03/30/2011 01:30 PM Senate HEALTH & SOCIAL SERVICES
| Audio | Topic |
|---|---|
| Start | |
| SCR7 | |
| SB22 | |
| SB74 | |
| Adjourn |
+ teleconferenced
= bill was previously heard/scheduled
| *+ | SCR 7 | TELECONFERENCED | |
| *+ | SB 22 | TELECONFERENCED | |
| *+ | SB 74 | TELECONFERENCED | |
| + | TELECONFERENCED |
ALASKA STATE LEGISLATURE
SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE
March 30, 2011
1:34 p.m.
MEMBERS PRESENT
Senator Bettye Davis, Chair
Senator Dennis Egan
Senator Johnny Ellis
Senator Kevin Meyer
Senator Fred Dyson
MEMBERS ABSENT
All members present
OTHER LEGISLATORS PRESENT
Representative Pete Petersen
COMMITTEE CALENDAR
SENATE CONCURRENT RESOLUTION NO. 7
Proclaiming September 9, 2011, as Fetal Alcohol Spectrum
Disorders Awareness Day.
- MOVED SCR 7 OUT OF COMMITTEE
SENATE BILL NO. 22
"An Act relating to prevention and evaluation of and liability
for traumatic brain injuries in student athletes."
- MOVED CSSB 22(HSS) OUT OF COMMITTEE
SENATE BILL NO. 74
"An Act requiring insurance coverage for autism spectrum
disorders, describing the method for establishing a covered
treatment plan for those disorders, and defining the covered
treatment for those disorders; and providing for an effective
date."
- MOVED SB 74 OUT OF COMMITTEE
PREVIOUS COMMITTEE ACTION
BILL: SCR 7
SHORT TITLE: FETAL ALCOHOL SPECTRUM DISORDERS DAY
SPONSOR(s): SENATOR(s) MEYER
03/22/11 (S) READ THE FIRST TIME - REFERRALS
03/22/11 (S) HSS
03/30/11 (S) HSS AT 1:30 PM BUTROVICH 205
BILL: SB 22
SHORT TITLE: STUDENT ATHLETE TRAUMATIC BRAIN INJURIES
SPONSOR(s): SENATOR(s) MCGUIRE
01/19/11 (S) PREFILE RELEASED 1/7/11
01/19/11 (S) READ THE FIRST TIME - REFERRALS
01/19/11 (S) HSS, FIN
03/30/11 (S) HSS AT 1:30 PM BUTROVICH 205
BILL: SB 74
SHORT TITLE: INS. COVERAGE: AUTISM SPECTRUM DISORDER
SPONSOR(s): SENATOR(s) ELLIS
01/28/11 (S) READ THE FIRST TIME - REFERRALS
01/28/11 (S) HSS, L&C
03/30/11 (S) HSS AT 1:30 PM BUTROVICH 205
WITNESS REGISTER
SENATOR KEVIN MEYER
Alaska State Legislature
Juneau, AK
POSITION STATEMENT: Sponsor of HCR 7.
DEB EVENSEN, representing herself
Anchorage, AK
POSITION STATEMENT: Testified in support of SCR 7.
K.J. METCALFE, representing himself
Juneau, AK
POSITION STATEMENT: Testified in support of SCR 7.
ESTHER TEMPEL, Staff to Senator Lesil McGuire
Alaska State Legislature
Juneau, AK
POSITION STATEMENT: Presented SB 22 for sponsor, Senator
McGuire.
GARY MATTHEWS, Executive Director
Alaska School Activities Association
Anchorage, AK
POSITION STATEMENT: Testified in support of SB 22.
JILL HODGES, Executive Director
Alaska Brain Injury Network
Anchorage, AK
POSITION STATEMENT: Testified in support of SB 22.
PETER HOEFFNER, School Board Member
Cordova School District
Cordova, AK
POSITION STATEMENT: Testified in support of SB 22.
CHRISTOPHER DEAN
Alaska Athletic Trainers Association
Juneau, AK
POSITION STATEMENT: Testified in support of SB 22.
BRENDA SHELTON, President
Alaska Athletic Trainers Association
Juneau, AK
POSITION STATEMENT: Testified in support of SB 22.
BRUCE JOHNSON, Executive Director
Alaska Council of School Administrators
POSITION STATEMENT: Testified in support of SB 22.
SENATOR JOHNNY ELLIS
Alaska State Legislature
Juneau, AK
POSITION STATEMENT: Sponsor of SB 74.
AMORY LELAKE, Staff to Senator Ellis
Alaska State Legislature
Juneau AK
POSITION STATEMENT: Presented SB 74 for Senator Ellis, the
sponsor.
LAURIE EUNAM, Senior Litigation Council
Autism Speaks
POSITION STATEMENT: Testified in support of SB 74.
MARK LAMBRIGHT, Independent actuary
Anchorage, AK
POSITION STATEMENT: Testified in support of SB 74.
MARGARET COSSLER, representing herself
Juneau, AK
POSITION STATEMENT: Testified in support of SB 74.
JANICE GERTON, representing herself
Juneau, AK
POSITION STATEMENT: Testified in support of SB 74.
LAURIE KING, representing herself
Juneau, AK
POSITION STATEMENT: Testified in support of SB 74.
ACTION NARRATIVE
1:34:28 PM
CHAIR BETTYE DAVIS called the Senate Health and Social Services
Standing Committee meeting to order at 1:34 p.m. Present at the
call to order were Senators Ellis, Egan, Dyson, Meyer, and Chair
Davis.
SCR 7-FETAL ALCOHOL SPECTRUM DISORDERS DAY
1:34:35 PM
CHAIR DAVIS announced the first order of business would be SCR
7, Fetal Alcohol Spectrum Disorders Awareness Day.
SENATOR KEVIN MEYER, sponsor of SCR 7, said this bill proclaims
September 9, 2011, as Fetal Alcohol Spectrum Disorders (FASD)
Awareness Day. The date is a reminder on the ninth day of the
ninth month that during the nine months of pregnancy a woman
should abstain from alcohol. He has had the opportunity of
participating in FASD awareness events over the past few years.
Unfortunately, Alaska has the highest known rate of FASD in the
United States. This is caused by prenatal exposure to alcohol;
FASD can result in permanent brain damage, learning
difficulties, behavior problems, birth defects, and the loss of
individual potential. Lifetime costs of services for affected
individuals are in the millions of dollars. FASD is totally
preventable. This resolution supports an effort to bring
attention to the condition that has been devastating our state.
If we keep working at it long enough and hard enough, people
will get the message and we will see a change in behavior.
1:37:03 PM
SENATOR DYSON commended the sponsor for introducing the bill. He
said FASD is totally preventable, and some progress has been
made in the past twelve years with laws requiring warnings to be
posted. Six years ago the state was spending about $1 million on
each child with FASD by age 18.
1:38:04 PM
DEB EVENSEN, representing herself, said SCR 7 was a really good
idea. This is an inexpensive way to deal with a gigantic
problem. Helping mothers not drink when they are pregnant will
decrease suicide rates, crime rates, school failures, and reduce
the prison population. Over the last 25 years she has worked in
almost every village and town in the state and almost every
school district. In some communities there is a third generation
of children being born with FASD. Many people still don't know
that a glass of wine during pregnancy destroys 10,000 cells in
the developing fetal brain. We can help turn this problem
around.
1:40:32 PM
K.J. METCALFE, speaking for himself, said he had been the chair
for the last two FASD regional conferences here in Southeast
Alaska. They are having a workshop this coming Tuesday on FASD
and sexuality. This bill goes to the heart of the issue. He
would like to say that prevention is the key, but support
services are also needed.
For example, he knows of two women in town who are chronic
alcoholics, probably their mothers were also. Between them they
had 20 children who all became wards of the state. Now those
children are becoming sexually active, and they are all
affected. Twenty children, two adults, probably more being
created as we speak; that is a huge amount of money that if we
had taken care of those two women they could have raised a
healthy baby and we could cut down the FASD rate. Education is
the key.
1:43:31 PM
CHAIR DAVIS thanked Senator Meyer and asked if the day was
always September 9.
SENATOR MEYER answered yes, it is always the ninth day of the
ninth month.
CHAIR DAVIS noted there is a way where this would not have to be
passed each year.
SENATOR EGAN moved to report SCR 7 from committee with
individual recommendations and attached fiscal note(s). There
being no objection, SCR 7 moved from the Senate Health and
Social Services Standing Committee.
1:45:11 PM
At-ease.
SB 22-STUDENT ATHLETE TRAUMATIC BRAIN INJURIES
1:45:58 PM
CHAIR DAVIS announced the next order of business would be SB 22,
relating to student athlete traumatic brain injuries.
ESTHER TEMPEL, staff to Senator Lesil McGuire, sponsor of SB 22,
said the bill seeks to minimize the complications and more
permanent conditions that can be caused when student athletes
continue to practice or play after receiving a concussion. More
than 60,000 high school student athletes sustain concussions
each year. The risk can be reduced with a helmet but these
injuries cannot always be prevented.
SB 22 is modeled after legislation passed in Washington State. A
middle school football player was returned to a game after
receiving a concussion. When he returned to play he suffered a
second injury from which he will never fully recover. SB 22
seeks to require school districts and Alaska School Activities
Association (ASAA) to develop and publish guidelines and
information about the nature and risks. It will also require
athletes suspected of sustaining a concussion be removed from
play and cleared by a licensed health care provider. There is no
way to completely prevent concussions but we can strive to
prevent serious complications.
1:49:35 PM
SENATOR EGAN moved to adopt the proposed committee substitute
(CS) for SB 22, labeled 27-LS0250\B, as the working document.
CHAIR DAVIS objected for discussion purposes.
MS. TEMPEL said the CS was prepared after consultation with the
Alaska Brain Injury Network and the ASAA. It replaces the words
"traumatic brain injuries" with "concussions." A concussion is a
form of traumatic brain injury. The change occurs on page 1,
line 6; page 2, line 13; and page 3, lines 18 and 21.
Section 2 adds a new section, AS 14.30.142(b), which requires
that schools provide students and their parents with written
information on the nature and risks of concussions. Parents are
also required to sign off that they have received this
information.
There is also a language change with reference to who can
evaluate a student suspected of sustaining a concussion. This is
because in rural Alaska a licensed health care provider may not
always be present. A qualified person could be a health care
provider or a person acting at the direction and under the
supervision of a licensed physician. This would include a
village health aide. Subsection 14.30.142(e) adds additional
language saying, " . . . and who is not paid for conducting the
evaluation."
1:53:50 PM
GARY MATTHEWS, Executive Director, Alaska School Activities
Association (ASAA), said that their responsibility is to provide
guidance and regulation and promote interscholastic activities
in the high schools in Alaska. This is an entity which will work
with member school districts. They have worked closely with the
Alaska Association of School Boards (AASB), the Alaska
Association of School Administrators (AASA), and the office of
Representative Doogan, who sponsored a similar bill in the
House.
About 12 states have adopted similar legislation. The intent is
to protect students. It is also to educate and train parents,
coaches, school nurses, and others in the management of
concussions and return to play. They work with a national
affiliate to reduce injuries in sports. Their sphere of
influence is high school interscholastic activities. The rules
should include proper safety equipment, training of coaches,
etc.
ASAA is pleased with the CS but they do have one small concern.
On page 2, section (d), starting on line 27, the state of Alaska
has no registry which lists health care providers who have
received training in the management of concussions. The provider
is the only one who knows if he or she is a qualified person.
The last step should be to place a slight amendment to
subsection (d), as follows: "A student who has been removed from
participation in a practice or game for suspicion of concussion
may not return to play until the student has been evaluated and
cleared for participation by a qualified person who has received
training and is currently certified in the evaluation and
management of concussions." At the end of that sentence they
would like to add, ", as verified in writing by the qualified
person."
1:59:01 PM
There is no way for the school to know if a person is qualified.
So the person needs to self-certify they are qualified. That
way, any liability falls onto the health care provider, not the
school district.
2:00:03 PM
CHAIR DAVIS said that everything was in the new CS, except "as
verified in writing by the qualified person." She noted that
language could be added today by the committee.
2:00:53 PM
JILL HODGES, Executive Director, Alaska Brain Injury Network,
said she was calling in support of SB 22. The network has
testified in support of many bills and resolutions. SB 22 brings
attention to concussions among student athletes. She said it was
exciting to be testifying in support of a bill that would help
to keep student athletes safe and prevent serious, traumatic
brain injury.
2:03:52 PM
There is no fiscal note, so this is an affordable way to
increase awareness. SB 22 will help keep brains safe and
increase awareness of traumatic brain injuries. It will help
schools and coaches better understand how to reduce the number
of injuries and the risk of injuries. The Brain Injury Network
believes SB 22 will help student athletes to continue to succeed
in sports and school.
2:06:17 PM
PETER HOEFFNER, Board Member, Cordova School District, said he
supports SB 22. It focuses on concussions and is good for the
health and well being of students.
2:07:33 PM
CHRISTOPHER DEAN, Alaska Athletic Trainers Association said SB
22 creates a right and a duty for all people involved in youth
athletics to protect the child. The Center for Disease Control
(CDC) has defined concussions as being at epidemic level. As a
trainer he sees this first hand. Post season reporting shows
that close to 50 percent of athletes in contact sports receive a
concussion during the season, yet only 15 percent of these are
reported to the athletic trainer during the season. Concussions
are severely underreported. Many schools do not have trained
personnel on site, which makes it important to train and educate
our coaches, administrators, and parents.
2:09:58 PM
BRENDA SHELTON, President, Alaska Athletic Trainers Association
(AATA), said the organization is committed to the support and
implementation of this legislation. An athletic trainer is a
health care professional who specializes in the prevention,
diagnosis, treatment, and rehabilitation of sport-related
injuries. SB 22 is revenue neutral; free and reputable
educational tools are available. An athlete who exhibits the
signs, symptoms, or behaviors consistent with a concussion
should be removed immediately from practice or competition and
should not be returned to play until cleared by a trained health
care professional. AATA stands in support of SB 22.
2:11:43 PM
BRUCE JOHNSON, Executive Director, Alaska Council of School
Administrators (ACSA), said they have worked collectively to
bring this legislation to the committee. They feel strongly that
the time is right to pass this bill. Education is available,
particularly for those involved in contact sports. They have
worked hard to get the protocols in place for evaluating
possible concussions.
2:13:05 PM
CHAIR DAVIS closed public testimony on SB 22. She noted there
was one recommendation for a small change.
SENATOR MEYER asked Ms. Lelake if she thought the sponsor would
agree to the suggested change.
MS. LELAKE said she thought he would.
SENATOR DYSON said we can pass the bill out with the change, and
the sponsor can undo it if he wants to.
SENATOR EGAN asked where the new words would be inserted.
MS. LELAKE answered on page 2, line 30.
2:15:41 PM
CHAIR DAVIS said it was just a matter of adding "as verified
by."
SENATOR MEYER said it was a good bill and would work in urban
areas, but what about in rural areas if no health care provider
was available.
MS. LELAKE responded she believes the CS addresses the problem,
because village health aids would qualify.
SENATOR MEYER said that should work.
CHAIR DAVIS asked for a motion to move the bill.
SENATOR EGAN moved to report CS for SB 22, version B as amended,
and adding on line 30, after concussions, "as verified in
writing by the qualified person," from committee with individual
recommendations and accompanying fiscal notes. Without
objection, CSSB 22(HSS) moved from the Senate Health and Social
Services Standing Committee.
2:19:19 PM
At-ease from 2:19 p.m. to 2:20 p.m.
SB 74-INS. COVERAGE: AUTISM SPECTRUM DISORDER
CHAIR DAVIS announced the next order of business would be SB 74,
relating to insurance coverage for autism spectrum disorders.
2:20:22 PM
SENATOR JOHNNY ELLIS, sponsor of SB 74, thanked the committee
for hearing the bill. He said autism is a devastating disorder
affecting one in 110 American children. Despite being treatable,
most children with autism spectrum disorders never receive the
treatment they need. SB 24 would require insurance companies to
cover treatment for autism spectrum disorders (ASDs), including
medically necessary applied behavior analysis (ABA). Most
insurance policies specifically exclude coverage for treating
autism. A total of 35 states and the District of Columbia have
laws related to this issue, and at least 23 specifically require
insurance companies to provide coverage for the treatment of
autism.
According to the governor's council on disabilities and special
education, insurance coverage of treatment of ASDs would save
the state $280,500 per capita in avoided special education
costs, with a lifetime savings of $1.8 million per child.
2:22:37 PM
The majority of children with autism who receive appropriate
intervention and treatment experience remarkable improvement.
Early intervention and treatment work. Forty-seven percent of
those treated recover typical function; forty percent make
significant improvement, while the remaining thirteen percent
make little progress. Treatment can save the state millions and
significantly improve the lives of thousands. Families feel like
they are drowning without assistance.
2:23:50 PM
AMORY LELAKE, staff to Senator Ellis, said she would walk the
committee through the bill. Section one amends AS 21.42 by
creating a new section, AS 21.42.397 relating to insurance
coverage for autism spectrum disorders. Subsection (a), page 1
line 1 through page 2, line 12, requires insurance plans to
cover medically necessary treatment for autism disorders.
Subsection (b), page 2 lines 13-23, further defines the coverage
that must be provided.
Subsection (c), page 2 lines 24 and 25, establishes that this
section does not limit coverage already provided. Subsection
(d), page 2 lines 26-28, prohibits an insurance company from
denying coverage to someone because they have an autism spectrum
disorder. Subsection (e), page 2, line 29 through page 3 line 21
defines "autism service provider," "autism spectrum disorders,"
"health care insurance plan," "health care insurance," and
"medically necessary."
Section 2 page 3 lines 22-26 establishes that the provisions of
section 1 only apply to insurance policies issued after January
1, 2012. Section 3, page 3 lines 27 establishes an immediate
effective date for this act.
2:25:58 PM
MS. LELAKE stated there were numerous experts on line who could
speak to the legislation.
LAURIE EUNAM, attorney and parent of a 10-year-old son with
autism, said she was testifying in support of SB 74. She is also
senior litigation council with Autism Speaks, a New York-based
non-profit. Her full-time job is to advocate for autism
insurance reform in all 50 states. Autism is a medical condition
brought on by no fault of the family. In slide #2, the graph
shows distinct diagnoses within the disorder; Autistic Disorder,
Asperberger's Syndrome, and Pervasive Developmental Disorder.
The most severe diagnosis is Autistic Disorder. Pervasive
Developmental Disorder Not Otherwise Specified (PDDNOS) is a
mild form of autism spectrum disorder. It accounts for one-half
of all diagnoses.
There is no known cure for autism but it can be treated so that
symptoms are not disabling. The most commonly prescribed
treatment protocol is Applied Behavior Analysis (ABA) which has
been used for many years to treat autism, but the insurance
industry continues to deny coverage for this treatment. The
Surgeon General, the National Research Council and the American
Academy of Pediatrics all have endorsed the use of ABA therapy
for children with autism.
2:30:32 PM
Studies show that if ABA is administered intensively by properly
trained therapists, about half of the treated children will
overcome their autistic characteristics such that they can enter
first grade indistinguishable from their peers. The therapy must
be administered intensively, often 20, 30, or even 40 hours per
week. Her son's autism is severe and his therapy costs out of
pocket $75,000 per year. She and her husband have made
sacrifices, such as selling their home and moving to a cheaper
one, to afford therapy for their son. But how many families have
that kind of money to sacrifice? Most don't, and so children go
untreated.
We know there is a treatment that works but children can't get
the treatment they need. These are families who are doing the
right thing by buying insurance, and still can't get the help
their children need. Only the wealthy few get treatment. Autism
prevalence is on the rise. Over the past 25 years it has gone
from one in 2,500 to one in 110. A huge autism tsunami is
coming. Without private insurance, the needed treatment will not
happen.
2:34:02 PM
Twenty-four states have mandated autism insurance coverage. One
state has passed a bill in 2011, and West Virginia's bill is
about to become law. Actual claims data from Blue Cross Blue
Shield (BCBS) of Minnesota, where the law has been in effect
since 2001, shows that the financial impact for covering autism
is .83 per member per month. In South Carolina the state
employee health plan has released this cost data: the statute
passed in 2007 and took effect in 2009. It caps coverage for ABA
therapy at $50,000 per year at age 16. In 2010 the increase was
.44 per member per month. The law has minimal impact on premiums
and its overall impact on the economy has been positive. People
have been trained and are working full-time as therapists for
children with autism.
2:38:55 PM
SENATOR DYSON asked is it logical to assume that in a state like
Alaska with a very small population, the cost per policy would
be higher.
MS. EUNAM answered if that was typically the case, then probably
yes.
SENATOR DYSON said it would seem that if South Carolina has a
cost of .44 cents per month with around five million people,
compared to Alaska with only 700,000 people, the cost per policy
holder would be higher.
MS. EUNAM said she would let the actuary speak in more detail
about that. Cost projections from state to state have not varied
dramatically, and she was not aware of any factors specific to
Alaska.
2:41:31 PM
MARK LAMBRIGHT, Independent Actuary, Oliver Wyman, said he would
address the previous question. In doing the actuarial studies,
they did consider that medical costs are higher in Alaska.
However, due to fewer people being covered, the overall costs
would be lower. The costs per member would be roughly the same.
Analysis indicates that premiums would increase .3 to .7
percent. The net result is an estimate of cost increase. Other
independent actuaries have provided similar analyses.
2:45:04 PM
MARGARET COSSLER, Anchorage, said she was speaking on behalf of
her five year old son with autism. She and her husband wanted to
find the best possible treatment for their child. Not having
insurance to cover this is extremely stressful for the family;
knowing that there is something you can do to help your child
but you cannot provide it is extremely painful and nearly
unbearable.
2:47:05 PM
SENATOR ELLIS noted that Representative Petersen had joined the
meeting.
2:47:37 PM
JANICE GERTON, mother of Chad Gerton, testified on her own
behalf. He was diagnosed as Autistic at age 5. At 12 his
diagnosis changed from Autism to Asperberger's Syndrome. At 18
months they knew he was not the same as their other children.
Each doctor they saw said he did need speech therapy,
occupational therapy, sensory integration. When he started
school they gave him an IEP and they did what they could. He
never lost language but had many issues with peers. His
experiences were hard for the family and hard for him. Her job
became 24 hours trying to find services. The family had good
insurance but it did not cover what he needed.
Early intervention has been proven the best way. There would
have been less impact in his life and life of his family. He
needed this in school, home, and community. One out of 110 kids
is affected. Four out of five are boys. Intervention should have
come early, but it was very slow. Early intervention works.
Fewer services are needed over a lifetime. Her son became an
Eagle Scout, his senior class treasurer, and has become an
accountant. At age 25, he was recently married. He is working
full time and taking 12 credits at UAS. Children with autism
need a good health plan.
2:52:13 PM
This should be in place for the next generation so they can
receive early intervention and have the best possible quality of
life. Her son still has issues because he lacked the right type
of services early on. The month of April is Autism Awareness
Month; they are trying to get people to understand and accept
the differences.
2:53:33 PM
CHAIR DAVIS thanked the witness for coming forward.
LAURIE KING, mother of a 20 year old daughter with autism, said
her family didn't have the insurance they needed to take her to
the specialists at an early age. They had insurance but it
didn't cover what they needed. Her husband was diagnosed with MS
and unable to work, so she had to work instead of taking care of
her daughter. She said her daughter would have done much better
with earlier intervention. They could not get services for her
until age eight; as a result, her potential to be a functioning
member of society was severely degraded.
2:59:59 PM
CHAIR DAVIS said the committee had heard good testimony on the
bill today. She also had several letters and emails of support.
BCBS of Alaska is in opposition.
3:00:57 PM
CHAIR DAVIS invited Representative Petersen to testify.
REPRESENTATIVE PETE PETERSEN said when you hear the stories it
is hard to believe the lack of coverage still continues.
Children are missing their window of opportunity to have a
normal life.
CHAIR DAVIS asked for a motion to move the bill.
SENATOR DYSON said he had some remarks but given the time
constraints he would not speak.
CHAIR DAVIS asked why not a short version.
3:03:02 PM
SENATOR DYSON said he applauds the purpose of the bill. What
troubles him is the funding source. The insurance companies are
not the problem. When we get down to figuring out how we serve a
good purpose, he worries that we choose pragmatism at the
expense of freedom. He agrees that services for children with
autism need to be available. The righteous way would be to pay
for it out of the general fund so that everyone has the same
chance. There is a fairer way to get services to children, and
that is to do it through the tax base. Putting the burden on
insurance companies is easier, but he worries about the
direction we are going.
3:06:42 PM
He also questioned having a zero fiscal note. Maybe it doesn't
come out of the state's pocket, but it will come out of state
employees' pockets. He does applaud the intentions of the bill
and his heart goes out to the kids.
3:07:37 PM
CHAIR DAVIS said this bill has another committee of referral and
some of those issues will be heard there.
SENATOR EGAN moved to report SB 74 from committee with
individual recommendations and attached fiscal note(s). There
being no objection, SB 74 moved from the Senate Health and
Social Services Standing Committee.
3:08:14 PM
There being no further business to come before the committee,
Chair Davis adjourned the meeting at 3:08 p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| SCR 7 Sponsor Statement.pdf |
SHSS 3/30/2011 1:30:00 PM |
|
| SCR 7 Bill Text.pdf |
SHSS 3/30/2011 1:30:00 PM |
|
| SCR7 10 Things You Should Know About FAS.pdf |
SHSS 3/30/2011 1:30:00 PM |
|
| SCR7 FASD Economic Cost pgs 34-37.pdf |
SHSS 3/30/2011 1:30:00 PM |
|
| SB 22_Version A.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 Sectional Analysis Version A.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB22 CS Version B.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 Summary of Changes Version B.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 Youth Concussion Ed Pack.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 State Legislatures Article.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 NPR Story.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 LetterOfSupport ABIN.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 Brain Injury Association of WA.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 Boston Univ Article.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 22 AATA Letter of Support.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 22 |
| SB 74 Bill.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 74 |
| SB 74 Sectional Analysis.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 74 |
| AK HB 79- SB 74 Actuarial Cost Analysis 3 4 2011 FINAL.pdf |
SHSS 3/30/2011 1:30:00 PM |
HB 79 SB 74 |
| SB 74 Autism Plan Progress.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 74 |
| SB74 Breaking Through.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 74 |
| SB74 Ganz Article on Societal Costs.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 74 |
| SB74 Stone Soup Group.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 74 |
| SB74 Trust Letter.pdf |
SHSS 3/30/2011 1:30:00 PM |
SB 74 |