  care record.                                                               
One  of HIMSS's  goals  is to  make  information, resources,  and                                                               
education available to all.                                                                                                     
                                                                                                                                
2:11:24 PM                                                                                                                    
SENATOR DYSON asked if HIMSS does consulting work for pay.                                                                      
                                                                                                                                
MR. SORRELLS  said they do  not. It is a  non-profit organization                                                               
but can provide analytical expertise at a cost.                                                                                 
                                                                                                                                
SENATOR DYSON asked if HIMSS works for pay in Alaska.                                                                           
                                                                                                                                
MR.  SORRELLS said  no. It  provides educational  programs at  no                                                               
cost.                                                                                                                           
                                                                                                                                
SENATOR DYSON asked if any has to do with drug registries.                                                                      
                                                                                                                                
MR.  SORRELLS explained  that HIMSS  helps  provide expertise  on                                                               
best practices for that complex issue.                                                                                          
                                                                                                                                
SENATOR  DYSON  noted  the  importance  of  security  for  health                                                               
records. He requested more information.                                                                                         
                                                                                                                                
MR. SORRELLS related how personal  health care information stored                                                               
electronically  could be  a  concern. He  said  the industry  has                                                               
matured  well regarding  safe-guarding  personal information.  He                                                               
talked about privacy rules developed  in 2003. He noted there has                                                               
been  only one  breach since  then, which  is a  good record.  He                                                               
spoke as a consumer who would  want ER's to have access to health                                                               
records.  The goal  is to  give the  provider information  at the                                                               
point  of  care  that  is timely,  relevant,  and  maintains  the                                                               
consumer's trust.                                                                                                               
                                                                                                                                
2:16:58 PM                                                                                                                    
CHAIR DAVIS thanked Mr. Sorrells for his presentation.                                                                          
                                                                                                                                
            HB 218-PRESCRIPTION DRUG SPECIALTY TIERS                                                                        
                                                                                                                                
2:17:25 PM                                                                                                                    
CHAIR DAVIS announced the consideration of HB 218.                                                                              
                                                                                                                                
SENATOR EGAN noted that CSHB 218(L&C), version D, was before the                                                                
committee.                                                                                                                      
                                                                                                                                
JANET OGAN, staff to Representative Wes Keller, introduced HB
218 on behalf of the House Health and Social Services Committee,                                                                
sponsor. She described the history of specialty tier drugs and                                                                  
the differences in cost depending on the tier of the drug. Tier                                                                 
4 drugs are especially expensive and are used to treat those                                                                    
with chronic illnesses.                                                                                                         
                                                                                                                                
She related that the bill extends the notification time the                                                                     
insurance companies have to give to their clients regarding                                                                     
changes in their reimbursement policies. Insurance companies                                                                    
must allow 90 days rather than 30 days for notification of                                                                      
changes which would allow clients to look for alternative                                                                       
therapies or finances to pay for the expensive drugs. She noted                                                                 
the effective date was extended to January 2013.                                                                                
                                                                                                                                
She referred to a letter of support from the ACHIA Board.                                                                       
                                                                                                                                
CHAIR DAVIS noted the presence of Representative Wes Keller.                                                                    
                                                                                                                                
2:22:36 PM                                                                                                                    
BRENDA ROBERTSON, Eagle River, Alaska, testified in support of                                                                  
HB 218. She shared a personal story of her husband's co-pay                                                                     
being increased greatly and providing a hardship. She noted that                                                                
tiers were originally set up by insurance companies to give                                                                     
patients a choice. She requested that patients be given a 90-day                                                                
notice.                                                                                                                         
                                                                                                                                
CECIL BYKERK, Executive Director, Alaska Comprehensive Health                                                                   
Insurance Association (ACHIA), testified in support of HB 218.                                                                  
He suggested having a re-insurance program for children. He                                                                     
pointed out that there are no child-only health insurance                                                                       
policies currently available for purchase in Alaska. He pointed                                                                 
out ACHIA's plan for coverage and limitations. He concluded that                                                                
ACHIA has a goal of developing a children's coverage program.                                                                   
Currently, statute does not allow this proposal. He spoke in                                                                    
favor of adding an amendment that would allow that to happen.                                                                   
                                                                                                                                
2:31:54 PM                                                                                                                    
CHAIR DAVIS said she has not received any amendments and she                                                                    
questioned how Mr. Bykerk's proposal would fit into the bill.                                                                   
                                                                                                                                
REPRESENTATIVE WES KELLER, speaking on behalf of the House                                                                      
Health and Social Services Committee, offered information on HB
218. He suggested that the bill would be a carrier to solve the                                                                 
problem of the lack of a child-only insurance policy.                                                                           
                                                                                                                                
MS. OGAN reported that she spoke to legal services about this                                                                   
issue and discovered the need for a title change.                                                                               
                                                                                                                                
CHAIR DAVIS stated that she has not received the information and                                                                
is not prepared to move forward on the bill.                                                                                    
                                                                                                                                
REPRESENTATIVE KELLER apologized. He said he wished to complete                                                                 
public testimony.                                                                                                               
                                                                                                                                
2:34:49 PM                                                                                                                    
SENATOR DYSON asked if Representative Keller would accept an                                                                    
amendment.                                                                                                                      
                                                                                                                                
REPRESENTATIVE KELLER said he would.                                                                                            
                                                                                                                                
CHAIR DAVIS called an at-ease.                                                                                                  
                                                                                                                                
At-ease from 2:35 p.m. to 2:38 p.m.                                                                                             
                                                                                                                                
2:38:15 PM                                                                                                                    
MARILYN KASMAR, Volunteer Board Member, Alaska Comprehensive                                                                    
Health Insurance Association (ACHIA), testified in support of HB
218. She said she supports the statements of the previous                                                                       
testifier. She agreed with providing insurance for children                                                                     
under 19 and allowing ACHIA to administer the program.                                                                          
                                                                                                                                
2:41:15 PM                                                                                                                    
JIM FREEBURG, Advocacy Director, National Multiple Sclerosis                                                                    
Society, testified in support of HB 218. He spoke in favor of                                                                   
providing additional transparency around the use of specialty                                                                   
drug tiers is a tool those with MS should have. He hoped that                                                                   
eventually insurers would provide additional coverage for                                                                       
pharmaceutical benefits. He noted that some states have outlawed                                                                
the use of specialty tiers.                                                                                                     
                                                                                                                                
2:43:49 PM                                                                                                                    
CHAIR DAVIS closed public testimony.                                                                                            
                                                                                                                                
She stated that she would like to accommodate the addition of                                                                   
children' insurance, but she preferred not to have an amendment.                                                                
She said she did not think she could get a 2/3 vote for the                                                                     
title change.                                                                                                                   
                                                                                                                                
REPRESENTATIVE KELLER asked her to proceed with the bill as it                                                                  
is.                                                                                                                             
                                                                                                                                
CHAIR DAVIS requested a motion to move the bill.                                                                                
                                                                                                                                
2:45:42 PM                                                                                                                    
SENATOR EGAN moved to report CSHB 218, version D, from committee                                                                
with individual recommendations and the accompanying fiscal                                                                     
note.                                                                                                                           
                                                                                                                                
CHAIR DAVIS announced that without objection, CSHB 218(L&C) was                                                                 
reported from the Senate Health and Social Services Standing                                                                    
Committee.                                                                                                                      
                                                                                                                                
2:46:12 PM                                                                                                                    
There being no further business to come before the committee,                                                                   
Chair Davis adjourned the Senate Health and Social Services                                                                     
Standing Committee at 2:46 p.m.                                                                                                 
                                                                                                                                

Document Name Date/Time Subjects
CSHB 310 Bill.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
CS HB 310 sponsor statement.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
CS HB310 sectional summary.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
HB310 Epidemiology Summary.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
HB310 DHSSdph Epidemiology Bulletin 2010 10 19.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
14 - HB 310 support letter APCA.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
13 - HB 310 support letter PremeraBCBS.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
12 - HB 310 support letter March of Dimes.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
11 - HB 310 support letter Providence Alaska Medical Center.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
10 - HB 310 support letter AARP.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
HB310 - Alaska Health Care Commission 2011 Report exerpt.pdf SHSS 4/9/2012 1:30:00 PM
HB 310
HB218 ver B.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Sponsor Statement.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Sectional summary.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Fiscal Note-DCCED-INS-02-24-12.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
Specialty-Tiering-Leave-Behind-(7 7 09)1.pdf SHSS 4/9/2012 1:30:00 PM
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HB218 Supporting Documents- Leg Research on Tier Drugs 3-9-2012.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Supporting Documents-Article Advocates for Responsible Care Specailty Tier Explanation.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Supporting Documents-Letter Barbara Jones 2-28-12.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Supporting Documents-State of California Assembly AB 310 Fact Sheet Assemblywoman Fiona Ma Specialy Tier Drug.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Opposing Documents-Letter Premera 3-16-12.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Opposing Documents-Letter Premera 3-14-12.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Opposing Documents-Letter Premera 3-13-12.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HB218 Opposing Documents-Letter Medco 3-15-12.pdf SHSS 4/9/2012 1:30:00 PM
HB 218
HIMSS_SOA.pptx SHSS 4/9/2012 1:30:00 PM
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