Legislature(2019 - 2020)BELTZ 105 (TSBldg)

03/12/2020 01:30 PM LABOR & COMMERCE

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Audio Topic
01:31:58 PM Start
01:32:55 PM Confirmation Hearing(s)
01:40:39 PM SB68
01:43:28 PM SB173
02:34:19 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ Consideration of Governor's Appointees: TELECONFERENCED
Board of Barbers & Hairdressers
- Cheryl Brantley
- Zera "Blake" Thomas
Board of Nursing - Catherine Hample
-- Public Testimony on All Appointees --
+= SB 68 DENTAL HYGIENIST ADVANCED PRAC PERMIT TELECONFERENCED
Moved CS SSSB 68(L&C) Out of Committee
+ SB 173 LICENSE MOBILE INTENSIVE CARE PARAMEDICS TELECONFERENCED
Heard & Held
-- Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                         March 12, 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 Barbers and Hairdressers                                                                                             
Cheryl Brantley - Anchorage                                                                                                     
Zera "Blake" Thomas - Chugiak                                                                                                   
                                                                                                                                
     - CONFIRMATIONS ADVANCED                                                                                                   
                                                                                                                                
Board of Nursing                                                                                                              
Catherine Hample - Wasilla                                                                                                      
                                                                                                                                
     - CONFIRMATION ADVANCED                                                                                                    
                                                                                                                                
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."                                                                                        
                                                                                                                                
     - MOVED CS SSSB 68(L&C) OUT OF COMMITTEE                                                                                   
                                                                                                                                
SENATE BILL NO. 173                                                                                                             
"An Act  relating to  mobile intensive care  paramedics; relating                                                               
to  duties of  the  State  Medical Board  and  the  Department of                                                               
Health  and  Social  Services;  and  providing for  an  effective                                                               
date."                                                                                                                          
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
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)                                                                      
03/10/20       (S)       Heard & Held                                                                                           
03/10/20       (S)       MINUTE(L&C)                                                                                            
03/12/20       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 173                                                                                                                  
SHORT TITLE: LICENSE MOBILE INTENSIVE CARE PARAMEDICS                                                                           
SPONSOR(s): SENATOR(s) REVAK                                                                                                    
                                                                                                                                
02/03/20       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/03/20       (S)       HSS, L&C                                                                                               
02/17/20       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
02/17/20       (S)       Heard & Held                                                                                           
02/17/20       (S)       MINUTE(HSS)                                                                                            
02/26/20       (S)       HSS AT 1:30 PM BUTROVICH 205                                                                           
02/26/20       (S)       Moved SB 173 Out of Committee                                                                          
02/26/20       (S)       MINUTE(HSS)                                                                                            
02/28/20       (S)       HSS RPT 2DP 3NR                                                                                        
02/28/20       (S)       DP: WILSON, VON IMHOF                                                                                  
02/28/20       (S)       NR: BEGICH, GIESSEL, SHOWER                                                                            
03/12/20       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
CHERYL BRANTLEY, Appointee                                                                                                      
Board of Barbers and Hairdressers                                                                                               
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                                                                    
Barbers and Hairdressers.                                                                                                       
                                                                                                                                
ZERA "BLAKE" THOMAS, Appointee                                                                                                  
Board of Barbers and Hairdressers                                                                                               
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
Chugiak, Alaska                                                                                                                 
POSITION STATEMENT: Testified as appointee to the Board of                                                                    
Barbers and Hairdressers.                                                                                                       
                                                                                                                                
CATHERINE HAMPLE, RN, Appointee                                                                                                 
Board of Nursing                                                                                                                
Division of Corporations, Business and Professional Licensing                                                                   
Department of Commerce, Community and Economic Development                                                                      
Wasilla, Alaska                                                                                                                 
POSITION STATEMENT: Testified as appointee to the Board of                                                                    
Nursing.                                                                                                                        
                                                                                                                                
DUSTIN ELSBERRY, Intern                                                                                                         
Senator Josh Revak                                                                                                              
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Introduced SB 173 on behalf of the sponsor.                                                               
                                                                                                                                
JILL LEWIS, Deputy Director                                                                                                     
Division of Public Health                                                                                                       
Department of Health and Social Services                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: During the hearing on SB 173, delivered a                                                                 
PowerPoint: "SB 173 License Mobile Intensive Care Paramedics."                                                                  
                                                                                                                                
BRIAN WEBB, representing self                                                                                                   
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified in support of SB 173.                                                                           
                                                                                                                                
SARA CHAMBERS, Director                                                                                                         
Division of Corporations, Business & Professional Licensing                                                                     
Department of Commerce, Community and Economic Development                                                                      
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified in support of SB 173.                                                                           
                                                                                                                                
ALYSIA JONES, Executive Administrator                                                                                           
Alaska State Medical Board                                                                                                      
Division of Corporations, Businesses, and Professional Licensing                                                                
Department of Commerce, Community and Economic Development                                                                      
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified in support of SB 173.                                                                           
                                                                                                                                
ALEX BOYD, Paramedic and Assistant Chief of Training                                                                            
Anchorage Fire Department                                                                                                       
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 173.                                                                           
                                                                                                                                
WILMA VINTON, Executive Director                                                                                                
Interior  Region   Emergency  Medical   Services  Council,  Inc.;                                                               
Assistant Chief of Emergency Medical Services                                                                                   
Steese Volunteer Fire Department                                                                                                
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 173.                                                                           
                                                                                                                                
ANJELA JOHNSTON, Training Coordinator                                                                                           
Southeast Region, Alaska Emergency Medical Services Council                                                                     
Division of Public Health                                                                                                       
Department of Health and Social Services                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified in support of SB 173.                                                                           
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:31:58 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 Gray-Jackson, Revak, Stevens, and Chair Bishop.                                                                   
                                                                                                                                
^CONFIRMATION HEARING(S)                                                                                                        
                     CONFIRMATION HEARING(S)                                                                                
                Board of Barbers and Hairdressers                                                                           
                        Board of Nursing                                                                                    
                                                                                                                                
1:32:55 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                                                               
they want  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. The hearing  today was not a recommendation on any                                                               
subsequent vote.                                                                                                                
                                                                                                                                
1:33:33 PM                                                                                                                    
CHERYL BRANTLEY,  Appointee, Board  of Barbers  and Hairdressers,                                                               
Division  of Corporations,  Business and  Professional Licensing,                                                               
Department  of  Commerce,  Community  and  Economic  Development,                                                               
Anchorage, Alaska, stated that  she grew up in Kotzebue. She said                                                               
that  she  has 13  years  of  experience  working  as  a licensed                                                               
hairdresser  and six years  as a  licensed instructor  in Alaska.                                                               
She  has also  held  a cosmetology  and  instructor's  license in                                                               
Kansas  at  the  Paul  Mitchell  School.  She  said that  she  is                                                               
passionate about  teaching and inspiring new  students to elevate                                                               
their skills  as hair  stylists. She would  like to  serve on the                                                               
board to bring a fresh  perspective on today's issues. She brings                                                               
her  desire  to  serve  the  people  on behalf  of  hairdressers,                                                               
barbers, estheticians,  nail technicians and  tattoo artists. She                                                               
would like to  help the board make fair  decisions that will help                                                               
protect the public.                                                                                                             
                                                                                                                                
SENATOR  STEVENS  said   his  daughter,  who  is  a  hairdresser,                                                               
expressed concern  when the board  removed the  physical exam for                                                               
hairdressers. He asked her perspective.                                                                                         
                                                                                                                                
MS.  BRANTLEY  said  she   agrees  that  the  practical  test  is                                                               
important and  should be put  back as a  requirement. She related                                                               
her personal observations and  opined that the practical exam can                                                               
help identify those who need additional training.                                                                               
                                                                                                                                
CHAIR BISHOP thanked her for putting her name forward.                                                                          
                                                                                                                                
1:36:00 PM                                                                                                                    
ZERA   "BLAKE"   THOMAS,   Appointee,   Board   of  Barbers   and                                                               
Hairdressers,    Division   of    Corporations,    Business   and                                                               
Professional  Licensing, Department  of  Commerce,  Community and                                                               
Economic  Development,  Chugiak,   Alaska,  stated  that  he  was                                                               
appointed to serve on  the tattooist, body piercer, and permanent                                                               
cosmetic  seat of  the  board.  He started  an  apprenticeship in                                                               
2002, then  began his career  as a body piercer.  After gaining a                                                               
position  in his  current studio  in 2004,  he was  promoted into                                                               
management  in  2007. He  emphasized  he  brings  objectivity and                                                               
knowledge of the craft to the board.                                                                                            
                                                                                                                                
1:37:26 PM                                                                                                                    
SENATOR  REVAK  thanked  him  for  his  involvement  with  Bikers                                                               
Against Child Abuse. He  said their mission is important and they                                                               
do great work.                                                                                                                  
                                                                                                                                
MR.  THOMAS thanked  him for  the comment  then  said he  has not                                                               
worked with the  group recently, but he  intends to become active                                                               
again.                                                                                                                          
                                                                                                                                
CHAIR BISHOP thanked him for putting his name forward.                                                                          
                                                                                                                                
1:38:01 PM                                                                                                                    
CATHERINE HAMPLE,  RN; Appointee,  Board of Nursing,  Division of                                                               
Corporations, Business and  Professional Licensing, Department of                                                               
Commerce,  Community and  Economic Development,  Wasilla, Alaska,                                                               
stated  that she  is an  adjunct professor  at the  University of                                                               
Alaska Anchorage  and teaches advanced  medical surgical nursing.                                                               
She said she  has been working in nursing  since she was 16 years                                                               
old,  working  first  as a  candy  striper,  then  as  a licensed                                                               
practical nurse, and finally  as a registered nurse. She obtained                                                               
several advanced degrees from  the University of Phoenix. She has                                                               
worked  in  supervisory positions  and  is  now  teaching student                                                               
nurses. She said she would  like to serve on the board to monitor                                                               
safe nursing practice for  public protection, but also to promote                                                               
nursing.                                                                                                                        
                                                                                                                                
1:39:04 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 Barbers and Hairdressers                                                                                             
Cheryl Brantley - Anchorage                                                                                                     
Zera "Blake" Thomas - Chugiak                                                                                                   
                                                                                                                                
Board of Nursing                                                                                                              
Catherine Hample - Wasilla                                                                                                      
                                                                                                                                
[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.]                                                                                                                     
                                                                                                                                
1:39:39 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
           SB 68-DENTAL HYGIENIST ADVANCED PRAC PERMIT                                                                      
                                                                                                                                
1:40:39 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."                                                                                        
                                                                                                                                
[The  committee adopted  the  committee substitute  for  SSSB 68,                                                               
work order 31-LS0224\R, during the first hearing.]                                                                              
                                                                                                                                
CHAIR BISHOP  stated that this  is the second  hearing and public                                                               
testimony  was  taken  at the  last  hearing,  all  of  which was                                                               
favorable. He asked if the sponsor had any comments.                                                                            
                                                                                                                                
SENATOR GIESSEL answered no.                                                                                                    
                                                                                                                                
1:41:11 PM                                                                                                                    
SENATOR  STEVENS  moved  to  report  CSSSSB  68, work  order  31-                                                               
LS0224\R,  from  committee  with  individual recommendations  and                                                               
attached fiscal note(s).                                                                                                        
                                                                                                                                
CHAIR BISHOP  found no objection and  CSSSSB 68(L&C) was reported                                                               
from the Senate Labor and Commerce Standing Committee.                                                                          
                                                                                                                                
1:41:36 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
         SB 173-LICENSE MOBILE INTENSIVE CARE PARAMEDICS                                                                    
                                                                                                                                
1:43:28 PM                                                                                                                    
CHAIR BISHOP announced the  consideration of SENATE BILL NO. 173,                                                               
"An Act  relating to  mobile intensive care  paramedics; relating                                                               
to  duties of  the  State  Medical Board  and  the  Department of                                                               
Health  and  Social  Services;  and  providing for  an  effective                                                               
date."                                                                                                                          
                                                                                                                                
He stated  that this is  the first  hearing on SB  173 and public                                                               
testimony has been noticed.                                                                                                     
                                                                                                                                
1:43:45 PM                                                                                                                    
SENATOR REVAK, speaking  as sponsor, stated that  SB 173 will fix                                                               
an inefficiency  in the  regulation of paramedics.  Regulation of                                                               
the emergency  medical services  (EMS) system currently  is split                                                               
between the State Medical  Board and the Department of Health and                                                               
Social  Services  and  this  has  created  several  problems.  He                                                               
deferred further introduction to his intern.                                                                                    
                                                                                                                                
1:44:28 PM                                                                                                                    
DUSTIN  ELSBERRY,  Intern,   Senator  Josh  Revak,  Alaska  State                                                               
Legislature, Juneau, Alaska,  introduced SB 173, paraphrasing the                                                               
following sponsor statement:                                                                                                    
                                                                                                                                
     SB 173 consolidates  oversight of the emergency medical                                                                    
     services  system  under  a  single  agency.  Currently,                                                                    
     regulation  of  the EMS  system  is  split  between the                                                                    
     State Medical  Board and  the Department  of Health and                                                                    
     Social Services.                                                                                                           
                                                                                                                                
     Paramedics  are an  essential part  of  a comprehensive                                                                    
     emergency  medical  services  system.  This  bill  will                                                                    
     transfer paramedic licensure  to the department's State                                                                    
     Emergency  Medical   Services  Office.  The  department                                                                    
     already  has  responsibility  for certifying  emergency                                                                    
     medical  technicians,  EMT  instructors, EMT  training,                                                                    
     ground ambulance, medevac  services, and even paramedic                                                                    
     instructors,    and   paramedic    training.   However,                                                                    
     paramedics are licensed by the State Medical Board.                                                                        
                                                                                                                                
     This  bill  does  not  change  the scope  of  practice,                                                                    
     license   requirements,   or  fee   schedule   for  the                                                                    
     approximately   600  paramedics  licensed   in  Alaska.                                                                    
     Medical  direction  will be  provided  by  the existing                                                                    
     DHSS  Chief   Medical  Officer  and   the  EMS  Medical                                                                    
     Director's   Committee    comprised   of   11   members                                                                    
     specialized in emergency medicine.                                                                                         
                                                                                                                                
     The bill  provides for  a smooth transition  on January                                                                    
     1,  2021,   with  an   immediate  effective   date  for                                                                    
     regulations,  provisions  to  ensure  current  biennial                                                                    
     licenses remain in  effect until new regulations are in                                                                    
     place,  and continuity  of license  histories  with the                                                                    
     transfer of files and pending disciplinary cases.                                                                          
                                                                                                                                
     The State  Emergency Medical  Services Office  is well-                                                                    
     positioned to  support this change with  a staff of six                                                                    
     full-time  positions,  five of  which  are  required to                                                                    
     have  paramedic experience.  Existing data  systems are                                                                    
     ready to incorporate paramedic licensure.                                                                                  
                                                                                                                                
     Aligning  all  EMS   services  under  a  single  agency                                                                    
     promotes public safety  while bringing new efficiencies                                                                    
     to the licensure process.                                                                                                  
                                                                                                                                
1:47:26 PM                                                                                                                    
SENATOR REVAK  summarized that  SB 173 will  transfer the housing                                                               
of  paramedics from  the  State  Medical Board  to  the Emergency                                                               
Medical Services  Section (EMS)  in the Department  of Health and                                                               
Social  Services (DHSS),  which is  where all  other pre-hospital                                                               
medical care providers are housed. There has been formal support                                                                
from the State Medical Board to do this.                                                                                        
                                                                                                                                
1:47:54 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
1:48:02 PM                                                                                                                    
CHAIR BISHOP reconvened the meeting.                                                                                            
                                                                                                                                
1:48:06 PM                                                                                                                    
SENATOR GRAY-JACKSON asked the sponsor if he had conversations                                                                  
with any EMS employees.                                                                                                         
                                                                                                                                
SENATOR REVAK replied some people will testify today about the                                                                  
negative impacts of the current system.                                                                                         
                                                                                                                                
1:48:43 PM                                                                                                                    
MR. ELSBERRY delivered the sectional analysis for SB 173:                                                                       
                                                                                                                                
     Sec.    1     amends    08.64.107,     State    Medical                                                                    
     Board/Regulation of  physician assistants and intensive                                                                    
     care  paramedics,  to  remove  regulation of  paramedic                                                                    
     licensure from the Medical Board. (See also Sec. 8.)                                                                       
                                                                                                                                
     Sec. 2 amends  08.64.170, License to practice medicine,                                                                    
     podiatry,   or  osteopathy,   allowing   paramedics  to                                                                    
     practice  medicine   to  render   emergency  lifesaving                                                                    
     service  under  "another  law"  instead  of  under  the                                                                    
     Medical Board's authority. (See also Sec. 6)                                                                               
                                                                                                                                
     Sec.  3   amends  08.64.360,   Penalty  for  practicing                                                                    
     without  a  license  or  in  violation of  chapter,  to                                                                    
     remove paramedics. (See also Sec. 10)                                                                                      
                                                                                                                                
     Sec. 4  amends 08.64.369, Health  care professionals to                                                                    
     report certain injuries,  to change paramedics licensed                                                                    
     under the  Medical Board to those  licensed under DHSS,                                                                    
     for  health  care  providers  who  must report  certain                                                                    
     injuries to the Department of Public Safety.                                                                               
                                                                                                                                
     Sec. 5 amends  12.55.185(11), Sentencing and Probation,                                                                    
     to change  paramedics licensed under  the Medical Board                                                                    
     to those licensed under DHSS.                                                                                              
                                                                                                                                
     Sec.  6   amends  18.08.075,   Authority  of  emergency                                                                    
     medical  technician,  to  allow  paramedics to  provide                                                                    
     emergency medical care. (See also Sec. 2.)                                                                                 
                                                                                                                                
     Sec.    7   amends    18.08.080,    Emergency   Medical                                                                    
     Services/Regulation,   to   require   DHSS   to   adopt                                                                    
     regulations   establishing   standards   for  paramedic                                                                    
     licenses.    Sec.    8    adds    a   new    subsection                                                                    
     18.08.082(a)(5),     Issuance      of     certificates;                                                                    
     designations, to add  regulation of paramedic licensure                                                                    
     to DHSS. (See also Sec. 1.)                                                                                                
                                                                                                                                
1:50:36 PM                                                                                                                    
     Sec. 9  amends 18.08.082(b),  Issuance of certificates;                                                                    
     designations,  to  clarify  that  DHSS  is the  central                                                                    
     certifying  and  licensing  agency  for  all  emergency                                                                    
     medical services.                                                                                                          
                                                                                                                                
     Sec. 10  amends 18.08.084(a),  Certificate required, to                                                                    
     prohibit  a  person  from  practicing  as  a  paramedic                                                                    
     without a license. (See also Sec. 3.)                                                                                      
                                                                                                                                
     Sec.  11  amends   18.08.089,  Authority  to  pronounce                                                                    
     death,  to ensure  consistent use  of the  term "mobile                                                                    
     intensive care" paramedic throughout the law.                                                                              
                                                                                                                                
     Sec.  12  adds  a  new  paragraph  (14)  to  18.08.200,                                                                    
     Emergency  Medical  Services/Definitions,  to  add  the                                                                    
     definition of  "mobile intensive  care paramedic". (See                                                                    
     also Sec. 14.)                                                                                                             
                                                                                                                                
     Sec.  13  amends   37.05.146(c)(77)(F),  Definition  of                                                                    
     program   receipts   and   non-general   fund   program                                                                    
     receipts, to  add fees  for licensure of  paramedics to                                                                    
     the list of fees collected by DHSS.                                                                                        
                                                                                                                                
     Sec.  14  repeals  08.64.366,  Liability  for  services                                                                    
     rendered  by  a mobile  intensive  care  paramedic (See                                                                    
     18.08.086,  Immunity   from  liability,   under  DHSS).                                                                    
     Repeals 08.64.380,  Medicine/Definitions to  remove (3)                                                                    
     "emergency   lifesaving   service"   and  (4)   "mobile                                                                    
     intensive care paramedic" (See also Sec. 12).                                                                              
                                                                                                                                
     Sec.   15  amends   the  uncodified   law   to  provide                                                                    
     transitional authorities:                                                                                                  
                                                                                                                                
          (a)  A  current  paramedic  license issued  before                                                                    
          January  1, 2021  remains valid  until  it expires                                                                    
          under the Medical  Board, is suspended or revoked,                                                                    
          or is converted to a license under DHSS.                                                                              
                                                                                                                                
          (b)  The  Department  of  Commerce, Community  and                                                                    
          Economic  Development and  the Medical  Board will                                                                    
          transfer to DHSS on  January 1, 2021, files of all                                                                    
          pending     paramedic-related      records     and                                                                    
          proceedings,   applications,    and   disciplinary                                                                    
          actions.                                                                                                              
                                                                                                                                
          (c) Authority for  DHSS to adopt regulations which                                                                    
          shall   include   the   conversion  of   unexpired                                                                    
          paramedic   licenses  issued  under   the  Medical                                                                    
          Board.                                                                                                                
                                                                                                                                
      Sec. 16 provides an immediate effective date for DHSS                                                                     
     to adopt regulations.                                                                                                      
                                                                                                                                
     Sec. 17 provides an effective date of January 1, 2021.                                                                     
                                                                                                                                
1:54:04 PM                                                                                                                    
JILL  LEWIS,   Deputy  Director,   Division  of   Public  Health,                                                               
Department of Health and  Social Services, Juneau, Alaska, stated                                                               
that SB 173  will transfer oversight and  licensure of the Mobile                                                               
Intensive Care  Paramedics from  the State Medical  Board to DHSS                                                               
effective on January 1, 2021.                                                                                                   
                                                                                                                                
She  advised that  DHSS's  Division  of Public  Health  has broad                                                               
scope in its mission  to protect and promote the public's health.                                                               
This includes  preparedness for  all hazards, which  is the focus                                                               
of  the  division's  Rural  and  Community Health  Section.  This                                                               
section  encompasses  the   State  Office  of  Emergency  Medical                                                               
Services as well as  health emergency response operations, Alaska                                                               
Trauma  System,  and  the   Office  of  Healthcare  Access.  This                                                               
section's   mission  is   to  ensure   high   quality  healthcare                                                               
throughout a  patient's interaction  with the  healthcare system.                                                               
Myriad  activities   ensure  that   qualified  and  well-equipped                                                               
emergency  medical  personal  are  available  to  respond to  the                                                               
emergency medical  needs of Alaska citizens  and  visitors. Thus,                                                               
DHSS is ideally positioned to take on paramedic licensure.                                                                      
                                                                                                                                
MS. LEWIS emphasized that SB  173 will make the EMS system better                                                               
and more efficient.  This has been years  in the making through a                                                               
deliberative  process  that  involved  hundreds  of  stakeholders                                                               
throughout the EMS community, she said.                                                                                         
                                                                                                                                
1:56:27 PM                                                                                                                    
MS. LEWES  began a  PowerPoint: SB  173 License  Mobile Intensive                                                               
Care Paramedics.                                                                                                                
                                                                                                                                
MS. LEWIS explained that  transferring oversight and licensure of                                                               
Mobile Intensive Care Paramedics  from the State Medical Board to                                                               
the Department  of Health & Social  Services will fully integrate                                                               
the  EMS  system  and  ensure  it  is  robust,  sustainable,  and                                                               
resilient  so it  functions  optimally. The  State  Medical Board                                                               
voted in unanimous support of this transfer on February 7, 2020.                                                                
                                                                                                                                
1:58:13 PM                                                                                                                    
MS.  LEWIS displayed  slide 3,  Aligns  a fragmented  system. She                                                               
relayed   that   the   2014   National   Highway   Transportation                                                               
Administration review  of the Alaska EMS  system recommended that                                                               
oversight  of paramedics be  transferred to  DHSS. It  found that                                                               
the  split   in  oversight   of  EMS  personnel   "represents  an                                                               
inconsistency in  the state's protection of  the public served by                                                               
EMS." In  fact, Alaska is  one of  just three states  that do not                                                               
have all pre-hospital providers housed under one state agency.                                                                  
                                                                                                                                
She said  each component of  the EMS  system is vital  to a well-                                                               
functioning  system. Seamless communication  is important  so the                                                               
protocols   and  guidelines   are  well-informed   and  followed.                                                               
Transferring  licensure  to  DHSS  will  benefit  the  system  by                                                               
reducing administrative  burden and  ensure that  paramedics only                                                               
have  to  communicate  with   one  state  agency  for  licensure,                                                               
certification,  and  patient-care  data  entry.  This  will  make                                                               
communication among all  EMS providers more efficient and improve                                                               
oversight of  the entire pre-hospital  system. Communication with                                                               
providers will  also be more  efficient when  paramedics are able                                                               
to   use  the   DHSS  data   system.  Further,   paramedics  have                                                               
representation  on  the Governor's  Alaska  Council  on Emergency                                                               
Medical  Services, but  they do  not  have representation  on the                                                               
Medical Board.                                                                                                                  
                                                                                                                                
2:00:26 PM                                                                                                                    
MS. LEWIS reviewed  the bulleted points on  slide 4, Protects the                                                               
public health:                                                                                                                  
                                                                                                                                
   square4 Aligns all emergency medical services under an agency                                                                
       whose sole purpose is to ensure a comprehensive EMS                                                                      
     system.                                                                                                                    
   square4 Allows for the full integration of paramedics into                                                                   
       quality initiatives such as stroke, cardiac arrest,                                                                      
     trauma, telehealth and community paramedicine.                                                                             
   square4 Medical direction by the Department of Health & Social                                                               
       Services' Chief Medical officer and an EMS Medical                                                                       
     director's committee.                                                                                                      
   square4 Direct oversight will not change                                                                                     
                                                                                                                                
2:02:08 PM                                                                                                                    
MS. LEWIS reviewed  the organization chart  slide 5 that outlined                                                               
the  authority   for  regulation  of   the  pre-hospital  system.                                                               
Currently,  the Department  of Health  &  Social Services  is the                                                               
certifying body  for EMTs,  ground ambulances,  medevac services,                                                               
instructors and training, but  not paramedics. In fact, the state                                                               
EMS Office has always been  the approval body for the initial and                                                               
refresher  paramedic training  courses.  The State  Medical Board                                                               
does  not  approve the  education  for  paramedics.  She directed                                                               
attention to the  left side of the slide,  stating that the Chief                                                               
Medical  Officer,   the  Alaska  Council   on  Emergency  Medical                                                               
Services,  the State EMS  Medical Director,  and the  EMS Medical                                                               
Directors'  Committee  comprise   the  elements  of  the  medical                                                               
direction  that oversees  the pre-hospital  medical  care system.                                                               
Under  that are  the types  of providers,  training, instruction,                                                               
and  services that  the  department certifies  and  oversees. She                                                               
directed attention  to the right  side of the  slide, which shows                                                               
that paramedics  are not regulated  by DHSS. They  fall under the                                                               
State Medical Board.                                                                                                            
                                                                                                                                
CHAIR BISHOP commented that  the issue is not that paramedics are                                                               
not regulated, but  that they fall under  the jurisdiction of the                                                               
State Medical Board.                                                                                                            
                                                                                                                                
MS. LEWIS  confirmed that  paramedics are  regulated, but  not by                                                               
the Department of Health & Social Services.                                                                                     
                                                                                                                                
2:04:00 PM                                                                                                                    
SENATOR STEVENS  asked why it  took so long to  make what appears                                                               
to be a commonsense change.                                                                                                     
                                                                                                                                
MS. LEWIS  replied this  transition has been  a long  time in the                                                               
making. She anticipated that  the history of paramedics in Alaska                                                               
would  be  provided  during  public  testimony.  Responding to  a                                                               
further question,  she said there  has been no  opposition to the                                                               
bill.                                                                                                                           
                                                                                                                                
SENATOR REVAK posited that  some paramedics would say the current                                                               
system is broken.                                                                                                               
                                                                                                                                
2:05:10 PM                                                                                                                    
MS. LEWIS  displayed slide  6, Continuity during  transition. She                                                               
assured the  committee that DHSS and  the Department of Commerce,                                                               
Community  and Economic  Development  have been  working  to make                                                               
this  transition  seamless.   Existing  paramedic  licenses  will                                                               
transfer  to  DHSS  and  remain  valid  until  they  expire.  All                                                               
paramedic  files, records,  and proceedings  will  be transferred                                                               
from DCCED to DHSS.                                                                                                             
                                                                                                                                
2:06:24 PM                                                                                                                    
MS.  LEWIS stated  that there  will be  no change  to the  current                                                              
scope of  practice, licensure requirements,  or fee  structure for                                                              
the  600 paramedics  in Alaska.  Further, DHSS  believes that  the                                                              
increased caseload and associated $20,000  cost can be absorbed by                                                              
existing staff  and budget so  the transition will have  no fiscal                                                              
impact. The existing  data system needs no  additional programming                                                              
to  incorporate  paramedics  into  the  system.  She  assured  the                                                              
committee that  that the  State EMS  Office is well-positioned  to                                                              
provide the organization and oversight  to support this change. It                                                              
has six  full-time employees, five  of which are required  to have                                                              
paramedic experience.                                                                                                           
                                                                                                                                
2:09:31 PM                                                                                                                    
MS. LEWIS  concluded her comments  saying that  paramedics are an                                                               
essential part of  the state's comprehensive pre-hospital system.                                                               
Aligning all these services  under one agency will promote public                                                               
safety while bringing efficiencies to the licensure process.                                                                    
                                                                                                                                
SENATOR STEVENS asked who employs paramedics.                                                                                   
                                                                                                                                
MS.  LEWIS answered  that most  paramedics  are employed  by fire                                                               
departments  and EMS  Services,  but they  work in  a  variety of                                                               
settings, including as  industrial paramedics for corporations on                                                               
the North Slope.                                                                                                                
                                                                                                                                
2:11:15 PM                                                                                                                    
BRIAN  WEBB,  representing  self,  Juneau, Alaska,  characterized                                                               
himself as one of  the old guard paramedics who has institutional                                                               
knowledge about  the profession.  He became an  emergency medical                                                               
technician (EMT)  in Anchorage in  1978. He was  certified by the                                                               
national registry of EMTs  because the Emergency Medical Services                                                               
Section,  Division of  Public  Health, Department  of  Health and                                                               
Social Services  (DHSS) did not  exist at the time.  The same was                                                               
true  for paramedics  and they  were  eventually housed  with the                                                               
State  Medical  Board.   There  were  fewer  than  50  paramedics                                                               
statewide at the time and  now there are more than 600. He became                                                               
a paramedic  in 1980 while  he was  still serving as  a U.S. Navy                                                               
Corpsman and  returned to Alaska  in 1984. He  spent time working                                                               
as an  EMS training coordinator  at the EMS  office in Anchorage,                                                               
dealing  primarily  with license  questions  and  impediments. He                                                               
said that  he has been  striving for  the past 25  years to bring                                                               
all  EMS pre-hospital  care  solely  under the  DHSS  with single                                                               
regulations.                                                                                                                    
                                                                                                                                
2:12:32 PM                                                                                                                    
MR.  WEBB  stated  that  paramedics  would  not receive  any  pay                                                               
increases by  transitioning from  a licensed paramedic  under the                                                               
State  Medical Board  to  a certified  paramedic  under  DHSS. He                                                               
recalled that  some arguments  have been made  to keep paramedics                                                               
under  the  State Medical  Board  because  they  deliver advanced                                                               
procedures   such   as   tracheal   intubation   and   administer                                                               
intravenous medications  like those given  during cardiac arrest.                                                               
That argument is not  valid because the EMS Section manages EMT-2                                                               
and EMT-3  certified EMS providers  who deliver many  of the same                                                               
medications.  The EMS  Section  is  well equipped  to  manage any                                                               
advanced EMS providers, he said.                                                                                                
                                                                                                                                
MR. WEBB listed  some of the benefits of  moving the oversight of                                                               
paramedics to  the EMS Section. First,  the EMS section currently                                                               
performs research for the  source documents in packets for medics                                                               
seeking initial  licensure, re-licensure,  and recommendations to                                                               
the  Division of  Occupational Licensing  for  licensure. Second,                                                               
transferring  paramedics  will allow  the  EMS  Section  to adopt                                                               
regulations to meet emerging  skills and practices and procedures                                                               
that meet nationally recognized  standards of care for all levels                                                               
of  EMS  providers. Critically,  this  would  also  give  the EMS                                                               
Section  the  ability to  provide  real-time  adjustments  to the                                                               
scope of practice for  all pre-hospital providers during declared                                                               
emergencies.  Fourth,  it would  streamline  the  process  of EMS                                                               
responders regarding the  standing mutual aid agreements in their                                                               
compacts.                                                                                                                       
                                                                                                                                
MR.  WEBB highlighted  that  the EMS  Section  currently provides                                                               
some  guidance   for  the  paramedics  via   some  EMS  oversight                                                               
committees. Of the 12  members in the Alaska Council on Emergency                                                               
Medical Services (ACEMS), seven  are paramedics, 11 of 12 members                                                               
of the  ACEMS training  subcommittee are  paramedics, and  all 11                                                               
are  either emergency  room  physicians or  currently  EMS system                                                               
physicians in  charge of paramedics. These  physicians manage the                                                               
day-to-day oversight of their  EMTs and paramedics, not the state                                                               
or the  State Medical  Board. The  National Association  of State                                                               
Emergency  Medical Services  Officials work  on the  EMS national                                                               
scope of practice  and national compact.  The EMS Section manager                                                               
is a  standing member  of that  national committee.  By contrast,                                                               
the State Medical  Board does not  have any councils, committees,                                                               
or  working  groups that  examine  the  practices  or  skills for                                                               
paramedics.                                                                                                                     
                                                                                                                                
MR.  WEBB  emphasized that  the  EMS  Section  provides  a robust                                                               
investigative  process  to  answer  any  allegations against  the                                                               
certified  EMTs. Although  paramedics are  currently investigated                                                               
by the board,  the EMS Section is always  heavily involved in any                                                               
investigations. The  current EMS Section process  also includes a                                                               
providers'  self-reporting  system  that  can capture  unreported                                                               
issues. He  offered his view  that this is an  important tool for                                                               
paramedics  to  be able  to  access.  Most  importantly,  the EMS                                                               
Section  is  staffed  by  paramedics  who  fully  understand  the                                                               
paramedics'  role and  function.  He  offered his  view  that the                                                               
transfer  will  streamline  the  application  process,  including                                                               
comity    for   other    states'   applicants,    training,   and                                                               
recertification.  All  EMS  functions  would  be  housed  in  one                                                               
section. Finally,  paramedics do  not have representation  on the                                                               
State Medical Board  since they do not  hold any seat. He offered                                                               
his view  that paramedics  will never have  a seat  on the board.                                                               
This means  the current  600 paramedics  practicing in  Alaska do                                                               
not have any decision-making  say on their professional practice.                                                               
However,  the EMS  Section has  had  a long-standing  system that                                                               
allows  all  certified  EMS  professions  to  have  input on  any                                                               
regulatory  changes  that  will  affect  them.  He  said this  is                                                               
significant  and all the  paramedics he  has polled  support this                                                               
bill.                                                                                                                           
                                                                                                                                
2:17:10 PM                                                                                                                    
SENATOR REVAK asked him to relay his personal story.                                                                            
                                                                                                                                
MR. WEBB  explained that  when he returned  to Alaska  in 1984 he                                                               
was a medic, having served  as a U.S. Navy corpsman. He submitted                                                               
his  application and  supporting documents  to the  State Medical                                                               
Board to  be certified as  a paramedic, but  was denied licensure                                                               
because the  medical director  of his paramedic  school had died,                                                               
so nobody  could verify his  initial paramedic  training. It took                                                               
six  months to  verify his  paramedic training,  but by  then his                                                               
license  had  expired.  This meant  he  had  to  spend  two years                                                               
retaking  paramedic  training.  He  opined  that  these types  of                                                               
problems   would  not   exist  if   the  paramedic   function  is                                                               
transferred to  the EMS section. He  acknowledged that even after                                                               
35 years it  is still painful to talk  about his licensing issues                                                               
and circumstances.                                                                                                              
                                                                                                                                
2:19:23 PM                                                                                                                    
SARA  CHAMBERS, Director,  Division of  Corporations,  Business &                                                               
Professional  Licensing, Department  of  Commerce,  Community and                                                               
Economic  Development, Juneau,  Alaska,  spoke in  support  of SB
173. She  said the division  believes that the changes  in SB 173                                                               
provide a  good fit for paramedics  for all the  reasons that Ms.                                                               
Lewis  and Mr.  Webb  mentioned.  DHSS is  structured  to provide                                                               
education  and oversight  and the  type  of programming  that the                                                               
DCCED is  not funded  to provide. She  offered her  view that the                                                               
EMS  Section  in  DHSS  can  add  a  lot  of value  to  paramedic                                                               
licensure.                                                                                                                      
                                                                                                                                
ALYSIA  JONES,  Executive  Administrator,  Alaska  State  Medical                                                               
Board,  Division of  Corporations,  Businesses,  and Professional                                                               
Licensing,  Department   of  Commerce,   Community  and  Economic                                                               
Development, Juneau,  Alaska, echoed Ms.  Chamber's comments. She                                                               
said that  as Ms.  Lewis explained, it  makes more  sense to have                                                               
EMS services  in one place. Further,  as previously stated, there                                                               
is  not  any  representation  on  the  State  Medical  Board  for                                                               
paramedics.   She   reported  that   the   State   Medical  Board                                                               
unanimously  supported  this  change  during  its  February  2020                                                               
meeting.                                                                                                                        
                                                                                                                                
2:21:09 PM                                                                                                                    
MS. CHAMBERS  added that some  of the difficulties  that Mr. Webb                                                               
went through in  1984 no longer exist, but  it is a reminder that                                                               
the licensing requirements need to be logical and attainable.                                                                   
                                                                                                                                
2:21:44 PM                                                                                                                    
CHAIR BISHOP opened public testimony on SB 173.                                                                                 
                                                                                                                                
2:22:09 PM                                                                                                                    
ALEX  BOYD, Paramedic;  Member, Board  of Directors,  Alaska Fire                                                               
Chiefs Association;  Assistant Chief of  Training, Anchorage Fire                                                               
Department,  Anchorage, Alaska, stated  that he  was representing                                                               
these  two  organizations  as  well  as  himself  since  he is  a                                                               
paramedic.  The Alaska  Fire Chiefs  Association supports  SB 173                                                               
for many  reasons mentioned  already. Primarily,  it will improve                                                               
efficiencies,   ease   workforce   development   and  provide   a                                                               
streamlined process  within the  same agency. He  pointed out the                                                               
inefficiency of having  emergency responders for fire departments                                                               
report  to two  different agencies.  Transitioning  paramedics to                                                               
DHSS oversight will alleviate this problem.                                                                                     
                                                                                                                                
He  said  that  as  the  Assistant  Chief  of  Training  for  the                                                               
Anchorage  Fire   Department,  he  oversees   the  licensure  and                                                               
certification  of  over  300  EMTs  and  90  paramedics.  All  90                                                               
paramedics have  multiple certifications  in the  EMS Section and                                                               
the State  Medical Board. The  efficiencies in SB  173 will allow                                                               
the  Anchorage   Fire  Department  to   reduce  redundancies.  He                                                               
reported that the  fire department sometimes has  had to wait for                                                               
the State Medical Board to  act on paramedic licensures for up to                                                               
nine  months,  which  is  costly.  Further,  the  department  has                                                               
experienced delays in  processing the applications for paramedics                                                               
from the  last academy held  nearly a year ago.  By contrast, the                                                               
department has enjoyed  almost instant response and certification                                                               
from the  EMS Section of DHSS  for the 50 people  it has hired in                                                               
the last 24 months. He  said he looks forward to the improvements                                                               
and efficiencies under SB 173.                                                                                                  
                                                                                                                                
2:25:25 PM                                                                                                                    
WILMA  VINTON,  Executive  Director,  Interior  Region  Emergency                                                               
Medical  Services  Council, Inc.;  Assistant  Chief  of Emergency                                                               
Medical  Services, Steese  Volunteer Fire  Department, Fairbanks,                                                               
Alaska, stated  that she  has served  as a mobile  intensive care                                                               
paramedic (MICP) since 2007  and an EMT since 1979. She serves as                                                               
an EMS  instructor and previously  as an adjunct  faculty for the                                                               
University  of Alaska  Fairbanks paramedic  program. In  her work                                                               
and  training roles,  she  regularly  assists EMTs  and  MICPs in                                                               
acquiring and  maintaining their  certifications and professional                                                               
licenses.                                                                                                                       
                                                                                                                                
She said moving paramedic  oversight from the State Medical Board                                                               
to the EMS  Section in the Division  of Public Health, Department                                                               
of Health and  Social Services is an  excellent way to streamline                                                               
the licensing  process. The move  will align with  the actions in                                                               
many  other  states. As  previously  mentioned,  the  EMS Section                                                               
already  provides  certification  to  EMTs  in an  efficient  and                                                               
effective  manner. She  offered  her view  that  adding paramedic                                                               
oversight and  regulation would  not stress that  smooth process.                                                               
Currently, EMTs  are processed  within 20 days  and are typically                                                               
certified within  a week of  testing. She said  the State Medical                                                               
Board only meets to  approve licenses quarterly, whereas staff in                                                               
the EMS Section perform  that function daily. She said shortening                                                               
the paramedic certification  time will benefit students, military                                                               
medics  seeking  certification  in  Alaska,  and paramedics  from                                                               
other states seeking reciprocity.  She offered her view that this                                                               
move will be  the first step in  eliminating existing barriers to                                                               
becoming a paramedic in  Alaska. She urged members to support the                                                               
bill.                                                                                                                           
                                                                                                                                
2:28:03 PM                                                                                                                    
ANJELA JOHNSTON,  Training Coordinator,  Southeast Region, Alaska                                                               
Emergency Medical  Services Council  (ACEMS), Division  of Public                                                               
Health,  Department  of   Health  and  Social  Services,  Juneau,                                                               
Alaska, said  she submitted  a letter  of support  dated February                                                               
14, 2020, which read: [Original punctuation provided.]                                                                          
                                                                                                                                
     I  am  writing  in  support  of  SB173  License  Mobile                                                                    
     Intensive  Care  Paramedics.   I  currently  chair  the                                                                    
     state's  EMS  Training Committee,  a  committee  of the                                                                    
     Alaska Council  of Emergency  Medical Services (ACEMS),                                                                    
     established in  1981 in order  to advise  ACEMS and the                                                                    
     EMS  Office. We  are comprised  of members  from across                                                                    
     Alaska,  representing  EMS educators  in  a  variety of                                                                    
     rural and urban settings throughout the state.                                                                             
                                                                                                                                
     On hearing of the  introduction of SB173, our committee                                                                    
     unanimously and enthusiastically  voted to endorse this                                                                    
     bill.                                                                                                                      
                                                                                                                                
     Some reasons for our endorsement of SB173 include:                                                                         
                                                                                                                                
        square4 Increased patient safety in emergency medical                                                                   
          services   (EMS)   and   prehospital  care,   made                                                                    
          available  by having all  EMS oversight  under one                                                                    
          roof, instead of pieced out as it is currently.                                                                       
                                                                                                                                
        square4 Cost-savings involved with streamlining functions                                                               
          currently  duplicated by  both the  Office  of EMS                                                                    
          and the State Medical Board,                                                                                          
                                                                                                                                
        square4 The robust data collection capabilities made                                                                    
          available   by   consolidating   EMS   leadership,                                                                    
          oversight, and regulation,                                                                                            
                                                                                                                                
        square4 Less cumbersome processes for initial licensure                                                                 
          and   license  maintenance   for   Paramedics  and                                                                    
          employing agencies in  public safety and industry,                                                                    
          and                                                                                                                   
                                                                                                                                
        square4 A narrowing of focus by Alaska's Medical Board,                                                                 
          whose   members   could   focus   exclusively   on                                                                    
          licensure of  physicians and physician assistants,                                                                    
          further  increasing   patient  safety  across  the                                                                    
          healthcare spectrum in Alaska.                                                                                        
                                                                                                                                
     In  short, supporting  this  bill should  be  the least                                                                    
     controversial,  most constituent-friendly  non-partisan                                                                    
     win  in  front  of   you  this  session.  There  is  no                                                                    
     downside,  and it's  the right  thing for  patients and                                                                    
     Alaska taxpayers.   Most of our members, including this                                                                    
     writer,  are   Alaska-licensed  Mobile  Intensive  Care                                                                    
     Paramedics,  and these members  offered the  most vocal                                                                    
     and enthusiastic support for SB173.                                                                                        
                                                                                                                                
MS. JOHNSTON  said she chairs  the EMS  Training Committee, which                                                               
is  a subcommittee  of the  Alaska  Council of  Emergency Medical                                                               
Services (ACEMS)  and they voted  unanimously to  support SB 173.                                                               
The ACEMS  Training Committee  is comprised  of members  from all                                                               
over  Alaska,  including  public  safety,  industrial EMS,  rural                                                               
health aides,  and private  flight medevac services.  She offered                                                               
her view that it was  an accident of history that paramedics were                                                               
placed under  the State Medical Board  and paramedics have limped                                                               
along  with the  arrangement. She  urged  members to  support the                                                               
bill  not  only to  help  paramedics  but  to  help patients.  In                                                               
closing, she  said that SB 173 will  strengthen, add efficiencies                                                               
and oversight,  and resilience  to the integrated  system of pre-                                                               
hospital medical care statewide.  She emphasized that this system                                                               
must be strong.                                                                                                                 
                                                                                                                                
2:29:45 PM                                                                                                                    
CHAIR BISHOP closed public testimony on SB 173.                                                                                 
                                                                                                                                
He asked for the anticipated  timeline to process a new paramedic                                                               
license once this change is made.                                                                                               
                                                                                                                                
MS. LEWIS  replied paramedic licenses  could be  processed in the                                                               
same timeline  that the  Division of  Public Health,  EMS Section                                                               
has for  EMTs. this ranges  from five  days to less  than a month                                                               
once the application is complete with supporting documents.                                                                     
                                                                                                                                
CHAIR BISHOP  asked if the  timeline for license  renewals is the                                                               
same.                                                                                                                           
                                                                                                                                
MS. LEWIS replied license  renewals take less time. She explained                                                               
that  new  license  applications  require  scrutiny  of  all  the                                                               
original   documentation  for   education  and   experience.  She                                                               
anticipated it  would be on  the shorter end of  the spectrum for                                                               
license renewals.                                                                                                               
                                                                                                                                
2:31:25 PM                                                                                                                    
SENATOR  STEVENS described  the process  as a  logical transition                                                               
from working  as a  military [paramedic]  to becoming  a civilian                                                               
[paramedic].                                                                                                                    
                                                                                                                                
MS. LEWIS deferred to Mr. Webb.                                                                                                 
                                                                                                                                
2:31:58 PM                                                                                                                    
MR. WEBB said the transition  from a military medic to a civilian                                                               
medic  is  seamless  in other  states.  With  this  change,  if a                                                               
paramedic from Montana or  California wished to come to Alaska to                                                               
work, the licensure  process would be  simple. He reiterated that                                                               
the   current  EMS   automated  system   for   certification  and                                                               
recertifications is  a streamlined process that  only takes a few                                                               
days to accomplish.                                                                                                             
                                                                                                                                
2:33:30 PM                                                                                                                    
SENATOR REVAK thanked the individuals who spoke in support of                                                                   
the bill.                                                                                                                       
                                                                                                                                
2:33:46 PM                                                                                                                    
CHAIR BISHOP held SB 173 in committee for future consideration.                                                                 
                                                                                                                                
2:34:19 PM                                                                                                                    
There being no further business to come before the committee,                                                                   
Chair Bishop adjourned the Senate Labor and Commerce Standing                                                                   
Committee meeting at 2:34 p.m.                                                                                                  

Document Name Date/Time Subjects
L&C Barbers and Hairdressers Thomas #1.pdf SL&C 3/12/2020 1:30:00 PM
Confirmations
L&C Barbers and Hairdressers Brantley #1.pdf SL&C 3/12/2020 1:30:00 PM
Confirmations
L&C Nursing Hample #2.pdf SL&C 3/12/2020 1:30:00 PM
Confirmations
SB 173 Sponsor Statement.pdf SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Sectional Analysis ver. A.pdf SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Letters of Support 03-09-2020.pdf SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Fact Sheet Feb 2020.pdf SHSS 2/17/2020 1:30:00 PM
SHSS 2/26/2020 1:30:00 PM
SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Supporting Document Medical Oversight Table 2.21.20.pdf SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Supporting Document Investigative Process Overview.pdf SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Supporting Document Investigative Process.pdf SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Supporting Document Complaint Investigation Flowchart 2.20.20.pdf SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Supporting Document DHSS EMS Investigation Process 12_20_19.pdf SL&C 3/12/2020 1:30:00 PM
SB 173
SB 173 Supporting Document DHSS EMS Office audit process 2-20-20.pdf SL&C 3/12/2020 1:30:00 PM
SB 173