Legislature(2025 - 2026)DAVIS 106

02/18/2025 03:15 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
03:18:41 PM Start
03:19:19 PM HB73
03:39:14 PM HB70
04:07:32 PM HB27
04:24:47 PM HB14
04:32:25 PM Overview(s): Child Advocacy Centers
05:13:51 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 73 COMPLEX CARE RESIDENTIAL HOMES TELECONFERENCED
Moved HB 73 Out of Committee
-- Invited & Public Testimony --
*+ HB 70 EMERGENCY MED SVCS; OPERATIONAL CANINES TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
*+ HB 27 MEDICAL MAJOR EMERGENCIES TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
*+ HB 14 REPEAL CATASTROPHIC ILLNESS/MED ASSIST TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+ Overview: Child Advocacy Centers TELECONFERENCED
+ Bills Previously Heard/Scheduled TELECONFERENCED
         HB 70-EMERGENCY MED SVCS; OPERATIONAL CANINES                                                                      
                                                                                                                                
3:39:14 PM                                                                                                                    
                                                                                                                                
CHAIR MINA  announced the next  order of business would  be HOUSE                                                               
BILL NO. 70,  "An Act relating to emergency  medical services for                                                               
operational  canines;   relating  to  the  powers,   duties,  and                                                               
liability of  emergency medical technicians and  mobile intensive                                                               
care  paramedics;   relating  to   the  practice   of  veterinary                                                               
medicine; and providing for an effective date."                                                                                 
                                                                                                                                
3:39:43 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CALVIN  SCHRAGE,  Alaska  State  Legislature,  as                                                               
prime  sponsor,  gave  the sponsor  statement  [included  in  the                                                               
committee  file], which  read  as  follows [original  punctuation                                                               
provided, with some formatting changes]:                                                                                        
                                                                                                                                
       House Bill 70 empowers Emergency Medical Services                                                                        
      (EMS) personnel to deliver on-scene point-of injury                                                                       
     (POI)  emergency  care  and transport  for  operational                                                                    
     canines (OpK9s).                                                                                                           
                                                                                                                                
     Operational  canines  are   essential  members  of  law                                                                    
     enforcement, other  government operations,  and search-                                                                    
     and-rescue teams. These  courageous animals amplify the                                                                    
     success   of  countless   military,  law   enforcement,                                                                    
     search-and-rescue,  and  humanitarian  missions.  Their                                                                    
     roles even  extend to police or  fire chaplaincy during                                                                    
     crises.                                                                                                                    
                                                                                                                                
     This  bill is  named "Rico's  Law" in  honor of  Alaska                                                                    
     State Trooper K9  Rico, whose end of  watch occurred on                                                                    
     March 26, 2017. Rico  was fatally shot while heroically                                                                    
     attempting  to  apprehend  a suspect  after  a  lengthy                                                                    
     pursuit on the Parks Highway in Wasilla, Alaska.                                                                           
                                                                                                                                
     K9  Rico, like  all  operational canines,  demonstrated                                                                    
     unwavering  dedication, protecting,  and defending  his                                                                    
     community. These  animals are more than  just assets or                                                                    
     propertythey   are  teammates,   partners,  and  family                                                                    
     members who  deserve emergency care  and transportation                                                                    
     rights. Operational canines,  especially those deployed                                                                    
     in   tactical    or   high-threat    situations,   face                                                                    
     significant risks of injury or preventable death.                                                                          
                                                                                                                                
     Currently,  Alaska lacks  statutory authority  allowing                                                                    
     EMS  personnel  to  apply  life-saving  care  to  these                                                                    
     animals. Under  current law, providing such  care could                                                                    
     be  deemed "practicing  veterinary  medicine without  a                                                                    
     license,"  a  violation  under AS  08.98.120,  carrying                                                                    
     severe  penalties.  The  super-rural nature  of  Alaska                                                                    
     adds another  dimension of  acuity for  our operational                                                                    
     canines outside of Alaska's major urban                                                                                    
     centers.                                                                                                                   
                                                                                                                                
     Alaska's   EMS   professionals  already   possess   the                                                                    
     equipment,  supplies, and  medications needed  to adapt                                                                    
     existing  prehospital  standards   of  care  for  human                                                                    
     patients  to  operational  canines.  Training  programs                                                                    
     like the K9 Tactical  Emergency Casualty Care (K9 TECC)                                                                    
     course  provide additional  training for  clinicians to                                                                    
     confidently manage operational  canine emergencies. The                                                                    
     passage of  this bill  would eliminate  legal barriers,                                                                    
     allowing EMS  personnel to administer  life-saving care                                                                    
     and transport injured  operational canines to emergency                                                                    
     veterinary facilities.                                                                                                     
                                                                                                                                
     With  minimal  investment   by  our  participating  EMS                                                                    
     services, Alaska  EMS can  ensure that  our operational                                                                    
     canines  have  a  fighting   chance  at  survival  when                                                                    
     injured in the line of duty.                                                                                               
                                                                                                                                
3:42:32 PM                                                                                                                    
                                                                                                                                
JEREMY  HOUSTON,  Staff,  Representative Calvin  Schrage,  Alaska                                                               
State  Legislature, on  behalf of  Representative Schrage,  prime                                                               
sponsor, gave the  sectional analysis for HB 70  [included in the                                                               
committee  file], which  read  as  follows [original  punctuation                                                               
provided, with some formatting changes]:                                                                                        
                                                                                                                                
     Section  1:  Amends   AS  08.98.125  exempts  emergency                                                                    
     medical technician  or mobile intensive  care paramedic                                                                    
     from   penalty  for   practicing  veterinary   medicine                                                                    
     without  a  license  when providing  emergency  medical                                                                    
     services to an operational  canine as provided under AS                                                                    
     18.08.093.                                                                                                                 
                                                                                                                                
     Section   2:  Amends   AS  18.08.075(a)   to  authorize                                                                    
     emergency  medical  technicians  and  mobile  intensive                                                                    
     care paramedic to enter a  building or premises where a                                                                    
     report  of an  injury  or illness  has  taken place  or                                                                    
     where  there   is  reasonable   cause  to   believe  an                                                                    
     operational  canine  has  been  injured or  is  ill  to                                                                    
     render emergency  medical care  and direct  the removal                                                                    
     of a motor vehicle  or other thing determined necessary                                                                    
     to prevent further harm to operational canines.                                                                            
                                                                                                                                
     Section 3: Amends AS 18.08.086(a)  to provide for civil                                                                    
     liability protection  to providers, or a  director of a                                                                    
     provider  licensed under  AS 18.08.082  who administers                                                                    
     emergency  medical services  to  an operational  canine                                                                    
     within  the  scope  of the  person's  certification  or                                                                    
     licensure  and  if  the operational  canine  reasonably                                                                    
     seems  to be  in immediate  danger of  serious harm  or                                                                    
     death.                                                                                                                     
     Section  4:  Amends  AS 18.08.087  to  remove  language                                                                    
     limiting   physicians,  advanced   practice  registered                                                                    
     nurses,   or   physician  assistants'   permission   to                                                                    
     disclose medical information of  a patient to emergency                                                                    
     medical   technicians   and   mobile   intensive   care                                                                    
     paramedics when the information  is not for the purpose                                                                    
     of evaluating  the performance of an  emergency medical                                                                    
     technician,   mobile   intensive  care   paramedic   or                                                                    
     physician.                                                                                                                 
                                                                                                                                
     Section 5:  Adds two new  subsections to  AS 18.08.087.                                                                    
     The  first allows  licensed  veterinarians to  disclose                                                                    
     medical or  hospital records  of an  operational canine                                                                    
     to an emergency medical  technician or mobile intensive                                                                    
     care  paramedic  for  the  purpose  of  evaluating  the                                                                    
     performance  of  an  emergency  medical  technician  or                                                                    
     mobile  intensive  care   paramedic.  The  second  adds                                                                    
     language  restricting   physicians,  advanced  practice                                                                    
     registered nurses, or  physician assistants' permission                                                                    
     to  disclose  medical  information   of  a  patient  to                                                                    
     emergency  medical  technicians  and  mobile  intensive                                                                    
     care  paramedics when  the information  is not  for the                                                                    
     purpose of  evaluating the performance of  an emergency                                                                    
     medical technician, mobile  intensive care paramedic or                                                                    
     physician.                                                                                                                 
                                                                                                                                
     Section 6:  Adds one new  section to AS 18.08  with two                                                                    
     subsections.  Subsection (a)  allows  for an  emergency                                                                    
     medical   technician  to   provide  emergency   medical                                                                    
     services  to  an  operational   canine  if  2  Tuesday,                                                                    
     February  4th, 2025  a veterinarian  is unavailable  to                                                                    
     provide  emergency  medical  services in  a  reasonable                                                                    
     amount  of time,  the emergency  medical technician  or                                                                    
     mobile intensive care paramedic has received training                                                                      
     on providing emergency  medical services to operational                                                                    
     canines,  is  trained  to  provide  comparable  medical                                                                    
     services  to  humans,  is  authorized  to  provide  the                                                                    
     comparable medical  service to a human  under the scope                                                                    
     of  their license  or certification,  and has  informed                                                                    
     consent from  the owner or  someone authorized  to make                                                                    
     medical decisions about the operational canine or is                                                                       
     providing medical service in  accordance with a written                                                                    
     protocol  developed by  a veterinarian.  Subsection (b)                                                                    
     requires  the emergency  medical  technician or  mobile                                                                    
     intensive  care paramedic  to transfer  the operational                                                                    
     canine  to  a  licensed veterinarian  at  the  earliest                                                                    
     practicable  opportunity  and   comply  with  all  laws                                                                    
     governing the  administration of drugs or  biologics to                                                                    
     a human  when administering  a drug  or biologic  to an                                                                    
     operational canine.                                                                                                        
                                                                                                                                
     Section 7:  Amends AS 18.08.100(b)  to clarify  that if                                                                    
     individuals  licensed  under  this  chapter  determine,                                                                    
     during a telehealth encounter,  that the encounter will                                                                    
     extend past  their scope of practice  they shall advise                                                                    
     the person who is  authorized to make medical decisions                                                                    
     for   the  operational   canine  that   they  are   not                                                                    
     authorized  to  provide  the services  needed,  provide                                                                    
     recommendation for  an appropriate provider,  and limit                                                                    
     the encounter  to the services  they are  authorized to                                                                    
     provide.                                                                                                                   
                                                                                                                                
     Section    8:   Amends    AS   18.08.200    to   define                                                                    
     "veterinarian" in this chapter the same as it is under                                                                     
     AS 08.98 and "operational canine"  as a dog used by law                                                                    
     enforcement  or  other  government  operations;  or  in                                                                    
     search and rescue operations.                                                                                              
                                                                                                                                
     Section  9:  Sets an  effective  date  of January  1st,                                                                    
     2026.                                                                                                                      
                                                                                                                                
3:47:41 PM                                                                                                                    
                                                                                                                                
KERRY  KIRKPATRICK, Southeast  Alaska Dogs  Organized for  Ground                                                               
Search (SEADOGS), as invited  testifier, introduced the committee                                                               
to Bizzy,  an 11-year-old search dog  [seated next to her  at the                                                               
witness  table] certified  in  multiple  disciplines for  search,                                                               
including avalanche, wilderness, cadaver,  and water.  She stated                                                               
that she has  been doing this work for 30  years, often in remote                                                               
areas out of  reach of communication where there is  no access to                                                               
veterinarians.    Sometimes, when  working  with  Coast Guard  or                                                               
National Guard, the  search team has access  to emergency medical                                                               
technicians (EMTs) or paramedics.   She emphasized the importance                                                               
of having  people working with  the team that have  the knowledge                                                               
to be  able to, at  the very  least, stabilize an  injured search                                                               
animal and get them to a  veterinarian.  She said she thinks that                                                               
whether  a professional  or a  volunteer, anyone  would do  their                                                               
utmost to  keep a dog alive,  and she hopes that  anyone who made                                                               
that  effort would  not then  be  held liable  for attempting  to                                                               
help.                                                                                                                           
                                                                                                                                
3:50:06 PM                                                                                                                    
                                                                                                                                
MR. HOUSTON,  in response to Representative  Gray, explained that                                                               
language  from  Section   4  was  moved  to  Section   5  at  the                                                               
recommendation of Legislative Legal Services.                                                                                   
                                                                                                                                
3:52:10 PM                                                                                                                    
                                                                                                                                
SEAN MCPECK, DVM,  Tier 1 Veterinary Medical  Center, in response                                                               
to a question  from Representative Gray regarding  when Section 7                                                               
"would come  into play,"  surmised there could  be a  scenario in                                                               
which a doctor  is speaking to someone  telephonically and "going                                                               
off of  the interpretation"  of the person  who is  present [with                                                               
the injured  animal].  Without  diagnostics, x-ray,  and hands-on                                                               
examination,  the doctor  on the  phone is  guessing at  the best                                                               
course of treatment with limited information.                                                                                   
                                                                                                                                
REPRESENTATIVE GRAY  said he interpreted Section  7 as pertaining                                                               
to a  situation in which  a person who  is not a  veterinarian is                                                               
trying  to provide  medical advice  to someone  who is  rendering                                                               
care to a canine.  Under  this scenario, the person would have to                                                               
disclose that they were not a veterinarian.                                                                                     
                                                                                                                                
3:54:45 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SCHRAGE offered  to  get  back to  Representative                                                               
Gray and the committee with a  specific example of when Section 7                                                               
would apply.   In response to Representative Gray, he  said he is                                                               
not  aware of  any case  in  which care  was not  rendered "as  a                                                               
result  of this  concern."   That said,  he noted  that there  is                                                               
concern within the medical community  about continuing to provide                                                               
care moving forward.                                                                                                            
                                                                                                                                
3:56:03 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SCHRAGE,  in  response  to  Representative  Prax,                                                               
talked about the choice to  call this "Rico's Law" and recognized                                                               
Brian  Webb, a  former  legislative staff  and emergency  medical                                                               
services provider  with experience  with this issue,  who brought                                                               
the issue to Representative Schrage.                                                                                            
                                                                                                                                
REPRESENTATIVE  PRAX expressed  concern  that  the proposed  bill                                                               
would open up "a can of worms."                                                                                                 
                                                                                                                                
REPRESENTATIVE  SCHRAGE suggested  the flip  side is  to question                                                               
whether not addressing  the issue would result in  failed care of                                                               
a canine in  the future.  The concern for  this issue has already                                                               
been expressed,  thus the can  of worms has already  been opened.                                                               
In response to  whether he would consider  expanding liability by                                                               
further  clarifying  the  bill, Representative  Schrage  said  he                                                               
worries about broadening the scope  of the bill beyond "those who                                                               
are reasonably  assumed to have  the necessary medical  skills to                                                               
provide care  to an  operation canine."   He  suggested his  is a                                                               
policy question for the committee.                                                                                              
                                                                                                                                
4:01:54 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE  observed there seems  to be a  need for                                                               
definitions, including:   what  is a  reasonable amount  of time;                                                               
who trains; and what does that training look like.                                                                              
                                                                                                                                
REPRESENTATIVE SCHRAGE  proposed to hold a  dialogue between this                                                               
this bill hearing and the next to address those concerns.                                                                       
                                                                                                                                
4:03:15 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SCHWANKE noted  that she  has training  in animal                                                               
welfare  and  immobilization  training,   and  she  talked  about                                                               
varying  schedules and  reporting  requirements.   She noted  her                                                               
question  mirrored  that  of   Representative  Ruffridge  and  is                                                               
related to training.                                                                                                            
                                                                                                                                
4:04:33 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SCHRAGE referred  again to Brian Webb  as a source                                                               
for answering questions.                                                                                                        
                                                                                                                                
MR.  HOUSTON  noted  that  there   is  national  training  course                                                               
standard, called Canine TECC.                                                                                                   
                                                                                                                                
4:06:03 PM                                                                                                                    
                                                                                                                                
CHAIR MINA announced that HB 70 was held over.                                                                                  

Document Name Date/Time Subjects
HB 27 Version A Fiscal Note DOH Public Health.pdf HHSS 2/18/2025 3:15:00 PM
HB 27
HB0027A.pdf HHSS 2/18/2025 3:15:00 PM
HB 27
HB 27 Sponsor Statement Verson A.pdf HHSS 2/18/2025 3:15:00 PM
HB 27
HB 27 Bill Packet 02.17.25.pdf HHSS 2/18/2025 3:15:00 PM
HB 27
HB 27 Letters of Support 02.17.25.pdf HHSS 2/18/2025 3:15:00 PM
HB 27
HB 27 Sectional Analysis Version A.pdf HHSS 2/18/2025 3:15:00 PM
HB 27
HB 14 Version A Fiscal Note DOH Public Assistance.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB0014A.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB 14 Sponser Statement version A.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB14 Research-January 2024 Dept of Health 01.31.2024.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB 14 Bill Packet 02.17.25.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB 14 Research FY19 to FY24 CAMA Actuals.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB 14 Research FY25 CAMA Component Budget Summary 12.14.23.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB 14 Research-February 2025 Dept of Health 2.10.25.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB 14 Sectional Analysis version A.pdf HHSS 2/18/2025 3:15:00 PM
HB 14
HB 70 Version A - Sponsor Statement.pdf HHSS 2/18/2025 3:15:00 PM
HB 70
HB 70 Version A - Presentation.pdf HHSS 2/18/2025 3:15:00 PM
HB 70
HB 70 Version A - Sectional Analysis.pdf HHSS 2/18/2025 3:15:00 PM
HB 70
HB 70 Version A Fiscal Note DOH Public Health.pdf HHSS 2/18/2025 3:15:00 PM
HL&C 3/31/2025 3:15:00 PM
HB 70
HB 70 - AKVMA Opposition Letter.pdf HHSS 2/18/2025 3:15:00 PM
HB 70
HB 70 - Support Testimony Recieved as of 2.13 (redacted).pdf HHSS 2/18/2025 3:15:00 PM
HB 70
HB 70 Bill Packet 02.17.25.pdf HHSS 2/18/2025 3:15:00 PM
HB 70
HB 70 Version A - Bill Text.pdf HHSS 2/18/2025 3:15:00 PM
HB 70
Child Advocacy Centers Presentation 02.18.25.pdf HHSS 2/18/2025 3:15:00 PM
Child Advocacy Center
Child Advocacy Centers Leave Behind_Rev. 1.1.25.pdf HHSS 2/18/2025 3:15:00 PM
Child Advocacy Centers