Legislature(2023 - 2024)BELTZ 105 (TSBldg)

04/03/2023 01:30 PM Senate LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 94 PROFESSION OF PHARMACY TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+= SB 89 AGE FOR TOBACCO/NICOTINE/E-CIG; TAX E-CIG TELECONFERENCED
Heard & Held
-- Public Testimony <Time Limit May Be Set> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
                      ALASKA STATE LEGISLATURE                                                                                
            SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                      
                            April 3, 2023                                                                                       
                              1:32 p.m.                                                                                         
                                                                                                                                
                                                                                                                                
  MEMBERS PRESENT                                                                                                             
                                                                                                                                
  Senator Jesse Bjorkman, Chair                                                                                                 
  Senator Click Bishop, Vice Chair                                                                                              
  Senator Elvi Gray-Jackson                                                                                                     
  Senator Kelly Merrick                                                                                                         
  Senator Forrest Dunbar                                                                                                        
                                                                                                                                
  MEMBERS ABSENT                                                                                                              
                                                                                                                                
  All members present                                                                                                           
                                                                                                                                
  COMMITTEE CALENDAR                                                                                                          
                                                                                                                                
  SENATE BILL NO. 94                                                                                                            
  "An  Act relating  to  the Board  of  Pharmacy; relating  to  the                                                             
  practice  of  pharmacy;  relating  to   pharmacies;  relating  to                                                             
  prescription drug  manufacturers; relating  to prescriptions  for                                                             
  epinephrine; relating to  the administration of  epinephrine; and                                                             
  providing for an effective date."                                                                                             
                                                                                                                                
       - HEARD & HELD                                                                                                           
                                                                                                                                
  SENATE BILL NO. 89                                                                                                            
  "An  Act  relating  to  tobacco,   tobacco  products,  electronic                                                             
  smoking  products, nicotine,  and  products containing  nicotine;                                                             
  raising the minimum  age to purchase, sell, exchange,  or possess                                                             
  tobacco, a product containing nicotine,  or an electronic smoking                                                             
  product; relating to the taxation  of electronic smoking products                                                             
  and vapor products; and providing for an effective date."                                                                     
                                                                                                                                
       - HEARD & HELD                                                                                                           
                                                                                                                                
  PREVIOUS COMMITTEE ACTION                                                                                                   
                                                                                                                                
  BILL: SB 94                                                                                                                 
  SHORT TITLE: PROFESSION OF PHARMACY                                                                                           
  SPONSOR(s): SENATOR(s) GIESSEL BY REQUEST                                                                                     
                                                                                                                                
  03/08/23       (S)       READ THE FIRST TIME - REFERRALS                                                                      
  03/08/23       (S)       L&C, FIN                                                                                             
  04/03/23       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                    
                                                                                                                                
  BILL: SB 89                                                                                                                 
  SHORT TITLE: AGE FOR TOBACCO/NICOTINE/E-CIG; TAX E-CIG                                                                        
  SPONSOR(s): SENATOR(s) STEVENS                                                                                                
                                                                                                                                
  03/01/23       (S)       READ THE FIRST TIME - REFERRALS                                                                      
  03/01/23       (S)       L&C, FIN                                                                                             
  03/24/23       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                    
  03/24/23       (S)       Heard & Held                                                                                         
  03/24/23       (S)       MINUTE(L&C)                                                                                          
  03/31/23       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                    
  03/31/23       (S)       Heard & Held                                                                                         
  03/31/23       (S)       MINUTE(L&C)                                                                                          
  04/03/23       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                    
                                                                                                                                
  WITNESS REGISTER                                                                                                            
                                                                                                                                
  SENATOR CATHY GIESSEL, District E                                                                                             
  Alaska State Legislature                                                                                                      
  Juneau, Alaska                                                                                                                
  POSITION STATEMENT: Sponsor of SB 94.                                                                                       
                                                                                                                                
  REPRESENTATIVE JUSTIN RUFFRIDGE, District 7                                                                                   
  Alaska State Legislature                                                                                                      
  Soldotna, Alaska                                                                                                              
  POSITION STATEMENT: Testified as the sponsor of the House                                                                   
  companion bill in support of SB 94.                                                                                           
                                                                                                                                
  JANE CONWAY, Staff                                                                                                            
  Senator Cathy Giessel                                                                                                         
  Alaska State Legislature                                                                                                      
  Juneau, Alaska                                                                                                                
  POSITION STATEMENT: Paraphrased the sectional analysis for SB
  94.                                                                                                                           
                                                                                                                                
  BRANDY SEIGNEMARTIN, Executive Director                                                                                       
  Alaska Pharmacists Association                                                                                                
  Eagle River, Alaska                                                                                                           
  POSITION STATEMENT: Stated support for SB 94.                                                                               
                                                                                                                                
  ASHLEY SCHABER, Chair                                                                                                         
  Board of Pharmacy                                                                                                             
  Anchorage, Alaska                                                                                                             
  POSITION STATEMENT: Gave a presentation on SB 94.                                                                           
                                                                                                                                
  TIM LAMKIN, Staff                                                                                                             
  Senator Gary Stevens                                                                                                          
  Alaska State Legislature                                                                                                      
  Juneau, Alaska                                                                                                                
  POSITION STATEMENT: Offered a recap of SB 89.                                                                               
                                                                                                                                
  JOE DARNELL, Chief Investigator                                                                                               
  Tobacco Enforcement & Youth Education                                                                                         
  Department of Health (DOH)                                                                                                    
  Anchorage, Alaska                                                                                                             
  POSITION STATEMENT: Answered questions about SB 89.                                                                         
                                                                                                                                
  SYLVAN ROBB, Director                                                                                                         
  Division of Corporations, Business and Professional Licensing                                                                 
  Department of Commerce, Community, and Economic Development                                                                   
  Juneau, Alaska                                                                                                                
  POSITION STATEMENT: Answered questions about SB 89.                                                                         
                                                                                                                                
  MEGAN BOELTER, JD, Western Regional Director                                                                                  
  Preventing Tobacco Addiction Foundation                                                                                       
  Las Cruces, New Mexico                                                                                                        
  POSITION STATEMENT: Testified in support of SB 89.                                                                          
                                                                                                                                
  JUNE ROGERS, representing self                                                                                                
  Fairbanks, Alaska                                                                                                             
  POSITION STATEMENT: Testified in support of SB 89.                                                                          
                                                                                                                                
  JASON JONES, Owner                                                                                                            
  Legion Vapor                                                                                                                  
  Eagle River, Alaska                                                                                                           
  POSITION STATEMENT: During the hearing on SB 89, gave public                                                                
  testimony on the effects of a heavy tax burden on vape shops.                                                                 
                                                                                                                                
  TABITHA BLADES, representing self                                                                                             
  Soldotna, Alaska                                                                                                              
  POSITION STATEMENT: Testified in support of SB 89.                                                                          
                                                                                                                                
                                                                                                                                
  ACTION NARRATIVE                                                                                                            
                                                                                                                                
  1:32:00 PM                                                                                                                  
  CHAIR  JESSE  BJORKMAN  called  the  Senate  Labor  and  Commerce                                                           
  Standing Committee meeting to  order at 1:32 p.m. Present  at the                                                             
  call to  order were Senators  Gray-Jackson, Dunbar,  Merrick, and                                                             
  Chair Bjorkman. Senator Bishop joined the meeting thereafter.                                                                 
                                                                                                                                
                    SB 94-PROFESSION OF PHARMACY                                                                            
                                                                                                                                
  1:32:56 PM                                                                                                                  
  CHAIR BJORKMAN announced the consideration of  SENATE BILL NO. 94                                                             
  "An  Act relating  to  the Board  of  Pharmacy; relating  to  the                                                             
  practice  of  pharmacy;  relating  to   pharmacies;  relating  to                                                             
  prescription drug  manufacturers; relating  to prescriptions  for                                                             
  epinephrine; relating to  the administration of  epinephrine; and                                                             
  providing for an effective date."                                                                                             
                                                                                                                                
  He asked the sponsor to introduce the bill.                                                                                   
                                                                                                                                
  1:33:17 PM                                                                                                                  
  SENATOR  CATHY GIESSEL,  District  E, Alaska  State  Legislature,                                                             
  Juneau, Alaska,  sponsor of SB  94, stated that  the goal  of the                                                             
  bill is to  protect the public  by ensuring the safe  practice of                                                             
  Alaskan pharmacists. This  bill updates obsolete statutes.  It is                                                             
  a  multi-year   collaboration  between  multiple   organizations,                                                             
  multiple  chairs  of  the  Board  of  Pharmacy,  and  the  Alaska                                                             
  Pharmacist's Association.  Pharmacology  students, retirees,  and                                                             
  individuals from the  Alaska Tribal Health System all  support SB
  94. She explained  that the practice of pharmacology  has evolved                                                             
  over  the  last  couple  of  decades  and  through  the  COVID-19                                                             
  pandemic, at  which  time pharmacists  fulfilled critical  public                                                             
  service roles. She described the changes SB 94 would make.                                                                    
                                                                                                                                
  SENATOR GIESSEL spoke to the following sponsor statement:                                                                     
                                                                                                                                
  [Original punctuation provided.]                                                                                              
                                                                                                                                
       Pharmacists  and pharmacies  are  an integral  part  of                                                                  
       Alaska' healthcare  system.  It is  important that  the                                                                  
       Alaska  statutes  that  guide  them   are  updated  and                                                                  
       reflect   the    services   provided   by    modern-day                                                                  
       pharmacies.                                                                                                              
                                                                                                                                
       Senate  Bill   94   clarifies  the   Alaska  Board   of                                                                  
       Pharmacy's powers and duties to  align with the federal                                                                  
       Drug Supply Chain  and Security Act (DSCSA)  related to                                                                  
       licensing and oversight of  manufacturers, out-of-state                                                                  
       pharmacies,   outsourcing  facilities,   and   internet                                                                  
       pharmacies who  conduct  business in  Alaska. In  doing                                                                  
       so, these  out-of-state entities  will be  held to  the                                                                  
       same high standard  as those operating in the  state of                                                                  
       Alaska,  helping  to ensure  Alaskans  have  access  to                                                                  
       medications  that  are  safe,  no   matter  where  they                                                                  
       originate.                                                                                                               
                                                                                                                                
       SB  94 aligns  Alaska's  pharmacy board  statutes  with                                                                  
       similar boards  in other  states. It  allows for it  to                                                                  
       meaningfully recognize  retired  pharmacists and  their                                                                  
       contributions.  Stressing  the  importance   of  public                                                                  
       safety,  SB94 would  allow  the  board to  institute  a                                                                  
       national   criminal   background   check   for   Alaska                                                                  
       pharmacists and pharmacy technicians.  This would align                                                                  
       the  Alaska  Board   of  Pharmacy  with   the  National                                                                  
       Association  of   Boards  and   Pharmacy  Model   State                                                                  
       Pharmacy Act.                                                                                                            
                                                                                                                                
       The Executive  Administrator plays  a critical role  in                                                                  
       the  smooth functioning  of the  board  and requires  a                                                                  
       high  degree of  competency  and understanding  of  the                                                                  
       complexities   of  pharmacy-related   regulations   and                                                                  
       issues.   This   bill  gives   Alaska's   Division   of                                                                  
       Professional Licensing flexibility to  hire a qualified                                                                  
       pharmacist  for  this administrative  role  should  one                                                                  
       apply.                                                                                                                   
                                                                                                                                
       The  changes  proposed  in Senate  Bill  94  reflect  a                                                                  
       dedicated  collaboration between  the  Alaska Board  of                                                                  
       Pharmacy  and   the   Alaska  Pharmacists   Association                                                                  
       (AKPhA) to modernize pharmacy practice statutes.                                                                         
                                                                                                                                
  1:35:43 PM                                                                                                                  
  REPRESENTATIVE  JUSTIN   RUFFRIDGE,  District  7,   Alaska  State                                                             
  Legislature, Juneau, Alaska, sponsor of  the House companion bill                                                             
  to SB  94, testified in  support of SB  94. He announced  that he                                                             
  could answer  questions as  a pharmacist  and former chairman  of                                                             
  the Board of Pharmacy.  This bill and its companion  in the other                                                             
  body are the result of a collaboration  of multiple chairs of the                                                             
  Board  of Pharmacy  for  right-touch regulations.  This  included                                                             
  modernizing pharmacy regulations, repealing those  that were out-                                                             
  of-date,  and implementing  updates  in compliance  with  federal                                                             
  law. Many  changes in the  bill are a  result of the  Drug Supply                                                             
  Chain and Security  Act as well  as the need to  update licensing                                                             
  requirements,  especially   for  licensees   of  pharmacist   and                                                             
  pharmacist technician  practices. Additionally, this  bill allows                                                             
  for  changes to  the  Board of  Pharmacy,  such as  allowing  for                                                             
  pharmacy technicians  to be seated  in lieu  of a public  member.                                                             
  Finally, to increase access to the  life-saving drug epinephrine,                                                             
  SB 94 includes the prescribing of  auto-injectors, or EpiPens, by                                                             
  pharmacists trained in their use.                                                                                             
                                                                                                                                
  1:40:24 PM                                                                                                                  
  JANE CONWAY, Staff, Senator Cathy Giessel, Alaska State                                                                       
  Legislature, Juneau, Alaska, paraphrased the following sectional                                                              
  analysis for SB 94:                                                                                                           
                                                                                                                                
  [Original punctuation provided.]                                                                                              
                                                                                                                                
     Section 1. Amends AS 08.08.010(a) Creation and membership                                                              
     of board; officers                                                                                                     
       Alters composition of the seven-member Board of Pharmacy                                                                 
       by  designating one  member  to be  a licensed  pharmacy                                                                 
       technician,  and   one  being  an  individual   with  no                                                                 
       financial interest in the healthcare industry                                                                            
                                                                                                                                
   Section 2. Amends AS 08.80.030 Powers and Duties of Board                                                                
       (b)(10) Separates out  the licensing/regulating entities                                                                 
       relating to manufacturing and  distributing of drugs and                                                                 
       devices by use of the word "or"                                                                                          
       (b)(12)  adds  an   epinephrine  auto-injector  training                                                                 
       program                                                                                                                  
       (b)(14)  Clarifies that  only  pharmacists who  dispense                                                                 
       federally scheduled controlled substances be required to                                                                 
       register with  the Prescription Drug  Monitoring Program                                                                 
       (PDMP)                                                                                                                   
       (b)(16) Adds pharmacies and manufacturers from out-of-                                                                   
       state to list of entities to be licensed and inspected                                                                   
       (b)(17)  Adds  internet-based   pharmacies  to  list  of                                                                 
       entities to be licensed if they are servicing Alaskans                                                                   
       (b)(18)  adds  language  allowing  the  board  to  adopt                                                                 
      regulations pertaining to retired pharmacist status                                                                       
                                                                                                                                
   Section 3. Amends 08.80.145 Reciprocity; license transfer                                                                
       (3)  removes  character  requirement -  "of  good  moral                                                                 
       character"                                                                                                               
       (4)  removes internship  details    this  is a  national                                                                 
       standard among schools of pharmacy                                                                                       
       Renumbering of statute items                                                                                             
                                                                                                                                
     Section 4. Amends AS 08.80.157 Licensing of facilities                                                                 
       (k) this adds out-of-state  pharmacies and manufacturers                                                                 
       to the list of entities that must be licensed                                                                            
                                                                                                                                
     Section 5. Amends AS 08.80.159 Licensing and inspection of                                                             
     facilities outside the state                                                                                           
       (a) Adds "distributor,  pharmacy, manufacturer" to those                                                                 
       out-of-state  entities   that   must  be   licensed  and                                                                 
       inspected, under the Drug Supply Chain and Security Act                                                                  
                                                                                                                                
     Section 6. Amends AS 08.80.159 Licensing and inspection of                                                             
     facilities outside the state                                                                                           
       (c) adds "pharmacy and manufacturer" to list that may be                                                                 
       inspected if located outside the state                                                                                   
                                                                                                                                
1:42:31 PM                                                                                                                    
     Section 7. Amends AS 08.80.160 Fees                                                                                    
       (10)  Removes the  word  "registration"  since the  bill                                                                 
       mandates licensure of a facility                                                                                         
                                                                                                                                
     Section 8. Amends 08.80.168 and adds a new subsection                                                                  
     Administration of vaccines and related emergencies                                                                     
       (e) Allows a  pharmacist to administer  epinephrine to a                                                                 
       person  or  prescribe  an epinephrine  auto-injector  to                                                                 
       someone who has  completed the epinephrine auto-injector                                                                 
       training                                                                                                                 
                                                                                                                                
     Section 9. Amends AS 08.80.270 Executive administrator of                                                              
     the board                                                                                                              
       (a)  Adds an  additional  salary  range  option for  the                                                                 
       executive  administrator, allowing  flexibility for  the                                                                 
       Division to select a pharmacist for the role                                                                             
                                                                                                                                
     Section 10. Amends AS 08.80.420 Certain advertising                                                                    
     prohibited                                                                                                             
       (a) adds  the term  "apothecary" to  list of  those that                                                                 
       cannot be used in media  or advertising unless the store                                                                 
       employs a licensed pharmacist with regular hours                                                                         
                                                                                                                                
     Section 11. Amends AS 12.62.400 National criminal history                                                              
     record check                                                                                                           
       (a)(23) adds  pharmacist and  pharmacy  tech to  list of                                                                 
       professions where a background check is required. Aligns                                                                 
       with State of Alaska's nursing requirements and pharmacy                                                                 
       requirements  typical  in  other  states.  This  adds  a                                                                 
       national level background check                                                                                          
                                                                                                                                
     Section 12. Amends AS 17.22.010 Prescription, purchase,                                                                
     administration of epinephrine by a trained individual                                                                  
       Allows anyone  over 18 to  purchase or be  prescribed an                                                                 
       epinephrine autoinjector, and  to administer epinephrine                                                                 
       shot in  an  emergency to  another person  if  they have                                                                 
       completed an epinephrine  auto-injector training program                                                                 
       approved by the board. It removes very outdated language                                                                 
       from this section                                                                                                        
                                                                                                                                
     Section 13. Amends AS 17.22.020(a) Approval of training                                                                  
     programs                                                                                                                 
       (a) Allows  the board,  rather  than the  department, to                                                                 
       adopt  standards   for  the   epinephrine  auto-injector                                                                 
       training program and deletes outdated language                                                                           
                                                                                                                                
     Section 14. Amends AS 17.22.020(b) Approval of training                                                                
     programs                                                                                                               
       (b) Allows  the board,  rather  than the  department, to                                                                 
       approve  an epinephrine  auto-injector training  program                                                                 
       that meets the board's standards                                                                                         
                                                                                                                                
     Section 15. Amends AS 17.22.030 Applicability                                                                          
       States  that this  chapter  does  not  apply to  someone                                                                 
       currently  authorized under  another  law to  administer                                                                 
       epinephrine, such  as a nurse  or doctor, or  some other                                                                 
       authorized professional                                                                                                  
                                                                                                                                
1:44:37 PM                                                                                                                    
     Section 16. Amends AS 17.22.040 Liability of certified                                                                 
     individual                                                                                                             
       Outlines that a  person may not be  sued who administers                                                                 
       epinephrine  to another  in  an emergency,  and in  good                                                                 
       faith, if he or she  has completed the epinephrine auto-                                                                 
       injector training program approved by the board                                                                          
                                                                                                                                
     Section 17. Amends AS 17.22.090 Definitions                                                                            
       (3) defines the "board" as the Board of Pharmacy                                                                         
                                                                                                                                
     Section 18. Repeals AS 08.80.110(2) Qualifications for                                                                 
     licensure by examination                                                                                               
         • Repeals (2) furnish the board with at least two                                                                      
            affidavits   from  reputable   citizens  that   the                                                                 
            applicant has known for at least one year attesting                                                                 
            to the  applicant's good  moral character.  This is                                                                 
            not  required  in  medical, dentistry,  or  nursing                                                                 
            statutes.                                                                                                           
         • Repeals 08.80.158 Registration of pharmacies                                                                         
            located outside the state since this bill would now                                                                 
            require licensure                                                                                                   
         • Repeals AS 17.22.020(c) which is the Department's                                                                    
           epinephrine auto-injector training program                                                                           
         • Repeals AS 17.22.090(1) that defines the department                                                                  
            as the Dept of Health, since it will no longer be                                                                   
            the approving entity of the epinephrine auto-                                                                       
            injector training program                                                                                           
                                                                                                                                
1:45:37 PM                                                                                                                    
     Section 19. TRANSITION LANGUAGE for currently registered                                                               
     pharmacies                                                                                                             
       A new  section  that would  allow  pharmacies previously                                                                 
       registered  to   continue  to  ship,   mail  or  deliver                                                                 
       prescription  drugs to  its  customers  in Alaska  until                                                                 
       their registration expires. At that time, they will then                                                                 
       have to apply for licensure.                                                                                             
                                                                                                                                
     Section 20. TRANSITION: REGULATIONS Allows the Board of                                                                
     Pharmacy and DCCED to adopt regulations to carry out the                                                                   
     changes laid out in this legislation.                                                                                      
                                                                                                                                
     Section 21. Section 20 has an immediate effective date                                                                 
     under AS 01.10.070(c)                                                                                                      
                                                                                                                                
     Section 22: Effective date is set to coincide with the                                                                 
     Drug Supply Chain and Security Act that will go into                                                                       
     effect on November 26, 2023.                                                                                               
                                                                                                                                
  1:47:04 PM                                                                                                                  
  BRANDY SEIGNEMARTIN, Executive Director, Alaska Pharmacists                                                                   
  Association, Eagle River, Alaska, stated support for SB 94 and                                                                
  Senator Giessel and offered to answer questions.                                                                              
                                                                                                                                
  1:48:03 PM                                                                                                                  
  ASHLEY SCHABER, Chair, Board of Pharmacy, Anchorage, Alaska,                                                                  
  gave a presentation on SB 94. She began on slide 3, and spoke to                                                              
  the following points:                                                                                                         
                                                                                                                                
       Background of SB 94                                                                                                      
                                                                                                                                
         • Result of multi-year, multi-chair review of                                                                          
            statutes and regulations to ensure the Alaska                                                                       
            Board of Pharmacy can continue to meet its                                                                          
            mission                                                                                                             
         • SB 94 addresses changes by:                                                                                          
              o Streamlining     licensure    process    while                                                                  
                 improving public safety                                                                                        
              o Compliance with the Drug Supply Chain and                                                                       
                 Security Act                                                                                                   
              o Alignment with other professional boards in                                                                     
                 Alaska and pharmacy boards in other states                                                                     
              o Clarification of pharmacists' roles in                                                                          
                 epinephrine access                                                                                             
         • Collaborative effort between the Alaska Board of                                                                     
            Pharmacy and the Alaska Pharmacists Association                                                                     
                                                                                                                                
  1:49:47 PM                                                                                                                  
  SENATOR BISHOP joined the meeting.                                                                                            
                                                                                                                                
  1:50:23 PM                                                                                                                  
  MS. SCHABER advanced to slide 4, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Goal: Streamline licensure process while improving                                                                       
       public safety                                                                                                            
                                                                                                                                
         • Eliminates unnecessary forms currently required                                                                      
            in statute                                                                                                          
         • Clarifies that only pharmacists who dispense                                                                         
            controlled  substances are  required  to  register                                                                  
            with  the  Prescription  Drug  Monitoring  Program                                                                  
            (PDMP)                                                                                                              
         • Adds national criminal background check                                                                              
                                                                                                                                
  1:51:23 PM                                                                                                                  
  MS. SCHABER advanced to slide 5, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Goal: Compliance with Drug Supply Chain and Security                                                                     
       Act                                                                                                                      
                                                                                                                                
         • The federal Drug Supply Chain and Security Act                                                                       
            (DSCSA)  further  secures  the  U.S.  drug  supply                                                                  
            through a  system  to prevent  harmful drugs  from                                                                  
            entering the  supply chain,  detect harmful  drugs                                                                  
            if they do  enter, and enable rapid  response when                                                                  
            such drugs are found                                                                                                
              o Boards of Pharmacy play a key role in this                                                                      
                 process through appropriate licensing of                                                                       
                drug distributors and pharmacies                                                                                
         • SB 94 ensures the AK Board of Pharmacy powers and                                                                    
            duties    support    the    DSCSA    related    to                                                                  
            manufacturers,   out-of-state    pharmacies,   and                                                                  
            internet  pharmacies to  ensure  Alaskans  receive                                                                  
            safe medications                                                                                                    
                                                                                                                                
  1:52:15 PM                                                                                                                  
  MS. SCHABER advanced to slide 6, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Goal: Alignment                                                                                                          
                                                                                                                                
         •  Replaces one of  the two public member  seats with                                                                  
            a pharmacy technician seat                                                                                          
         •  Allows the  board  to adopt  language for  retired                                                                  
            pharmacist status                                                                                                   
         •  Clarifies  the  board   executive  administrator's                                                                  
            salary, allowing  flexibility for a  pharmacist to                                                                  
            serve in this role in the future                                                                                    
                                                                                                                                
  1:53:42 PM                                                                                                                  
  MS. SCHABER advanced to slide 7, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Goal: Epinephrine Access                                                                                                 
                                                                                                                                
         •  Moves epinephrine training program  under Board of                                                                  
            Pharmacy oversight                                                                                                  
         •  Clarifies  that   a   pharmacist  can   administer                                                                  
            epinephrine to  a person or  prescribe epinephrine                                                                  
            auto-injectors to  someone who  has completed  the                                                                  
            training program                                                                                                    
         •  Increases  epinephrine access  for  Alaskans  with                                                                  
            anaphylactic emergencies                                                                                            
                                                                                                                                
  1:54:11 PM                                                                                                                  
  MS. SCHABER advanced to slide 8, and spoke to the following                                                                   
  points:                                                                                                                       
                                                                                                                                
       Support                                                                                                                  
                                                                                                                                
         •  The Board  of Pharmacy respectfully  requests your                                                                  
            support of SB 94, allowing  us to further promote,                                                                  
            preserve, and  protect the public  health, safety,                                                                  
            and  welfare  of  Alaskans  by   and  through  the                                                                  
            effective control  and regulation of  the practice                                                                  
            of pharmacy.                                                                                                        
         • Thank you for your time!                                                                                             
                                                                                                                                
  1:54:40 PM                                                                                                                  
  CHAIR BJORKMAN thanked the presenter and held SB 94 in                                                                        
  committee.                                                                                                                    
                                                                                                                                
  1:54:46 PM                                                                                                                  
  At ease.                                                                                                                      
                                                                                                                                
           SB 89-AGE FOR TOBACCO/NICOTINE/E-CIG; TAX E-CIG                                                                  
                                                                                                                                
  1:57:15 PM                                                                                                                  
  CHAIR  BJORKMAN   reconvened  the   meeting  and  announced   the                                                             
  consideration of SENATE BILL NO. 89 "An  Act relating to tobacco,                                                             
  tobacco  products,  electronic smoking  products,  nicotine,  and                                                             
  products  containing  nicotine;   raising  the  minimum   age  to                                                             
  purchase,  sell,   exchange,  or   possess  tobacco,  a   product                                                             
  containing nicotine, or  an electronic smoking  product; relating                                                             
  to  the  taxation  of  electronic   smoking  products  and  vapor                                                             
  products; and providing for an effective date."                                                                               
                                                                                                                                
  He asked Mr. Lamkin to give a brief recap of the bill.                                                                        
                                                                                                                                
  1:57:44 PM                                                                                                                  
  TIM   LAMKIN,  Staff,   Senator   Gary  Stevens,   Alaska   State                                                             
  Legislature,  Juneau,  Alaska,  offered a  recap  of  SB  89.  He                                                             
  reminded  the community  that  the  bill's mission  is  primarily                                                             
  about getting nicotine and e-cigarette products  out of the hands                                                             
  of  Alaska's  youth.   He  refuted  previous   public  testimony,                                                             
  stating:                                                                                                                      
                                                                                                                                
    • The statement that taxing e-cigarette products and                                                                        
       increasing  the legal  age  to 21  years  will increase  the                                                             
       burden on law  enforcement is not true. These  statutes have                                                             
       been around for decades and are tools  that are available to                                                             
       law officers.  It is  not often  that students are  actually                                                             
       cited, though  these cases are  increasing. In  Alaska there                                                             
       are different investigator  classes, so each  department can                                                             
       hire their  own enforcement arm,  focusing on areas  such as                                                             
       licensing, tattoo parlors, and food stamp fraud.                                                                         
    • The statement that the tax rate is too high is not true.                                                                  
       Vape  products are  inexpensive    he  can provide  receipts                                                             
       that show  he  purchased e-cigarette  items for  $1. He  can                                                             
       provide local  photos of e-cigarette  products. He  said the                                                             
       pricing  information  on  the  internet   shows  that  these                                                             
       products are cheap.                                                                                                      
                                                                                                                                
  He  commented  on out-of-state  individuals  that  maintain  that                                                             
  Alaska  doesn't  have  a problem  with  e-cigarette  products  in                                                             
  schools. He related that  he has been working on  a database that                                                             
  is  comprised  of  a series  of  questions  and  answers  between                                                             
  himself and the schools:                                                                                                      
                                                                                                                                
    • Are you seeing e-cigarettes in schools? Overwhelmingly yes.                                                               
    • Are e-cigarettes on the rise in schools? Overwhelmingly                                                                   
       yes.                                                                                                                     
    • Do you believe that vape products and e-cigarettes are                                                                    
       safe? Overwhelmingly no.                                                                                                 
    • As with alcohol, do you support raising the legal age to                                                                  
       buy/sell/possess e-cigarettes to age 21? Overwhelmingly                                                                  
       yes.                                                                                                                     
    • Do you support establishing a 25 percent retail sales tax                                                                 
       on e-cigarettes as a way to deter youth initiation?                                                                      
       Overwhelmingly yes.                                                                                                      
                                                                                                                                
  MR. LAMKIN reiterated that  youth vaping is a problem  that needs                                                             
  to be addressed.                                                                                                              
                                                                                                                                
  2:00:41 PM                                                                                                                  
  SENATOR DUNBAR expressed  concern that 19-year-olds  and 20-year-                                                             
  olds  may lose  employment opportunities.  He  asked whether  the                                                             
  sponsor had looked into  the potential impacts of the  25 percent                                                             
  tax,  noting that  some  testifiers believed  it  might create  a                                                             
  black  market. He  asked  whether vape  products  would still  be                                                             
  substantially cheaper  than cigarettes after  the 25  percent tax                                                             
  was imposed.                                                                                                                  
                                                                                                                                
  MR.  LAMKIN  answered  that  it  depends  on  who  answers  those                                                             
  questions. Dr.  Frank J. Chaloupka  IV, a research  professor and                                                             
  arguably the nation's  leading tobacco economist, has  no problem                                                             
  with the  25 percent retail  tax and finds  that it is  at parity                                                             
  with tobacco products.                                                                                                        
                                                                                                                                
  2:03:20 PM                                                                                                                  
  SENATOR DUNBAR  asked whether  he researched  the impact the  tax                                                             
  might have had in Anchorage.                                                                                                  
                                                                                                                                
  MR. LAMKIN  replied  that he  is not  sure  that information  was                                                             
  available  yet,  but  information from  the  Center  for  Disease                                                             
  Control (CDC) historically has indicated  that taxing tobacco and                                                             
  cigarettes  is   the  single   most  effective   way  to   reduce                                                             
  consumption of those products.                                                                                                
                                                                                                                                
  SENATOR DUNBAR  focused  his question.  He said  Anchorage has  a                                                             
  substantial vape  tax that  raises a  lot of  annual revenue.  He                                                             
  asked  whether  the  changes  Anchorage  made  actually  increase                                                             
  tobacco  use or  if  it  drove people  to  the black  market.  He                                                             
  surmised that it would be prudent  to consider potential negative                                                             
  effects.                                                                                                                      
                                                                                                                                
  MR.  LAMKIN  said  that  kind  of  information  would  be  highly                                                             
  anecdotal;  he wasnt   aware  of  any empirical  information.  He                                                             
  noted that it  is difficult to  obtain data on the  black market,                                                             
  but he was willing to pursue that question for the committee.                                                                 
                                                                                                                                
  2:05:21 PM                                                                                                                  
  SENATOR  GRAY-JACKSON  recalled  that  the  tax  used  to  be  50                                                             
  percent, so the 25 percent rate was a compromise.                                                                             
                                                                                                                                
  2:05:53 PM                                                                                                                  
  CHAIR BJORKMAN asked  whether it would be challenging  to enforce                                                             
  the bill.                                                                                                                     
                                                                                                                                
  2:06:30 PM                                                                                                                  
  JOE  DARNELL, Chief  Investigator,  Tobacco Enforcement  &  Youth                                                             
  Education,  Department   of  Health  (DOH),   Anchorage,  Alaska,                                                             
  answered questions about SB 89. He expressed  that he did not see                                                             
any added workload for the department if this bill were to pass.                                                                
                                                                                                                                
  2:07:02 PM                                                                                                                  
  SYLVAN ROBB,  Director,  Division of  Corporations, Business  and                                                             
  Professional  Licensing, Department  of  Commerce, Community  and                                                             
  Economic Development,  Juneau, Alaska,  answered questions  about                                                             
  SB 89. She replied  that the division is currently  enforcing the                                                             
  age 21 tobacco law and would not see  any change if the bill were                                                             
  to pass.                                                                                                                      
                                                                                                                                
  2:07:33 PM                                                                                                                  
  CHAIR DUNBAR reminded  the public that they could  submit written                                                             
  testimony to slac@akleg.gov.                                                                                                  
                                                                                                                                
  2:08:07 PM                                                                                                                  
  CHAIR BJORKMAN opened public testimony on SB 89.                                                                              
                                                                                                                                
  2:08:40 PM                                                                                                                  
  MEGAN BOELTER, JD, Western Regional  Director, Preventing Tobacco                                                             
  Addiction  Foundation,  Las  Cruces,  New  Mexico,  testified  in                                                             
  support of  SB 89.  She stated that  she is  a public health  law                                                             
  attorney practicing  in the area  of tobacco control  and related                                                             
  disease for  the past  18 years.  For more  than two decades  the                                                             
  foundation has  worked with multiple  state and health  advocates                                                             
  to raise  the age for  all tobacco and  nicotine products  to 21,                                                             
  including supporting  the similar bill  that passed last  year in                                                             
  hopes of keeping cigarettes and  dangerous nicotine products away                                                             
  from vulnerable youth.                                                                                                        
                                                                                                                                
  MS. BOELTER  stated that this  bill is a  step to  hold retailers                                                             
  accountable  for illegal  sales  of these  products  and not  the                                                             
  youth who  have been  captured by  deceptive and predatory  sales                                                             
  tactics.                                                                                                                      
                                                                                                                                
  MS. BOELTER  refuted the claims  from some opponents.  She stated                                                             
  that a  study  published last  year indicated  that "Tobacco  21"                                                             
  laws sizably reduced twelfth grade cigarette  use, with a similar                                                             
  impact  across the  lower grades.  She  stated that  e-cigarettes                                                             
  have not been FDA  approved as cessation devices. The  FDA had to                                                             
  include  a disclaimer  on its  website  to refute  misinformation                                                             
  based on fraudulent industry  claims, and advise that the  use of                                                             
  e-cigarettes tends  to prolong the  process of quitting  smoking.                                                             
  She said  that SB  89 is  consistent with  federal law,  Alaska's                                                             
  Tobacco Enforcement  and  Youth Education  Program, and  military                                                             
  policy.                                                                                                                       
                                                                                                                                
  2:11:48 PM                                                                                                                  
  JUNE ROGERS, representing  self, Fairbanks, Alaska,  testified in                                                             
  support  of SB  89.  She  said she  supports  the age  change  to                                                             
  conform to  federal law. She  has contacted legislators  over the                                                             
  years  regarding health  issues  her family  has  undergone as  a                                                             
  result of tobacco use. She expressed her  gratitude to people who                                                             
  support the bill and suggested that it would  be a step towards a                                                             
  healthier community.                                                                                                          
                                                                                                                                
  2:12:55 PM                                                                                                                  
  JASON  JONES, Owner,  Legion  Vapor,  Eagle River,  Alaska,  gave                                                             
  public testimony  on the effects  of a heavy  tax burden  on vape                                                             
  shops.  He commented  that  the  age  21 rule  has  already  been                                                             
  enforced for the last three years.                                                                                            
                                                                                                                                
  He contended  that  a heavy  tax burden  was not  a deterrent  to                                                             
  underage  vapers;  minors  continued  buying  from  black  market                                                             
  sources. He claimed  that vape products  can be purchased  for as                                                             
  little as $1 on a Chinese website.                                                                                            
                                                                                                                                
  MR. JONES  differentiated vape  shops from cannabis  dispensaries                                                             
  and other  smoke shops,  clarifying that  he refers to  vape-only                                                             
  shops in  that no  other paraphernalia  is in  the inventory.  He                                                             
  noted that numerous  vape shops have  gone out of  business while                                                             
  stores  that had  varied  inventory,  such  as gas  stations  and                                                             
  headshops, had  started to carry  vape products. He  lamented the                                                             
  weight of having a  high tax on everything in his  shop. He noted                                                             
  the loss of jobs and family businesses.                                                                                       
                                                                                                                                
  He mentioned  that  he is  a father  and shares  the concerns  of                                                             
  parents and others who do not want to  see youth smoking or using                                                             
  vape products.                                                                                                                
                                                                                                                                
  2:15:34 PM                                                                                                                  
  SENATOR MERRICK  asked whether his  shop is exclusively  a retail                                                             
  shop or if it includes on-site vaping.                                                                                        
                                                                                                                                
  MR. JONES  responded  that Legion  Vapor is  a  retail shop,  but                                                             
  vaping is permitted  in the shop.  He has been in  business eight                                                             
  years, so his shop was grandfathered.                                                                                         
                                                                                                                                
  2:16:15 PM                                                                                                                  
  TABITHA BLADES,  representing self,  Soldotna, Alaska,  testified                                                             
  in support  of SB  89. She  said that  in her  role as  assistant                                                             
  principal she has daily contact with  over 700 Alaskan teenagers.                                                             
  It is  her job as  disciplinarian to administer  consequences for                                                             
  violations  to school  district  policy, including  every  school                                                             
  vaping incident.  She spends  at least  an hour  each school  day                                                             
  investigating vaping  incidents and contacting  parents regarding                                                             
  their use.  The school invested  thousands of dollars  to install                                                             
  HALO vape detectors that provide real time detection alerts.                                                                  
                                                                                                                                
  Most students who are  caught vaping are between 14  and 16 years                                                             
  of age. Over 80 percent of students that  she speaks to have been                                                             
  using e-cigarettes for over a year  unbeknownst to their parents.                                                             
  Sales occur  "by  the puff"  so that  addicted  students can  get                                                             
  through their  day. Students  who own  vape devices  use about  a                                                             
  cartridge a  week and  aspire to  different models. Many  devices                                                             
  connect to  apps and  provide a  puff score inciting  competition                                                             
  among friends leading to gamified addiction amongst children.                                                                 
                                                                                                                                
  MS. BLADES  said that  students who  do not  vape feel unsafe  in                                                             
  school  restrooms,  because  they  are  frequently  pressured  to                                                             
  participate with, purchase from, or cover  for students who vape.                                                             
  Many  students report  that  they are  addicted  and can't  stop.                                                             
  There  is a  school  program that  offers  strategies on  how  to                                                             
  remain nicotine free                                                                                                          
                                                                                                                                
  MS.  BLADES posited  that  raising  the  legal age  to  21  would                                                             
  drastically affect the  availability of vape products  to minors.                                                             
  Most high school kids do know a 19-year-old,  but rarely is a 21-                                                             
  year-old still hanging out with  first-year high school students.                                                             
  Imposing a  tax will  help reduce  availability to children  with                                                             
  limited income. Students tell  her that she is only  aware of the                                                             
  tip of the iceberg.                                                                                                           
                                                                                                                                
  2:19:33 PM                                                                                                                  
  SENATOR BISHOP  asked whether she  knows the  cost for the  added                                                             
  enforcement technology  tools and  smoking cessation classes  for                                                             
  students.                                                                                                                     
                                                                                                                                
  MS. BLADES answered that the HALO vape  detectors cost $1200 each                                                             
  and  her  school  has installed  ten.  She  said  the  school  is                                                             
  interested in  installing more, as  the detectors are  helpful in                                                             
  monitoring vaping incidents.  She said a staff member  is running                                                             
  the vape cessation support group.                                                                                             
                                                                                                                                
  2:20:24 PM                                                                                                                  
  SENATOR  BISHOP  commented  that  these  mitigation  efforts  are                                                             
taking money from the Base Student Allegation (BSA) to enforce.                                                                 
                                                                                                                                
  2:21:08 PM                                                                                                                  
  CHAIR BJORKMAN  closed public  testimony on  SB 89  and held  the                                                             
  bill in committee.                                                                                                            
                                                                                                                                
  2:21:49 PM                                                                                                                  
  There being  no further  business to  come before the  committee,                                                             
  Chair Bjorkman adjourned  the Senate Labor and  Commerce Standing                                                             
  Committee meeting at 2:21 p.m.                                                                                                

Document Name Date/Time Subjects
SB 94 ver U.PDF SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Sponsor Statement 03.21.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Sectional Analysis 03.21.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Fiscal Note-DCCED-CBPL-03.31.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Presentation to L&C 04.03.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Letter_White's Pharmacy 03.08.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Title II Drug Quality and Security Act of 2013.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Public Testimony-Letter_AK Board of Pharmacy 03.20.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Public Testimony-Letter_AK Pharm Assoc 03.08.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Letter_AKPhA 03.09.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Letter_Island Pharmacy 03.20.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94
SB 94 Supporting Document-Emails as of 03.21.23.pdf SL&C 4/3/2023 1:30:00 PM
SB 94