Legislature(2019 - 2020)BELTZ 105 (TSBldg)

03/10/2020 01:30 PM LABOR & COMMERCE

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Audio Topic
01:31:49 PM Start
01:32:45 PM Confirmation Hearing(s)
01:48:54 PM SB182
02:00:43 PM SB195
02:03:32 PM SB68
02:37:21 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Consideration of Governor's Appointees: TELECONFERENCED
Board of Direct-Entry Midwives - Amanda Penwell
Board of Psychologists & Psychological Examiners
- Bradley McConnell
- Bernard Gatewood
- Christina Durham
Board of Nursing - Lena Lafferty
Board of Certified Real Estate Appraisers
- Wendy Lawrence
Board of Architects, Engineers & Land Surveyors
- Fred Wallis
-- Public Testimony on All Appointees --
+= SB 182 AGE FOR NICOTINE/E-CIG; TAX E-CIG. TELECONFERENCED
Moved CSSB 182(L&C) Out of Committee
*+ SB 68 DENTAL HYGIENIST ADVANCED PRAC PERMIT TELECONFERENCED
Heard & Held
-- Public Testimony --
+ Bills Previously Heard/Scheduled: TELECONFERENCED
+= SB 195 BD OF DIRECTORS: DOMESTIC INSURERS TELECONFERENCED
Moved SB 195 Out of Committee
                    ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                         March 10, 2020                                                                                         
                           1:31 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Click Bishop, Chair                                                                                                     
Senator Gary Stevens, Vice Chair                                                                                                
Senator Joshua Revak                                                                                                            
Senator Elvi Gray-Jackson                                                                                                       
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Mia Costello                                                                                                            
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
CONFIRMATION HEARING(S)                                                                                                         
                                                                                                                                
Board of Nursing                                                                                                              
Lena M. Lafferty - Anchorage                                                                                                    
                                                                                                                                
     - CONFIRMATION ADVANCED                                                                                                    
                                                                                                                                
Board of Direct-Entry Midwives                                                                                                
Amanda Penwell - Fairbanks                                                                                                      
                                                                                                                                
     - CONFIRMATION ADVANCED                                                                                                    
                                                                                                                                
Board of Registration of Architects, Engineers, & Land Surveyors                                                              
Fred W. Wallis - Healy                                                                                                          
                                                                                                                                
     - CONFIRMATION ADVANCED                                                                                                    
                                                                                                                                
Board of Psychologist and Psychological Associate Examiners                                                                   
Bradley McConnell - Anchorage                                                                                                   
Bernard Gatewood - Fairbanks                                                                                                    
Christina Durham - Anchorage                                                                                                    
                                                                                                                                
     - CONFIRMATIONS ADVANCED                                                                                                   
                                                                                                                                
SENATE BILL NO. 182                                                                                                             
"An Act raising the minimum age to purchase, sell, exchange, or                                                                 
possess tobacco, a product containing nicotine, or an electronic                                                                
smoking product; relating to the taxation of electronic smoking                                                                 
products; and providing for an effective date."                                                                                 
                                                                                                                                
     - MOVED CSSB 182(L&C) OUT OF COMMITTEE                                                                                     
                                                                                                                                
SENATE BILL NO. 195                                                                                                             
"An Act relating to election of a domestic insurer's board of                                                                   
directors."                                                                                                                     
                                                                                                                                
     - MOVED SB 195 OUT OF COMMITTEE                                                                                            
                                                                                                                                
SPONSOR SUBSTITUTE FOR SENATE BILL NO. 68                                                                                       
"An Act relating  to the practice of dental  hygiene; establishing                                                              
an  advanced practice  permit; prohibiting  unfair  discrimination                                                              
under  group  health  insurance  against a  dental  hygienist  who                                                              
holds  an  advanced  practice  permit;  and  relating  to  medical                                                              
assistance for dental hygiene services."                                                                                        
                                                                                                                                
     - HEARD AND HELD                                                                                                           
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 182                                                                                                                  
SHORT TITLE: AGE FOR NICOTINE/E-CIG; TAX E-CIG.                                                                                 
SPONSOR(s): SENATOR(s) STEVENS                                                                                                  
                                                                                                                                
02/10/20       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/10/20       (S)       L&C, FIN                                                                                               
02/27/20       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
02/27/20       (S)       Heard & Held                                                                                           
02/27/20       (S)       MINUTE(L&C)                                                                                            
03/03/20       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/03/20       (S)       Heard & Held                                                                                           
03/03/20       (S)       MINUTE(L&C)                                                                                            
03/10/20       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 195                                                                                                                  
SHORT TITLE: BD OF DIRECTORS: DOMESTIC INSURERS                                                                                 
SPONSOR(s): LABOR & COMMERCE BY REQUEST                                                                                         
                                                                                                                                
02/17/20       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/17/20       (S)       L&C                                                                                                    
03/05/20       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/05/20       (S)       Heard & Held                                                                                           
03/05/20       (S)       MINUTE(L&C)                                                                                            
03/10/20       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 68                                                                                                                   
SHORT TITLE: DENTAL HYGIENIST ADVANCED PRAC PERMIT                                                                              
SPONSOR(s): SENATOR(s) GIESSEL BY REQUEST                                                                                       
                                                                                                                                
02/21/19       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/21/19       (S)       L&C, FIN                                                                                               
04/03/19       (S)       SPONSOR     SUBSTITUTE    INTRODUCED    -                                                              
                         REFERRALS                                                                                              
04/03/19       (S)       L&C, FIN                                                                                               
03/10/20       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
LENA LAFFERTY, RN, Appointee                                                                                                    
Board of Nursing                                                                                                                
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified as appointee to the Board of                                                                    
Nursing.                                                                                                                        
                                                                                                                                
AMANDA PENWELL, Appointee                                                                                                       
Board of Direct-Entry Midwives                                                                                                  
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT: Testified as appointee to the Board of                                                                    
Direct-Entry Midwives.                                                                                                          
                                                                                                                                
FRED WALLIS, PE, Appointee                                                                                                      
Board of Registration for Architects, Engineers & Land Surveyors                                                                
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
Healy, Alaska                                                                                                                   
POSITION STATEMENT: Testified as appointee to the Board of                                                                    
Registration for Architects, Engineers, & Land Surveyors.                                                                       
                                                                                                                                
BRADLEY MCCONNELL, PsyD, Appointee                                                                                              
Board of Psychologists and Psychological Examiners                                                                              
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified as appointee to the Board of                                                                    
Psychologists and Psychological Examiners.                                                                                      
                                                                                                                                
BERNARD GATEWOOD, LPC, Appointee                                                                                                
Board of Psychologists and Psychological Examiners                                                                              
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT: Testified as appointee to the Board of                                                                    
Psychologists and Psychological Examiners.                                                                                      
                                                                                                                                
CHRISTINA DURHAM, PhD, Appointee                                                                                                
Board of Psychologists and Psychological Examiners                                                                              
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified as appointee to the Board of                                                                    
Psychologists and Psychological Examiners.                                                                                      
                                                                                                                                
TIM LAMKIN, Staff                                                                                                               
Senator Gary Stevens                                                                                                            
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Explained the changes in the committee                                                                    
substitute for SB 182, Version S.                                                                                               
                                                                                                                                
SENATOR CATHY GIESSEL                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified as the sponsor of SB 68.                                                                        
                                                                                                                                
JANE CONWAY, Staff                                                                                                              
Senator Cathy Giessel                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Presented the sectional analysis on behalf                                                                
of the sponsor of SB 68.                                                                                                        
                                                                                                                                
KATRINA VIRGIN, President                                                                                                       
Alaska Dental Hygienist Association                                                                                             
Kodiak, Alaska                                                                                                                  
POSITION STATEMENT: Stated support for SB 68.                                                                                 
                                                                                                                                
DOMINIC WENZELL, Member                                                                                                         
Dentist Dental Board                                                                                                            
Girdwood, Alaska                                                                                                                
POSITION STATEMENT: Testified in support of SB 68.                                                                            
                                                                                                                                
ANN LYNCH, Director of Advocacy and Education                                                                                   
American Dental Hygienists Association                                                                                          
Chicago, Illinois                                                                                                               
POSITION STATEMENT: Testified in support of SB 68.                                                                            
                                                                                                                                
VIVIAN STIVER, representing self                                                                                                
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 68.                                                                            
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:31:49 PM                                                                                                                    
CHAIR CLICK BISHOP  called the Senate Labor and  Commerce Standing                                                            
Committee meeting to  order at 1:31 p.m. Present at  call to order                                                              
were Senators Stevens, Revak, Gray-Jackson, and Chair Bishop.                                                                   
                                                                                                                                
^CONFIRMATION HEARING(S)                                                                                                        
                    CONFIRMATION HEARING(S)                                                                                 
                        Board of Nursing                                                                                    
                 Board of Direct-Entry Midwives                                                                             
 Board of Registration of Architects, Engineers, & Land Surveyors                                                         
  Board of Psychologist and Psychological Associate Examiners                                                               
                                                                                                                              
1:32:45 PM                                                                                                                    
CHAIR  BISHOP  announced the  first  order  of business  would  be                                                              
consideration  of governor appointees  to boards and  commissions.                                                              
He asked  each appointee  to place their  name and affiliation  on                                                              
the  record, give  a brief  introduction, and  discuss the  reason                                                              
for wanting to serve  on the board or commission.  He advised that                                                              
public  testimony  would  be  taken   after  all  appointees  have                                                              
testified and  the names would be  forwarded to the full  body for                                                              
consideration.  This  hearing  was  not a  recommendation  on  any                                                              
subsequent vote.                                                                                                                
                                                                                                                                
1:33:32 PM                                                                                                                    
LENA  LAFFERTY,  RN,  Appointee,  Board of  Nursing,  Division  of                                                              
Corporations, Business  and Professional Licensing,  Department of                                                              
Commerce, Community  and Economic Development,  Anchorage, Alaska,                                                              
stated that  she was appointed to  fill the registered  nurse (RN)                                                              
position  on the board  in July  2019. She  offered her  view that                                                              
the current board  has made great strides in  streamlining nursing                                                              
regulation  while ensuring  safe practice  in Alaska. She  related                                                              
that she  served in  the U.S.  Navy as  a hospital corpsman,  that                                                              
she  has  been  a  licensed  RN  for  five  years,  and  that  she                                                              
currently works  at Providence Hospital.  She would like  to serve                                                              
on the  board to be an  advocate for the  people of Alaska  and to                                                              
promote and  protect the health  of Alaskans through the  safe and                                                              
effective  practice of  nursing  as defined  by  law. She  thanked                                                              
members for their consideration.                                                                                                
                                                                                                                                
CHAIR BISHOP found no questions.                                                                                                
                                                                                                                                
1:35:09 PM                                                                                                                    
AMANDA  PENWELL,   Appointee,  Board  of  Direct-Entry   Midwives,                                                              
Division  of Corporations,  Business  and Professional  Licensing,                                                              
Department  of  Commerce,  Community   and  Economic  Development,                                                              
Fairbanks,  Alaska, stated  that  she is  a licensed  direct-entry                                                              
midwife  in Alaska,  and  has practiced  midwifery  for 22  years,                                                              
including  her  work  overseas   and  in  two  other  states.  She                                                              
currently  works as  a staff  midwife  at a  busy Fairbanks  birth                                                              
center. She has  the advantage of having experienced  giving birth                                                              
using a midwife.  She stated her interest in serving  on the board                                                              
stems from  her strong commitment  to see the profession  grow and                                                              
to ensure public safety.                                                                                                        
                                                                                                                                
CHAIR BISHOP found no questions.                                                                                                
                                                                                                                                
1:36:51 PM                                                                                                                    
FRED   WALLIS,   PE,  Appointee,   Board   of   Registration   for                                                              
Architects,   Engineers,    &   Land   Surveyors,    Division   of                                                              
Corporations, Business  and Professional Licensing,  Department of                                                              
Commerce,  Community  and  Economic  Development,  Healy,  Alaska,                                                              
stated  that he  serves as  the  Vice President  of Usibelli  Coal                                                              
mine, where  he has  worked for  23 years.  He graduated  from the                                                              
University  of Alaska Fairbanks  and holds  a professional  mining                                                              
engineering  license  in  Alaska   and  Canada.  He  said  he  was                                                              
interested  in serving on  the board  because as the  construction                                                              
and   development   industries   grow,   the   need   for   design                                                              
professionals  will also grow.  The most  important issue  for the                                                              
board is  to ensure  public safety. He  thanked members  for their                                                              
consideration.                                                                                                                  
                                                                                                                                
CHAIR  BISHOP noted  that Mr.  Wallis  is a  reappointment to  the                                                              
AELS board. He found no questions.                                                                                              
                                                                                                                                
1:37:59 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
1:38:22 PM                                                                                                                    
CHAIR BISHOP reconvened the meeting.                                                                                            
                                                                                                                                
1:38:34 PM                                                                                                                    
BRADLEY  MCCONNELL,   PsyD,  Psychologist,  Appointee,   Board  of                                                              
Psychologists   and    Psychological   Examiners,    Division   of                                                              
Corporations, Business  and Professional Licensing,  Department of                                                              
Commerce, Community  and Economic Development,  Anchorage, Alaska,                                                              
said  he  was  raised  in rural  California  in  an  area  with  a                                                              
population about  the size of Alaska's current  population, with a                                                              
similar number  of mental health  professionals serving  the area.                                                              
He offered  his view  that serving  the needs  of that  population                                                              
translates well  to Alaska  because of access  to care  issues. He                                                              
predicted the need  for mental health professionals  will continue                                                              
to increase  in coming years.  He said professional  psychology is                                                              
integral to  him as an individual.  After completing  his training                                                              
as a psychologist  seven years ago, he has worked  in a variety of                                                              
settings,  including  university   counseling  centers,  federally                                                              
qualified  health   centers,  correctional  facilities,   and  in-                                                              
patient hospitals.  He is  a board-certified psychologist  through                                                              
the  American  Board  of  Professional  Psychology  and  currently                                                              
serves as  the director  of Psychological  Services at  the Alaska                                                              
Psychiatric  Institute.  The biggest  hurdle  the  board faces  is                                                              
providing Alaskans  with access to mental health care  in a timely                                                              
and routine  manner, he  said. He  said he does  not have  all the                                                              
answers,  but he hopes  to help  the board  explore what  is being                                                              
accomplished   through  interstate   compacts  for   psychological                                                              
services and via  telehealth. He was humbled to be  asked to serve                                                              
on the board.                                                                                                                   
                                                                                                                                
CHAIR BISHOP found no questions.                                                                                                
                                                                                                                                
1:40:44 PM                                                                                                                    
BERNARD  GATEWOOD,  LPC,  Appointee, Board  of  Psychologists  and                                                              
Psychological  Examiners, Division  of Corporations, Business  and                                                              
Professional  Licensing,  Department  of Commerce,  Community  and                                                              
Economic  Development,  Fairbanks,  Alaska,  stated  that  he  has                                                              
lived  in Alaska  for about  35 years,  and he holds  a Master  of                                                              
Science  degree in  counseling and  a Bachelor  of Arts degree  in                                                              
sociology.  He   has  over  30   years  of  public   service  with                                                              
experience  primarily  in  juvenile   corrections.  He  has  spent                                                              
almost  16 years  as  the superintendent  of  the Fairbanks  Youth                                                              
Facility, which includes  oversight for the Nome  and Bethel youth                                                              
correctional facilities.  He has worked in mental  health services                                                              
in Alaska  and Alabama. He said  he has served on  numerous boards                                                              
and  commissions,  including  the  Fairbanks  North  Star  Borough                                                              
Health  and Social  Services  Commission  and the  Fairbanks  City                                                              
Council. In  2015, he retired and  since then he has  been serving                                                              
his community in  a variety of ways, including as  a trustee for a                                                              
foundation  and as  a sports  announcer for  high school  football                                                              
and basketball  games. He  expressed an interest  in trying  to do                                                              
more  to address  some  of the  behavioral  health  issues in  the                                                              
state.  He offered  his  view  that this  board  plays  a role  in                                                              
licensure and it  is important to get mental  health professionals                                                              
to work  as soon as  possible in Alaska  after proper  vetting. He                                                              
expressed  appreciation  for  the  opportunity  to  serve  on  the                                                              
board.                                                                                                                          
                                                                                                                                
CHAIR  BISHOP thanked  him for  his service  to the  youth in  the                                                              
state.                                                                                                                          
                                                                                                                                
1:44:00 PM                                                                                                                    
CHRISTINA DURHAM,  PsyD, Ph.D., Appointee, Board  of Psychologists                                                              
and Psychological  Examiners, Division  of Corporations,  Business                                                              
and  Professional  Licensing, Department  of  Commerce,  Community                                                              
and Economic Development,  Anchorage, Alaska, stated  that she has                                                              
been  a licensed  psychologist  since  2009, but  she  was a  non-                                                              
traditional  student.  She earned  an  associate  degree from  the                                                              
University of  Alaska Anchorage and  then took almost 10  years to                                                              
complete   her  undergraduate   degree  and   Ph.D.  in   clinical                                                              
psychology  from  Brigham  Young  University.  She  said  she  has                                                              
always  felt that  persistence is  an important  trait. She  later                                                              
earned  a  post-doctoral  Master  of Science  degree  in  clinical                                                              
psychopharmacology  from  Alliant  International  University.  She                                                              
has been  licensed in Alaska  since 2009  and in Utah  since 1999.                                                              
She has  always attempted to  give back  to her community  and now                                                              
she has time  to do this since  she is mostly retired.  She stated                                                              
her  interest in  serving  on  the board  is  because  she sees  a                                                              
strong need  to improve  and further  the practice of  psychology.                                                              
She believes that  her interest and her perspective  as a forensic                                                              
practitioner may help  the board. She said that  she looks forward                                                              
to serving, if confirmed.                                                                                                       
                                                                                                                                
CHAIR BISHOP found no questions.                                                                                                
                                                                                                                                
1:46:59 PM                                                                                                                    
CHAIR  BISHOP stated  that in  accordance with  AS 39.05.080,  the                                                              
Senate  Labor   and  Commerce  Standing  Committee   reviewed  the                                                              
following  and  recommends  the  appointments be  forwarded  to  a                                                              
joint session for consideration:                                                                                                
                                                                                                                                
Board of Direct-Entry Midwives                                                                                                
Amanda Penwell - Fairbanks                                                                                                      
                                                                                                                                
Board of Nursing                                                                                                              
Lena M. Lafferty - Anchorage                                                                                                    
                                                                                                                                
Board  of   Registration  of   Architects,  Engineers,   and  Land                                                            
Surveyors                                                                                                                     
Fred W. Wallis - Healy                                                                                                          
                                                                                                                                
Board of Psychologist and Psychological Associate Examiners                                                                   
Bradley McConnell - Anchorage                                                                                                   
Bernard Gatewood - Fairbanks                                                                                                    
Christina Durham - Anchorage                                                                                                    
                                                                                                                                
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.                                                                
                                                                                                                                
1:47:48 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
           SB 182-AGE FOR NICOTINE/E-CIG; TAX E-CIG.                                                                        
                                                                                                                                
1:48:54 PM                                                                                                                    
CHAIR BISHOP announced  the consideration of SENATE  BILL NO. 182,                                                              
"An Act  raising the minimum age  to purchase, sell,  exchange, or                                                              
possess tobacco,  a product containing nicotine,  or an electronic                                                              
smoking product;  relating to the  taxation of electronic  smoking                                                              
products; and providing for an effective date."                                                                                 
                                                                                                                                
1:48:58 PM                                                                                                                    
SENATOR STEVENS  moved to adopt the proposed  committee substitute                                                              
(CS)  for  SB   182,  work  order  31-LS1478\S,   as  the  working                                                              
document.                                                                                                                       
                                                                                                                                
CHAIR BISHOP objected for an explanation of the changes.                                                                        
                                                                                                                                
1:49:15 PM                                                                                                                    
TIM   LAMKIN,   Staff,   Senator  Gary   Stevens,   Alaska   State                                                              
Legislature,  Juneau,   Alaska,  explained  the  changes   in  the                                                              
committee  substitute for  SB 182,  Version  S. He  said the  bill                                                              
will  conform  Alaska  statutes  to federal  law.  Last  December,                                                              
Congress  passed the  law  requiring anyone  who  buys, sells,  or                                                              
possesses  tobacco products  to be at  least 21  years of  age. He                                                              
explained  that  the products  affected  by  the federal  law  are                                                              
categorized  as:  cigarettes,  other  tobacco  products,  products                                                              
containing  nicotine,  and  electronic   smoking  products  (CONE)                                                              
products.  Many  states  have  a  robust  system  to  monitor  and                                                              
enforce  compliance with  standard brick  and mortar  storefronts,                                                              
but  there  is not  a  system to  enforce  internet-based  vendors                                                              
selling CONE  products. Version  S will  reflect restrictions  for                                                              
online  sales. He  said  substantial  evidence shows  that  minors                                                              
currently acquire  these products from vendors who  skirt Alaska's                                                              
existing  laws   for  storefront  retailers.  Under   the  federal                                                              
Tobacco  Control Act,  the federal  Food  and Drug  Administration                                                              
(FDA)  has  the  authority  to take  these  actions.  However,  no                                                              
actions have  been taken  against online  sales. In that  absence,                                                              
states   are  beginning   to   change   their  laws.   Version   S                                                              
incorporates  what  several  other  states have  done  to  address                                                              
online  sales.  First,  it will  repeal  existing  exemptions  for                                                              
individuals  who   are  incarcerated.  Second,  the   online  CONE                                                              
venders  must   be  licensed  with   the  state.  Third,   an  age                                                              
verification  must  be made  at  the  point of  purchase.  Fourth,                                                              
packages  must be  clearly labeled  as  containing CONE  products,                                                              
and finally,  an age  verification must  be made  at the  point of                                                              
delivery.  He related  his  understanding that  the  bill will  be                                                              
silent  on  taxes  and  allow  the  Senate  Finance  Committee  to                                                              
address that aspect.                                                                                                            
                                                                                                                                
1:52:30 PM                                                                                                                    
MR. LAMKIN reviewed the sectional analysis of SB 182, Version S:                                                                
                                                                                                                                
     Title:  Adds  relating  to  transportation  of  tobacco,                                                                   
     products  containing  nicotine  and  electronic  smoking                                                                   
     products.                                                                                                                  
                                                                                                                                
     Sec. 3: (Page  2 lines 26-27) AS 11.76.105(a,)  relating                                                                   
     to  minor  possession  of  tobacco  or  E-Cig  products,                                                                   
     repeals an exemption for those in jail.                                                                                    
                                                                                                                                
     Sec.  9:   (Page  5,   lines  24-26)  AS   43.50.105(b),                                                                   
     Relating  to transporting  cigarettes into  the state  a                                                                   
     wholesaler or  distributor must use an  age verification                                                                   
     service to confirm the age of an online purchaser.                                                                         
                                                                                                                                
     Sec. 10: (Page  6, Lines 6-7) AS 43.50.105(c),  relating                                                                   
     to  common  carriers  (FedEx, UPS,  USPS  etc)  shipping                                                                   
     cigarettes  into  the  state, requires  the  carrier  to                                                                   
     verify  the  age  of  the  recipient  before  completing                                                                   
     delivery.                                                                                                                  
                                                                                                                                
     Sec. 15:  (Page 7, Lines  14-31, continued through  Page                                                                   
     8-9)  AS  43.30.325,  is  a  new  section,  relating  to                                                                   
     transportation    of    tobacco    products,    products                                                                   
     containing  nicotine, and  E-Cig  products into  Alaska,                                                                   
     establishes  identical  shipping restrictions  as  those                                                                   
     placed on cigarettes; licensing and age verification.                                                                      
                                                                                                                                
     Sec. 27:  (page 15, Line  14) AS.76.100(e),  relating to                                                                   
     selling  or gifting  cigarettes or tobacco  to a  minor,                                                                   
     repeals an exemption for those in jail.                                                                                    
                                                                                                                                
CHAIR BISHOP  noted that the  fiscal aspects  will be taken  up in                                                              
the Senate Finance Committee.                                                                                                   
                                                                                                                                
1:55:36 PM                                                                                                                    
SENATOR STEVENS  commented that  he appreciated the  clarification                                                              
on taxation.  He acknowledged that it  is important to  be fair to                                                              
the shops in Alaska.                                                                                                            
                                                                                                                                
CHAIR BISHOP removed his objection.                                                                                             
                                                                                                                                
1:56:07 PM                                                                                                                    
SENATOR STEVENS  moved to  report the  CS for  SB 182,  work order                                                              
31-LS1478\S  from committee  with  individual recommendations  and                                                              
attached fiscal note(s).                                                                                                        
                                                                                                                                
CHAIR BISHOP  found no  objection and  CSSB 182(L&C) was  reported                                                              
from the Senate Labor and Commerce Standing Committee.                                                                          
                                                                                                                                
1:56:21 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
           SB 195-BD OF DIRECTORS: DOMESTIC INSURERS                                                                        
                                                                                                                                
2:00:43 PM                                                                                                                    
CHAIR   BISHOP   reconvened   the  meeting   and   announced   the                                                              
consideration  of  SENATE  BILL  NO.  195,  "An  Act  relating  to                                                              
election of a domestic insurer's board of directors."                                                                           
                                                                                                                                
He opened  public testimony  on SB 195,  and after determining  no                                                              
one wished to comment, closed public testimony on SB 195.                                                                       
                                                                                                                                
2:01:33 PM                                                                                                                    
SENATOR  STEVENS  moved  to  report SB  195  from  committee  with                                                              
individual recommendations and attached fiscal note(s).                                                                         
                                                                                                                                
2:01:47 PM                                                                                                                    
CHAIR BISHOP found  no objection and SB 195 was  reported from the                                                              
Senate Labor and Commerce Standing Committee.                                                                                   
                                                                                                                                
2:01:54 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
          SB 68-DENTAL HYGIENIST ADVANCED PRAC PERMIT                                                                       
                                                                                                                                
2:03:32 PM                                                                                                                    
CHAIR   BISHOP   reconvened   the  meeting   and   announced   the                                                              
consideration of  SPONSOR SUBSTITUTE FOR  SENATE BILL NO.  68, "An                                                              
Act relating  to the practice  of dental hygiene;  establishing an                                                              
advanced  practice   permit;  prohibiting  unfair   discrimination                                                              
under  group  health  insurance  against a  dental  hygienist  who                                                              
holds  an  advanced  practice  permit;  and  relating  to  medical                                                              
assistance for dental hygiene services."                                                                                        
                                                                                                                                
He said  this is  the first  hearing, but  the companion  has made                                                              
significant  progress in  the other  body.  He noted  there was  a                                                              
proposed committee  substitute that  would be addressed  after the                                                              
sponsor makes opening remarks.                                                                                                  
                                                                                                                                
2:03:57 PM                                                                                                                    
SENATOR CATHY GIESSEL,  Alaska State Legislature,  Juneau, Alaska,                                                              
sponsor  of SB  68, stated  that this  bill will  create a  dental                                                              
hygienist  advanced  practice  permit.  She  explained  that  some                                                              
dental conditions  can predispose  a person  to heart  disease and                                                              
if  they  are  missing  teeth,   their  nutritional  status  falls                                                              
significantly,  which affects  their health.  In Alaska,  the most                                                              
vulnerable  populations  are  children,  seniors  and  those  with                                                              
disabilities. She  said the state  has an enormous unmet  need for                                                              
dental  care in  Alaska and  dental  costs are  high. Many  states                                                              
allow dental  hygienists  to hold advanced  practice permits  that                                                              
allow them to  provide dental services to  underserved populations                                                              
who are at  risk. These patients  may not have access  to a dental                                                              
office, there  may not be a  dental office in their  community, or                                                              
the  patients  may   have  transportation  issues   getting  to  a                                                              
dentist.                                                                                                                        
                                                                                                                                
She  explained that  SB 68  would establish  an advanced  practice                                                              
permit for Alaska-licensed  dental hygienists to  expand access to                                                              
dental  care.  She  highlighted   that  in  2019  there  were  703                                                              
licensed  dental hygienists  in Alaska. These  are skilled  dental                                                              
health professionals  whose focus is preventing and  treating oral                                                              
diseases.                                                                                                                       
                                                                                                                                
SENATOR GIESSEL said  the lack of access to dental  care in Alaska                                                              
has  created enormous  need in  populations  and communities  that                                                              
are underserved  by the  traditional system of  care and  the cost                                                              
of  obtaining  treatment  is  high.  Many  states  have  addressed                                                              
similar  challenges   by  allowing  non-dentist   oral  healthcare                                                              
practitioners  the  freedom  and   flexibility  to  reach  out  to                                                              
patients  in new  and  creative  ways to  help  improve access  to                                                              
basic  oral  care.  Alaska would  benefit  from  replicating  such                                                              
innovative oral health care delivery models.                                                                                    
                                                                                                                                
SENATOR  GIESSEL related  that  dental hygienists  have  graduated                                                              
from nationally  accredited dental hygiene education  programs and                                                              
have successfully  passed  a national written  and state  clinical                                                              
examination.  Given  their comprehensive  education  and  clinical                                                              
preparation,  dental  hygienists  are  well  prepared  to  deliver                                                              
preventative oral  health care and  other services to  the public,                                                              
safely and effectively, she said.                                                                                               
                                                                                                                                
She  listed the  identified  underserved  areas in  Alaska,  which                                                              
includes   nursing   homes,   K-12    schools,   senior   centers,                                                              
residential  treatment centers,  assisted living centers,  nursing                                                              
homes, nursery schools, and day care centers.                                                                                   
                                                                                                                                
SENATOR  GIESSEL stated  that licensed  dental hygienists  holding                                                              
advanced   practice  permits   could   provide  early   preventive                                                              
treatment thus  reducing the number  of acute dental  care visits,                                                              
which can  be very costly.  Additionally, these advanced  practice                                                              
dental hygienists  could identify  more acute dental  issues early                                                              
on and  refer  patients needing  definitive restorative  treatment                                                              
to  dentists.  She  pointed  out   that  62  percent  of  Alaska's                                                              
children  have higher  than normal  tooth decay  rates, so  having                                                              
access  to care  at a  day care  center, nursery  school, or  K-12                                                              
school  could help  to reduce dental  issues.  SB 68 would  create                                                              
new  consumer choices  for  preventive oral  health,  and help  to                                                              
educate individuals,  families,  caregivers, and health  providers                                                              
on the basics  of oral health  and dental hygiene. It  has support                                                              
from  the Alaska  Board  of Dental  Examiners,  the Alaska  Dental                                                              
Hygienists   Association,    the   American    Dental   Hygienists                                                              
Association, the Alaska Dental Society, and dental hygienists.                                                                  
                                                                                                                                
2:07:37 PM                                                                                                                    
SENATOR STEVENS asked  for an estimate of the cost  savings if the                                                              
underserved dental care is met.                                                                                                 
                                                                                                                                
SENATOR GIESSEL  replied it is difficult to  estimate preventative                                                              
dental care savings,  but the dental health aides  that Alaska now                                                              
has have had a significant positive impact.                                                                                     
                                                                                                                                
She  added that  the  advanced  practice dental  hygienists  could                                                              
help   seniors  with   dementia   some  of   the  disruptive   and                                                              
disorienting  experiences  of  going  to a  dentist.  An  advanced                                                              
practice  dental hygienist  could go  into the  Pioneer Home,  for                                                              
example, and meet the needs of many of those seniors.                                                                           
                                                                                                                                
CHAIR BISHOP noted that he and the sponsor recently heard an                                                                    
overview on the Medicaid costs for dental care. He suggested                                                                    
that this bill could help drive down those costs.                                                                               
                                                                                                                                
2:10:01 PM                                                                                                                    
SENATOR STEVENS moved to adopt the proposed committee substitute                                                                
(CS) for SSSB 68, work order 31-LS0224\R, as the working                                                                        
document.                                                                                                                       
                                                                                                                                
CHAIR BISHOP found no objection and Version R was adopted.                                                                      
                                                                                                                                
2:10:23 PM                                                                                                                    
JANE CONWAY, Staff, Senator Cathy Giessel, Alaska State                                                                         
Legislature, Juneau, Alaska, provided the following sectional                                                                   
analysis for the CS for SSSB 68, Version R:                                                                                     
                                                                                                                                
     Section  1 AS  08.32.110. Scope  of  practice of  dental                                                                   
     hygienists  Amends  section  (e) of  dental  hygienists'                                                                   
     scope of practice  to allow a licensed  dental hygienist                                                                   
     who  holds an  advanced practice  permit  issued by  the                                                                   
     board to perform the duties allowed by the permit.                                                                         
                                                                                                                                
     Section 2                                                                                                                  
     Adds a new section to AS 08.32:                                                                                            
     AS 08.32.125. Advanced practice permits.                                                                                   
     Outlines the  advanced practice permit  requirements and                                                                   
     privileges.                                                                                                                
                                                                                                                                
     (a)  The  Board   of  Dental  Examiners  may   issue  an                                                                   
     advanced   practice   permit   to  a   licensed   dental                                                                   
     hygienist with  a minimum of  4,000 documented  hours of                                                                   
     clinical  experience. A licensed  dental hygienist  with                                                                   
     an  advanced practice  permit may  perform the  specific                                                                   
     services listed in this section (1)  (12)                                                                                  
                                                                                                                                
     (b) Describes  patients a licensed dental  hygienist who                                                                   
     holds an advanced  practice permit may  provide services                                                                   
     to, including:                                                                                                             
                                                                                                                                
        • A patient not able to receive dental treatment                                                                        
          due to age, infirmity, or disability, and is                                                                          
        • A resident of a senior center, hospital, long-                                                                        
          term   care,  residential   care  facility,   adult                                                                   
          foster home,  adult congregate living  facility, an                                                                   
          inmate   in  a   local   correctional  facility   a                                                                   
          healthcare  facility, residential treatment  center                                                                   
          or  facility for those  with disabilities,  nursery                                                                   
          school,  day  care,  vocational  training  program,                                                                   
          secondary   school,  private  school,   or  charter                                                                   
          school                                                                                                                
        • A patient receiving benefits under the Special                                                                        
          Supplemental  Food Program  (WIC), homebound,  or a                                                                   
          resident  where   there's  a  shortage   of  dental                                                                   
          health  professionals.  (1)    (7)  (c) A  licensed                                                                   
          dental  hygienist  holding   an  advanced  practice                                                                   
          permit  can provide services  listed in  subsection                                                                   
          (a)  to  a  patient  described  in  subsection  (b)                                                                   
          without    the    presence,    authorization,    or                                                                   
          supervision  of a licensed  dentist and without  an                                                                   
          examination   from  a   licensed  dentist.   (d)  A                                                                   
          licensed   dental   hygienist  with   an   advanced                                                                   
          practice permit  who provides services must  do the                                                                   
          following:                                                                                                            
               ~ maintain professional  liability insurance.                                                                    
               ~   give  the   patient,   parent,  or   legal                                                                   
               guardian  written  notice that  the  treatment                                                                   
               provided  will be  limited to services  listed                                                                   
               under subsection (a)                                                                                             
               ~  provide a written  recommendation that  the                                                                   
               patient  be  examined  by a  licensed  dentist                                                                   
               for comprehensive oral care                                                                                      
               ~  provide  assistance  for  a referral  to  a                                                                   
               licensed dentist  for further oral treatment.                                                                    
                                                                                                                                
        (e) A licensed dental hygienist with an advanced                                                                        
         practice permit may practice as an independent                                                                         
     contractor.                                                                                                                
                                                                                                                                
     (f)  An advanced  practice  permit  is valid  until  the                                                                   
     license  of the  dental  hygienist expires.  A  licensed                                                                   
     dental  hygienist  can  renew  their  advanced  practice                                                                   
     permit at the same time they renew their license.                                                                          
                                                                                                                                
2:14:24 PM                                                                                                                    
CHAIR  BISHOP  noted that  a  dental  hygienist with  an  advanced                                                              
practice permit  who provides services must  maintain professional                                                              
liability   insurance.  He   asked  if  she   agreed  that   these                                                              
individuals could work in a practice or set up their own shop.                                                                  
                                                                                                                                
MS. CONWAY answered that is correct but the expectation is that                                                                 
most of these dental hygienists will work for a dentist and also                                                                
go out to underserved areas to provide services.                                                                                
                                                                                                                                
CHAIR BISHOP  asked if the dental  office as the  primary employer                                                              
would  maintain the  professional  liability  insurance for  these                                                              
dental  hygienists  who  also  go  out on  their  own  to  provide                                                              
services in other settings.                                                                                                     
                                                                                                                                
2:15:29 PM                                                                                                                    
SENATOR  GIESSEL answered  that  in her  experience with  advanced                                                              
practice  nurses, employers  will offer liability  insurance  as a                                                              
benefit,  but it  is typically  up  to the  clinician to  maintain                                                              
that liability insurance and pay the premiums.                                                                                  
                                                                                                                                
2:16:01 PM                                                                                                                    
MS. CONWAY continued the sectional analysis for CSSSSB 68:                                                                      
                                                                                                                                
     Section  3  Amends  08.32.160  Grounds  for  discipline,                                                                   
     suspension  or  revocation   of  license.  Outlines  and                                                                   
     amends  grounds  for  discipline; allows  the  Board  of                                                                   
     Dental Examiners  to discipline, suspend, or  revoke the                                                                   
     license of an advanced practice permit-holder who:                                                                         
                                                                                                                                
          o    Knowingly  commits fraud or  misrepresentation                                                                   
          to obtain a license                                                                                                   
          o    Knowingly  commits fraud/misrepresentation  in                                                                   
          providing  services or  billing procedures o  False                                                                   
          advertises or misleads                                                                                                
          o    Been  convicted  of a  felony  or other  crime                                                                   
          that would affect ability  to practice competently                                                                    
          o    Failed  to comply  to  statute or  regulations                                                                   
          or board order                                                                                                        
          o    Practices   if  unfit  due  to   incompetence,                                                                   
          addiction  or dependence  on drugs  or alcohol,  is                                                                   
          physically   or  mentally   disabled,  engaged   in                                                                   
          immoral conduct while in practice                                                                                     
          o    performs    procedures   outside    scope   of                                                                   
          practice or without supervision of a dentist                                                                          
          o    allows  a dental  assistant to perform  duties                                                                   
          outside their scope                                                                                                   
          o    Falsifies  or destroys  a patient or  facility                                                                   
          record or  fails to maintain a patient  or facility                                                                   
          record  for at  least  seven years  after the  date                                                                   
          the record was created.                                                                                               
                                                                                                                                
MS.  CONWAY  emphasized  that  when a  dental  hygienist  with  an                                                              
advanced  practice permit  is supervising  a dental assistant,  it                                                              
is mandatory  that they make sure  that the dental  assistant only                                                              
operates  within the advanced  practice permit  holder's  scope of                                                              
practice.  The provision  related to falsifying  or maintaining  a                                                              
patient or facility record is the same requirement as for                                                                       
dentists, she said.                                                                                                             
                                                                                                                                
SENATOR STEVENS asked what types of procedures would fall                                                                       
outside the scope of practice.                                                                                                  
                                                                                                                                
MS. CONWAY answered that a dental hygienist would not do                                                                        
invasive procedures such as pulling teeth. Those patients would                                                                 
be referred to a dentist.                                                                                                       
                                                                                                                                
2:18:06 PM                                                                                                                    
MS. CONWAY continued the sectional analysis for CSSSSB 68:                                                                      
                                                                                                                                
     Section  4  Adds  a  new  subsection  to  AS  08.36.346.                                                                   
     (Delegation to  dental assistant.) Allows  delegation of                                                                   
     the following tasks to a dental assistant:                                                                                 
     a. The exposure and development of radiographs,                                                                            
     b.  Application of  topical preventative  agents or  pit                                                                   
     and fissure sealants, and                                                                                                  
     c. Other  tasks specified by  the board in  regulations.                                                                   
     The  dental  assistant must  be  supervised  at a  level                                                                   
     specified by Board of Dental Examiners in regulation.                                                                      
                                                                                                                                
     Section  5  AS 21.36.090.  Unfair  discrimination.  Adds                                                                   
     "dental hygienist  holding an advanced  practice permit"                                                                   
     to the  list of providers  who may not be  discriminated                                                                   
     against in subsection (d).                                                                                                 
                                                                                                                                
     Section   6  AS  47.07.030.   Medical  services   to  be                                                                   
     provided.  (Medicaid) Adds  dental  hygiene services  to                                                                   
     the  list  of services  which  may  be provided  by  the                                                                   
     Department of Health & Social Services.                                                                                    
                                                                                                                                
     Section  7 This  new section  allows  the Department  of                                                                   
     Commerce, Community,  and Economic Development  (DCCED),                                                                   
     the Department  of Health and  Social Services,  and the                                                                   
     Board   of  Dental   Examiners   to  adopt   regulations                                                                   
     necessary to  implement the  changes made in  this bill.                                                                   
     The  regulations   may  not   take  effect  before   the                                                                   
     effective date of this bill.                                                                                               
                                                                                                                                
     Section 8 Section 7 takes effect immediately.                                                                              
                                                                                                                                
     Section  9   The  effective  date  of  this   bill  (not                                                                   
     including Section 7) is July 1, 2021.                                                                                      
                                                                                                                                
2:19:38 PM                                                                                                                    
CHAIR BISHOP noted who was available to answer questions.                                                                       
                                                                                                                                
2:20:45 PM                                                                                                                    
KATRINA VIRGIN,  President, Alaska  Dental Hygienist  Association,                                                              
Kodiak, Alaska,  stated support  for SB 68  and offered  to answer                                                              
questions.                                                                                                                      
                                                                                                                                
2:21:31 PM                                                                                                                    
DOMINIC WENZELL,  DMD, Member, Alaska  Board of Dental  Examiners,                                                              
Girdwood,  Alaska,  stated support  for  Version R  of  SB 68  and                                                              
offered to answer questions.                                                                                                    
                                                                                                                                
2:22:02 PM                                                                                                                    
SENATOR  REVAK  asked  Dr.  Wenzell  if  he  was  back  practicing                                                              
dentistry.                                                                                                                      
                                                                                                                                
DR. WENZELL  answered that  the orthopedic  surgeon just  released                                                              
him to work one-half day per week.                                                                                              
                                                                                                                                
2:22:35 PM                                                                                                                    
ANN LYNCH,  Director of  Advocacy and  Education, American  Dental                                                              
Hygienists  Association   (ADHA),  Chicago,  Illinois,   spoke  in                                                              
support  of SB 68.  She stated  that she  has been  with ADHA  for                                                              
eight  years.  Before  that  she  served as  a  state  senator  in                                                              
Minnesota.  She said  ADHA is  the  largest national  organization                                                              
representing  dental hygienists  in the nation.  She related  that                                                              
in 1995,  only five states  allowed dental hygienists  to practice                                                              
without the  presence and  authorization of  a dentist.  Now there                                                              
are 42  states, including  Alaska, that  permit dental  hygienists                                                              
to  work  in   communities  to  provide  preventive   oral  health                                                              
services  without   the  presence  or  direct  supervision   of  a                                                              
dentist.   This  will   further  utilize   the  dental   hygienist                                                              
workforce in  Alaska. She  said there  are national standards  for                                                              
dental   hygienist   education   programs  that   are   accredited                                                              
throughout  the  country,  including   Alaska  and  this  advanced                                                              
practice  permit  will allow  dental  hygienists  to meet  clients                                                              
where they  live and  receive service. As  a former  lawmaker, she                                                              
said  SB 68  provides  an opportunity  to  provide leadership  and                                                              
support  a change  that will  make a  difference in  the lives  of                                                              
many people across  Alaska for years to come.  She thanked members                                                              
for their service and the leadership members provide.                                                                           
                                                                                                                                
2:26:27 PM                                                                                                                    
CHAIR  BISHOP  asked  if there  was  any  data  on the  number  of                                                              
hygienists who go on to become dentists.                                                                                        
                                                                                                                                
MS.  LYNCH  answered  that  it  is  far  more  common  for  dental                                                              
hygienists to  seek the ability  to practice  at the top  of their                                                              
scope of practice based on their education.                                                                                     
                                                                                                                                
SENATOR REVAK  asked about the scope  of the practice  and whether                                                              
advance   practice   dental  hygienists   can   administer   local                                                              
anesthesia.                                                                                                                     
                                                                                                                                
MS. LYNCH  directed attention  to page 2,  lines [9-29] of  SB 68,                                                              
Version R,  which lays out the  scope of practice for  an advanced                                                              
practice  dental  hygienist.  The   question  about  administering                                                              
local anesthesia is addressed on page 2, lines 24-27.                                                                           
                                                                                                                                
SENATOR REVAK asked  for a description of  nonsurgical periodontal                                                              
therapy, with or without local anesthesia.                                                                                      
                                                                                                                                
MS.  LYNCH  answered that  she  is  not  a dental  hygienist.  She                                                              
suggested the question be posed to the dental hygienist online.                                                                 
                                                                                                                                
CHAIR BISHOP said he'd hold the question.                                                                                       
                                                                                                                                
2:29:56 PM                                                                                                                    
SENATOR  STEVENS referenced  her  earlier statement  that in  some                                                              
settings  dental  hygienists  can  work without  a  dentist  being                                                              
present. He asked what that setting would be.                                                                                   
                                                                                                                                
MS. LYNCH responded  that 42 states have direct  access, such that                                                              
in  at least  in  one  setting in  each  of those  states,  dental                                                              
hygienists  can provide  those services  to  patients without  the                                                              
presence or  authorization of  a dentist.  She said most  commonly                                                              
that  occurs in  schools and  that is  the case  in Alaska.  Since                                                              
2008,  dental  hygienists in  Alaska  have  been able  to  provide                                                              
services under a  collaborative practice agreement.  SB 68 creates                                                              
the advanced  practice permit system,  which will  allow increased                                                              
access for dental hygienists to work in more settings.                                                                          
                                                                                                                                
2:32:18 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
2:32:37 PM                                                                                                                    
CHAIR BISHOP  reconvened the  meeting and  asked Senator  Revak to                                                              
pose his earlier question to Dr. Wenzell.                                                                                       
                                                                                                                                
SENATOR REVAK asked  for help understanding the  scope of practice                                                              
that  includes nonsurgical  periodontal surgery,  with or  without                                                              
anesthesia.                                                                                                                     
                                                                                                                                
DR. WENZELL referred  to page 2, lines 21-22 of SB  68, Version R.                                                              
He explained  that if  a patient has  [gumline] probings  that are                                                              
deeper than  four millimeters  and tenacious sublingual  calculus,                                                              
the dental hygienist  is not able to scale the  root plane without                                                              
numbing   the  area  so   the  patient   is  comfortable.   Dental                                                              
hygienists  currently  are  able to  administer  local  anesthetic                                                              
under the  general supervision of  a dentist and the  dental board                                                              
supports   allowing   dental  hygienists   to   administer   local                                                              
anesthetic in settings like a nursing home.                                                                                     
                                                                                                                                
2:34:22 PM                                                                                                                    
CHAIR BISHOP opened public testimony on SB 68.                                                                                  
                                                                                                                                
2:34:34 PM                                                                                                                    
VIVIAN  STIVER, representing  self,  Fairbanks,  Alaska, spoke  in                                                              
support  of  SB 68.  She  said  she  has worked  with  the  senior                                                              
population  for  nine years  and  has  witnessed the  oral  health                                                              
problems   low-income  seniors   experience   due   to  cost   and                                                              
transportation  barriers.  She   said  having  bad  teeth  can  be                                                              
painful, cause  eating difficulty,  and affect a  person's overall                                                              
health. Sometimes  seniors will opt for tooth  extractions because                                                              
they cannot  afford the other  types of  services. She said  SB 68                                                              
will help  with this  situation by  allowing dental hygienists  to                                                              
screen, clean, and  encourage seniors to address  problems as they                                                              
crop up.  This has the  potential to improve  the quality  of life                                                              
for  seniors. She  summarized  that  she was  pleased  to see  the                                                              
advanced  practice  permit  system   since  it  can  help  provide                                                              
services to those communities that are currently underserved.                                                                   
                                                                                                                                
2:36:46 PM                                                                                                                    
CHAIR BISHOP  closed public testimony  on SB 68 and held  the bill                                                              
for future consideration.                                                                                                       
                                                                                                                                
2:37:21 PM                                                                                                                    
There  being no  further business  to come  before the  committee,                                                              
Chair  Bishop adjourned  the Senate  Labor  and Commerce  Standing                                                              
Committee meeting at 2:37 p.m.                                                                                                  

Document Name Date/Time Subjects
L&C Architects, Engineers, and Land Surveyors Wallis #1.pdf SL&C 3/10/2020 1:30:00 PM
Confirmations
L&C Direct Entry Midwives Penwell #1.pdf SL&C 3/10/2020 1:30:00 PM
Confirmations
L&C Psychologists and Psychological Examiners Durham #1.pdf SL&C 3/10/2020 1:30:00 PM
Confirmations
L&C Nursing Lafferty #2.pdf SL&C 3/10/2020 1:30:00 PM
Confirmations
L&C Psychologists and Psychological Examiners Gatewood #1.pdf SL&C 3/10/2020 1:30:00 PM
Confirmations
L&C Psychologists and Psychological Examiners McConnell #1.pdf SL&C 3/10/2020 1:30:00 PM
Confirmations
L&C Real Estate Appraisers Lawrence #1.pdf SL&C 3/10/2020 1:30:00 PM
Confirmations
SB 68 draft CS ver R.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Sponsor Statement.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Sectional Analysis ver. R 03-7-2020.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Supporting Document education comparison 4-9-19.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Supporting Document FAQs 4-9-19.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Supporting Document Alaska Dental HPSAs.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Supporting Document HPSA Underserved Dental Map 3-13-19.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Supporting Document RDHAP Allowed Services.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Supporting Document scope of practice by state 4-9-19.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Supporting Document ADHA 3rd Party Reimbursement 04.11.19.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB 68 Public Comment 3-3-2020.pdf SL&C 3/10/2020 1:30:00 PM
SB 68
SB182 Draft Committee Substitute Version S.pdf SL&C 3/10/2020 1:30:00 PM
SB 182
SB182 Explanation of Changes Version A to S.pdf SL&C 3/10/2020 1:30:00 PM
SB 182
SB 182 Public Comment 3-10-2020.pdf SL&C 3/10/2020 1:30:00 PM
SB 182
SB 195 Sponsor Statement.pdf SL&C 3/5/2020 1:30:00 PM
SL&C 3/10/2020 1:30:00 PM
SB 195
SB 195 Sectional Analysis ver. A.pdf SL&C 3/5/2020 1:30:00 PM
SL&C 3/10/2020 1:30:00 PM
SB 195
SB 195 DRAFT Fiscal Note DCCED-DOI 02-28-2020.pdf SL&C 3/5/2020 1:30:00 PM
SL&C 3/10/2020 1:30:00 PM
SB 195
SB 195 Letters of Support 3-04-2020.pdf SL&C 3/5/2020 1:30:00 PM
SL&C 3/10/2020 1:30:00 PM
SB 195