Legislature(2007 - 2008)BELTZ 211

04/05/2008 11:00 AM Senate LABOR & COMMERCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
-- NOTE: Time Change --
+= HB 297 PRACTICE OF VETERINARY MEDICINE TELECONFERENCED
Heard & Held
+= HJR 24 OPPOSING FEDERAL INSURANCE REGULATION TELECONFERENCED
Heard & Held
Bills Previously Heard/Scheduled
+= HB 331 MOTOR VEHICLES:LICENSES/INSURANCE/NOTICES TELECONFERENCED
Moved CSHB 331(L&C) Out of Committee
+= SB 280 MEDICAID/ INS FOR CANCER CLINICAL TRIALS TELECONFERENCED
Moved CSSB 280(HES) Out of Committee
                    ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                         April 5, 2008                                                                                          
                           11:11 a.m.                                                                                           
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Johnny Ellis, Chair                                                                                                     
Senator Gary Stevens, Vice Chair                                                                                                
Senator Bettye Davis                                                                                                            
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Lyman Hoffman                                                                                                           
Senator Con Bunde                                                                                                               
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 280                                                                                                             
"An  Act  requiring health  care  insurers  to provide  insurance                                                               
coverage for  medical care received  by a patient  during certain                                                               
approved   clinical  trials   designed   to   test  and   improve                                                               
prevention,  diagnosis,  treatment,   or  palliation  of  cancer;                                                               
directing  the  Department  of  Health  and  Social  Services  to                                                               
provide Medicaid services to persons  who participate in clinical                                                               
trials; relating  to experimental  treatments; and  providing for                                                               
an effective date."                                                                                                             
     MOVED CSSB 280(HES) OUT OF COMMITTEE                                                                                       
                                                                                                                                
CS FOR HOUSE BILL NO. 331(L&C)                                                                                                  
"An   Act   relating   to  motor   vehicle   insurance,   license                                                               
suspensions, and  notices relating to motor  vehicles and notices                                                               
relating to driver's licenses."                                                                                                 
     MOVED CSHB 331(L&C) OUT OF COMMITTEE                                                                                       
                                                                                                                                
CS FOR HOUSE BILL NO. 297(RLS)                                                                                                  
"An Act  relating to student  permits authorized by the  Board of                                                               
Veterinary Examiners; and relating  to the application of certain                                                               
statutes pertaining  to veterinarians and veterinary  practice to                                                               
certain persons."                                                                                                               
     HEARD AND HELD                                                                                                             
                                                                                                                                
HOUSE JOINT RESOLUTION NO. 24 am                                                                                                
Opposing  any  law  that  would  establish  a  federal  insurance                                                               
regulatory system.                                                                                                              
     HEARD AND HELD                                                                                                             
                                                                                                                              
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 280                                                                                                                  
SHORT TITLE: MEDICAID/ INS FOR CANCER CLINICAL TRIALS                                                                           
SPONSOR(s): SENATOR(s) DAVIS                                                                                                    
                                                                                                                                
02/19/08       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/19/08       (S)       HES, L&C, FIN                                                                                          
03/14/08       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
03/14/08       (S)       Heard & Held                                                                                           
03/14/08       (S)       MINUTE(HES)                                                                                            
03/26/08       (S)       HES AT 1:30 PM BUTROVICH 205                                                                           
03/26/08       (S)       Moved CSSB 280(HES) Out of Committee                                                                   
03/26/08       (S)       MINUTE(HES)                                                                                            
03/27/08       (S)       HES RPT CS  2DP 3NR   NEW TITLE                                                                        
03/27/08       (S)       DP: DAVIS, THOMAS                                                                                      
03/27/08       (S)       NR: ELTON, COWDERY, DYSON                                                                              
04/03/08       (S)       L&C AT 1:30 PM BELTZ 211                                                                               
04/03/08       (S)       Heard & Held                                                                                           
04/03/08       (S)       MINUTE(L&C)                                                                                            
04/05/08       (S)       L&C AT 11:00 AM BELTZ 211                                                                              
                                                                                                                                
BILL: HB 331                                                                                                                  
SHORT TITLE: MOTOR VEHICLES:LICENSES/INSURANCE/NOTICES                                                                          
SPONSOR(s): REPRESENTATIVE(s) ROSES                                                                                             
                                                                                                                                
01/18/08       (H)       READ THE FIRST TIME - REFERRALS                                                                        

01/18/08 (H) L&C, JUD 02/20/08 (H) L&C AT 3:00 PM CAPITOL 17 02/20/08 (H) Moved CSHB 331(L&C) Out of Committee 02/20/08 (H) MINUTE(L&C) 02/21/08 (H) L&C RPT CS(L&C) NT 1DP 3NR 3AM 02/21/08 (H) DP: GARDNER 02/21/08 (H) NR: LEDOUX, RAMRAS, OLSON 02/21/08 (H) AM: BUCH, NEUMAN, GATTO 03/12/08 (H) JUD AT 1:00 PM CAPITOL 120 03/12/08 (H) Moved CSHB 331(L&C) Out of Committee 03/12/08 (H) MINUTE(JUD) 03/13/08 (H) JUD RPT CS(L&C) NT 3DP 3NR 03/13/08 (H) DP: COGHILL, DAHLSTROM, RAMRAS 03/13/08 (H) NR: GRUENBERG, SAMUELS, HOLMES 03/19/08 (H) TRANSMITTED TO (S) 03/19/08 (H) VERSION: CSHB 331(L&C) 03/21/08 (S) READ THE FIRST TIME - REFERRALS 03/21/08 (S) L&C, JUD 04/03/08 (S) L&C AT 1:30 PM BELTZ 211 04/03/08 (S) Heard & Held 04/03/08 (S) MINUTE(L&C) 04/05/08 (S) L&C AT 11:00 AM BELTZ 211 BILL: HB 297 SHORT TITLE: PRACTICE OF VETERINARY MEDICINE SPONSOR(s): REPRESENTATIVE(s) NEUMAN

01/11/08 (H) PREFILE RELEASED 1/11/08

01/15/08 (H) READ THE FIRST TIME - REFERRALS

01/15/08 (H) L&C 02/08/08 (H) L&C AT 3:00 PM CAPITOL 17 02/08/08 (H) Moved CSHB 297(L&C) Out of Committee 02/08/08 (H) MINUTE(L&C) 02/13/08 (H) L&C RPT CS(L&C) 6DP 1NR 02/13/08 (H) DP: GARDNER, BUCH, NEUMAN, GATTO, RAMRAS, OLSON 02/13/08 (H) NR: LEDOUX 03/12/08 (H) RLS AT 5:00 PM BARNES 124 03/12/08 (H) Heard & Held 03/12/08 (H) MINUTE(RLS) 03/13/08 (H) RULES TO CALENDAR PENDING REPORT 03/13/08 (H) IN RULES 03/19/08 (H) RLS AT 5:00 PM CAPITOL 120 03/19/08 (H) Moved CSHB 297(RLS) Out of Committee 03/19/08 (H) MINUTE(RLS) 03/20/08 (H) RLS RPT CS(RLS) NT 3DP 2NR 2AM 03/20/08 (H) DP: FAIRCLOUGH, SAMUELS, COGHILL 03/20/08 (H) NR: JOHNSON, HARRIS 03/20/08 (H) AM: KERTTULA, GUTTENBERG 03/26/08 (H) TRANSMITTED TO (S) 03/26/08 (H) VERSION: CSHB 297(RLS) 03/27/08 (S) READ THE FIRST TIME - REFERRALS 03/27/08 (S) L&C 04/05/08 (S) L&C AT 11:00 AM BELTZ 211 BILL: HJR 24 SHORT TITLE: OPPOSING FEDERAL INSURANCE REGULATION SPONSOR(s): REPRESENTATIVE(s) COGHILL 05/09/07 (H) READ THE FIRST TIME - REFERRALS 05/09/07 (H) L&C 02/13/08 (H) L&C AT 3:00 PM CAPITOL 17 02/13/08 (H) Moved Out of Committee 02/13/08 (H) MINUTE(L&C) 02/15/08 (H) L&C RPT 3DP 2NR 02/15/08 (H) DP: GARDNER, BUCH, OLSON 02/15/08 (H) NR: LEDOUX, GATTO 03/28/08 (H) TRANSMITTED TO (S) 03/28/08 (H) VERSION: HJR 24 AM 03/31/08 (S) READ THE FIRST TIME - REFERRALS 03/31/08 (S) L&C 04/05/08 (S) L&C AT 11:00 AM BELTZ 211 WITNESS REGISTER CRYSTAL KOENEMAN Staff to Representative Roses Alaska State Capitol Juneau, AK POSITION STATEMENT: REPRESENTATIVE MARK NEUMAN Alaska State Capitol Juneau, AK POSITION STATEMENT: Sponsor of HB 297. JENNIFER STRIKLER Licensing Chief Division of Corporations, Businesses and Professional Licensing Department of Commerce, Community & Economic Development Juneau, AK POSITION STATEMENT: Supported CSHB 297(RLS). KAREN LIDSTER Staff to Representative Coghill Alaska State Capitol Juneau, AK POSITION STATEMENT: Commented on HJR 24 for the sponsor. LINDA HALL, Director Division of Insurance Department of Commerce, Community & Economic Development Juneau, AK POSITION STATEMENT: Supported HJR 24. JOHN GRUMMETT, President Alaska Independent Agents and Brokers Juneau, AK POSITION STATEMENT: Supported HJR 24. ACTION NARRATIVE CHAIR JOHNNY ELLIS called the Senate Labor and Commerce Standing Committee meeting to order at 11:11:29 AM. Present at the call to order were Senators Davis, Stevens and Ellis. SB 280-MEDICAID/ INS FOR CANCER CLINICAL TRIALS 11:12:33 AM CHAIR ELLIS announced SB 280 to be up for consideration. CSSB 280(HES) was before the committee. SENATOR DAVIS moved to report CSSB 280(HES) from committee with individual recommendations and attached fiscal note(s). There were no objections and it was so ordered. CSHB 331(L&C)-MOTOR VEHICLES:LICENSES/INSURANCE/NOTICES 11:14:53 AM CHAIR ELLIS announced CSHB 331(L&C) to be up for consideration. He said the director of the DMV testified there was no problem implementing the address issue and submitted a zero fiscal note. CRYSTAL KOENEMAN, staff to Representative Roses, sponsor of HB 331, said that was correct. SENATOR STEVENS moved to report CSHB 331(L&C) from committee with individual recommendations and attached fiscal note(s). There were no objections and it was so ordered. CSHB 297(RLS)-PRACTICE OF VETERINARY MEDICINE 11:16:01 AM CHAIR ELLIS announced CSHB 297(RLS) to be up for consideration. REPRESENTATIVE MARK NEUMAN, sponsor of HB 297, explained that it allows the Alaska State Board of Veterinary Medicine to issue a particular permit to students who are in their fourth year of professional licensing practicing veterinary medicine. The permit would allow them to practice inside of a veterinary clinic in Alaska to get some experience before practicing on their own. Alaska has less than 200 veterinarians and about 70 technicians and more need to be encouraged to come up and stay. He said HB 297 somewhat cleans up language by allowing the mailing of the student permits by the Department of Commerce, Community & Economic Development, Division of Occupational Licensing. It exempts certain people from obtaining a special license if they already have a federal license - if they are practicing on a military base or if they are licensed by the military or a federal agency. It also allows for a special permit for people who have a special field of medicine to come up to work at the Alaska Zoo or the Sea Life Center. SENATOR STEVENS asked the position of the State Veterinary Association. REPRESENTATIVE NEUMAN replied HB 297 is fully supported by the Association and veterinarians across the state of Alaska. 11:19:34 AM JENNIFER STRIKLER, Licensing Chief, Division of Corporations, Businesses and Professional Licensing, Department of Commerce, Community & Economic Development, fully supported CSHB 297(RLS). She said the Board of Veterinary Examiners has wanted to make these changes for a number of years. CHAIR ELLIS noted that an email from Nelson Pridy, President, Alaska State Veterinary Medical Association, saying that an issue relating to reporting of animal cruelty will be addressed by the Board of Veterinary Examiners in its May meeting. MS. STRIKLER responded that is correct. Reporting of cruelty to animals has been a concern of some veterinarians who had issues because the board didn't take the issue up and sought to encourage change by statute. However, the board has promised to address their concerns on this issue at its May meeting. She explained that she and her staff have gone through the records to make sure they didn't miss a concern that was brought before the board even though Dr. Bowser, member of the board, testified before House Rules that in his five years with the board the issue about reporting cruelty to animals had never been brought up. CHAIR ELLIS said cruelty to animals has existed forever, unfortunately, and asked if it's now an official board item. MS. STRIKLER replied yes. CHAIR ELLIS said CSHB 297(RLS) would be held for further work. HJR 24 am - OPPOSING FEDERAL INSURANCE REGULATION 11:23:53 AM CHAIR ELLIS announced HJR 24 am to be up for consideration. KAREN LIDSTER, staff to Representative Coghill, sponsor of HJR 24, said HJR 24 am opposes a federal regulatory insurance system. It opposes attempts by Congress to divide the insurance regulation between the states and the federal government. The "optional federal charter" has been introduced in both chambers of the U.S. Congress. To avoid such a move by Congress to enact federal regulation of insurance, the legislature passed HB 439 unanimously on May 2006. This bill added Alaska to the Interstate Insurance Product Regulation Compact. This commission comprised of 30 states, serves as a single point of filing for specified insurance products and establishes uniform national standards for those products. HJR 24 am affirms Alaska's opposition to the federal government attempting to supersede state regulation of insurance. MS. LIDSTER said that Representative Gruenberg added a floor amendment stating a further resolve that the Alaska State Legislature opposes any attempt to weaken the current state regulation of insurance. SENATOR STEVENS asked for an explanation of the McCarran- Ferguson Act. He didn't really know why it was in the resolution. MS. LIDSTER responded that she would let the director of the Division of Insurance address that. 11:26:58 AM CHAIR ELLIS asked if they are talking about who has the authority to regulate, a turf issue, or was the sponsor trying to get at national policy toward health insurance on consumer issues. MS. LIDSTER replied that initially the resolution was trying to let the federal government know that opening up an optional federal charter would split insurance regulation between state or federal regulation and the states want to retain that authority. 11:29:13 AM LINDA HALL, Director, Division of Insurance, Department of Commerce, Community & Economic Development, said she supported HJR 24 am. She stated that insurance regulation is a turf war; national life insurance companies have questioned why they would go through 50 different jurisdictions. So, there have been some attempts at having a dual regulation in which companies doing business nationally could elect to be regulated under a federal regulator and companies that are regional or in-state would choose to be regulated by the state. In her mind, that would indicate an increasing encroachment by the federal regulator into the business that has been the state's sole obligation or authority so far. 11:30:58 AM She explained that Congress passed the McCarran-Ferguson Act in 1945; it gave regulatory jurisdiction over the "business of insurance" to the states and preempted the states from coming under any federal laws including federal anti-trust laws without specifically saying these apply to insurance. This has occurred a couple of times post-McCarran-Ferguson. For instance, the Employee Retirement and Income Security Act of 1974 (ERISA) is an exception to the preemption that specifically gave that authority back to the federal government. MS. HALL said in addition to the bills that have been introduced in both bodies of Congress, on Monday the Treasury Department issued a report that is very over-reaching and changes how all financial institutions are regulated. It is called "The Blueprint for Modernized Financial Regulatory Structure." It deals with changing how banks, thrifts and insurance are regulated and proposes a federal regulator. It has drawn a lot of comments. She said she wanted to leave them with two things today. One comes from the National Conference of Insurance Legislators (NCOIL) that strongly opposes this resolution in two ways. She read from a press release that said Representative Kennedy indicated: The report draws state insurance regulation which is constantly developing and responding to its healthy competitive markets into the fray along with less regulated and less accountable financial services sectors, such as banks, thrifts and securities that are presently managed by the federal government.... She said people are concerned about oversight and she heard an insurance company trade association speak to CNN on Monday after this report was released about regulation at a federal level and it would not be the same as the regulation the state has today. The two primary areas of regulations she deals with are financial oversight solvency regulation and consumer protection. MS. HALL said she wanted to make consumer protection real. Her department has a consumer services section and it gets 400-600 official consumer complaints a year plus lots of phone calls where they provide assistance in other ways. She explained when a complaint is closed she does a confidential survey. Someone took the time to write a three-page letter expressing gratitude for her quick and effective response to an issue for which they initially received $20,000 and other regular payments. She didn't think a federal regulator would ever provide that level of assistance. SENATOR STEVENS said he was concerned because it says the legislature opposes anything that would establish a federal insurance regulator, but it also says "or otherwise alter the McCarran-Ferguson Act." He needed to know what was in the McCarran-Ferguson Act. 11:37:25 AM MS. HALL answered she was not an expert. SENATOR STEVENS was concerned about the broadness of that statement. CHAIR ELLIS asked for clarification of what is encompassed in that act saying the committee wanted assurance that HJR 24 is just about insurance regulation. 11:38:49 AM JOHN GRUMMETT, President, Alaska Independent Agents and Brokers, supported HJR 24. He said he is also Vice President of Shattuck and Grummett in Juneau. He supported Ms. Hall's statements about this being an issue of consumer protection and a level of responsiveness to them. He said they are against federal regulation for a variety of reasons. State Farm Insurance opposes it, as well, as indicated in a letter in their packets. MR. GRUMMETT said there are things agents and brokers want to improve, but they don't need a federal regulatory system to do that. They have to do with surplus lines, reinsurance reform and agent and company licensing reform. He said from the property casualty angle introducing federal regulation as an option would result in agents and brokers having to become experts in two different regulatory environments and it would be more confusing for the consumer to try to distinguish between the two. Small insurance companies would be at a competitive disadvantage. 11:41:34 AM Further he said the premium tax in Alaska is third or fourth in the country, and the general fund contribution last year was $46 million; that would go away. The feds say it would be optional and they wouldn't want a premium tax, but the national companies wouldn't want to be regulated by the feds and still keep paying taxes to the state. CHAIR ELLIS thanked everyone for the remarks and said he would hold the bill for further work. There being no further business to come before the committee, he adjourned the meeting at 11:43:38 AM.

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