Legislature(2013 - 2014)BUTROVICH 205

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


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Audio Topic
01:36:54 PM Start
01:37:22 PM Confirmation Hearing
01:43:52 PM HB301
01:49:37 PM HCR18
01:58:44 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ HB 301 AUTOPSIES AND DEATH CERTIFICATES TELECONFERENCED
Moved CSHB 301(HSS) Out of Committee
+ HCR 18 BABY-FRIENDLY HOSPITAL INITIATIVE TELECONFERENCED
Moved HCR 18 Out of Committee
Confirmation Hearing of Governor's Appointments:
State Medical Board
Bills Previously Heard/Scheduled
                    ALASKA STATE LEGISLATURE                                                                                  
      SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                    
                         April 4, 2014                                                                                          
                           1:36 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Bert Stedman, Chair                                                                                                     
Senator Peter Micciche, Vice Chair                                                                                              
Senator Pete Kelly                                                                                                              
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Kevin Meyer                                                                                                             
Senator Johnny Ellis                                                                                                            
                                                                                                                              
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
CONFIRMATION HEARING                                                                                                            
                                                                                                                                
     State Medical Board                                                                                                      
          Dr. Sai-Ling Liu - Nome                                                                                             
                                                                                                                                
     CONFIRMATION ADVANCED                                                                                                      
                                                                                                                                
CS FOR HOUSE BILL NO. 301(HSS)                                                                                                  
"An Act relating to duties and procedures of the state medical                                                                  
examiner and the Department of Health and Social Services."                                                                     
                                                                                                                                
     - MOVED CSSH 301(HSS) OUT OF COMMITTEE                                                                                     
                                                                                                                                
HOUSE CONCURRENT RESOLUTION NO. 18                                                                                              
Encouraging  hospitals and  birthing facilities  in the  state to                                                               
participate  in the  Baby- Friendly  Hospital  Initiative and  to                                                               
support   breastfeeding;   and   recognizing  the   benefits   of                                                               
breastfeeding.                                                                                                                  
                                                                                                                                
     - MOVED HCR 18 OUT OF COMMITTEE                                                                                            
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 301                                                                                                                  
SHORT TITLE: AUTOPSIES AND DEATH CERTIFICATES                                                                                   
SPONSOR(s): REPRESENTATIVE(s) HERRON                                                                                            
                                                                                                                                
02/07/14       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/07/14       (H)       HSS                                                                                                    
02/20/14       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
02/20/14       (H)       Heard & Held                                                                                           
02/20/14       (H)       MINUTE(HSS)                                                                                            
03/04/14       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/04/14       (H)       Heard & Held                                                                                           
03/04/14       (H)       MINUTE(HSS)                                                                                            
03/11/14       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/11/14       (H)       Moved CSHB 301(HSS) Out of Committee                                                                   
03/11/14       (H)       MINUTE(HSS)                                                                                            
03/12/14       (H)       HSS RPT CS(HSS) NT 7DP                                                                                 
03/12/14       (H)       DP: SEATON, REINBOLD, PRUITT, KELLER,                                                                  
                         NAGEAK, TARR, HIGGINS                                                                                  
03/19/14       (H)       TRANSMITTED TO (S)                                                                                     
03/19/14       (H)       VERSION: CSHB 301(HSS)                                                                                 
03/21/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/21/14       (S)       HSS                                                                                                    
04/04/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
BILL: HCR 18                                                                                                                  
SHORT TITLE: BABY-FRIENDLY HOSPITAL INITIATIVE                                                                                  
SPONSOR(s): REPRESENTATIVE(s) HUGHES                                                                                            
                                                                                                                                
02/19/14       (H)       READ THE FIRST TIME - REFERRALS                                                                        
02/19/14       (H)       HSS                                                                                                    
03/13/14       (H)       HSS AT 3:00 PM CAPITOL 106                                                                             
03/13/14       (H)       Scheduled But Not Heard                                                                                
03/14/14       (H)       HSS AT 8:00 AM CAPITOL 106                                                                             
03/14/14       (H)       Moved Out of Committee                                                                                 
03/14/14       (H)       MINUTE(HSS)                                                                                            
03/17/14       (H)       HSS RPT 5DP 1NR                                                                                        
03/17/14       (H)       DP: REINBOLD, KELLER, NAGEAK, TARR,                                                                    
                         HIGGINS                                                                                                
03/17/14       (H)       NR: PRUITT                                                                                             
03/24/14       (H)       TRANSMITTED TO (S)                                                                                     
03/24/14       (H)       VERSION: HCR 18                                                                                        
03/26/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
03/26/14       (S)       HSS                                                                                                    
04/04/14       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
DR. SAI-LING LIU, Appointee                                                                                                     
State Medical Board                                                                                                             
Nome, Alaska                                                                                                                    
POSITION STATEMENT: Testified as Appointee to the State Medical                                                               
Board.                                                                                                                          
                                                                                                                                
                                                                                                                                
REPRESENTATIVE BOB HERRON                                                                                                       
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Sponsor of HB 301.                                                                                        
                                                                                                                                
KERRE SHELTON, Director                                                                                                         
Division of Public Health                                                                                                       
Department of Health and Social Services (DHSS)                                                                                 
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Provided information related to HB 301.                                                                   
                                                                                                                                
REPRESENTATIVE SHELLEY HUGHES                                                                                                   
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Sponsor of HCR 18.                                                                                        
                                                                                                                                
JENNIFER AIST, Manager                                                                                                          
Outpatient Clinics and Services                                                                                                 
Children's Hospital at Providence Hospital                                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of HCR 18.                                                                           
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:36:54 PM                                                                                                                    
CHAIR BERT STEDMAN called the Senate Health and Social Services                                                               
Standing Committee meeting to order at 1:36 p.m. Present at the                                                                 
call to order were Senators Micciche, Kelly, and Chair Stedman.                                                                 
                                                                                                                                
^CONFIRMATION HEARING                                                                                                           
                      CONFIRMATION HEARING                                                                                  
                                                                                                                                
1:37:22 PM                                                                                                                    
CHAIR STEDMAN announced the first order of business would be a                                                                  
confirmation hearing for the State Medical Board.                                                                               
                                                                                                                                
                      State Medical Board                                                                                   
                                                                                                                              
1:37:44 PM                                                                                                                    
CHAIR STEDMAN related that Dr. Sai-Ling Liu was appointed to the                                                                
State Medical Board for a four-year term on March 1, 2014.                                                                      
                                                                                                                                
1:38:08 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
1:38:44 PM                                                                                                                    
DR. SAI-LING  LIU, Appointee, Alaska  State Medical  Board, Nome,                                                               
Alaska, testified as Appointee to the State Medical Board.                                                                      
                                                                                                                                
CHAIR STEDMAN  requested a synopsis  of the history of  Dr. Liu's                                                               
medical work.                                                                                                                   
                                                                                                                                
DR. LIU  related that she is  a physician at Norton  Sound Health                                                               
Corporation.  She   said  she   graduated  from   Oklahoma  State                                                               
University  College of  Osteopathic  Medicine,  interned at  J.F.                                                               
Kennedy  Memorial  Hospital, and  served  a  residency at  Family                                                               
Practice  Residency of  San Joaquin  General Hospital.  She noted                                                               
she  is  a board  certified  American  Board of  Family  Practice                                                               
physician.  She said  she has  been working  at the  Norton Sound                                                               
Health Corporation since 1990.                                                                                                  
                                                                                                                                
CHAIR STEDMAN  asked why  she should serve  on the  State Medical                                                               
Board.                                                                                                                          
                                                                                                                                
DR. LIU said  she was nominated by the people  of Unalakleet. She                                                               
considers it an  honor to serve on the board.  She said she would                                                               
rise to the challenge of serving on the Board.                                                                                  
                                                                                                                                
SENATOR MICCICHE asked why Dr. Liu took ten years off.                                                                          
                                                                                                                                
DR. LIU  explained that she  did research at  Stanford University                                                               
and then attended medical school.                                                                                               
                                                                                                                                
SENATOR MICCICHE moved  to advance the name Dr.  Sai-Ling Liu for                                                               
appointment to the  State Medical Board for  consideration by the                                                               
full membership of the legislature in joint session.                                                                            
                                                                                                                                
CHAIR STEDMAN found  no objection and reminded  members that this                                                               
does  not reflect  any  intent  by the  members  to  vote for  or                                                               
against  the confirmation  of the  individual during  any further                                                               
sessions.                                                                                                                       
                                                                                                                                
            HB 301-AUTOPSIES AND DEATH CERTIFICATES                                                                         
                                                                                                                                
1:43:52 PM                                                                                                                    
CHAIR STEDMAN  announced the consideration  of HB 301,  noting it                                                               
was the  first hearing  of the  bill. He  spoke of  the companion                                                               
bill, SB 161, by Senator Olson,  which moved out of committee. He                                                               
said  the  intent  today  is   to  hear  the  bill,  take  public                                                               
testimony, and move the bill from committee.                                                                                    
                                                                                                                                
REPRESENTATIVE  BOB  HERRON,  Alaska State  Legislature,  Juneau,                                                               
Alaska, sponsor of  HB 301, explained that the  bill makes small,                                                               
but  important,   changes  to  statutes.  It   was  requested  by                                                               
constituents  regarding the  release of  the remains  form, which                                                               
looked like the state was encouraging  the use of a funeral home,                                                               
rather than letting  the family decide. He noted  that his office                                                               
worked with the  Department of Health and  Social Services (DHSS)                                                               
to come up with an improved form.                                                                                               
                                                                                                                                
REPRESENTATIVE  HERRON   referred  to  a  change   that  was  not                                                               
addressed in the  Senate version of the bill. On  page 2, line 3,                                                               
the language  used to  say "embalming required  by law".  He said                                                               
some airlines  took advantage  of that  wording. The  wording now                                                               
says, "if  embalming is required  by law," otherwise the  bill is                                                               
identical to the Senate version.                                                                                                
                                                                                                                                
CHAIR STEDMAN noted a fiscal note from DHSS.                                                                                    
                                                                                                                                
1:46:27 PM                                                                                                                    
KERRE SHELTON,  Director, Division  of Public  Health, Department                                                               
of  Health   and  Social  Services  (DHSS),   Anchorage,  Alaska,                                                               
provided  information  related  to  HB 301.  She  said  the  only                                                               
difference is  that it clarified  that embalming is  not required                                                               
by law.  The other parts of  the bill relate to  medical examiner                                                               
operations.  The  bill  ensures   that  all  deceased  under  the                                                               
jurisdiction  of  the  state  receive   the  same  treatment  and                                                               
respect. She  concluded that the  bill is legally  defensible and                                                               
scientifically valid.                                                                                                           
                                                                                                                                
1:48:23 PM                                                                                                                    
SENATOR KELLY said he also heard the bill in Senate Finance.                                                                    
                                                                                                                                
CHAIR STEDMAN closed public testimony.                                                                                          
                                                                                                                                
1:48:56 PM                                                                                                                    
SENATOR  MICCICHE  moved  to  report  CS  for  HB  301(HSS)  from                                                               
committee  with  individual  recommendations  and  attached  zero                                                               
fiscal note.                                                                                                                    
                                                                                                                                
CHAIR STEDMAN announced that without  objection, CSHB 301(HSS) is                                                               
reported  from the  Senate Health  and  Social Services  Standing                                                               
Committee.                                                                                                                      
                                                                                                                                
            HCR 18-BABY-FRIENDLY HOSPITAL INITIATIVE                                                                        
                                                                                                                                
1:49:37 PM                                                                                                                    
CHAIR STEDMAN announced the consideration of HCR 18.                                                                            
                                                                                                                                
1:50:00 PM                                                                                                                    
REPRESENTATIVE SHELLEY HUGHES,  Alaska State Legislature, Juneau,                                                               
Alaska,  sponsor of  HCR  18, explained  the  benefits of  breast                                                               
feeding,  which  include  health, mental  health,  and  financial                                                               
benefits.  She  said  the resolution  encourages,  but  does  not                                                               
mandate, hospitals  to obtain the "Baby  Friendly" designation by                                                               
implementing  ten   steps  to  successful  breast   feeding.  One                                                               
hospital   in  Alaska   currently  has   that  designation.   The                                                               
resolution will  promote breast feeding  within the  hospital and                                                               
after discharge.                                                                                                                
                                                                                                                                
She  related  that three  of  the  top  eight health  issues  are                                                               
impacted  by  whether  a  child has  been  breast  fed;  obesity,                                                               
diabetes, and  cancer. Breast feeding  will free up  medical care                                                               
costs and  Medicaid dollars. The  societal benefits  are improved                                                               
health, mental health, and environmental health.                                                                                
                                                                                                                                
1:54:23 PM                                                                                                                    
CHAIR STEDMAN noted one zero fiscal note.                                                                                       
                                                                                                                                
SENATOR MICCICHE said he thought the vote would be unanimous.                                                                   
                                                                                                                                
CHAIR STEDMAN opened public testimony.                                                                                          
                                                                                                                                
1:55:22 PM                                                                                                                    
JENNIFER   AIST,  Manager,   Outpatient  Clinics   and  Services,                                                               
Children's  Hospital at  Providence Hospital,  Anchorage, Alaska,                                                               
testified in  support of  HCR 18. She  added other  benefits from                                                               
breast feeding including  increased IQ's of children.  She said 9                                                               
out  of 10  moms breast  feed, but  many are  not getting  proper                                                               
support and care.                                                                                                               
                                                                                                                                
She said the Baby Friendly  initiative was developed by the World                                                               
Health  Organization and  is  evidence-based.  Providence is  the                                                               
only Baby  Friendly designated hospital in  Alaska. She concluded                                                               
that breast feeding  babies is the most  simple, effective method                                                               
of  reducing  medical costs  and  improving  health. She  thanked                                                               
Representative Hughes for sponsoring the resolution.                                                                            
                                                                                                                                
1:58:11 PM                                                                                                                    
SENATOR  MICCICHE moved  to  report HCR  18  from committee  with                                                               
individual recommendations and attached fiscal note.                                                                            
                                                                                                                                
CHAIR STEDMAN announced that without objection, HCR 18 is                                                                       
reported from the Senate Health and Social Services Standing                                                                    
Committee.                                                                                                                      
                                                                                                                                
1:58:44 PM                                                                                                                    
There being nothing further to come before the committee, Chair                                                                 
Stedman adjourned the Senate Health & Social Services Standing                                                                  
Committee at 1:58 p.m.                                                                                                          
                                                                                                                                

Document Name Date/Time Subjects
HB 301 ver. C.pdf SHSS 4/4/2014 1:30:00 PM
HB 301
CSHB 301(HSS) ver. Y.pdf SHSS 4/4/2014 1:30:00 PM
HB 301
HB 301 changes 28-LS1196 C to Y.pdf SHSS 4/4/2014 1:30:00 PM
HB 301
HB 301 Fiscal Note #1 - DHSS.pdf SHSS 4/4/2014 1:30:00 PM
HB 301
HB 301 Sponsor Statement 28-LS1196 Y.pdf SHSS 4/4/2014 1:30:00 PM
HB 301
HB 301 Sectional Summary.pdf SHSS 4/4/2014 1:30:00 PM
HB 301
HB 301 Info Document - CURRENT Authorization for Release of Remains form.pdf SHSS 4/4/2014 1:30:00 PM
HB 301
HB 301 Info Document - FORMER Authorization for Release of Remains form.pdf SHSS 4/4/2014 1:30:00 PM
HB 301
HCR 18 Ver O.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18
HCR 18-1-2-031714-HSS-N.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18
HCR 18 Sponsor Statement.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18
HCR 18 Supporting Documents - Diabetes-Alert-Day-3 24 14.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18
HCR 18 Supporting Documents - Letter Jessica Cler_Planned Parenthood.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18
HCR 18 Supporting Documents - Letter Karen White_Bartlett Regional Hospital.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18
HCR 18 Supporting Doucment - 10 Steps to Successful Breastfeeding.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18
HCR 18 Supporting Documents - Letter Karen Perdue ASHNHA.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18
HCR 18 Supporting Documents - Letter Jennifer Aist_Providence Childrens Hospital.pdf SHSS 4/4/2014 1:30:00 PM
HCR 18