Legislature(2023 - 2024)

2023-05-08 House Journal

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2023-05-08                     House Journal                      Page 0972
SB 57                                                                                                                         
The following was read the second time:                                                                                         
                                                                                                                                
    CS FOR SENATE BILL NO. 57(FIN) am                                                                                           
    "An Act relating to home- and community-based services under                                                                
    the medical assistance program; relating to medical assistance for                                                          
    recipients of Medicaid waivers; establishing an adult care home                                                             
    license and procedures; providing for the transition of individuals                                                         
    from foster care to adult home care settings; and providing for an                                                          
    effective date."                                                                                                            
                                                                                                                                

2023-05-08                     House Journal                      Page 0973
with the: Journal Page                                                                                                          
                                                                                                                                
 FIN RPT HCS(FIN) 11DP 912                                                                                                      
 FN3: (DOH) 912                                                                                                                 
 FN4: (DOH) 912                                                                                                                 
 FN5: ZERO(DOH) 912                                                                                                             
 FN6: ZERO(DOH) 912                                                                                                             
 FN7: (DOH) 912                                                                                                                 
                                                                                                                                
Representative Saddler moved and asked unanimous consent that the                                                               
following committee substitute be adopted in lieu of the original bill:                                                         
                                                                                                                                
    HOUSE CS FOR CS FOR SENATE BILL NO. 57(FIN)                                                                                 
    (same title)                                                                                                                
                                                                                                                                
There being no objection, it was so ordered.                                                                                    
                                                                                                                                
Amendment No. 1 was offered  by Representative Ruffridge:                                                                        
                                                                                                                                
Page 1, line 1, following "Act" (title amendment):                                                                            
    Insert "relating to the sharing of confidential health                                                                    
information between the Department of Health and the                                                                          
Department of Family and Community Services;"                                                                                 
                                                                                                                                
Page 1, following line 5:                                                                                                       
    Insert a new bill section to read:                                                                                          
"* Section 1. AS 47.05 is amended by adding a new section to                                                                  
article 1 to read:                                                                                                              
         Sec. 47.05.115. Access to identifiable health information.                                                           
    Notwithstanding a contrary provision of law, the Department of                                                              
    Health and the Department of Family and Community Services                                                                  
    shall share identifiable health information, regardless of the                                                              
    confidential nature of the information, between and within the                                                              
    departments as necessary to enable administration or operation of                                                           
    the sending or receiving department. Information shared in                                                                  
    accordance with this section shall be acquired, used, disclosed,                                                            
    and stored in a confidential manner that safeguards the security of                                                         
    the information in a physically, administratively, and                                                                      
    technologically secure environment. In this section, "identifiable                                                          
      health information" has the meaning given in AS 18.15.395."                                                              
                                                                                                                                

2023-05-08                     House Journal                      Page 0974
Page 1, line 6:                                                                                                                 
    Delete "Section 1"                                                                                                        
    Insert "Sec. 2"                                                                                                           
                                                                                                                                
Renumber the following bill sections accordingly.                                                                               
                                                                                                                                
Page 5, line 2:                                                                                                                 
    Delete "sec. 2"                                                                                                             
    Insert "sec. 3"                                                                                                             
                                                                                                                                
Page 5, line 5:                                                                                                                 
    Delete "sec. 2"                                                                                                             
    Insert "sec. 3"                                                                                                             
                                                                                                                                
Page 5, line 8:                                                                                                                 
    Delete "Section 2"                                                                                                          
    Insert "Section 3"                                                                                                          
                                                                                                                                
Page 5, line 10:                                                                                                                
    Delete "sec. 7"                                                                                                             
    Insert "sec. 8"                                                                                                             
                                                                                                                                
Page 5, line 14:                                                                                                                
    Delete "sec. 2"                                                                                                             
    Insert "sec. 3"                                                                                                             
                                                                                                                                
Page 5, line 15:                                                                                                                
    Delete "sec. 2"                                                                                                             
    Insert "sec. 3"                                                                                                             
                                                                                                                                
Page 5, line 16:                                                                                                                
    Delete "sec. 8(b)"                                                                                                          
    Insert "sec. 9(b)"                                                                                                          
                                                                                                                                
Representative Ruffridge moved and asked unanimous consent that                                                                 
Amendment No. 1 be adopted.                                                                                                     
                                                                                                                                
Representative Eastman objected.                                                                                                
                                                                                                                                
Amendment No. 1 to Amendment No. 1 was offered  by                                                                               
Representative Eastman:                                                                                                         

2023-05-08                     House Journal                      Page 0975
Page 1, following line 15 of the amendment:                                                                                     
 Insert "An employee of either department may not be retaliated                                                                 
against for a voluntary disclosure of confidential information to a law                                                         
enforcement agency pursuant to an active law enforcement                                                                        
investigation."                                                                                                                 
                                                                                                                                
Representative Eastman moved and asked unanimous consent that                                                                   
Amendment No. 1 to Amendment No. 1 be adopted.                                                                                  
                                                                                                                                
There was objection.                                                                                                            
                                                                                                                                
The question being:  "Shall Amendment No. 1 to Amendment No. 1                                                                  
be adopted?"  The roll was taken with the following result:                                                                     
                                                                                                                                
HCS CSSB 57(FIN)                                                                                                                
Second Reading                                                                                                                  
Amendment No. 1 to Amendment No. 1                                                                                              
                                                                                                                                
YEAS:  1   NAYS:  39   EXCUSED:  0   ABSENT:  0                                                                               
                                                                                                                                
Yeas:  Eastman                                                                                                                  
                                                                                                                                
Nays:  Allard, Armstrong, Carpenter, Carrick, Coulombe, Cronk,                                                                  
Dibert, Edgmon, Fields, Foster, Galvin, Gray, Groh, Hannan,                                                                     
Himschoot, C.Johnson, D.Johnson, Josephson, McCabe, McCormick,                                                                  
McKay, Mears, Mina, Ortiz, Patkotak, Prax, Rauscher, Ruffridge,                                                                 
Saddler, Schrage, Shaw, Stapp, Story, Stutes, Sumner, Tilton,                                                                   
Tomaszewski, Vance, Wright                                                                                                      
                                                                                                                                
And so, Amendment No. 1 to Amendment No. 1 was not adopted.                                                                     
                                                                                                                                
Representative Eastman withdrew the objection. There being no                                                                   
further objection, Amendment No. 1 was adopted and the new title                                                                
follows:                                                                                                                        
                                                                                                                                
           HOUSE CS FOR CS FOR SENATE BILL NO. 57(FIN) am H                                                                    
    "An Act relating to the sharing of confidential health information                                                          
    between the Department of Health and the Department of Family                                                               
    and Community Services; relating to home- and community-based                                                               
    services under the medical assistance program; relating to medical                                                          
    assistance for recipients of Medicaid waivers; establishing an                                                              
    adult care home license and procedures; providing for the                                                                   
    transition of individuals from foster care to adult home care                                                               
    settings; and providing for an effective date."                                                                             

2023-05-08                     House Journal                      Page 0976
Amendment No. 2 was offered  by Representative McCormick:                                                                        
                                                                                                                                
Page 1, line 3 (title amendment):                                                                                               
    Delete "an adult"                                                                                                         
    Insert "a host"                                                                                                           
                                                                                                                                
Page 1, line 4:                                                                                                                 
    Delete "adult"                                                                                                            
    Insert "host"                                                                                                             
                                                                                                                                
Page 1, line 11:                                                                                                                
    Delete "Adult"                                                                                                            
    Insert "Host"                                                                                                             
                                                                                                                                
Page 1, line 12:                                                                                                                
    Delete "adult"                                                                                                              
    Insert "host"                                                                                                               
                                                                                                                                
Page 2, line 5:                                                                                                                 
    Delete "adult"                                                                                                              
    Insert "host"                                                                                                               
                                                                                                                                
Page 2, line 7:                                                                                                                 
    Delete "an adult"                                                                                                           
    Insert "a host"                                                                                                             
                                                                                                                                
Page 2, line 11:                                                                                                                
    Delete "adult"                                                                                                              
    Insert "host"                                                                                                               
                                                                                                                                
Page 2, line 14:                                                                                                                
    Delete "adult"                                                                                                              
    Insert "host"                                                                                                               
                                                                                                                                
Page 2, line 16:                                                                                                                
    Delete "adult"                                                                                                              
    Insert "host"                                                                                                               
                                                                                                                                
Page 2, line 18:                                                                                                                
    Delete "an adult"                                                                                                           
    Insert "a host"                                                                                                             

2023-05-08                     House Journal                      Page 0977
Page 2, line 20:                                                                                                                
    Delete "adult"                                                                                                              
    Insert "host"                                                                                                               
                                                                                                                                
Page 2, line 23:                                                                                                                
    Delete "an adult"                                                                                                           
    Insert "a host"                                                                                                             
                                                                                                                                
Page 3, line 17:                                                                                                                
    Delete "adult"                                                                                                          
    Insert "host"                                                                                                           
                                                                                                                                
Page 3, line 19:                                                                                                                
    Delete "Adult"                                                                                                            
    Insert "Host"                                                                                                             
                                                                                                                                
Page 3, line 21:                                                                                                                
    Delete "an adult"                                                                                                           
    Insert "a host"                                                                                                             
                                                                                                                                
Page 3, line 26:                                                                                                                
    Delete "An adult"                                                                                                           
    Insert "A host"                                                                                                             
                                                                                                                                
Page 4, line 24:                                                                                                                
    Delete the first occurrence of "adult"                                                                                      
    Insert "host"                                                                                                               
                                                                                                                                
Page 5, line 2:                                                                                                                 
    Delete "adult"                                                                                                              
    Insert "host"                                                                                                               
                                                                                                                                
Page 5, line 4:                                                                                                                 
    Delete "adult"                                                                                                              
    Insert "host"                                                                                                               
                                                                                                                                
Representative McCormick moved and asked unanimous consent that                                                                 
Amendment No. 2 be adopted.                                                                                                     
                                                                                                                                
Objection was heard and withdrawn.  There being no further objection,                                                           
Amendment No. 2 was adopted and the new title follows:                                                                          

2023-05-08                     House Journal                      Page 0978
           HOUSE CS FOR CS FOR SENATE BILL NO. 57(FIN) am H                                                                    
    "An Act relating to the sharing of confidential health information                                                          
    between the Department of Health and the Department of Family                                                               
    and Community Services; relating to home- and community-based                                                               
    services under the medical assistance program; relating to medical                                                          
    assistance for recipients of Medicaid waivers; establishing a host                                                          
    care home license and procedures; providing for the transition of                                                           
    individuals from foster care to host home care settings; and                                                                
    providing for an effective date."                                                                                           
                                                                                                                                
Representative Saddler moved and asked unanimous consent that                                                                   
HCS CSSB 57(FIN) am H be considered engrossed, advanced to third                                                                
reading, and placed on final passage.  There being no objection, it was                                                         
so ordered.                                                                                                                     
                                                                                                                                
HCS CSSB 57(FIN) am H was read the third time.                                                                                  
                                                                                                                                
The question being:  "Shall HCS CSSB 57(FIN) am H pass the                                                                      
House?"  The roll was taken with the following result:                                                                          
                                                                                                                                
HCS CSSB 57(FIN) am H                                                                                                           
Third Reading                                                                                                                   
Final Passage                                                                                                                   
                                                                                                                                
YEAS:  39   NAYS:  1   EXCUSED:  0   ABSENT:  0                                                                               
                                                                                                                                
Yeas:  Allard, Armstrong, Carpenter, Carrick, Coulombe, Cronk,                                                                  
Dibert, Edgmon, Fields, Foster, Galvin, Gray, Groh, Hannan,                                                                     
Himschoot, C.Johnson, D.Johnson, Josephson, McCabe, McCormick,                                                                  
McKay, Mears, Mina, Ortiz, Patkotak, Prax, Rauscher, Ruffridge,                                                                 
Saddler, Schrage, Shaw, Stapp, Story, Stutes, Sumner, Tilton,                                                                   
Tomaszewski, Vance, Wright                                                                                                      
                                                                                                                                
Nays:  Eastman                                                                                                                  
                                                                                                                                
And so, HCS CSSB 57(FIN) am H passed the House.                                                                                 
                                                                                                                                
Representative Saddler moved and asked unanimous consent that the                                                               
roll call on the passage of the bill be considered the roll call on the                                                         
effective date clause.  There being no objection, it was so ordered.                                                            
                                                                                                                                
HCS CSSB 57(FIN) am H was referred to the Chief Clerk for                                                                       
engrossment.