Legislature(2019 - 2020)BELTZ 105 (TSBldg)

02/07/2019 01:30 PM LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 36 EXTEND BOARD OF NURSING TELECONFERENCED
Moved SB 36 Out of Committee
-Invited Testimony Followed by Public Testimony-
*+ SB 29 EXTEND BOARD OF MARINE PILOTS TELECONFERENCED
Moved SB 29 Out of Committee
-Invited Testimony Followed by Public Testimony-
*+ SB 25 EXTEND BOARD OF DENTAL EXAMINERS TELECONFERENCED
Moved SB 25 Out of Committee
-Invited Testimony Followed by Public Testimony-
                    ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                        February 7, 2019                                                                                        
                           1:31 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Lora Reinbold, Chair                                                                                                    
Senator Mia Costello, Vice Chair                                                                                                
Senator Click Bishop                                                                                                            
Senator Chris Birch                                                                                                             
Senator Elvi Gray-Jackson                                                                                                       
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 36                                                                                                              
"An Act extending the termination date of the Board of Nursing;                                                                 
and providing for an effective date."                                                                                           
                                                                                                                                
     - MOVED SB 36 OUT OF COMMITTEE                                                                                             
                                                                                                                                
SENATE BILL NO. 29                                                                                                              
"An Act extending the termination date of the Board of Marine                                                                   
Pilots; and providing for an effective date."                                                                                   
                                                                                                                                
     - MOVED SB 29 OUT OF COMMITTEE                                                                                             
                                                                                                                                
SENATE BILL NO. 25                                                                                                              
"An Act extending the termination date of the Board of Dental                                                                   
Examiners; and providing for an effective date."                                                                                
                                                                                                                                
     - MOVED SB 25 OUT OF COMMITTEE                                                                                             
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 36                                                                                                                   
SHORT TITLE: EXTEND BOARD OF NURSING                                                                                            
SPONSOR(s): SENATOR(s) GIESSEL                                                                                                  
                                                                                                                                
01/25/19       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/25/19       (S)       L&C, FIN                                                                                               
                                                                                                                                
BILL: SB 29                                                                                                                   
SHORT TITLE: EXTEND BOARD OF MARINE PILOTS                                                                                      
SPONSOR(s): SENATOR(s) STEDMAN                                                                                                  
                                                                                                                                
01/23/19       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/23/19       (S)       L&C, FIN                                                                                               
                                                                                                                                
BILL: SB 25                                                                                                                   
SHORT TITLE: EXTEND BOARD OF DENTAL EXAMINERS                                                                                   
SPONSOR(s): SENATOR(s) WILSON                                                                                                   
                                                                                                                                
01/18/19       (S)       READ THE FIRST TIME - REFERRALS                                                                        
01/18/19       (S)       L&C, FIN                                                                                               
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
SENATOR CATHY GIESSEL                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified as sponsor of SB 36.                                                                            
                                                                                                                                
KRIS CURTIS, Legislative Auditor                                                                                                
Legislative Audit Division                                                                                                      
Legislative Agencies and Offices                                                                                                
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented audit findings on the Board of                                                                  
Nursing during the discussion of SB 36.                                                                                         
                                                                                                                                
DAVID SCOTT, Staff                                                                                                              
Senator Bert Stedman                                                                                                            
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented SB 29 on behalf of the sponsor.                                                                 
                                                                                                                                
KRIS CURTIS, Legislative Auditor                                                                                                
Legislative Audit Division                                                                                                      
Legislative Agencies and Offices                                                                                                
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented audit findings on the Board of                                                                  
Marine Pilots during the discussion of SB 29.                                                                                   
                                                                                                                                
BARRY OLIVER, Captain; Member                                                                                                   
Southeast Alaska Pilots' Association                                                                                            
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified during the discussion of SB 29.                                                                 
                                                                                                                                
SENATOR DAVID WILSON                                                                                                            
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified as sponsor of SB 25.                                                                            
                                                                                                                                
KRIS CURTIS, Legislative Auditor                                                                                                
Legislative Audit Division                                                                                                      
Legislative Agencies and Offices                                                                                                
Juneau, Alaska                                                                                                                  
POSITION  STATEMENT: Presented  audit  findings on  the Board  of                                                             
Dental Examiners during the discussion of SB 25.                                                                                
                                                                                                                                
DAVID NIELSON, Dentist (DDS); Member                                                                                            
Board of Dental Examiners                                                                                                       
Division of Corporations, Business & Professional Licensing                                                                     
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 25.                                                                            
                                                                                                                                
SARA CHAMBERS, Director                                                                                                         
Division of Corporations, Business & Professional Licensing                                                                     
Department of Commerce, Community and Economic Development                                                                      
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions during the  discussion of                                                             
SB 25.                                                                                                                          
                                                                                                                                
DAVID LOGAN, Dentist (DDS)                                                                                                      
Executive Director                                                                                                              
Alaska Dental Society                                                                                                           
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified during the discussion of SB 25.                                                                 
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:31:49 PM                                                                                                                    
CHAIR  LORA  REINBOLD  called  the   Senate  Labor  and  Commerce                                                             
Standing Committee meeting  to order at 1:31 p.m.  Present at the                                                               
call  to  order  were  Senators  Gray-Jackson,  Costello,  Birch,                                                               
Bishop, and Chair Reinbold.                                                                                                     
                                                                                                                                
                 SB 36-EXTEND BOARD OF NURSING                                                                              
1:32:50 PM                                                                                                                    
CHAIR REINBOLD announced  that the first order  of business would                                                               
be SENATE BILL NO. 36, "An  Act extending the termination date of                                                               
the Board of Nursing; and providing for an effective date."                                                                     
                                                                                                                                
CHAIR REINBOLD  stated her intention to  move SB 36 if  it is the                                                               
will  of  the  committee.  She solicited  a  motion  and  Senator                                                               
Costello made a  clarifying motion to bring  the original version                                                               
before the committee.                                                                                                           
                                                                                                                                
SENATOR BISHOP objected for discussion purposes.                                                                                
                                                                                                                                
1:33:59 PM                                                                                                                    
SENATOR CATHY GIESSEL, Alaska State  Legislature, said she wanted                                                               
to declare that  she does not have a conflict  of interest as the                                                               
sponsor  of  SB 36.  She  explained  that  she has  two  licenses                                                               
regulated by  the Board  of Nursing,  but she  will not  gain any                                                               
benefit or  harm in sponsoring  this bill. The board's  charge is                                                               
to protect  the public through  safe practice of nursing,  not to                                                               
protect her licenses in any way.                                                                                                
                                                                                                                                
She related her understanding that  the Legislative sunset review                                                               
audit is  in members' packets.  She directed attention to  page 7                                                               
of the  audit, related to  licensing activity for the  board from                                                               
FY  15-18. She  said  she  served two  terms  on  this board  and                                                               
chaired this board  for five years. The total  number of licenses                                                               
at the end  of January 2018 is nearly 20,000.  She estimated that                                                               
when she was  chair, the total number of licensees  for the Board                                                               
of Nursing  represented about 25  percent of the  total licensees                                                               
regulated by the state and she  is not certain if that percentage                                                               
has changed.                                                                                                                    
                                                                                                                                
SENATOR  GIESSEL   pointed  out  that  the   board  oversees  six                                                               
categories  of licenses.  She listed  them: Certified  Nurse Aide                                                               
(CNA),   Advanced   Nurse  Practitioner   Preceptorship   (ANPP),                                                               
Advanced Practice  Registered Nurse (APRN),  Certified Registered                                                               
Nurse  Anesthetist (CRNA),  Licensed Practical  Nurse (LPN),  and                                                               
Registered Nurse (RN).                                                                                                          
                                                                                                                                
She  said  the  Board  of  Nursing  regulates  the  most  diverse                                                               
population  of   licensees.  Each  category  on   this  list  has                                                               
different  education  and  training requirements  for  licensure,                                                               
ranging  from high  school to  a doctoral  degree. She  said that                                                               
this  is a  huge task.  For example,  the CNA  is an  entry level                                                               
position and  for certification,  a CNA must  have a  high school                                                               
diploma, undergo training for several months, and pass an exam.                                                                 
                                                                                                                                
SENATOR GIESSEL  said the audit  report highlights some  gaps the                                                               
board needs  to address. One  gap the auditor identified  was the                                                               
need to better  monitor the CNA programs, another  gap related to                                                               
nursing  services   being  provided  via  distance   delivery  or                                                               
telemedicine. The nursing profession  also refers to telemedicine                                                               
as telehealth. During the time  she chaired the Board of Nursing,                                                               
the board felt that this authority  had already been given to the                                                               
Advanced Practice Registered Nurses  (APRNs). In fact, APRNs have                                                               
been  providing telehealth  services  since the  late 1990s,  she                                                               
said.  In 1998,  an APRN  conducted a  model or  test program  in                                                               
Girdwood   using  telemedicine.   Avalanches  often   cause  road                                                               
closures  and limit  travel between  Anchorage and  Girdwood, she                                                               
said.  If a  skier had  an  injury, using  telemedicine the  APRN                                                               
could  transmit the  skier's X-ray  to an  orthopedic surgeon  in                                                               
Anchorage,  who  would suggest  treatment.  This  same APRN  also                                                               
began a  clinic in Hope,  a small community across  Turnagain Arm                                                               
that did not  have health care services.  Using telemedicine, the                                                               
clinic communicated  telephonically and  via computer  imaging to                                                               
provide  medical  services to  Hope.  Until  recently, the  board                                                               
thought it had the authority  to authorize telemedicine services.                                                               
She suggested that members may  wish to ask the board's executive                                                               
administrator how the board is progressing on telemedicine.                                                                     
                                                                                                                                
1:40:17 PM                                                                                                                    
SENATOR BIRCH  asked for further clarification  on the difference                                                               
in training and qualifications for nurses and paramedics.                                                                       
                                                                                                                                
SENATOR GIESSEL responded  that RNs are educated to  care for the                                                               
"entire" person,  and either  are diploma  graduates with  a two-                                                               
year college degree or have  earned a bachelor's degree. She said                                                               
that  RNs  can  practice  in   hospitals  or  clinics  and  their                                                               
practices range  from orthopedic  care to  obstetrics. Paramedics                                                               
have  extensive  and intensive  training,  are  regulated by  the                                                               
State  Medical Board,  and have  focused  education on  emergency                                                               
medical situations. She described  the difference that paramedics                                                               
provide very urgent care and  RNs provide long-term global health                                                               
care and public health nursing services.                                                                                        
                                                                                                                                
1:41:42 PM                                                                                                                    
KRIS  CURTIS, Legislative  Auditor,  Legislative Audit  Division,                                                               
Legislative Agencies and Offices,  related the division conducted                                                               
a sunset audit on the Board of Nursing [Audit Control Number 08-                                                                
20113-18].  She explained  the purpose  of a  sunset audit  is to                                                               
determine whether a  board or commission is  serving the public's                                                               
interest  and if  its termination  date should  be extended.  The                                                               
legislative  audit  determined  that  the  Board  of  Nursing  is                                                               
serving  the   public's  interest   by  conducting   meetings  in                                                               
accordance  with state  law, by  amending certain  regulations to                                                               
improve  the  CNA and  nursing  occupations,  and by  effectively                                                               
licensing CNAs  and nurses.  The audit  also determined  that the                                                               
board failed to serve the  public's interest because it failed to                                                               
establish telehealth regulations, did  not adequately monitor the                                                               
CNA  training program,  and did  not notify  appropriate entities                                                               
when a licensee's prescription  authority was suspended, revoked,                                                               
or  surrendered.  The  audit determined  that  improvements  were                                                               
needed   with   the   Division  of   Corporation,   Business,   &                                                               
Professional Licensing's (DCBPL)  investigative process. She said                                                               
the  auditors  recommend  the legislature  extend  the  Board  of                                                               
Nursing for six years.                                                                                                          
                                                                                                                                
She  remarked  Senator  Giessel already  reviewed  the  licensing                                                               
statistics.  She directed  attention  to page  11  of the  sunset                                                               
audit to  the schedule of  revenues and expenditures.  This board                                                               
had a  deficit of $337,000  at the end  of March 2018,  she said.                                                               
According to DCBPL's  management, a fee analysis  was planned for                                                               
May 2018. She  directed attention to the board's  license fees on                                                               
page 12 for more detail.                                                                                                        
                                                                                                                                
MS.   CURTIS  said   page   14  of   the   audit  included   four                                                               
recommendations  for  improvements.  Audit Recommendation  No.  1                                                               
recommended  that  the board  adopt  regulations  to address  the                                                               
distance delivery  of nursing  services through  technology, also                                                               
referred to  as telehealth. In  FY 15, a licensee  approached the                                                               
board requesting  guidance to  provide telehealth  services. This                                                               
prompted the  board to issue  an advisory opinion,  which defined                                                               
telehealth  and  provided  limited   guidance  on  the  scope  of                                                               
practice.  However, this  guidance was  insufficient to  promote,                                                               
preserve or protect  the public health, safety,  and welfare, she                                                               
said.  Although  the  board discussed  the  need  for  telehealth                                                               
regulations,  it  could  not agree  on  the  specific  regulatory                                                               
language. Providing insufficient  guidance to licensees increases                                                               
the risk  that nurses  may not  maintain acceptable  standards of                                                               
practice and may not adequately protect patient confidentiality.                                                                
                                                                                                                                
She said  Recommendation No. 2 asked  the board to take  steps to                                                               
ensure  that  the  appropriate   entities  are  notified  when  a                                                               
licensee's  prescription  authority   is  suspended,  revoked  or                                                               
surrendered.  The  audit identified  eight  APRNs  who had  their                                                               
prescription authority  revoked or surrendered between  the dates                                                               
of July  2014 through January 2018.  In all cases, the  board did                                                               
not  notify  the Board  of  Pharmacy  or  the federal  DEA  [Drug                                                               
Enforcement Agency]  about the  licensing action.  These entities                                                               
were not  notified because the  statutes or regulations  were not                                                               
in place to  require the notification. Failure to  notify the DEA                                                               
or  the Board  of  Pharmacy increases  the  risk that  controlled                                                               
substances are abused or diverted, she said.                                                                                    
                                                                                                                                
1:44:54 PM                                                                                                                    
MS.  CURTIS referred  to page  15  to Recommendation  No. 3.  The                                                               
audit  recommended that  the  DCBPL's  chief investigator  ensure                                                               
nurse  investigations  are  adequately documented  and  performed                                                               
timely.  The audit  identified 273  cases  that were  open for  a                                                               
period of more  than 180 days. The auditors found  that 13 of the                                                               
28 cases it  reviewed had unjustified periods  of inactivity that                                                               
ranged from 61  days to 3.6 years. The delays  were mainly caused                                                               
by  investigative staff  turnover and  competing priorities.  The                                                               
auditors also  found two licensees  who had been  recommended for                                                               
investigation  by the  Long-term  Care  Ombudsman as  potentially                                                               
practicing outside  their scope  of practice. Auditors  could not                                                               
evaluate  these cases  due  to  a lack  of  documentation in  the                                                               
files.  However, auditors  did  note that  these  cases had  been                                                               
placed in storage for 1.5 years  due to an office remodel and did                                                               
not  progress  during  that  time.   One  of  the  two  licensees                                                               
continued  to practice  during the  4 years  that the  cases were                                                               
outstanding, potentially posing a risk to public safety.                                                                        
                                                                                                                                
1:46:08 PM                                                                                                                    
MS. CURTIS  referred to  page 16 to  Recommendation No.  4, which                                                               
recommends  the  board  chair  take  steps  to  ensure  that  the                                                               
required  Certified  Nurse  Aide (CNA)  onsite  training  program                                                               
reviews and self-evaluations are  conducted prior to re-approving                                                               
the programs.  The regulations require the  CNA training programs                                                               
be "board approved" every two  years with an onsite review. Self-                                                               
evaluations are  required in the  year that the onsite  review is                                                               
not conducted. The  audit found the onsite reviews  and the self-                                                               
evaluation  forms  were  not being  conducted  during  the  audit                                                               
period.  According  to  board  staff,  the  onsite  reviews  were                                                               
performed by  a contractor who was  terminated in FY 14  due to a                                                               
conflict  of interest.  The  procurement process  to  hire a  new                                                               
contractor was  not successful. Eventually the  division was able                                                               
to  re-designate  a PCN  [Position  Control  Number] as  a  nurse                                                               
consultant position, hired and trained  a person, and the reviews                                                               
resumed in  the spring  of 2016. The  board continued  to approve                                                               
these  training programs  due to  the  need for  the programs  to                                                               
continue to be available to train CNAs.                                                                                         
                                                                                                                                
She  said that  responses to  this audit  begin on  page 27.  The                                                               
department stated that procedures  had been implemented to notify                                                               
the Board of  Pharmacy and the federal DEA  when the prescription                                                               
authority  has been  revoked  or  surrendered. Additionally,  the                                                               
department stated  it has instituted  procedures to  help improve                                                               
the timeliness of investigations.                                                                                               
                                                                                                                                
MS. CURTIS said the board's response  to the audit begins on page                                                               
29. The board agreed with  all four recommendations and stated it                                                               
will take corrective actions. The  board also stated it will work                                                               
on the telehealth regulations at its November 2018 meeting.                                                                     
                                                                                                                                
1:48:00 PM                                                                                                                    
CHAIR REINBOLD  asked for further  clarification on  the $337,000                                                               
deficit for license fees.                                                                                                       
                                                                                                                                
MS. CURTIS  said the  audit does not  have any  recommendation on                                                               
fees. She noted  that the board has operated in  a surplus except                                                               
for this  year. The  way the  statute reads,  the board  must set                                                               
license  fees  to cover  its  operating  costs. This  results  in                                                               
alternating years of  deficit with increased fees,  followed by a                                                               
surplus with decreased fees. Unless  auditors see a pattern arise                                                               
in  which  the  board  fails  to increase  fees  when  the  board                                                               
routinely   has  deficits,   the  auditors   will  not   write  a                                                               
recommendation and will allow the process to carry out.                                                                         
                                                                                                                                
CHAIR REINBOLD asked for the next  audit date to follow up on the                                                               
audit recommendations.                                                                                                          
                                                                                                                                
MS. CURTIS answered  that it depends on how  long the legislature                                                               
extends  the termination  date.  If SB  36 were  to  pass in  its                                                               
current form,  it would extend the  board for six years,  and the                                                               
legislative  auditors will  conduct another  sunset audit  in six                                                               
years.                                                                                                                          
                                                                                                                                
1:49:22 PM                                                                                                                    
SENATOR COSTELLO  asked if the division  takes into consideration                                                               
the  board's  response to  the  audit  when  the agency  makes  a                                                               
recommendation for  the length of  time to extend the  board. She                                                               
said six  years seemed like a  long time, but it  seemed that the                                                               
Division  of  Legislative  Audit received  information  that  the                                                               
board agrees  with the  audit recommendations  and is  willing to                                                               
address the concerns.                                                                                                           
                                                                                                                                
MS. CURTIS answered  that the division relies  on the legislative                                                               
oversight  process and  the  committee process  in  terms of  the                                                               
legislature holding  the board and  the division  accountable for                                                               
implementing any recommendations and  determining the status. She                                                               
said that  a lag time  of eight  to ten months  typically happens                                                               
between the audit  and the legislative review.  During that time,                                                               
the board has an opportunity  to take corrective action. She said                                                               
the Division of  Legislative Audit does not have  a standard, but                                                               
its auditors review prior recommendations  during the next sunset                                                               
audit to determine  how well the board has  implemented them. She                                                               
said the  2010 sunset  audit had  four recommendations,  three of                                                               
which are still outstanding.                                                                                                    
                                                                                                                                
CHAIR REINBOLD  said she read  the board's letter that  the board                                                               
agreed with all  four recommendations and indicated  it will take                                                               
corrective  action. She  said  she was  very  impressed with  the                                                               
board's response.                                                                                                               
                                                                                                                                
1:50:56 PM                                                                                                                    
SENATOR GIESSEL  referred to the  budget report on page  14 dated                                                               
March 2018.  In November 2018  most license renewals are  due and                                                               
"a glut" of revenue will be collected.                                                                                          
                                                                                                                                
1:51:52 PM                                                                                                                    
CHAIR REINBOLD opened  public testimony on SB 36  and after first                                                               
determining no one wished to  testify, closed public testimony on                                                               
SB 36.                                                                                                                          
                                                                                                                                
1:54:03 PM                                                                                                                    
SENATOR GIESSEL  said she urged  the board  to act on  two items,                                                               
including  monitoring the  CNA  program.  The federal  government                                                               
supplies  $100,000 per  year to  fund a  position to  examine the                                                               
program. She  acknowledged it does involve  travel throughout the                                                               
state. She emphasized that the  board needs to fill the position.                                                               
She will  hold the board's "feet  to the fire" on  telehealth and                                                               
the auditor mentioned the division will also monitor it.                                                                        
                                                                                                                                
1:54:43 PM                                                                                                                    
SENATOR BISHOP removed his objection.                                                                                           
                                                                                                                                
1:54:54 PM                                                                                                                    
SENATOR BISHOP  reviewed the fiscal  note from the  Department of                                                               
Commerce,  Community   and  Economic  Development   (DCCED).  The                                                               
appropriation is  to the Division of  Corporations, Business, and                                                               
Professional  Licensing, the  allocation  is to  the Division  of                                                               
Corporations, Business,  and Professional Licensing, and  the OMB                                                               
component  number is  2360. The  bill would  extend the  Board of                                                               
Nursing until  June 30, 2025.  The source of the  total operating                                                               
costs of  $28,400 are designated  general fund (DGF)  dollars. He                                                               
reviewed  the breakdown  of expenditures:  $26,000  is for  seven                                                               
board members and one examiner  to travel to board meetings, $400                                                               
is for advertising,  $1,000 is for training  and conference fees,                                                               
and $100 is for stipends.                                                                                                       
                                                                                                                                
1:56:31 PM                                                                                                                    
SENATOR  COSTELLO moved  to report  SB  36, Version  31-LS0314\A,                                                               
from  committee  with  individual  recommendations  and  attached                                                               
fiscal note.  There being no  objection, SB 36 was  reported from                                                               
the Senate Labor and Commerce Standing Committee.                                                                               
                                                                                                                                
1:56:44 PM                                                                                                                    
At-ease.                                                                                                                        
                                                                                                                                
1:58:21 PM                                                                                                                    
CHAIR REINBOLD reconvened the meeting.                                                                                          
                                                                                                                                
              SB 29-EXTEND BOARD OF MARINE PILOTS                                                                           
1:58:35 PM                                                                                                                    
CHAIR REINBOLD  announced that the  next order of  business would                                                               
be SENATE BILL NO. 29, "An  Act extending the termination date of                                                               
the  Board  of Marine  Pilots;  and  providing for  an  effective                                                               
date."                                                                                                                          
                                                                                                                                
1:58:44 PM                                                                                                                    
DAVID   SCOTT,  Staff,   Senator  Bert   Stedman,  Alaska   State                                                               
Legislature, introduced himself.                                                                                                
                                                                                                                                
CHAIR REINBOLD  solicited a  motion and  Senator Costello  made a                                                               
clarifying  motion  to  bring the  original  version  before  the                                                               
committee. Senator Bishop objected for discussion purposes.                                                                     
                                                                                                                                
1:59:21 PM                                                                                                                    
MR.  SCOTT paraphrased  the sponsor  statement for  SB 29,  which                                                               
read as follows:                                                                                                                
                                                                                                                                
     The Board of Marine  Pilots (Board) protects the safety                                                                    
     of  the public  and  the environment  by licensing  and                                                                    
     regulating  marine   pilots  for  almost   all  foreign                                                                    
     vessels  and vessels  over a  certain  size in  Alaskan                                                                    
     waters.  Board  activities  provide  a  good  level  of                                                                    
     assurance  that marine  pilot  licensees are  competent                                                                    
     and able to safely pilot passenger and cargo ships.                                                                        
                                                                                                                                
     As required under  Title 24 and Title 44  of the Alaska                                                                    
     statutes,  the Legislative  Budget  and Audit  Division                                                                    
     reviewed  the actions  of the  Board of  Marine Pilots.                                                                    
     The  audit found  a continued  need for  the Board  and                                                                    
     that  the  Board  is   following  the  law,  processing                                                                    
     investigations    timely,    and   actively    changing                                                                    
     regulations  to   "improve  the  industry   and  better                                                                    
     protect   the  public."   The  audit   recommended  the                                                                    
     Legislature  extend  the  Board's termination  date  to                                                                    
     June 30,  2027. SB 29  extends the termination  date of                                                                    
     the Board of Marine Pilots to June 30, 2027.                                                                               
                                                                                                                                
He said  that the board  consists of seven members  consisting of                                                               
two pilots,  two agents of  vessels, two public members,  and the                                                               
commissioner  of  the  Department   of  Commerce,  Community  and                                                               
Economic Development. He  defined an agent of  vessels as someone                                                               
who works  for the company that  owns the vessel or  directly for                                                               
the  vessel  who  hires  the   marine  pilot.  The  board  adopts                                                               
regulations to  ensure pilots are competent  and qualified, makes                                                               
final licensing decisions, and  takes disciplinary action against                                                               
marine pilots  who violate  laws, he said.  He stated  the sunset                                                               
audit  and the  board's  response  to the  audit  is in  members'                                                               
packets and Ms. Curtis will address the two recommendations.                                                                    
                                                                                                                                
2:01:20 PM                                                                                                                    
KRIS  CURTIS, Legislative  Auditor,  Legislative Audit  Division,                                                               
Legislative Agencies and Offices,  related the division conducted                                                               
a sunset  audit on the  Board of  Marine Pilots dated  April 2018                                                               
[Audit Control Number 08-20112-18]. She  said the audit found the                                                               
board is  serving the public's interest  by effectively licensing                                                               
marine  pilots,  deputy  marine   pilots,  and  by  appropriately                                                               
approving  trainees  and  apprentices.  She  related  that  board                                                               
meetings were  conducted in  compliance with  law, investigations                                                               
were   processed  timely,   and   the   board  actively   changed                                                               
regulations  to  improve  the industry  and  better  protect  the                                                               
public.  The  audit  recommends   an  eight-year  extension.  She                                                               
referred to licensing activity on  page 12. She related the board                                                               
oversees 103  licensees as of  January 2018. She referred  to the                                                               
board's schedule  of revenues  and expenditures  on page  14. She                                                               
noted that  board fees are  located on  page 13, that  this board                                                               
had a surplus of approximately $229,000 as of March 31, 2018.                                                                   
                                                                                                                                
She referred  to the two recommendations  for improvements listed                                                               
on page 15-16:  Recommendation 1: The audit  recommends the Board                                                               
of  Marine  Pilots ensure  all  applicable  documents are  aboard                                                               
foreign   pleasure   crafts   in   accordance   with   regulatory                                                               
requirements.  She   said  that  regulations  require   that  the                                                               
operator of  a pleasure craft  applying for a  pilotage exemption                                                               
must  ensure   that  the  pleasure  craft   have  aboard  certain                                                               
documents,  such  as  nautical  charts, tide  tables,  and  other                                                               
guides. The  auditors found that  five of the  seven applications                                                               
that  were tested  stated  that  the vessel  did  not have  those                                                               
documents aboard.  It has been  standard procedure for  the board                                                               
to approve  exemptions with the understanding  that the applicant                                                               
will  follow through  at a  later  date and  obtain the  required                                                               
documents. The board did not  consider the need for or importance                                                               
of  ensuring  that those  documents  were  actually obtained.  In                                                               
addition,  the exemption  itself  did not  include a  stipulation                                                               
that  the  applicant  obtain  the  required  documents  prior  to                                                               
entering  the  applicable area.  She  said  that issuing  foreign                                                               
pleasure  craft exemptions  without verifying  required documents                                                               
are aboard the vessel increases the risk to public safety.                                                                      
                                                                                                                                
2:03:30 PM                                                                                                                    
MS. CURTIS referred  to page [16] to Recommendation  2: The board                                                               
should  ensure the  Southeast  Alaska  Pilots' Association  (APA)                                                               
improves  procedures for  tracking  drug  test notification.  She                                                               
reported  that in  a sample  of nine  drug test  donors from  the                                                               
association,  the auditor  found  three donors  notified by  mail                                                               
were not tracked  in terms of date and recipient.  The APA relied                                                               
on  a  contractor  and  was  not aware  the  contractor  was  not                                                               
tracking that  information, she  said. Inadequate  procedures for                                                               
tracking  drug test  notifications  limit the  ability to  verify                                                               
timeliness and therefore increase the  risk to public safety. She                                                               
offered her  belief that  this should  be an  easy administrative                                                               
fix.                                                                                                                            
                                                                                                                                
She  referred to  the  responses to  the audit  on  page 25.  The                                                               
response from  the department and  the board are  essentially the                                                               
same response because  the commissioner is also  the board chair.                                                               
She  said that  the  department  and the  board  agree with  both                                                               
recommendations.                                                                                                                
                                                                                                                                
2:04:28 PM                                                                                                                    
SENATOR  COSTELLO asked  whether  it was  common  practice for  a                                                               
commissioner to also serve as the board chair.                                                                                  
                                                                                                                                
MS. CURTIS answered that it happens on occasion.                                                                                
                                                                                                                                
SENATOR  COSTELLO   asked  for   further  clarification   on  the                                                               
commissioner and the board chair being the same person.                                                                         
                                                                                                                                
MS.  CURTIS responded  that  it  is not  uncommon  for an  entity                                                               
within a department  to have very similar responses  to an audit.                                                               
She remarked it  makes one wonder if the  responses were "penned"                                                               
by the same person. However, it  does not raise any concerns from                                                               
the Division of Legislative Audit's perspective, she said.                                                                      
                                                                                                                                
2:05:22 PM                                                                                                                    
CHAIR REINBOLD asked whether these vessels carry fuels.                                                                         
                                                                                                                                
MS. CURTIS  replied that she had  no idea what cargo  the vessels                                                               
being piloted carry.                                                                                                            
                                                                                                                                
CHAIR REINBOLD related she raises  concern on drug testing due to                                                               
the Exxon Valdez oil spill  incident. She said that auditors were                                                               
not able to  confirm the drug tests  is a huge issue  for her and                                                               
the issue should be addressed.                                                                                                  
                                                                                                                                
2:06:48 PM                                                                                                                    
BARRY   OLIVER,  Captain;   Member,   Southeast  Alaska   Pilots'                                                               
Association, stated that he previously  served as a pilot for the                                                               
Alaska Marine Highway System and  currently serves as a Southeast                                                               
Alaska marine  pilot. Most  of the vessels  he pilots  are cruise                                                               
ships, he said.  He responded to the concern  about drug testing,                                                               
by saying,  "We are all  drug tested."  He assured her  that drug                                                               
testing occurred  throughout the period in  question. Apparently,                                                               
the  facility  had a  computer  crash  and  lost the  records  so                                                               
auditors  could not  locate  the records  to  confirm the  marine                                                               
pilots' drug  testing. However, he  personally confirmed  that he                                                               
was drug tested.                                                                                                                
                                                                                                                                
CHAIR REINBOLD said  she was glad to know the  marine pilots were                                                               
drug tested.  She related her  understanding that the  board will                                                               
work with the contractor to remedy the record issue.                                                                            
                                                                                                                                
CAPTAIN OLIVER replied that is correct.                                                                                         
                                                                                                                                
2:08:26 PM                                                                                                                    
SENATOR  BIRCH referred  to the  documents that  needed to  be on                                                               
board  the vessels,  such as  charts  to bring  these vessels  in                                                               
safely.  He  asked  whether  the  marine  pilots  use  electronic                                                               
devices such as  using an iPad instead of a  binder that contains                                                               
charts and other items.                                                                                                         
                                                                                                                                
CAPTAIN  OLIVER answered  that marine  pilots  carry "a  personal                                                               
pilot unit,"  which is  plugged into GPS,  so they  monitor their                                                               
own tracking. He  said that marine pilots are trained  to use all                                                               
of the vessel's instruments, but  the personal pilot unit acts as                                                               
verification  that  everything   is  working  satisfactorily.  He                                                               
explained that the act of piloting  is visual, so pilots look out                                                               
the window.  The background electronics  on vessels  allow pilots                                                               
to  verify  what  they  see.  The captain  is  there  to  protect                                                               
personal  property, marine  life, and  the marine  environment on                                                               
behalf of the state, he said.                                                                                                   
                                                                                                                                
2:10:31 PM                                                                                                                    
CHAIR REINBOLD asked him to  identify the three regions in Alaska                                                               
that marine pilots serve.                                                                                                       
                                                                                                                                
CAPTAIN OLIVER  related the  three regions  for marine  pilots in                                                               
Alaska:  Region  1  covers Southeast  Alaska  from  Ketchikan  to                                                               
Yakutat Bay,  Region 2 covers  Southwest and  Southcentral Alaska                                                               
from  Icy  Bay to  Kodiak,  including  the Kenai  Peninsula,  and                                                               
Alaska  Marine  Pilots Region  3  covers  the Aleutians.  He  has                                                               
worked on the  Alaska Marine Highway System and  has pilotage all                                                               
the way  to Kodiak  at the federal  level. However,  licensing in                                                               
the  state only  allows a  pilot to  operate in  one region  at a                                                               
time. He lives in Juneau and serves Southeast Alaska.                                                                           
                                                                                                                                
[CHAIR REINBOLD closed public testimony on SB 29.]                                                                              
                                                                                                                                
2:12:17 PM                                                                                                                    
SENATOR BISHOP removed his objection.                                                                                           
                                                                                                                                
2:12:18 PM                                                                                                                    
SENATOR  COSTELLO moved  to report  SB  29, Version  31-LS0167/A,                                                               
from  committee  with  individual  recommendations  and  attached                                                               
fiscal note.  There being no  objection, SB 29 was  reported from                                                               
the Senate Labor and Commerce Standing Committee.                                                                               
                                                                                                                                
2:12:33 PM                                                                                                                    
At-ease                                                                                                                         
                                                                                                                                
2:14:15 PM                                                                                                                    
CHAIR REINBOLD reconvened the meeting.                                                                                          
                                                                                                                                
             SB 25-EXTEND BOARD OF DENTAL EXAMINERS                                                                         
                                                                                                                                
2:14:23 PM                                                                                                                    
CHAIR REINBOLD announced  that the final order  of business would                                                               
be SENATE BILL NO. 25, "An  Act extending the termination date of                                                               
the Board  of Dental  Examiners; and  providing for  an effective                                                               
date."                                                                                                                          
                                                                                                                                
2:14:34 PM                                                                                                                    
SENATOR   COSTELLO  clarified   that  the   committee  would   be                                                               
considering the original version of the bill.                                                                                   
                                                                                                                                
SENATOR BISHOP objected for the purpose of discussion.                                                                          
                                                                                                                                
2:15:03 PM                                                                                                                    
SENATOR DAVID WILSON, Alaska  State Legislature, paraphrased from                                                               
his sponsor statement, which read as follows:                                                                                   
                                                                                                                                
     Senate  Bill 25  extends the  termination date  for the                                                                    
     Board of  Dental Examiners until  June 30th,  2027. The                                                                    
     Board of Dental Examiners  is composed of nine members:                                                                    
     six  dentists, two  dental hygienists,  and one  public                                                                    
     member.                                                                                                                    
                                                                                                                                
     Legislative Audit conducted their  review of this board                                                                    
     and  determined  that  "The audit  concludes  that  the                                                                    
     board operated in the  public's interest by effectively                                                                    
     licensing and  regulating dentists,  dental hygienists,                                                                    
     and  dental assistants.  The board  monitored licensees                                                                    
     and  worked   to  ensure  only   qualified  individuals                                                                    
     practiced in Alaska. Furthermore,  the board was active                                                                    
     in  amending regulations  to improve  the industry.  In                                                                    
     accordance  with  AS   08.03.010(c)(7),  the  board  is                                                                    
     scheduled to  terminate on June 30,  2019. We recommend                                                                    
     that  the legislature  extend  the board's  termination                                                                    
     date eight years to June 30, 2027."                                                                                        
                                                                                                                                
     The Board of Dental  Examiners serves an important role                                                                    
     in  adopting   regulations  to   carry  out   the  laws                                                                    
     governing the practice of  dentistry and dental hygiene                                                                    
     in  Alaska. The  continuation  of this  board plays  an                                                                    
     important  role in  ensuring high  standards of  dental                                                                    
     care are offered throughout the state.                                                                                     
                                                                                                                                
     Thank you for your consideration of this legislation.                                                                      
                                                                                                                                
SENATOR WILSON  remarked that Ms.  Curtis could speak to  the two                                                               
recommendations the audit made.                                                                                                 
                                                                                                                                
2:16:38 PM                                                                                                                    
KRIS  CURTIS, Legislative  Auditor,  Legislative Audit  Division,                                                               
Legislative  Agencies and  Offices, presented  audit findings  on                                                               
the Board  of Dental Examiners,  [Audit Control  Number 08-20111-                                                               
18]  dated  April  26,  2018  in  members'  packets.  This  audit                                                               
concluded  that  the  board  served   the  public's  interest  by                                                               
effectively   licensing    and   regulating    dentists,   dental                                                               
hygienists, and dental assistants.  The board monitored licensees                                                               
and  worked to  ensure  only qualified  individuals practiced  in                                                               
Alaska.   Furthermore,  the   board   was   active  in   amending                                                               
regulations  to improve  the industry.  The audit  recommends the                                                               
legislature extend the board for eight years.                                                                                   
                                                                                                                                
She referred  to page  6 and related  that the  auditors reviewed                                                               
licensing activity. She  reported the number of  licensees at the                                                               
end of  January 2018 was 2,399  active licensees. On page  7, the                                                               
schedule of the board's revenues  and expenditures shows that the                                                               
board  had a  deficit of  approximately $36,000  as of  March 31,                                                               
2018. She referred members to page 8 for the 2018 fee analysis.                                                                 
                                                                                                                                
MS. CURTIS referred to the  two audit recommendations on pages 9-                                                               
10. She turned to audit  recommendation 1, which read, "The Board                                                               
of  Dental  Examiners  (board) president  should  take  steps  to                                                               
correct a regulation  error." She said the auditors  found that a                                                               
2016  regulation   change  referenced   a  repealed   section  of                                                               
regulations.  She characterized  this as  an easy  administrative                                                               
fix.                                                                                                                            
                                                                                                                                
She turned to audit recommendation  2, which read, "DCBPL's chief                                                               
investigator, in  consultation with  the board,  should implement                                                               
controls to ensure  the appropriate entities are  notified when a                                                               
licensee's prescription  authority is suspended or  revoked." She                                                               
explained that  the auditors found  that during the  audit period                                                               
two licensed  dentists had  their prescription  authority revoked                                                               
or suspended. In  both cases, the board did not  notify the Board                                                               
of  Pharmacy  or  the federal  Drug  Enforcement  Administration,                                                               
mainly   because  there   were   no   procedures  that   required                                                               
notification.  Failure  to  notify   the  DEA  that  a  dentist's                                                               
prescription authority  has been suspended or  revoked may result                                                               
in improper  or unauthorized prescriptions.  She referred  to the                                                               
department's response  to the  audit on  page 19.  The department                                                               
reported  that  it  has  implemented  a  policy  to  notify  both                                                               
entities.  She turned  to the  board's response  on page  21. The                                                               
board  agreed  with  both  recommendations  and  agreed  to  take                                                               
corrective action, she said.                                                                                                    
                                                                                                                                
2:19:22 PM                                                                                                                    
CHAIR REINBOLD opened public testimony on SB 25.                                                                                
                                                                                                                                
2:20:04 PM                                                                                                                    
DAVID NIELSON, Dentist (DDS); Member,  Board of Dental Examiners,                                                               
Division  of  Corporations,  Business &  Professional  Licensing,                                                               
Department  of  Commerce,  Community  and  Economic  Development,                                                               
stated he was just reappointed  to the Board of Dental Examiners.                                                               
He said that  the board serves a vital role  in the regulation of                                                               
dentistry by  always keeping the  health and welfare  of Alaska's                                                               
citizens  in   mind.  He  offered  his   belief  that  licensing,                                                               
permitting,   certification   and   disciplinary   action,   when                                                               
appropriate, is  a cornerstone of  what the public  should expect                                                               
from  the state  government to  have confidence  in their  health                                                               
care  providers.  He  said  that he  enjoys  the  challenges  and                                                               
appreciates the  opportunity to continue  to fulfill  the board's                                                               
purpose. He stated his support for SB 25.                                                                                       
                                                                                                                                
2:21:05 PM                                                                                                                    
SENATOR COSTELLO asked him to  address the need for more dentists                                                               
in Alaska.  She further asked if  he would discuss the  future of                                                               
telemedicine in dentistry.                                                                                                      
                                                                                                                                
DR. NEILSON  related that  the board has  been working  to accept                                                               
more national licensing exams and  that will increase the pool of                                                               
applicants and  will improve the  pathway to  licensure. Further,                                                               
the board  has been considering  allowing some  military training                                                               
in lieu of certain things  done by examination. The board already                                                               
reviews applicants' credentials. The  distribution of dentists is                                                               
an issue, but the overall number of dentists is probably fine.                                                                  
                                                                                                                                
DR. NEILSON  answered that the  tribal system  uses teledentistry                                                               
with  its  dental  health  aide therapists  and  to  some  extent                                                               
dentists  in Alaska  use teledentistry  with their  collaborative                                                               
agreements  with hygienists.  While the  mechanisms are  in place                                                               
and some  forms of  teledentistry can  be performed,  dentists in                                                               
Alaska do not typically use it.                                                                                                 
                                                                                                                                
2:23:01 PM                                                                                                                    
SENATOR  GRAY-JACKSON asked  what steps  the board  has taken  to                                                               
address the audit recommendations and findings.                                                                                 
                                                                                                                                
DR. NEILSON said  he thought the board has  already addressed the                                                               
regulation issue  related to the  radiologic inspection.  He said                                                               
the board  agreed this  needed to  be fixed,  that he  noticed it                                                               
quite  a  while  ago.  Secondly, he  deferred  to  the  licensing                                                               
examiner  in terms  of reporting  prescriptions.  He stated  that                                                               
turnover with  examiners has caused some  issues with continuity,                                                               
and  the  board has  had  three  licensing examiners  during  his                                                               
tenure.   He   said   the   board    agrees   with   both   audit                                                               
recommendations.                                                                                                                
                                                                                                                                
2:24:23 PM                                                                                                                    
SARA  CHAMBERS, Director,  Division of  Corporations, Business  &                                                               
Professional  Licensing, Department  of  Commerce, Community  and                                                               
Economic  Development,   in  response  to   Representative  Gray-                                                               
Jackson, replied that  this finding is a "sister  finding" to the                                                               
audit recommendation for Board of  Nursing mentioned earlier. She                                                               
explained  that when  the reporting  issues were  brought to  the                                                               
division's  attention   the  chief  investigator   had  initiated                                                               
actions  to improve  procedures  and better  coordinate with  the                                                               
various prescriber  boards, the Board  of Pharmacy, and  the DEA.                                                               
She said  the investigator wanted  to assure  that communications                                                               
happen "on  a two-way  basis," and  that the  board was  not just                                                               
waiting for the DEA to perform the check.                                                                                       
                                                                                                                                
2:24:59 PM                                                                                                                    
SENATOR COSTELLO  recalled the  legislature passed  legislation a                                                               
few years  ago that asked  the state to consider  reciprocity for                                                               
military  experience.  She  asked  her to  clarify  how  that  is                                                               
working or if the legislature needed to do something more.                                                                      
                                                                                                                                
MS.  CHAMBERS  agreed the  legislature  passed  several bills  to                                                               
address some of the employment  concerns of military and military                                                               
dependents. This  board has  been given an  opportunity to  use a                                                               
comparison   of   military   experience   to   more   traditional                                                               
educational experience. She  pointed out that the  board does not                                                               
get  a  lot  of  military  applicants. She  said  the  public  is                                                               
protected  since the  dentist has  experience and  capability and                                                               
the applicant with  the experience can get to work.  That law has                                                               
been in  place, but some  boards do not use  it due to  the small                                                               
number of military  applicants. However, it is  exciting when the                                                               
[experience and education]  can be pieced together to  get to the                                                               
same outcome                                                                                                                    
                                                                                                                                
2:27:29 PM                                                                                                                    
DAVID  LOGAN, Dentist  (DDS); Executive  Director, Alaska  Dental                                                               
Society, stated that  Dr. Neilson covered the  board pretty well.                                                               
He said it  was fairly self-evident why the state  needs a dental                                                               
board.                                                                                                                          
                                                                                                                                
2:27:51 PM                                                                                                                    
CHAIR  REINBOLD,  after  first   determining  no  one  wished  to                                                               
testify, closed public testimony on SB 25.                                                                                      
                                                                                                                                
2:28:17 PM                                                                                                                    
SENATOR BISHOP  reviewed the fiscal  note from the  Department of                                                               
Commerce, Community  and Economic Development. He  identified the                                                               
appropriation  and allocation  as the  Division of  Corporations,                                                               
Business,  and  Professional  Licensing  (DCBPL)  in  the  amount                                                               
$35,000, as  follows: travel  $3,360 for  nine board  members and                                                               
one examiner to attend four  board meetings, $400 for advertising                                                               
public  notices  of  board  meetings,  $1,000  for  training  and                                                               
conference   fees,   and   $100  for   board   member   stipends.                                                               
Professional licensing  programs within  the division  are funded                                                               
by   receipt-supported   services.   Licensing  fees   for   each                                                               
occupation  are set  per  AS  08.01.065 so  the  total amount  of                                                               
revenue  collected approximately  equals the  occupation's actual                                                               
regulatory costs, he said.                                                                                                      
                                                                                                                                
2:29:54 PM                                                                                                                    
SENATOR BISHOP removed his objection.                                                                                           
                                                                                                                                
2:30:12 PM                                                                                                                    
SENATOR  COSTELLO  moved  to  report  SB  25,  31-LS0125\A,  from                                                               
committee  with individual  recommendations  and attached  fiscal                                                               
note.  There being  no objection,  SB  25 was  reported from  the                                                               
Senate Labor and Commerce Standing Committee.                                                                                   
                                                                                                                                
                                                                                                                                
2:30:34 PM                                                                                                                    
At-ease.                                                                                                                        
                                                                                                                                
2:32:02 PM                                                                                                                    
CHAIR REINBOLD remarked  that the committee reviewed  some of the                                                               
governor's  appointees on  2/5/19,  which were  forwarded to  the                                                               
full body for a vote.                                                                                                           
                                                                                                                                
Although it is not  required by law, she said she  thinks it is a                                                               
good policy to remind members  that signing the reports regarding                                                               
appointments  to  boards  and  commissions  in  no  way  reflects                                                               
individual members'  approval or  disapproval of  the appointees;                                                               
the nominations are merely forwarded  to the full legislature for                                                               
confirmation or rejection.                                                                                                      
                                                                                                                                
CHAIR REINBOLD reviewed committee announcements.                                                                                
                                                                                                                                
2:33:37 PM                                                                                                                    
SENATOR BISHOP asked the record  to reflect that Kris Curtis does                                                               
an  amazing job  on  the  audit reports.  She  is articulate  and                                                               
succinct.                                                                                                                       
                                                                                                                                
2:34:20 PM                                                                                                                    
There being  no further  business to  come before  the committee,                                                               
Chair Reinbold  adjourned the Senate Labor  and Commerce Standing                                                               
Committee meeting at 2:34 p.m.                                                                                                  

Document Name Date/Time Subjects
SB36 Ver. A.PDF HL&C 4/24/2019 3:15:00 PM
SL&C 2/7/2019 1:30:00 PM
SB 36
SB36 Sponsor Statement 1-28-19.pdf HL&C 4/24/2019 3:15:00 PM
SFIN 3/1/2019 9:00:00 AM
SL&C 2/7/2019 1:30:00 PM
SB 36
SB36 Fiscal Note - SB036-DCCED-CBPL-02-01-19.pdf HL&C 4/24/2019 3:15:00 PM
SL&C 2/7/2019 1:30:00 PM
SB 36
SB36 Supporting Document Division of Legislative Audit Sunset Review April 2017.pdf HL&C 4/24/2019 3:15:00 PM
SFIN 3/1/2019 9:00:00 AM
SL&C 2/7/2019 1:30:00 PM
SB 36
SB36 Supporting Document Division of Legislative Audit Sunset Review Summary 08-20113-18.pdf SFIN 3/1/2019 9:00:00 AM
SL&C 2/7/2019 1:30:00 PM
SB 36
SB29 Version A.PDF SL&C 2/7/2019 1:30:00 PM
SB 29
SB29 Sponsor Statement Version A.pdf SFIN 3/1/2019 9:00:00 AM
SL&C 2/7/2019 1:30:00 PM
SB 29
SB29 Supporting Document Division of Legislative Audit Board of Marine Pilots Sunset Review.pdf SFIN 3/1/2019 9:00:00 AM
SL&C 2/7/2019 1:30:00 PM
SB 29
SB 29 - Letter of Support SEAPA.pdf HL&C 4/24/2019 3:15:00 PM
SL&C 2/7/2019 1:30:00 PM
SB 29
SB29 Fiscal Note - SB029-DCCED-CBPL-02-01-19.pdf SL&C 2/7/2019 1:30:00 PM
SB 29
SB25 Version A.PDF SL&C 2/7/2019 1:30:00 PM
SB 25
SB25 Sponsor Statement.pdf SFIN 3/1/2019 9:00:00 AM
SL&C 2/7/2019 1:30:00 PM
SB 25
SB25 Letter of Support ADS.pdf SL&C 2/7/2019 1:30:00 PM
SB 25
SB25 Board of Dental Examiners Division of Legislative Audit Sunset Review.pdf SL&C 2/7/2019 1:30:00 PM
SB 25
SB25 Fiscal Note - SB025-DCCED-CBPL-02-01-19.pdf SL&C 2/7/2019 1:30:00 PM
SB 25