Legislature(2025 - 2026)BELTZ 105 (TSBldg)

04/16/2025 01:30 PM Senate LABOR & COMMERCE

Note: the audio and video recordings are distinct records and are obtained from different sources. As such there may be key differences between the two. The audio recordings are captured by our records offices as the official record of the meeting and will have more accurate timestamps. Use the icons to switch between them.

Download Mp3. <- Right click and save file as

* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= SB 89 PHYSICIAN ASSISTANT SCOPE OF PRACTICE TELECONFERENCED
Heard & Held
-- Public Testimony <Time Limit May Be Set> --
*+ SB 170 GAMING; ELECTRONIC PULL-TABS TELECONFERENCED
Heard & Held
**Streamed live on AKL.tv**
                    ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                         April 16, 2025                                                                                         
                           1:34 p.m.                                                                                            
                                                                                                                                
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Jesse Bjorkman, Chair                                                                                                   
Senator Kelly Merrick, Vice Chair via teleconference                                                                            
Senator Elvi Gray-Jackson                                                                                                       
Senator Forrest Dunbar                                                                                                          
Senator Robert Yundt                                                                                                            
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
All members present                                                                                                             
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 89                                                                                                              
"An   Act  relating   to   physician   assistants;  relating   to                                                               
collaborative   agreements  between   physicians  and   physician                                                               
assistants;  relating to  the practice  of medicine;  relating to                                                               
health  care  providers;  and relating  to  provisions  regarding                                                               
physician  assistants in  contracts between  certain health  care                                                               
providers and health care insurers."                                                                                            
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
SENATE BILL NO. 170                                                                                                             
"An Act relating to gaming; relating to bingo; relating to pull-                                                                
tabs and electronic pull- tab systems; and providing for an                                                                     
effective date."                                                                                                                
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB  89                                                                                                                  
SHORT TITLE: PHYSICIAN ASSISTANT SCOPE OF PRACTICE                                                                              
SPONSOR(s): SENATOR(s) TOBIN                                                                                                    
                                                                                                                                
02/07/25       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/07/25       (S)       HSS, L&C                                                                                               
02/18/25       (S)       HSS AT 3:30 PM BUTROVICH 205                                                                           
02/18/25       (S)       Heard & Held                                                                                           
02/18/25       (S)       MINUTE(HSS)                                                                                            
02/27/25       (S)       HSS AT 3:30 PM BUTROVICH 205                                                                           
02/27/25       (S)       Heard & Held                                                                                           
02/27/25       (S)       MINUTE(HSS)                                                                                            
03/04/25       (S)       HSS AT 3:30 PM BUTROVICH 205                                                                           
03/04/25       (S)       Moved SB 89 Out of Committee                                                                           
03/04/25       (S)       MINUTE(HSS)                                                                                            
03/05/25       (S)       HSS RPT 5DP                                                                                            
03/05/25       (S)       DP: DUNBAR, CLAMAN, GIESSEL, TOBIN,                                                                    
                         HUGHES                                                                                                 
03/14/25       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
03/14/25       (S)       Heard & Held                                                                                           
03/14/25       (S)       MINUTE(L&C)                                                                                            
04/16/25       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 170                                                                                                                  
SHORT TITLE: GAMING; ELECTRONIC PULL-TABS                                                                                       
SPONSOR(s): SENATOR(s) BJORKMAN                                                                                                 
                                                                                                                                
04/11/25       (S)       READ THE FIRST TIME - REFERRALS                                                                        
04/11/25       (S)       L&C, FIN                                                                                               
04/16/25       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
SENATOR LOKI TOBIN, District I                                                                                                  
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Sponsor of SB 89.                                                                                         
                                                                                                                                
MACKENZIE POPE, Staff                                                                                                           
Senator Loki Tobin                                                                                                              
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Answered questions for SB 89.                                                                             
                                                                                                                                
JENNY FAYETTE, Board Member                                                                                                     
Alaska Academy of Physician Assistants (AKAPA)                                                                                  
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified by invitation on SB 89.                                                                         
                                                                                                                                
CANDACE HICKEL, representing self                                                                                               
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 89.                                                                            
                                                                                                                                
KARI BERNARD, representing self                                                                                                 
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 89.                                                                            
                                                                                                                                
DR. MOLLY SOUTHWORTH M.D., representing self                                                                                    
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in opposition to SB 89.                                                                         
                                                                                                                                
JARED WALLACE, representing self                                                                                                
Kenai, Alaska                                                                                                                   
POSITION STATEMENT: Testified in support of SB 89.                                                                            
                                                                                                                                
KATHY TODD, Physician                                                                                                           
Alaska Academy of Family Physicians                                                                                             
Valdez, Alaska                                                                                                                  
POSITION STATEMENT: Testified in opposition to SB 89.                                                                         
                                                                                                                                
MICHAEL MICHAUD, representing self                                                                                              
Matsu Valley, Alaska                                                                                                            
POSITION STATEMENT: Testified in support of SB 89.                                                                            
                                                                                                                                
MARGARET CARLSON, President                                                                                                     
Alaska Academy of Family Physicians                                                                                             
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in opposition to SB 89.                                                                         
                                                                                                                                
KATHERINE VAN ATTA, representing self                                                                                           
Wasilla, Alaska                                                                                                                 
POSITION STATEMENT: Testified in support of SB 89.                                                                            
                                                                                                                                
JENNIFER PERKINS, representing self                                                                                             
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified with concerns on SB 89.                                                                         
                                                                                                                                
NICHOLAS COSENTINO, representing self                                                                                           
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in opposition to SB 89.                                                                         
                                                                                                                                
SYLVAN ROBB, Director                                                                                                           
Division of Corporations, Business                                                                                              
and Professional Licensing (CBPL)                                                                                               
Department of Commerce, Community                                                                                               
and Economic Development (DCCED)                                                                                                
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Answered questions on SB 89.                                                                              
                                                                                                                                
KONRAD JACKSON, Staff                                                                                                           
Senator Jesse Bjorkman                                                                                                          
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Provided the sectional analysis for SB 170.                                                               
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:34:32 PM                                                                                                                    
CHAIR  BJORKMAN called  the Senate  Labor  and Commerce  Standing                                                               
Committee meeting  to order at 1:34  p.m. Present at the  call to                                                               
order  were  Senators  Merrick Gray-Jackson,  Dunbar,  Yundt  and                                                               
Chair Bjorkman.                                                                                                                 
                                                                                                                                
          SB  89-PHYSICIAN ASSISTANT SCOPE OF PRACTICE                                                                      
                                                                                                                                
1:35:32 PM                                                                                                                    
CHAIR BJORKMAN announced the consideration  of SENATE BILL NO. 89                                                               
"An   Act  relating   to   physician   assistants;  relating   to                                                               
collaborative   agreements  between   physicians  and   physician                                                               
assistants;  relating to  the practice  of medicine;  relating to                                                               
health  care  providers;  and relating  to  provisions  regarding                                                               
physician  assistants in  contracts between  certain health  care                                                               
providers and health care insurers."                                                                                            
                                                                                                                                
1:36:07 PM                                                                                                                    
SENATOR  LOKI  TOBIN,  District   I,  Alaska  State  Legislature,                                                               
Juneau, Alaska, sponsor of SB 89.  She presented a brief recap of                                                               
SB 89 and stated that  the legislation aims to modernize statutes                                                               
governing physician  assistants (PAs) by  reducing administrative                                                               
burdens and  providing a pathway to  independent licensure. While                                                               
PAs  are  not  doctors,  they  receive  extensive  education  and                                                               
clinical  training  comparable  to  nurse  practitioners.  SB  89                                                               
ensures  PAs  can practice  fully  within  their scope,  maintain                                                               
competitiveness,  and  provide  high-quality care.  PA's  require                                                               
completion  of  accredited  education, licensure  exams,  and  at                                                               
least  4,000  postgraduate   clinical  hours  before  independent                                                               
practice.  SB  89  also  incorporates  safeguards  for  specialty                                                               
transitions,  with oversight  from the  state medical  board, and                                                               
holds PAs to the same medical  standards as MDs and DOs, ensuring                                                               
patient safety and accountability.                                                                                              
                                                                                                                                
1:40:29 PM                                                                                                                    
CHAIR  BJORKMAN asked  how  many hours  a PA  must  work under  a                                                               
doctor's  supervision before  practicing  independently. He  also                                                               
about the number of hours required by other states.                                                                             
                                                                                                                                
1:41:09 PM                                                                                                                    
SENATOR TOBIN  replied that  at least  seven states  have created                                                               
pathways  for PAs  to obtain  independent  licensure. She  stated                                                               
that  the required  number of  supervised  clinical hours  varies                                                               
widely across  those states. Wyoming  has no minimum  hours, Iowa                                                               
requires  4,000,  South  Dakota  6,000, Montana  8,000,  and  New                                                               
Hampshire and  Utah range  from 8,000 to  10,000. She  said rural                                                               
states like  Alaska, North Dakota, and  Wyoming prioritize access                                                               
to care and tend to have  lower or no minimums. Given PAs similar                                                               
scope of practice to nurse  practitioners, stakeholders in Alaska                                                               
agreed on  a compromise of 4,000  supervised hours, acknowledging                                                               
it is somewhat arbitrary.                                                                                                       
                                                                                                                                
1:42:37 PM                                                                                                                    
CHAIR   BJORKMAN  asked   whether  the   medical  community   has                                                               
professional guidance  on the optimal number  of supervised hours                                                               
needed to achieve the best patient outcomes.                                                                                    
                                                                                                                                
1:42:55 PM                                                                                                                    
MACKENZIE  POPE,   Staff,  Senator   Loki  Tobin,   Alaska  State                                                               
Legislature,  Juneau, Alaska,  answered questions  for SB  89 and                                                               
stated  that   as  mentioned  earlier  other   advanced  practice                                                               
providers   (APP),  like   nurse   practitioners,  require   zero                                                               
supervised  hours.  She  said research  suggests  zero  hours  is                                                               
sufficient, and  there is no  consensus among stakeholders  on an                                                               
ideal  number, resulting  in  a wide  rangefrom   zero to  10,000                                                               
hoursacross states.                                                                                                             
                                                                                                                                
1:43:40 PM                                                                                                                    
CHAIR  BJORKMAN  stated  that  North  Dakota's  statute  includes                                                               
provisions requiring physician assistants  to practice near their                                                               
supervising physicians.  He asked for the  reasoning behind North                                                               
Dakota's statute  and what safeguards  SB 89 includes  to address                                                               
the absence of a proximity requirement.                                                                                         
                                                                                                                                
1:44:18 PM                                                                                                                    
SENATOR  TOBIN   replied  that  current  law   does  not  require                                                               
physician  assistants   to  practice  near   their  collaborating                                                               
physicians. She  said about 14  percent of those  physicians live                                                               
outside Alaska.  SB 89  does not  change this  arrangement. While                                                               
collaborating physicians must review  PAs work and hold quarterly                                                               
check-ins,   compliance  varies.   Federally  recognized   health                                                               
clinics already  provide stronger  oversight; however SB  89 does                                                               
not   change   current   practices  regarding   where   PAs   and                                                               
collaborating physicians live or work.                                                                                          
                                                                                                                                
1:45:36 PM                                                                                                                    
CHAIR  BJORKMAN  requested  more  information  on  how  Federally                                                               
Qualified  Health Centers  (FQHCs)  provide  oversight. He  asked                                                               
whether the  relationship between  a supervising physician  and a                                                               
physician assistant  (PA) includes requirements for  case reviews                                                               
or  peer evaluations.  He  also  asked how  SB  89 addresses  the                                                               
oversight structure for this relationship.                                                                                      
                                                                                                                                
1:46:09 PM                                                                                                                    
MS. POPE replied  that the policies and procedures  of the Alaska                                                               
State  Medical Board  define collaborative  agreements in  detail                                                               
through regulation  rather than  statute, which SB  89 preserves.                                                               
She said these agreements must  be written, filed with the board,                                                               
and  outline   how  the  collaborating  physician   and  PA  will                                                               
communicate. Each  plan is customized  and must  include regular,                                                               
typically   quarterly,  check-ins   and  reviews,   with  minimum                                                               
standards set by law.                                                                                                           
                                                                                                                                
MS. POPE added  that policies and procedures  dictate a physician                                                               
must have a  method of quality assurance and at  a minimum 2 days                                                               
each  quarter of  direct  personal contact  for  reviewing a  PAs                                                               
performance.                                                                                                                    
                                                                                                                                
1:48:31 PM                                                                                                                    
JENNY  FAYETTE,   Board  Member,  Alaska  Academy   of  Physician                                                               
Assistants  (AKAPA), Anchorage,  Alaska, testified  by invitation                                                               
on  SB 89  and  replied that  regulations  already authorize  the                                                               
State   Medical  Board   to  oversee   collaborative  agreements,                                                               
requiring them in  writing. The board is updating  these rules to                                                               
streamline   the  process,   and  SB   89  specifies   that  such                                                               
regulations  will  also  apply  to  PAs  with  fewer  than  4,000                                                               
clinical hours.                                                                                                                 
                                                                                                                                
1:49:21 PM                                                                                                                    
CHAIR  BJORKMAN asked  if it  would be  beneficial to  specify in                                                               
regulation or  statute the number  of charts  or cases a  PA must                                                               
review  with  their  supervising   physician  as  part  of  their                                                               
collaborative agreement.                                                                                                        
                                                                                                                                
1:49:40 PM                                                                                                                    
MS.   FAYETTE  stated   her   belief   that  overly   restrictive                                                               
collaborative plan requirements make it  harder to employ PAs. SB
89 aims to  safely expand employment opportunities,  and there is                                                               
no  research indicating  that  specifying a  set  number of  case                                                               
reviews improves quality of care.                                                                                               
                                                                                                                                
1:50:22 PM                                                                                                                    
CHAIR BJORKMAN asked whether it would  be appropriate for a PA to                                                               
review  the top  10 most  complex or  uncertain cases  with their                                                               
supervising physician as a baseline for collaboration.                                                                          
                                                                                                                                
1:50:48 PM                                                                                                                    
SENATOR  TOBIN replied  that PAs  often seek  input from  various                                                               
medical professionals,  not just their  collaborating physicians.                                                               
With PAs  consulting multiple experts  on complex cases,  a chart                                                               
review  by one  physician may  not  provide the  same quality  of                                                               
oversight,    reflecting    the     collaborative    nature    of                                                               
multidisciplinary medical practice.                                                                                             
                                                                                                                                
1:51:29 PM                                                                                                                    
CHAIR BJORKMAN asked  who is permitted to use  the title "doctor"                                                               
or  similar terms,  and whether  nurse practitioners  with a  PhD                                                               
should  use  that title  in  clinical  settings, given  potential                                                               
confusion for patients.                                                                                                         
                                                                                                                                
1:52:13 PM                                                                                                                    
SENATOR TOBIN replied  that SB 89, Section 17, page  9, lines 21-                                                               
26, clearly  [AS 08.64.380(6)(B)] defines in  statute how medical                                                               
professionals may  display their titles so  patients can identify                                                               
their credentials,  requiring PAs to visibly  identify themselves                                                               
as physician assistants, similar  to nurse practitioners. Second,                                                               
individuals who earn a doctorate,  such as in psychology or other                                                               
fields,  have the  right to  use  the title  "Doctor" to  reflect                                                               
their academic achievement.                                                                                                     
                                                                                                                                
1:53:39 PM                                                                                                                    
CHAIR BJORKMAN opened public testimony on SB 89.                                                                                
                                                                                                                                
1:54:37 PM                                                                                                                    
CANDACE HICKEL,  representing self, Anchorage,  Alaska, testified                                                               
in support of SB 89  and advocated for addressing healthcare gaps                                                               
in areas  facing provider shortages. PAs  and nurse practitioners                                                               
perform  similar clinical  roles,  but  only nurse  practitioners                                                               
have  independent  licensure.  She said  current  laws  requiring                                                               
collaborative  agreements   create  barriers,  as  a   PA  cannot                                                               
practice  if  their  supervising MD  moves,  leaving  communities                                                               
without   care.   These   agreements   are   seen   as   outdated                                                               
administrative burdens,  unnecessary for ensuring quality.  SB 89                                                               
proposes  independent licensure  for  PAs to  improve access  and                                                               
allow  them   to  practice  fully   within  their   training  and                                                               
capabilities.                                                                                                                   
                                                                                                                                
1:56:47 PM                                                                                                                    
KARI BERNARD, representing self,  Anchorage, Alaska, testified in                                                               
support of  SB 89 and stated  that as a PhD-trained  PA, she does                                                               
not  use the  title "Doctor"  to avoid  patient confusion  and to                                                               
comply  with Alaska  law. She  said National  research shows  PA-                                                               
delivered care  is safe, effective, and  sometimes superior, with                                                               
lower   complications,  mortality,   hospitalizations,  and   re-                                                               
admissions, while also being cost-effective.  PAs can help reduce                                                               
healthcare  costs  through  shorter   hospital  stays  and  fewer                                                               
visits. SB  89 supports removing  administrative burdens  on PAs,                                                               
enabling them to better serve rural, vulnerable, and well-                                                                      
resourced communities while filling provider gaps affordably.                                                                   
                                                                                                                                
1:58:59 PM                                                                                                                    
DR.  MOLLY   SOUTHWORTH,  M.D.,  representing   self,  Anchorage,                                                               
Alaska, testified  in opposition  to SB  89 and  acknowledged the                                                               
value  of supporting  PAs but  argued  they are  not trained  for                                                               
independent practice,  and safety in  such settings has  not been                                                               
demonstrated, as  existing studies  reflect supervised  care. She                                                               
proposed focusing on providing  high-quality medical care through                                                               
strategic  planning rather  than  licensing professionals  beyond                                                               
their  training. She  said  data  from 2023  shows  that only  43                                                               
percent  of  Alaskan PAs  practice  primary  care, down  from  47                                                               
percent  in  2021,  and  independent  licensure  alone  will  not                                                               
increase  this.  Improving  primary   care  and  making  it  more                                                               
attractive    requires    addressing   administrative    burdens,                                                               
inequitable  compensation, poor  support, and  burnout. Physician                                                               
leaders   are   developing   a  coordinated   plan   and   invite                                                               
collaboration from others.                                                                                                      
                                                                                                                                
2:01:40 PM                                                                                                                    
JARED  WALLACE, representing  self, Kenai,  Alaska, testified  in                                                               
support  of SB  89 and  stated  that Odyssey  Family Practice  in                                                               
Kenai serves over 6,000 patients,  but care is constrained by the                                                               
requirement of a  collaborative plan. He said  he has experienced                                                               
collaborative  physicians dying  or losing  licensure, making  it                                                               
increasingly   difficult  to   secure   collaborators.  He   said                                                               
currently  he pays  $96,000 annually  to maintain  a collaborated                                                               
plan.   Over  15   years,  he   has  built   strong  professional                                                               
relationships with various specialists,  which guide patient care                                                               
regardless  of formal  collaborative agreements.  He argued  that                                                               
professional relationships,  not collaborative plans, are  key to                                                               
delivering  quality  care.  Collaborative  agreements,  in  their                                                               
experience,   act  as   barriers,  risking   patient  access   if                                                               
disrupted, rather than improving outcomes.                                                                                      
                                                                                                                                
2:04:16 PM                                                                                                                    
KATHY  TODD,  Physician,  Alaska Academy  of  Family  Physicians,                                                               
Valdez, Alaska,  testified in opposition  to SB 89  and explained                                                               
that  while  PAs  and  nurse  practitioners  are  capable,  their                                                               
training  is  less extensive  than  that  of physicians  or  even                                                               
advanced  medical students.  She  said  physicians undergo  1115                                                                
years of  education, compared to  six or  seven for PAs,  and the                                                               
proposed 4,000  additional supervised  hours would not  equal the                                                               
rigor of medical  training. She argued that PAs  are not prepared                                                               
for  independent practice.  She recommended  amendments requiring                                                               
more  supervised   training  and  a  team-based   structure  with                                                               
physicians. She added that independent  practice for PAs or nurse                                                               
practitioners  would reduce  the quality  of care,  especially in                                                               
Alaska's complex and remote healthcare environment.                                                                             
                                                                                                                                
2:06:48 PM                                                                                                                    
MICHAEL  MICHAUD,  representing   self,  Mat-Su  Valley,  Alaska,                                                               
testified in  support of  SB 89 and  stated that as  a PA  he has                                                               
practiced in  both urban and  rural Alaska, including  the Alaska                                                               
Native  Medical Center  and Southcentral  Foundation. He  said in                                                               
rural and remote clinics, PAs  often work independently without a                                                               
physician  present.   He  stated  that  SB   89  would  modernize                                                               
regulations  to reflect  the  independent  practice that  already                                                               
occurs throughout Alaska.                                                                                                       
                                                                                                                                
2:08:37 PM                                                                                                                    
MARGARET   CARLSON,   President,   Alaska   Academy   of   Family                                                               
Physicians, Anchorage,  Alaska, testified in opposition  to SB 89                                                               
and stated that she is a  physician who has collaborated with PAs                                                               
for the  past 10  years. She  said she  recognizes the  value and                                                               
limitations of  PAs. She urged  lawmakers to  consider amendments                                                               
that  individual physicians  have  submitted,  such as  requiring                                                               
more training hours like Utah's  10,000-hour model, to strengthen                                                               
skills   and  confidence.   She   stressed   the  importance   of                                                               
maintaining   team-based,   collaborative  care,   warning   that                                                               
independence could  erode that structure.  She noted there  is no                                                               
data  supporting  PA  independence   and  argued  that  physician                                                               
oversight  helps  reduce  costs  and improve  care  quality.  She                                                               
cautioned that SB  89 could increase costs and  worsen access, as                                                               
independently practicing PAs may not choose primary care.                                                                       
                                                                                                                                
2:11:08 PM                                                                                                                    
KATHERINE   VAN  ATTA,   representing   self,  Wasilla,   Alaska,                                                               
testified in support of SB  89 and described extensive experience                                                               
working as  a PA in  remote Alaska  communities such as  Adak and                                                               
Naknek.  She   pointed  out  that  SB   89  concerns  independent                                                               
licensure,  not   independent  practice,  and  noted   that  most                                                               
healthcare professionals  already hold independent  licenses. She                                                               
explained   that    independent   licensure    allows   continued                                                               
collaboration with  physicians while ensuring continuity  of care                                                               
despite  physician  shortages.  Without  it,  frequent  physician                                                               
turnover  could force  her  to stop  working  and reduce  patient                                                               
access. She concluded that SB  89 would expand hiring flexibility                                                               
and improve access to healthcare, especially in rural areas.                                                                    
                                                                                                                                
2:13:28 PM                                                                                                                    
JENNIFER   PERKINS,   representing   self,   Anchorage,   Alaska,                                                               
testified  with concerns  on SB  89  as written  and praised  the                                                               
skill and  dedication of PAs  she has  worked with in  both rural                                                               
and  urban  settings. She  noted  that  medicine is  increasingly                                                               
complex  and  that  physicians  receive  over  12,000  supervised                                                               
clinical  hours,   giving  them   broader  exposure   and  deeper                                                               
training. While acknowledging that  experienced PAs can be highly                                                               
capable,  she  believes 4,000  hours  of  supervised training  is                                                               
insufficient  for independent  practice.  She supports  potential                                                               
amendments   but  emphasized   the   need   for  more   extensive                                                               
preparation to meet Alaska's unique healthcare challenges.                                                                      
                                                                                                                                
2:15:17 PM                                                                                                                    
NICHOLAS   COSENTINO,  representing   self,  Anchorage,   Alaska,                                                               
testified in opposition to SB  89 and acknowledged the passion on                                                               
both  sides of  the SB  89 debate,  noting that  patient care  is                                                               
complex and  often uncertain. He emphasized  that physicians rely                                                               
on years  of intensive education  and residency to  make critical                                                               
decisions,  and 4,000  hours  of PA  training  cannot match  that                                                               
depth. While recognizing  PAs as valuable team  members who often                                                               
deliver excellent care,  he noted that errors  and missed details                                                               
still occur. He stressed the  importance of collaboration between                                                               
physicians  and PAs  to maintain  high-quality  patient care.  He                                                               
urged lawmakers  to vote  against SB  89, arguing  that teamwork,                                                               
not independence, ensures the best outcomes for Alaskans.                                                                       
                                                                                                                                
2:18:20 PM                                                                                                                    
CHAIR BJORKMAN closed public testimony on SB 89.                                                                                
                                                                                                                                
2:18:51 PM                                                                                                                    
CHAIR  BJORKMAN asked  what role  the  Division of  Corporations,                                                               
Business  and Professional  Licensing (CBPL)  play in  overseeing                                                               
this  process  of  licensing  PAs  and  transitioning  them  from                                                               
practice under a physician to independent practice.                                                                             
                                                                                                                                
2:19:19 PM                                                                                                                    
SYLVAN  ROBB, Director,  Division of  Corporations, Business  and                                                               
Professional Licensing (CBPL),  Department of Commerce, Community                                                               
and  Economic Development  (DCCED),  Anchorage, Alaska,  answered                                                               
questions on SB 89. She responded  that the division's role is to                                                               
ensure  that all  the  necessary  documentation and  requirements                                                               
have  been met  for licensure  and that  the role  would continue                                                               
under SB 89.                                                                                                                    
                                                                                                                                
2:20:14 PM                                                                                                                    
CHAIR BJORKMAN asked  if the division has any  concerns about any                                                               
potential liability that might come from the concepts in SB 89.                                                                 
                                                                                                                                
2:20:41 PM                                                                                                                    
MS. ROBB  replied that she  does not anticipate any  great burden                                                               
on the  legislature. The  division submitted  a zero  fiscal note                                                               
for  SB  89,  noting  it  will  not  significantly  impact  their                                                               
workload. She  said as collaborative plan  requirements phase out                                                               
over time,  the administrative burden will  decrease. This change                                                               
is expected to  reduce the amount of paperwork  the division must                                                               
process and track.                                                                                                              
                                                                                                                                
2:21:32 PM                                                                                                                    
SENATOR YUNDT  asked if  similar legislation  has been  passed in                                                               
other states.                                                                                                                   
                                                                                                                                
2:21:57 PM                                                                                                                    
SENATOR  TOBIN replied  yes. She  said several  states, including                                                               
North  Dakota,   Wyoming,  Iowa,   South  Dakota,   Montana,  New                                                               
Hampshire,  and Utah,  have created  pathways for  independent PA                                                               
licensure. These  states share similarities with  Alaska, such as                                                               
rural populations and challenges  in attracting qualified medical                                                               
providers.                                                                                                                      
                                                                                                                                
2:22:35 PM                                                                                                                    
SENATOR YUNDT asked how the  number of required clinical hours in                                                               
other states' legislation compares to each other and to Alaska.                                                                 
                                                                                                                                
2:22:52 PM                                                                                                                    
SENATOR TOBIN  replied that states  requirements vary,  from none                                                               
in North Dakota to 10,000 in  Utah. SB 89 does not change current                                                               
PA  education standards,  which  already  include 2,000  clinical                                                               
hours during a  27-month program. It adds  4,000 additional hours                                                               
before  a  PA  can  seek independent  licensure,  totaling  6,000                                                               
clinical hours overall.                                                                                                         
                                                                                                                                
2:24:04 PM                                                                                                                    
CHAIR BJORKMAN held SB 89 in committee.                                                                                         
                                                                                                                                
2:24:11 PM                                                                                                                    
At ease.                                                                                                                        
                                                                                                                                
               SB 170-GAMING; ELECTRONIC PULL-TABS                                                                          
                                                                                                                                
2:25:41 PM                                                                                                                    
CHAIR  BJORKMAN   reconvened  the   meeting  and   announced  the                                                               
consideration of SENATE BILL NO.  170 "An Act relating to gaming;                                                               
relating  to bingo;  relating to  pull-tabs and  electronic pull-                                                               
tab systems; and providing for an effective date."                                                                              
                                                                                                                                
2:25:59 PM                                                                                                                    
CHAIR BJORKMAN speaking as sponsor  presented a summary of SB 170                                                               
and  stated that  the legislation  aims to  modernize and  reform                                                               
Alaska's  charitable  gaming statutes  after  years  of work  and                                                               
stakeholder  input. SB  170  builds on  previous  efforts by  the                                                               
governor's   administration  and   addresses  challenges   facing                                                               
nonprofits. He  said paper pull tabs  are now four to  five times                                                               
higher  in price  and  have severely  reduced  the profit  margin                                                               
charities rely on, as most  games return 8590  percent of revenue                                                               
to players.  SB 170  seeks to restore  the ability  of charitable                                                               
organizations' to  generate funds from  gaming. He said  the goal                                                               
is to  ensure charitable gaming continues  to benefit nonprofits,                                                               
such  as  youth  sports,  senior  centers,  and  other  community                                                               
organizations.                                                                                                                  
                                                                                                                                
2:28:41 PM                                                                                                                    
KONRAD  JACKSON,  Staff,  Senator Jesse  Bjorkman,  Alaska  State                                                               
Legislature, Juneau, Alaska, provided  the sectional analysis for                                                               
SB 170:                                                                                                                         
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
              SB 170 Gaming; Electronic Pull-Tabs                                                                             
                            Ver. \I                                                                                           
                                                                                                                                
     This is a  summary only. Note that  this summary should                                                                    
     not  be considered  an authoritative  interpretation of                                                                    
     the bill and  the bill itself is the  best statement of                                                                    
     its contents.                                                                                                              
                                                                                                                                
     Section  1:  Amends  AS 05.15.030(a)  Required  notices                                                                
     applicant, permittee, or  licensee; Removing the notice                                                                  
     requirement   to  the   nearest   municipality  by   an                                                                    
     applicant, permittee, or licensee.                                                                                         
                                                                                                                                
     Section  2:  Amends  AS 05.15.030(c)  Required  notices                                                                  
     applicant, permittee, or  licensee; Removing the notice                                                                  
     requirement to "the local government."                                                                                     
                                                                                                                                
     Section   3:   Amends  AS   05.15.070   Investigations;                                                                  
     Granting  the   department  authority   to  investigate                                                                    
     licensed and  unlicensed gaming  operations as  well as                                                                    
     administer civil penalties.                                                                                                
                                                                                                                                
     Section 4:  Amends AS 05.15.083 Reports  to departments                                                                  
     by operators;  Removing certain  reporting requirements                                                                  
     from operator reports to the department.                                                                                   
                                                                                                                                
     Section  5: Amends  AS 05.15.087(a)  Operator's reports                                                                  
     to permittee and payment of  net proceeds; Removing the                                                                  
     requirement  that the  monthly report  include a  daily                                                                    
     summary of  activity and the requirement  that expenses                                                                    
     be included  in the report.  Adds prize payouts  to the                                                                    
     list  of information  to be  reported. Adds  electronic                                                                    
     funds transfer as  an acceptable form of  payment by an                                                                    
     operator.                                                                                                                  
                                                                                                                                
     Section  6: Amends  AS 05.15.105(b)  Persons prohibited                                                                  
     from involvement;  Adding a reference to  new paragraph                                                                  
     (c) of this section.                                                                                                       
                                                                                                                                
     Section 7: Amends AS  05.15.105 Persons prohibited from                                                                  
     involvement;  Adding a  new  paragraph (c)  prohibiting                                                                  
     the  issuance  of  a  license   to  a  manufacturer  or                                                                    
     distributor  if a  parent  company,  sister company  or                                                                    
     subsidiary of the manufacturer has  been convicted of a                                                                    
     violation  of a  law that  would disqualify  the parent                                                                    
     company,  sister  company   or  subsidiary  under  this                                                                    
     section.                                                                                                                   
                                                                                                                                
2:30:56 PM                                                                                                                    
MR. JACKSON continued with the section analysis for SB 170:                                                                     
                                                                                                                                
     Section  8: Amends  AS  05.15.115(b) Contracts  between                                                                  
     permittees and  operators; Adding authorization  for an                                                                  
     operator to  pool permittees and divide  the income and                                                                    
     payouts among  permittees on a percentage  basis at the                                                                    
     end of each month.                                                                                                         
                                                                                                                                
     Section  9: Amends  AS  05.15.115(d) Contracts  between                                                                  
     permittees  and  operators; Transferring  the  contract                                                                  
     submittal  requirement   from  the  permittee   to  the                                                                    
     operator. Changes the required  method of submission of                                                                    
     contracts   to  the   department   for  approval   from                                                                    
     certified mail to electronic submission. \                                                                                 
                                                                                                                                
     Section  10: Amends  AS  05.15.122 Operator's  license;                                                                  
     Adding two new subsections.                                                                                                
                                                                                                                                
          (e) Permitting an operator to conduct electronic                                                                      
     pull-tab activities  on behalf  of a municipality  or a                                                                    
     qualified organization if the  operator has been issued                                                                    
     an  electronic pull-tab  endorsement, and  establishing                                                                    
     requirements  that  must be  met  for  the operator  to                                                                    
     receive an electronic pull-tab endorsement.                                                                                
                                                                                                                                
          (f) Allowing for the designation of a temporary                                                                       
     party  to conduct  activities for  120  days should  an                                                                    
     operator die.                                                                                                              
                                                                                                                                
     Section 11: Amends  AS 05.15.122(e) Operator's license;                                                                  
     Removing  from the  language created  in Section  10 of                                                                    
     this  bill the  requirement of  an operator  to conduct                                                                    
     pull-tabs for  the preceding three years  on January 1,                                                                    
     2031.  The effective  date is  found in  Section 51  of                                                                    
     this bill.                                                                                                                 
                                                                                                                                
     Section  12: Amends  AS 05.15.128(a)  Revocation of  an                                                                  
     operator's license; Removing the  minimum 15 percent of                                                                  
     annual  gross  income  requirement  as  a  trigger  for                                                                    
     license revocation.  Adds new  paragraph 2  relating to                                                                    
     multiple-beneficiary permit  payments and  reporting as                                                                    
     an additional trigger for license revocation.                                                                              
                                                                                                                                
     Section  13: Amends  AS 05.15.165(a)  Operators; Adding                                                                  
     electronic  funds transfer  as  an  acceptable form  of                                                                    
     payment to a permittee.                                                                                                    
                                                                                                                                
2:33:17 PM                                                                                                                    
MR. JACKSON continued with the section analysis for SB 170:                                                                     
                                                                                                                                
     Section 14:  Amends AS 0515.165(c)  Operators; Allowing                                                                  
     a sign to be posted  directing individuals to a website                                                                    
     where required information is available  in place of an                                                                    
     actual informational sign.                                                                                                 
                                                                                                                                
     Section  15:  Amends  AS  05.15.170(a);  Suspension  or                                                                  
     revocation of permit,  license, or vendor registration;                                                                    
     Adding that  a permit,  license or  vendor registration                                                                    
     may  be suspended  or revoked  upon  conviction of  the                                                                    
     owner or  manager of a  parent company,  sister company                                                                    
     or subsidiary of the licensee or vendor.                                                                                   
                                                                                                                                
     Section   16:  Amends   AS   05.15.170  Suspension   or                                                                  
     revocation of permit,  license, or vendor registration;                                                                  
     Adding new subsections.                                                                                                    
                                                                                                                                
          (c) Requires notification by the department to an                                                                     
     operator of  the suspension or revocation  of a permit,                                                                    
     license or  vendor registration be via  electronic mail                                                                    
     and shall  be posted  on a publicly  accessible website                                                                    
     created for  citizens to  interact with  multiple state                                                                    
     services. (e.g., myAlaska)                                                                                                 
                                                                                                                                
          (d) Requires notification by the department to a                                                                      
     manufacturer  of  the  suspension or  revocation  of  a                                                                    
     distributor  and that  notice shall  be via  electronic                                                                    
     mail  and  shall be  posted  on  a publicly  accessible                                                                    
     website created for citizens  to interact with multiple                                                                    
     state services. (e.g. myAlaska)                                                                                            
                                                                                                                                
     Section  17:  Amends  AS  05.15.180(b)  Limitations  on                                                                  
     authorized  activity;  Adding electronic  pull-tabs  to                                                                  
     the authorized gaming activities in the state.                                                                             
                                                                                                                                
     Section  18:  Amends  AS  05.15.180(d)  Limitations  on                                                                  
     authorized  activity;  Increasing the  maximum  monthly                                                                  
     and annual  value of door  prizes which may  be offered                                                                    
     by  municipality,  a  qualified organization  or  under                                                                    
     authority of a multiple-beneficiary permit.                                                                                
                                                                                                                                
2:35:08 PM                                                                                                                    
MR. JACKSON continued with the section analysis for SB 170:                                                                     
                                                                                                                              
     Section  19:  Amends  AS  05.15.180(e)  Limitations  on                                                                  
     authorized  activity;  Requiring the  department  adopt                                                                  
     regulations setting bingo  game prize limits. Increases                                                                    
     the  maximum monthly  and annual  value of  door prizes                                                                    
     which  may  be  offered  by a  bingo  hall  or  parlor.                                                                    
     Establishes  that  an  operator may  offer  progressive                                                                    
     bingo  games  and  establishes  how  progressive  bingo                                                                    
     gross receipts  and prizes be  carried over  to another                                                                    
     game and how prizes are awarded.                                                                                           
                                                                                                                                
     Section  20:  Amends  AS  05.15.180(f)  Limitations  on                                                                  
     authorized  activity;  Specifies  no  person  under  18                                                                  
     years of age may play bingo.                                                                                               
                                                                                                                                
     Section  21:  Amends  AS  05.15.180(g)  Limitations  on                                                                  
     authorized  activity; Removing  the $500,000  prize cap                                                                  
     from  municipalities  and qualified  organizations  who                                                                    
     contract   with   an  operator.   Excludes   electronic                                                                    
     pulltabs from the provisions in this subsection.                                                                           
                                                                                                                                
     Section   22:  Amends   AS  05.15.180   Limitations  on                                                                  
     authorized activity; Adding two new subsections:                                                                         
                                                                                                                                
          (i)   Sets   the   annual  prize   limit   for   a                                                                    
          municipality   or    qualified   organization   at                                                                    
          $4,000,000  for  electronic  pull-tabs.  Sets  the                                                                    
          annual  prize  limit  for  a  multiple-beneficiary                                                                    
          permit to  $4,000,000 times the number  of holders                                                                    
          of the permit for electronic pull-tabs.                                                                               
                                                                                                                                
          (j) Grants the department  the option to increase,                                                                    
          by regulation, the prize amount  in (g) and (i) of                                                                    
          this section by up to  10 percent, once every five                                                                    
          years.                                                                                                                
                                                                                                                                
     Section   23:    Amends   AS    05.15.181(d)   Pull-tab                                                                  
     manufacturers; Clarifying that  a pull-tab manufacturer                                                                  
     may   distribute   pull-tabs   only   to   a   licensed                                                                    
     distributor.                                                                                                               
                                                                                                                                
2:36:57 PM                                                                                                                    
MR. JACKSON continued with the section analysis for SB 170:                                                                     
                                                                                                                                
     Section    24:    Amends    AS    05.15.181    Pull-tab                                                                  
     manufacturers; Adding twelve new subsections                                                                             
                                                                                                                                
          (f)  Prohibiting  a   pull-tab  manufacturer  from                                                                    
     modifying or paying for modifications  to a building to                                                                    
     accommodate gaming activities.                                                                                             
                                                                                                                                
          (g)   Prohibits  a   manufacturer,  an   owner  or                                                                    
     employee of a manufacturer, a  close family member of a                                                                    
     manufacturer,  or  a   parent,  sister,  or  subsidiary                                                                    
     company from giving  gifts or other things  of value to                                                                    
     a    vendor,   operator,    permittee   or    qualified                                                                    
     organization with a  total value of more  than $250 per                                                                    
     calendar year.                                                                                                             
                                                                                                                                
          (h)  Requires  a   pull-tab  manufacturer  have  a                                                                    
     separate   endorsement  on   their  license   prior  to                                                                    
     distributing  an  electronic  pull-tab  system  in  the                                                                    
     state.   Requires  electronic   games  be   tested  and                                                                    
     certified by  an independent gaming  testing laboratory                                                                    
     prior to distribution.                                                                                                     
                                                                                                                                
          (i)  Prohibits  a manufacturer  from  distributing                                                                    
     pull-tabs if  a manufacturer,  an owner or  employee of                                                                    
     the manufacturer or  a close family member  of an owner                                                                    
     or employee  of the  manufacturer or a  parent company,                                                                    
     sister company or subsidiary  of the manufacturer holds                                                                    
     an interest in the distributor.                                                                                            
                                                                                                                                
          (j)   Establishes    criteria   under    which   a                                                                    
     manufacturer  may refuse  to sell  gaming equipment  or                                                                    
     paper pull-tabs to a licensed distributor.                                                                                 
                                                                                                                                
          (k) Establishes  subsection (j) is  not applicable                                                                    
     to  application  software  and  computer  programs  and                                                                    
     equipment used in production,  playing and reporting of                                                                    
     approved pull-tab games.                                                                                                   
                                                                                                                                
          (l)  Requires  a  manufacturer  provide  the  same                                                                    
     prices  and quantity  requirements for  paper pull-tabs                                                                    
     to each distributor.                                                                                                       
                                                                                                                                
          (m)  Clarifies terms  under  which a  manufacturer                                                                    
     may restrict the sale of exclusive pull-tab games.                                                                         
                                                                                                                                
          (n)   Requires  a   manufacturer  submit   to  the                                                                    
     department a  copy of each contract  with a distributor                                                                    
     within seven days of signing.                                                                                              
                                                                                                                                
          (o)  Restricts   point-of-sale  data   from  paper                                                                    
     tickets and bingo.                                                                                                         
                                                                                                                                
          (p)   Prohibits  issuance   of  a   manufacturer's                                                                    
     license  to  a  person otherwise  prohibited  under  AS                                                                    
     05.15.105.                                                                                                                 
                                                                                                                                
          (q)   Prohibits  connection   of   the  price   or                                                                    
     availability of a paper to  an electronic pull-tab game                                                                    
     and vice-versa.                                                                                                            
                                                                                                                                
2:39:42 PM                                                                                                                    
MR. JACKSON continued with the section analysis for SB 170:                                                                     
                                                                                                                                
     Section   25:    Amends   AS    05.15.183(a)   Pull-tab                                                                  
     distributors;  Requiring a  distributor have  a license                                                                  
     to  distribute electronic  pull-tab systems.  Prohibits                                                                    
     the  issuance   of  a  distributor's  license   by  the                                                                    
     department if the person is  licensed as an operator or                                                                    
     participates in  another aspect  of the  manufacture or                                                                    
     sale of pull-tabs.                                                                                                         
                                                                                                                                
     Section   26:    Amends   AS    05.15.183(c)   Pull-tab                                                                  
     distributors; Adding  that electronic  pull-tab systems                                                                  
     may  only be  distributed  from a  location within  the                                                                    
     state.                                                                                                                     
                                                                                                                                
     Section   27:   Amends    ASA   05.15.183(e)   Pull-tab                                                                    
     distributors;  Establishes   that  a   distributor  may                                                                    
     deliver  electronic  pull-tab   series  directly  to  a                                                                    
     vendor.                                                                                                                    
                                                                                                                                
2:40:31 PM                                                                                                                    
MR. JACKSON continued with the section analysis for SB 170:                                                                     
                                                                                                                                
     Section 28: Amends  AS 05.15.183 Pull-tab distributors;                                                                  
     Adding eight new subsections.                                                                                              
          (f) Establishes a distributor must have an                                                                            
     electronic pull-tab  endorsement prior  to distributing                                                                    
     an electronic pull-tab system.                                                                                             
          (g) Prohibits issuance of a distributor's license                                                                     
     to a person otherwise prohibited under AS 05.15.105.                                                                       
          (h)   Establishes   restricted    actions   of   a                                                                    
     distributor.                                                                                                               
             (1)  Prohibits  gifts,  compensation  or  other                                                                    
             things  of   value  greater   than  $25   to  a                                                                    
             municipality or  qualified organization,  or an                                                                    
             employee  or   agent  of   a  municipality   or                                                                    
             qualified organization.                                                                                            
             (2) Prohibits  modification of  a building  for                                                                    
             the purposes of accommodating  a gaming system,                                                                    
             including   electrical    work    or    utility                                                                    
             connection.                                                                                                        
             (3) Prohibits giving compensation or a thing of                                                                    
             value  to  an  owner  or  lessor  of  a  gaming                                                                    
             premises.                                                                                                          
             (4)   Prohibits    participation   in    gaming                                                                    
             activities at a  premises using  equipment from                                                                    
             that distributor.                                                                                                  
             (5) Prohibits  alteration  of  modification  of                                                                    
             gaming equipment,  except to  add  a last  sale                                                                    
             sticker.                                                                                                           
             (6) Prohibits obtaining or  using point-of-sale                                                                    
             information.                                                                                                       
             (7)  Prohibits  connection  of   the  price  or                                                                    
             availability of a paper to  an electronic pull-                                                                    
             tab game and vice-versa.                                                                                           
             (8)  Prohibits  a  distributor  from  being  an                                                                    
             owner,   shareholder   or   subsidiary   of   a                                                                    
             manufacturer.                                                                                                      
             (9) Restricts distribution  of a  pull-tab game                                                                    
             to a permittee or licensee owned  or managed by                                                                    
             a person within two degrees of consanguinity to                                                                    
             an owner or employee of a distributor.                                                                             
                                                                                                                                
          (i) Requires electronic pull-tabs meet the                                                                            
             requirements of AS 05.15.186.                                                                                      
          (j) Allows up to $250 a year in marketing and                                                                         
     promotional materials may be provided to a qualifying                                                                      
     permit holder.                                                                                                             
          (k) Requires a distributor submit copies of                                                                           
        contracts with a permittee, multiple-beneficiary                                                                        
     permittee, vendor or operator to the department.                                                                           
          (l) Requires the department provide a serialized                                                                      
         stamp to a distributor and requires tablets be                                                                         
     stamped.                                                                                                                   
                                                                                                                                
2:43:21 PM                                                                                                                    
SENATOR DUNBAR asked if there was a draft of the sectional                                                                      
summary online.                                                                                                                 
                                                                                                                                
CHAIR BJORKMAN replied no.                                                                                                      
                                                                                                                                
SENATOR DUNBAR  noted that laws  should be understandable  to the                                                               
public   and   questioned   the   use   of   the   obscure   term                                                               
"consanguinity"  instead   of  "blood  relative."   He  suggested                                                               
consulting  the drafter  to consider  using clearer,  more common                                                               
language in future legislation.                                                                                                 
                                                                                                                                
2:44:38 PM                                                                                                                    
MR. JACKSON continued with the section analysis for SB 170:                                                                     
                                                                                                                                
     Section 29:  Amends AS 05.15.185 Distribution  of pull-                                                                  
     tabs;    Updating   serial    number   and    integrity                                                                  
     requirements to  apply to electronic pull-tabs  as well                                                                    
     as paper.  Allows for distribution of  electronic pull-                                                                    
     tab games to a vendor under 05.15.183(e).                                                                                  
                                                                                                                                
     Section 30:  Amends AS 05.15.185 Distribution  of pull-                                                                  
     tabs; Adding three new subsections:                                                                                      
          (b) Establishes additional requirements for                                                                           
     electronic pull-tabs.                                                                                                      
          (c) Limits electronic pull-tab games to a maximum                                                                     
     of 15,000 tickets.                                                                                                         
          (d) Requires the cost of each ticket for a paper                                                                      
     pull-tab game be disclosed on the invoice.                                                                                 
                                                                                                                                
     Section 31:  Amends AS 05.15  by adding a  new section:                                                                  
     AS  05.15.186 Electronic  pull-tabs.  The new  language                                                                  
     provides   for   the    physical   characteristics   of                                                                    
     electronic  pull-tab  devices,   their  operation,  and                                                                    
     security.  The acceptance  of credit  cards, dispensing                                                                    
     anything  of  value, and  any  visuals  that mimic  the                                                                    
     spinning reels  of a slot  machine are  all prohibited.                                                                    
     Pull-tab  machines must  display the  serial number  or                                                                    
     series  of  numbers  for an  electronic  pull-tab,  the                                                                    
     display, and  any prize  awarded and  may automatically                                                                    
     close when  all winning  tickets have been  played. The                                                                    
     new  language  sets  limits for  payouts,  fees  at  35                                                                    
     percent of  gross receipts,  and prohibits  linking the                                                                    
     ability  to  purchase  paper  pull-tabs  or  prices  to                                                                    
     electronic pull-tabs                                                                                                       
                                                                                                                                
     Section 32:  Amends AS 05.15.187(d) Operation  of pull-                                                                  
     tab  games;  Clarifying  that the  provisions  in  this                                                                  
     subsection apply only to paper pull-tabs.                                                                                  
                                                                                                                                
2:46:33 PM                                                                                                                    
MR. JACKSON continued with the sectional analysis for SB 170:                                                                   
                                                                                                                                
     Section 33:  Amends AS 05.15.187(e) Operation  of pull-                                                                  
     tab games;  Specifies no person  under 18 years  of age                                                                  
     may access pull-tabs.                                                                                                      
                                                                                                                                
     Section 34:  Amends AS 05.15.187(f) Operation  of pull-                                                                  
     tab games; Adding language  specifying that the current                                                                  
     record-keeping  requirements  for  permittees  in  this                                                                    
     subsection   apply  to   paper  pull-tabs   and  adding                                                                    
     language  with  requirements  for  record  keeping  for                                                                    
     electronic pull-tabs.                                                                                                      
                                                                                                                                
     Section 35:  Amends AS 05.15.187(i) Operation  of pull-                                                                  
     tab  games;  Clarifying  that the  provisions  in  this                                                                  
     subsection   apply   only   to  paper   pull-tabs   and                                                                    
     increasing  from $50  to $100  the prize  amount at  or                                                                    
     above  which  a prize  winner  is  required to  sign  a                                                                    
     receipt.                                                                                                                   
                                                                                                                                
     Section 36:  Amends AS 05.15.187 Operation  of pull-tab                                                                  
     games;   Adding    six   new    subsections.   Requires                                                                  
     designation  of  a  person   at  an  operation  who  is                                                                    
     responsible  for   overseeing  pull-tabs.   Allows  the                                                                    
     department to  limit the number of  electronic pull-tab                                                                    
     machines  at a  location to  one tablet  for every  six                                                                    
     people who  may occupy the premises.  Prohibits owners,                                                                    
     employees,  and those  who  have  access to  electronic                                                                    
     pull-tab   status  reports   from   playing  paper   or                                                                    
     electronic  pull-tabs at  a  location. Prohibits  those                                                                    
     who  operate  or  benefit   from  pull-tab  sales  from                                                                    
     receiving gifts from  manufacturers or from individuals                                                                    
     or companies  connected to  manufacturers in  excess of                                                                    
     $250 in a calendar year.                                                                                                   
                                                                                                                              
     Section  37:  Amends  05.15.188(g)  Pull-tab  sales  by                                                                  
     vendors on  behalf of permittees;  vendor registration;                                                                  
     Adding the option for an  alternate member in charge of                                                                    
     pull-tab operations and  specifying that the provisions                                                                    
     in this subsection apply only to paper pull-tabs.                                                                          
                                                                                                                                
2:48:57 PM                                                                                                                    
MR. JACKSON continued with the sectional analysis for SB 170:                                                                   
                                                                                                                                
     Section  38:  Amends  05.15.188(h)  Pull-tab  sales  by                                                                  
     vendors on  behalf of permittees;  vendor registration;                                                                  
     Clarifying  that  the  provisions  in  this  subsection                                                                    
     apply only to paper pull-tabs.                                                                                             
                                                                                                                                
     Section  39:  Amends  05.15.188(i)  Pull-tab  sales  by                                                                  
     vendors on  behalf of permittees;  vendor registration;                                                                  
     Adding the option for an  alternate member in charge of                                                                    
     pull-tab   operations   to  accept   vendor   payments,                                                                    
     specifying  that  the  provisions  in  this  subsection                                                                    
     apply  only  to  paper   pull-tabs,  and  allowing  for                                                                    
     electronic payments from vendors to permittees.                                                                            
                                                                                                                                
     Section 40: Amends 05.15.188  Pull-tab sales by vendors                                                                  
     on  behalf of  permittees; vendor  registration; Adding                                                                  
     nine  new subsections.  Provides a  permittee -  vendor                                                                    
     contractual limit of 30 percent  of gross receipts less                                                                    
     the prize  payouts. Limits vendor locations  to selling                                                                    
     only  paper  pull-tabs   and  electronic  pull-tabs  on                                                                    
     portable devices.  Specifies vendors  monthly reporting                                                                    
     requirements, and  weekly payment schedule.  Allows for                                                                    
     a  vendor  to  pool  permittees,  specifies  that  cash                                                                    
     shortages   are   the  vendor's   responsibility,   and                                                                    
     prohibits registration  of vendors that  are prohibited                                                                    
     under  AS   05.15.105.  Also  prohibits   vendors  from                                                                    
     receiving  gifts  of more  than  $250  in a  year  from                                                                    
     manufacturers   or   from  individuals   or   companies                                                                    
     connected to manufacturers.                                                                                                
                                                                                                                                
     Section 41: Amends AS  05.15.640(a) Restrictions on use                                                                  
     of   broadcasting;   online    gaming;   Removing   the                                                                  
     prohibition   on  using   broadcasting  to   promote  a                                                                    
     charitable gaming activity.                                                                                                
                                                                                                                                
     Section 42: Amends AS  05.15.640(c) Restrictions on use                                                                  
     of   broadcasting;  online   gaming;  Adding   language                                                                  
     defining  "internet" and  "internet communication"  for                                                                    
     the purpose of  conducting charitable gaming activities                                                                    
     as allowed under this subsection.                                                                                          
                                                                                                                                
     Section  43:  Amends 05.15.690(1)  Definitions;  Adding                                                                  
     taxes collected under AS  05.15.184 to adjustments that                                                                    
     may be made to gross income.                                                                                               
                                                                                                                                
2:51:15 PM                                                                                                                    
MR. JACKSON continued with the sectional analysis for SB 170:                                                                   
                                                                                                                                
     Section 44: Amends  05.15.690(33) Definitions; Removing                                                                  
     restrictions  on what  is  an  allowed expense  against                                                                    
     gross receipts.                                                                                                            
                                                                                                                                
     Section  45: Amends  05.15.690(39) Definitions;  Adding                                                                  
     electronic representation  of a card to  the definition                                                                    
     of pull-tab game, allowing for electronic pull-tabs.                                                                       
                                                                                                                                
     Section  46: Amends  05.15.690(40) Definitions;  Adding                                                                  
     school-based  extracurricular or  co-curricular booster                                                                    
     clubs to  the list of qualified  organizations that may                                                                    
     benefit from pull-tab operations.                                                                                          
                                                                                                                                
     Section  47: Amends  05.15.690(46) Definitions;  Adding                                                                  
     electronic  pull-tab serial  numbers to  the definition                                                                    
     of serial numbers.                                                                                                         
                                                                                                                                
     Section  48:   Amends  05.15.690   Definitions;  Adding                                                                  
     definitions  for  "distributor,"  "electronic  pull-tab                                                                    
     systems,"     "immediate     family     member"     and                                                                    
     "manufacturer."                                                                                                            
                                                                                                                                
     Section 49:  Repeals statutes requiring  regulations be                                                                  
     consistent  with the  North American  Gaming Regulators                                                                    
     Association,  limiting permittees  to contracting  with                                                                    
     only   one  operator,   requiring  permittees   to  use                                                                    
     proceeds  within  one  year,   repealing  the  list  of                                                                    
     allowed   expenses   against  revenue   from   pull-tab                                                                    
     operations,  repeals  penalty  language  for  operators                                                                    
     claiming   unauthorized   expenses,  repeals   language                                                                    
     allowing  the  department to  authorize  non-commercial                                                                    
     stations  to  broadcast  limited conduction  of  gaming                                                                    
     activity, and repeals the  definition of "internet" and                                                                    
     "internet connection" in this section.                                                                                     
                                                                                                                                
     Section 50: Provides that  AS 05.15.183(m) only applies                                                                  
     to contracts entered into on or after January 1, 2026.                                                                     
                                                                                                                                
     Section 51:  Provides an effective  date of  January 1,                                                                  
     2031  for  Section  11  of   the  bill,  repealing  the                                                                    
     requirement that  new electronic pull-tab  vendors have                                                                    
     three years of experience  providing paper pull-tabs to                                                                    
     venues in Alaska.                                                                                                          
                                                                                                                                
     Section 52:  Provides an effective  date of  January 1,                                                                  
     2026 for all other sections of the bill.                                                                                   
                                                                                                                                
2:54:02 PM                                                                                                                    
CHAIR BJORKMAN noted an oversight  in Section 40 of the sectional                                                               
analysis  for SB  170, which  sets limits  on vendor  revenue: 30                                                               
percent for  paper pull tabs  and 25 percent for  electronic pull                                                               
tabs. The  lower limit for  electronic pull tabs  reflects higher                                                               
revenue potential  and reduced  employee burden,  consistent with                                                               
experiences in other states.                                                                                                    
                                                                                                                                
2:55:37 PM                                                                                                                    
CHAIR BJORKMAN held SB 170 in committee.                                                                                        
                                                                                                                                
2:55:54 PM                                                                                                                    
There being  no further  business to  come before  the committee,                                                               
Chair Bjorkman  adjourned the Senate Labor  and Commerce Standing                                                               
Committee meeting at 2:55 p.m.                                                                                                  

Document Name Date/Time Subjects
SB170 ver I.pdf SL&C 4/16/2025 1:30:00 PM
SB 170
SB170 Sponsor Statement ver I.pdf SL&C 4/16/2025 1:30:00 PM
SB 170
SB170 Sectional Summary ver I.pdf SL&C 4/16/2025 1:30:00 PM
SB 170
SB170 Fiscal Note DOR-TAX 04.14.25.pdf SL&C 4/16/2025 1:30:00 PM
SB 170
SB89 Public Testimony-combined 03.10 and 03.12.pdf SL&C 4/16/2025 1:30:00 PM
SB 89
SB89 Public Testimony-Email Rachel Samuelson 03.14.25.pdf SL&C 4/16/2025 1:30:00 PM
SB 89
SB89 Public Testimony-Email-Delissa Culpeppper 04.15.25.pdf SL&C 4/16/2025 1:30:00 PM
SB 89
SB89 Public Testimony-Email-Emily Olsen 03.13.25.pdf SL&C 4/16/2025 1:30:00 PM
SB 89
SB89 Public Testimony-Letter-AK Academy of Family Physicians 03.14.25.pdf SL&C 4/16/2025 1:30:00 PM
SB 89
SB89 Public Testimony-Letter-AK Academy of Pediatrics 03.13.25.pdf SL&C 4/16/2025 1:30:00 PM
SB 89
SB89 Public Testimony-Letter-AK State Medical Board-REVISED 03.21.25.pdf SL&C 4/16/2025 1:30:00 PM
SB 89