04/13/2023 03:30 PM Senate HEALTH & SOCIAL SERVICES
| Audio | Topic |
|---|---|
| Start | |
| SB24 | |
| SB91 | |
| Adjourn |
+ teleconferenced
= bill was previously heard/scheduled
| + | TELECONFERENCED | ||
| += | SB 24 | TELECONFERENCED | |
| += | SB 91 | TELECONFERENCED | |
ALASKA STATE LEGISLATURE
SENATE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE
April 13, 2023
3:54 p.m.
MEMBERS PRESENT
Senator David Wilson, Chair
Senator James Kaufman, Vice Chair
Senator Löki Tobin
Senator Forrest Dunbar
Senator Cathy Giessel
MEMBERS ABSENT
All members present
COMMITTEE CALENDAR
SENATE BILL NO. 24
"An Act relating to mental health education; and providing for
an effective date."
- MOVED CSSB 24(HSS) OUT OF COMMITTEE
SENATE BILL NO. 91
"An Act relating to telehealth; relating to multidisciplinary
care teams; and relating to the practice of medicine."
- MOVED CSSB 91(HSS) OUT OF COMMITTEE
PREVIOUS COMMITTEE ACTION
BILL: SB 24
SHORT TITLE: PUBLIC SCHOOLS: MENTAL HEALTH EDUCATION
SPONSOR(s): SENATOR(s) GRAY-JACKSON
01/18/23 (S) PREFILE RELEASED 1/9/23
01/18/23 (S) READ THE FIRST TIME - REFERRALS
01/18/23 (S) EDC, HSS, FIN
02/22/23 (S) EDC AT 3:30 PM BELTZ 105 (TSBldg)
02/22/23 (S) Heard & Held
02/22/23 (S) MINUTE(EDC)
03/06/23 (S) EDC AT 3:30 PM BELTZ 105 (TSBldg)
03/06/23 (S) Moved SB 24 Out of Committee
03/06/23 (S) MINUTE(EDC)
03/08/23 (S) EDC RPT 4DP 1NR
03/08/23 (S) DP: TOBIN, GRAY-JACKSON, STEVENS, KIEHL
03/08/23 (S) NR: BJORKMAN
03/23/23 (S) HSS AT 3:30 PM BUTROVICH 205
03/23/23 (S) Heard & Held
03/23/23 (S) MINUTE(HSS)
04/11/23 (S) HSS AT 3:30 PM BUTROVICH 205
04/11/23 (S) Heard & Held
04/11/23 (S) MINUTE(HSS)
04/13/23 (S) HSS AT 3:30 PM BUTROVICH 205
BILL: SB 91
SHORT TITLE: TELEHEALTH: MULTIDISCIPLINARY CARE TEAM
SPONSOR(s): SENATOR(s) CLAMAN
03/06/23 (S) READ THE FIRST TIME - REFERRALS
03/06/23 (S) HSS, FIN
03/21/23 (S) HSS AT 3:30 PM BUTROVICH 205
03/21/23 (S) Heard & Held
03/21/23 (S) MINUTE(HSS)
04/11/23 (S) HSS AT 3:30 PM BUTROVICH 205
04/11/23 (S) Heard & Held
04/11/23 (S) MINUTE(HSS)
04/13/23 (S) HSS AT 3:30 PM BUTROVICH 205
WITNESS REGISTER
SENATOR GRAY-JACKSON, District G
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Testified as the sponsor of SB 24.
SENATOR CLAMAN, District H
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: Testified as sponsor of SB 91.
ACTION NARRATIVE
3:54:10 PM
CHAIR DAVID WILSON called the Senate Health and Social Services
Standing Committee meeting to order at 3:54 p.m. Present at the
call to order were Senators Tobin, Kaufman, Giessel, Dunbar, and
Chair Wilson.
SB 24-PUBLIC SCHOOLS: MENTAL HEALTH EDUCATION
3:54:48 PM
CHAIR WILSON announced the consideration of SENATE BILL NO. 24
"An Act relating to mental health education; and providing for
an effective date."
He noted that there was an amendment for the committee to
consider. [Chair Wilson offered and withdrew Amendment 1, work
order 33-LS0232\A.1, during the previous hearing.]
3:55:19 PM
CHAIR WILSON moved to adopt Amendment A.2 ("Amendment 2"), work
order 33-LS0232\A.2, for SB 24 .
33-LS0232\A.2
Marx
4/12/23
AMENDMENT 2
OFFERED IN THE SENATE BY SENATOR WILSON
Page 1, following line 9:
Insert a new bill section to read:
"* Sec. 2. AS 14.03.016(a) is amended to read:
(a) A local school board shall, in consultation
with parents, teachers, and school administrators,
adopt policies to promote the involvement of parents
in the school district's education program. The
policies must include procedures
(1) recognizing the authority of a parent
and allowing a parent to object to and withdraw the
child from a standards-based assessment or test
required by the state;
(2) recognizing the authority of a parent
and allowing a parent to object to and withdraw the
child from an activity, class, or program;
(3) providing for parent notification not
less than two weeks before any activity, class, or
program that includes content involving human
reproduction or sexual matters is provided to a child;
(4) recognizing the authority of a parent
and allowing a parent to withdraw the child from an
activity, class, program, or standards-based
assessment or test required by the state for a
religious holiday, as defined by the parent;
(5) providing a parent with an opportunity
to review the content of an activity, class,
performance standard, or program;
(6) ensuring that, when a child is absent
from an activity, class, program, or standards-based
assessment or test required by the state under this
section, the absence is not considered an unlawful
absence under AS 14.30.020 if the child's parent
withdrew the child from the activity, class, program,
or standards-based assessment or test or gave
permission for the child's absence;
(7) providing for parent notification not
less than two weeks before any class or program that
provides instruction in mental health is provided to a
child."
Renumber the following bill sections accordingly.
Page 2, line 29:
Delete "sec. 3"
Insert "sec. 4"
Page 3, line 4:
Delete "sec. 3"
Insert "sec. 4"
3:55:25 PM
SENATOR KAUFMAN objected for purposes of discussion.
3:55:32 PM
CHAIR WILSON said Amendment 2 is very similar to the amendment
that he offered and then withdrew during the previous hearing.
Amendment 2 adds a provision on page 2, lines 2 - 4, clarifying
that prior notification would be required for any class or
program providing instruction in mental health.
3:56:23 PM
At ease.
3:56:38 PM
CHAIR WILSON reconvened the meeting.
CHAIR WILSON said AS 14.03.016(b)(c) is an existing statute
allowing organic conversations at school without parental
notification.
3:57:14 PM
SENATOR DUNBAR thanked Senator Wilson for revising the first
amendment and opined that the language in Amendment 2 makes it
clear that organic conversation can occur. He noted a
scrivener's error in the amendment.
3:58:07 PM
CHAIR WILSON advised that Legislative Legal is authorized to
make technical and conforming changes to amendments.
3:58:22 PM
SENATOR GIESSEL agreed with the logic and placement of the
change but expressed concern that it stigmatizes mental health
by drawing undue attention to it.
3:58:56 PM
CHAIR WILSON asked if there was further discussion.
3:58:58 PM
SENATOR KAUFMAN withdrew his objection.
3:59:02 PM
CHAIR WILSON found no further objection and Amendment 2 was
adopted.
3:59:13 PM
SENATOR GRAY-JACKSON, District G, Alaska State Legislature,
Juneau, Alaska, stated she found the amendment to SB 24
acceptable and thanked the committee for its attention to the
bill.
3:59:39 PM
CHAIR WILSON solicited a motion.
3:59:43 PM
SENATOR KAUFMAN moved to report SB 24, work order 33-LS0232\A,
as amended, from committee with individual recommendations and
attached fiscal note(s).
4:00:07 PM
CHAIR WILSON found no objection and CSSB 24(HSS) was reported
from the Senate Health and Social Services Standing Committee.
4:00:15 PM
At ease.
SB 91-TELEHEALTH: MULTIDISCIPLINARY CARE TEAM
4:01:50 PM
CHAIR WILSON reconvened the meeting and announced the
consideration of SENATE BILL NO. 91 "An Act relating to
telehealth; relating to multidisciplinary care teams; and
relating to the practice of medicine."
4:02:33 PM
CHAIR WILSON said Amendment A.8 ("Amendment 2"), work order 33-
LS0193\A.8, was pending from the previous hearing on the bill.
4:02:43 PM
SENATOR GIESSEL summarized that Amendment 2 allows a physician's
multidisciplinary care team to provide health care services
through telehealth to a patient located in Alaska only if the
health care service is not otherwise available. The physician
must also meet the requirements of an in-state license. Sections
3 and 4 address the professions that cannot provide telephonic
services, such as dental hygienist or direct-entry midwife. The
multidisciplinary team members must also register with the
Department of Commerce, Community and Economic Development
(DCCED).
4:05:04 PM
CHAIR WILSON asked if there was further discussion on Amendment
2.
4:05:10 PM
SENATOR DUNBAR asked Senator Giessel if she would agree to
change the word "otherwise" to "reasonably." on page 1, line 4.
4:05:32 PM
SENATOR GIESSEL replied that she was open to changing the
language.
4:05:58 PM
SENATOR DUNBAR asked Senator Giessel if she would consider
allowing physical and occupational therapists to be part of a
telephonic multidisciplinary team.
4:06:25 PM
SENATOR GIESSEL said she would agree to the change reluctantly.
She stated there is cognitive dissonance when the state seeks to
prohibit out-of-state companies from operating in-state without
paying taxes but allows out-of-state healthcare professionals to
provide telehealth services when in-state providers are
available. As an example, she mentioned out-of-state employees
working on the North Slope.
4:08:51 PM
SENATOR DUNBAR moved to adopt Conceptual Amendment 1 to
Amendment 2 for SB 91.
CONCEPTUAL AMENDMENT 1 TO AMENDMENT 2
Page 1, line 4:
Delete "otherwise"
Insert "reasonably"
Section 3:
Insert: "physical therapy" and "occupational
therapy"
4:09:15 PM
CHAIR WILSON asked Senator Dunbar to repeat the conceptual
amendment.
SENATOR DUNBAR repeated the conceptual amendment.
4:09:24 PM
CHAIR WILSON found no objection and Conceptual Amendment 1 to
Amendment 2 was adopted.
4:09:41 PM
SENATOR CLAMAN, District H, Alaska State Legislature, Juneau,
Alaska, thanked the committee for its discussion on SB 91.
4:09:50 PM
CHAIR WILSON withdrew his objection.
4:09:54 PM
CHAIR WILSON found no further objection and Amendment 2, work
order 33-LS0193\A.8 as amended, was adopted.
4:10:07 PM
CHAIR WILSON solicited a motion.
4:10:09 PM
SENATOR KAUFMAN moved to report SB 91, work order 33-LS0193\A,
as amended, from committee with individual recommendations and
attached fiscal note(s).
4:10:36 PM
CHAIR WILSON found no objection and CSSB 91(HSS) was reported
from the Senate Health and Social Services Standing Committee.
4:11:12 PM
There being no further business to come before the committee,
Chair Wilson adjourned the Senate Health and Social Services
Standing Committee meeting at 4:11 p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| SB 24 Amendment A.2 Wilson.pdf |
SHSS 4/13/2023 3:30:00 PM |
SB 24 |
| SB 91 amendment A.8.pdf |
SHSS 4/13/2023 3:30:00 PM |
SB 91 |
| SB 91 Amendment A.8 am 4.13.23.pdf |
SHSS 4/13/2023 3:30:00 PM |
SB 91 |
| SB 24 DEED Follow-up Response 4.25.23.pdf |
SHSS 4/13/2023 3:30:00 PM |
SB 24 |