Legislature(2023 - 2024)DAVIS 106
04/13/2023 03:00 PM House HEALTH & SOCIAL SERVICES
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| Audio | Topic |
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| Start | |
| State Medical Board|| Alaska Mental Health Trust Authority Board | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| + | TELECONFERENCED | ||
| + | TELECONFERENCED | ||
| += | HB 115 | TELECONFERENCED | |
ALASKA STATE LEGISLATURE
HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE
April 13, 2023
3:05 p.m.
MEMBERS PRESENT
Representative Mike Prax, Chair
Representative Justin Ruffridge, Vice Chair
Representative CJ McCormick
Representative Dan Saddler
Representative Jesse Sumner
Representative Zack Fields
Representative Genevieve Mina
MEMBERS ABSENT
All members present
COMMITTEE CALENDAR
CONFIRMATION HEARING(S):
State Medical Board
David Barnes Anchorage
- ADVANCED
Mental Health Trust Authority Board of Trustees
Anita Halterman - Eagle River
John Morris - Anchorage
- ADVANCED
PREVIOUS COMMITTEE ACTION
No previous action to record
WITNESS REGISTER
DAVID BARNES, MD, Appointee
State Medical Board
Wasilla, Alaska
POSITION STATEMENT: Testified as appointee to the State Medical
Board.
ANITA HALTERMAN, Appointee
Alaska Mental Health Trust Authority Board of Trustees
Eagle River, Alaska
POSITION STATEMENT: Testified as appointee to the Alaska Mental
Health Trust Authority Board of Trustees.
JOHN MORRIS, MD, Appointee
Alaska Mental Health Trust Authority Board of Trustees
Anchorage, Alaska
POSITION STATEMENT: Testified as appointee to the Alaska Mental
Health Trust Authority Board of Trustees.
ACTION NARRATIVE
3:05:07 PM
CHAIR MIKE PRAX called the House Health and Social Services
Standing Committee meeting to order at 3:05 p.m.
Representatives Ruffridge, McCormick, Saddler, Sumner, Fields,
Mina, and Prax were present at the call to order.
^CONFIRMATION HEARING(S)
^State Medical Board
^Alaska Mental Health Trust Authority Board of Trustees
^CONFIRMATION HEARING(S)
^State Medical Board
^Alaska Mental Health Trust Authority Board
3:06:22 PM
CHAIR PRAX announced that the only order of business would be
the consideration of the governor's appointees for the State
Medical Board and the Alaska Mental Health Trust Authority Board
of Trustees.
3:06:50 PM
DAVID BARNES, MD, Appointee, State Medical Board, testified as
the appointee to the State Medical Board. He shared his life
experience previous to becoming a doctor, which included being a
licensed flight instructor and working for the National Security
Agency. He detailed his medical training and his first years of
practice as a hospitalist in Denver. He stated that he accepted
a position in Palmer in 2003, where he and his veterinarian
wife, five kids, and pets have lived since.
DR. BARNES stated that because of the large amount of people who
live "off the road," Alaska is a unique place to practice
medicine. He spoke to his experience working with patients in
many remote villages and he illustrated the difficulties facing
medical care in rural Alaska. He reported that his colleague is
often the only medical staff present in the village clinics,
which means patients often need to be transported to Anchorage
for care, and this accompanies many issues of having to receive
care away from home, including inability to travel because of
weather conditions, receiving care from unfamiliar physicians,
and delays in procedure scheduling, which causes unanticipated
needs for housing, clothing, food, and other expenses. He
contributed many of these challenges to Alaska's unique
geography and infrastructure. He applauded the legislature for
addressing part of the root problem by passing HB 265 [passed
during the thirty-second Alaska State Legislature] which gave
doctors the ability to practice via telehealth. He described
telehealth as an invaluable tool in providing care to Alaskans.
DR. BARNES expressed the understanding that the main
responsibilities of the Board of Medicine is to regulate the
practice of medicine per Alaska Statute, contribute to the
professionalism of Alaska's medical community, and protect both
the public and health care providers. He cited his experience
in rural Alaska, in metropolitan hospitals, and with both
inpatient and outpatient care as "invaluable" to his ability to
fulfil these responsibilities. He shared that his background as
a pilot has given him a focus on self-evaluation and staying
current with technology, which is also imperative to this
position. He expressed hope that he would be granted the
opportunity to contribute to the board.
3:12:43 PM
REPRESENTATIVE FIELDS questioned how the state could address the
lack of care for people on Medicare. He asked what the process
is of taking in a Medicare patient.
DR. BARNES described the Medicare issue as a "can of worms." He
referenced a bill that had passed when he first moved to Alaska
that had increased the reimbursement rate for Medicare patients
to over 40 percent more than the nationwide rate; however, it
had been allowed to eventually sunset. He stated that now
Medicare is a significant problem for physicians, as they are
facing greater financial pressure. He reported that insurance
companies have reduced reimbursements to the point where a
physician would only be paid $100 to $120 for a standard hour-
long appointment with a Medicare patient. He opined that
physicians would go bankrupt under these pay rates, and it would
be a felony to charge more. He shared that many patients do not
understand that secondary insurance does not cover the
difference. He expressed the belief that "firing" Medicare
patients is unethical, but many physicians have had to stop
seeing Medicare patients to keep from going out of business. He
reported that about 50 percent of his patients are Medicare and
Medicaid participants, and he has been able to afford this by
hiring a physician's assistant (PA) who sees his Medicare
patients. He commented that change would have to happen at a
federal level. He reiterated that at the moment there is an
immense amount of pressure on physicians.
REPRESENTATIVE FIELDS expressed appreciation for the insight.
He expressed the hope that if Dr. Barnes is confirmed, he would
continue to educate the legislature on what it can do to
maintain access for young children and older Alaskans.
DR. BARNES responded that Medicare and Medicaid are both
federally funded; therefore, there are not many options for the
state legislature on effecting change. He stated that medical
practices are businesses and, while he is interested in working
with the legislature on the Medicare issues, he expressed
uncertainty on what could be done at the state level.
3:17:14 PM
REPRESENTATIVE RUFFRIDGE inquired about the use of telehealth
services and questioned its future use.
DR. BARNES described using telehealth as "glitchy," and he noted
that many elderly patients do not understand how it works.
Also, he expressed the concern that patients put too much trust
in telehealth, as many issues need to be diagnosed in person.
However, he reported that it has also been beneficial,
especially in the treatment of COVID-19 patients who were too
ill to come into a physical office. He added that it has been
an incredible help for providing care to remote villages. He
reported that increasing access to devices that allow doctors to
listen to the heart and take blood pressure remotely would be
beneficial; however, he noted that the initial cost is high, and
private practitioners do not have access to these devices.
3:19:16 PM
REPRESENTATIVE SADDLER asked about the practicality and utility
of direct health care agreements, or "concierge care," in
Alaska.
DR. BARNES tied the question back to the issue of reimbursement,
stating that if physicians continue to be pushed [financially]
they would have to choose to go out of business, group together
to provide rationed health care, or go into a concierge care
model. He posited that concierge care is problematic because it
is only available to those who can afford it. He maintained
that people should find health care affordable. He said that
there were "good and bad" aspects to concierge care.
3:20:46 PM
REPRESENTATIVE SADDLER expressed appreciation for the
acknowledgement of "gray" areas in these complex issues. He
mentioned that efforts are currently being made through proposed
legislation in the Senate to raise Medicare reimbursement rates.
DR. BARNES expressed the opinion that there is no alternative
but to raise the reimbursement rates.
3:21:34 PM
REPRESENTATIVE FIELDS referred to the Department of Health's
(DOH's) Healthy Families Initiative. He stated that this would
focus on bettering public health measures in order to improve
societal outcomes, such as increased literacy and the reduction
of incarceration rates. He questioned the role the board would
have in these policy efforts made by DOH.
DR. BARNES expressed the hope that the state would be able to
achieve these kinds of "incredible outcomes;" however, he
expressed uncertainty on the board having a direct interaction
with these goals. He expressed the understanding that a
position on the board would be spent in supervision of
physicians and health care providers to make sure medical
practices are safe for patients. He expressed the willingness
to support this push towards better public health as much as
possible.
3:22:55 PM
REPRESENTATIVE MCCORMICK requested that Dr. Barnes expand on his
experience in remote Alaska.
DR. BARNES replied that he has patients in Dillingham, Bethel,
and other villages. He said these patients are typically
teachers who can travel to see him during breaks in the school
calendar. He reported that their main complaints are the
limited access to health care, medication, and the travel
requirement to receive services. He stated that telehealth is a
step towards a solution to these problems, and he suggested that
more PAs and nurse practitioners in places off the road system
would be helpful. He expressed uncertainty on how to achieve
solutions. He mentioned that state versus federal funding would
be a big part of the puzzle.
3:24:21 PM
REPRESENTATIVE SADDLER mentioned Dr. Barnes' "interesting"
career trajectory and asked what motivated him to move from
Russian studies and international security to practicing
medicine.
DR. BARNES responded that the collapse of the Soviet Union had
instigated his career change.
3:24:53 PM
REPRESENTATIVE MINA thanked Dr. Barnes for his positive comments
on telehealth and House Bill 265. She expressed the belief that
regulating telehealth by the medical board is essential. She
questioned his perspective on health equity and the social
determinants of health that can cause different outcomes for
certain populations.
DR. BARNES reported that there are certain diseases that can
disproportionally effect certain populations, and some
medications work better for some populations over others. He
referenced his experience in Texas working with the Hispanic and
Native populations. He acknowledged that the question is very
complex, and he posited that expanding health care to all would
be the first step to address it. He suggested that getting more
providers into Alaska would help fix the shortage of care,
especially in villages. However, he recognized the challenges
with recruiting people for those kinds of positions.
3:27:28 PM
CHAIR PRAX introduced that the next appointee for consideration
would be Anita Halterman for the Alaska Mental Health Trust
Authority Board of Trustees.
3:27:44 PM
ANITA HALTERMAN, Appointee, Alaska Mental Health Trust Authority
Board of Trustees, testified as an appointee to the Alaska
Mental Health Trust Authority (AMHTA) Board of Trustees. She
shared that she has been a public servant for most of her
career, and she is being reappointed to the Board of Trustees.
She stated that after being appointed in 2019, she has had the
opportunity to fill several leadership roles for the board,
including chair. She described her service on the AMHTA board
as an "enlightening and powerful journey" that has provided her
with a better understanding of the mental health needs in the
state and the many programs funded through the trust. She
expressed enjoyment in giving back to her community, as she has
been able to work with AMHTA beneficiaries throughout her
career. She expressed the desire to continue working with the
board to shape meaningful reform for Alaska's mental health
programs. She shared her childhood experience in foster care,
which was because of the mental health issues in her family.
After meeting her husband during their service in the military,
she stated that they moved to Alaska and have lived in Eagle
River for 28 years. She shared that while working as the chief
of staff for an Alaska legislator, she received her master's in
business administration.
MS. HALTERMAN reported that she has an extensive background
working for the Department of Health and Social Services in
Alaska, and in Iowa she worked for the Medicaid program. She
continued that for the last seven years she has worked for the
Division of Senior and Disability Services. She reported that
she had worked with the Department of Health and Social
Services' budget development for many years, gaining a better
understanding of the funding for regulatory budgets. She
reiterated that she has dedicated her career to working with
underserved populations, and she shared her personal experiences
with the mental health problems in the state, including the loss
of her daughter to addiction. She emphasized her continued
efforts in studying the issues surrounding mental health and
looking for new solutions on behalf of AMHTA's beneficiaries.
She posited that her experience in the public sector has allowed
her to bring a new perspective, such as the focus on issues like
the globalization of the workforce. She expressed the hope to
continue using her experience to reform programs to sustain the
future populations. She expressed anticipation in working in
partnership with the legislature, state departments, and other
stakeholders to build an integrated and comprehensive mental
health program that best serves Alaskans, while protecting and
enhancing the trust to maximize its impact.
3:35:42 PM
REPRESENTATIVE SADDLER shared that Ms. Halterman is his friend,
and he commented on her exemplary service in the community. He
thanked her for her work with AMHTA. He questioned how well the
trust is providing for its beneficiaries.
MS. HALTERMAN replied that AMHTA has been doing "phenomenally"
well in its resource development and investment-based income.
She pointed out that the Permanent Fund Division of the
Department of Revenue (DOR) manages most of AMHTA's resources.
She credited the Trust Land Office with managing its real estate
holdings in a way that has maximized the trust's income. She
pointed out that the portfolio it has built is impressive. She
acknowledged that AMHTA could improve in its beneficiary
engagement by better communicating the importance of resource
development to Alaskans, but she stated that it is actively
working to increase public understanding of the link between
resource development and the services that AMHTA provides. She
asked Representative Saddler to restate the second part of his
question pertaining to beneficiaries.
REPRESENTATIVE SADDLER asked to what degree AMHTA serves its
beneficiaries, and he requested a description of its
beneficiaries.
MS. HALTERMAN explained that the beneficiaries of the trust are
defined in statute. She reported that the beneficiaries are
people affected by substance abuse and mental health that
receive services through government agencies or nonprofits. She
stated that the funding generated through resource development
is supplied to organizations that serve populations falling
under the definition of an AMHTA beneficiary in statute.
MS. HALTERMAN described AMHTA as a funder of projects and opined
that it is only as strong as its partnerships. She explained
that AMHTA can only fund projects that are "shovel ready," but
it works with organizations through technical support to help
projects that are "on the edge" of qualifying. She expressed
the desire to help fund projects for those entities who have not
requested it. She emphasized the trust's work on improving its
ability to help rural communities, such as the Crisis Now
program; however, she acknowledged that there is still work to
do. She opined that telehealth could be used more effectively,
stating that insurance coverage is a barrier, and this is
because Medicaid is the primary source of funding for
telehealth. She stated that Tribal health can fund telehealth
sometimes; however, there are federal exemptions for this. She
reported that many younger Medicare beneficiaries are becoming
trust beneficiaries later in life because of the [lack of health
care access]. She opined that Alaska could be serving its aging
populations better, especially those who struggle with dementia;
however, the state does not receive the federal waivers to serve
them. She expressed the belief that this has impeded Alaska's
ability to best serve these populations. She said that AMHTA is
poised with resources to work with the department when it is
ready to move forward with reforms of the mental health system.
She described the trust as a partner in funding, stating that
the federal government, Alaska's general fund, and
appropriations made by the legislature for specific
organizations are all a part of the concerted effort to improve
the state's mental health programs.
3:42:00 PM
REPRESENTATIVE RUFFRIDGE referred to Alaska's most recent report
card on mental health, as Alaska has been trending in an
unfavorable direction with increasing rates of depression and
suicide. In regard to additional funding, he asked what else
the trust could do to curb these trends.
MS. HALTERMAN opined that there is more everyone could do. She
described the report from the Department of Justice (DOJ) as
very concerning and explained her previous work with the
department on the Bring the Children Home initiative. She cited
the workforce shortages as an obstacle to providing services.
She posited that the state needs to reexamine its systems to
find efficiencies. She explained that the trust provides
funding for programs, but it does not administer the programs,
and this is why the trust was exempted from being identified in
the DOJ report. She emphasized the trust's role as a funder and
opined that funding requests from state departments to AMHTA
should be viewed as joint requests, as both the trust and the
legislature should be expected to provide funding. She posited
that Alaska needs to look "outside of the box" concerning mental
health, as current operations are not working. She reported
that many of the programs funded by AMHTA are not funded by the
government because some beneficiaries do not receive Medicaid;
therefore, do not qualify for government services. Since the
move towards the deinstitutionalization of mental health in the
1980s, she reported that most of the funding for mental health
services comes from Medicaid. She stated that many
beneficiaries are suffering because of a lack of appropriate
service settings in Alaska. She expressed her belief that the
main goal for improving the state's mental health services
should be providing infrastructure.
3:45:47 PM
REPRESENTATIVE RUFFRIDGE asked for examples of programs or
services that are currently working but could use a funding
partnership to get "to the next level."
MS. HALTERMAN expressed the belief that a focus on maternal
health programs, which provide families with resources while
children are still developing, could allow the state to prevent
exacerbated health issues in future populations. She reported
that babies and mothers who do not receive prenatal care show
much poorer outcomes later in life. She reiterated that
focusing more energy on programs for children and young families
could go a long way. However, she also emphasized the need for
proper support of senior care, and she suggested that there
should be a balance between the two areas of services.
3:47:11 PM
REPRESENTATIVE FIELDS agreed with Ms. Halterman's statements
about the importance of maternal health programs and shared his
knowledge of declining funding of many programs directed at
children and young families. He requested that Ms. Halterman
help continue to educate the legislature on the return on
investment (ROI) for many of these programs, like infant
learning. He mentioned that in recent reports from DOH, one of
the worst metrics showed an increased risk of suicide for teens
because of social media. He questioned any thoughts on the
introduction of regulations for social media companies.
MS. HALTERMAN responded that she has researched this issue and
has found no easy way to regulate social media. She compared
the process to finding a "needle in a haystack." She suggested
that many of the children who were most at risk [for suicide and
other mental health issues] are those who live in poverty and
lack access to constructive outlets. She posited that "boredom
does bad things" to children and can encourage misuse of social
media, and she referenced attempting to manage social media with
her children. She opined that as a society, meaningful
strategies need to be put in place to give children hope, as
this would encourage better outcomes. She expressed the belief
that the state needs to provide more opportunities for children
to be optimistic about their futures, because currently many do
not see any opportunities for themselves in Alaska.
3:51:58 PM
REPRESENTATIVE MINA questioned the status of the Crisis Now
funding in comparison to the demand for Crisis Now
implementation across the state. She questioned how the
legislature could continue to support implementation efforts.
MS. HALTERMAN responded that the best way for the legislature to
support the implementation of Crisis Now is to better fund the
program through the general fund. She reported that the trust
has implemented Crisis Now in major communities, but work needs
to be done to bring the same support to rural Alaska. She
explained that AMHTA has worked on implementing "a pure support
model" in remote communities, but she stressed that there is a
larger need for capital projects to build infrastructure in
rural Alaska. She mentioned other ways of improving the mental
health system overall, including telehealth. She emphasized
that funding projects is critical, as the trust cannot be the
only funder for crisis implementation efforts.
MS. HALTERMAN continued that funding for Crisis Now needs to be
a cooperative effort between the legislature and AMHTA. She
suggested that if the legislature did not appropriate enough
from the general fund, AMHTA would have to sacrifice other
programs to fully fund Crisis Now. She reported that [because
of a lack of funding] AMHTA has been forced to make decisions
about which programs are the most important to fund. This has
led the trust to "dig deep" into its reserves. She explained
that AMHTA chose not to cut funding for any programs because the
entire country is experiencing a mental health services crisis.
She reported that many state mental health services are not
being well reimbursed, and this is because of Medicare
reimbursement policies. In result of this, many providers are
limiting service to Medicare and Medicaid patients. She said
that although there is no way to know the number of patients who
are not being served, the evidence is in the "crisis unfolding
all around us."
3:55:38 PM
CHAIR PRAX referenced Ms. Halterman's previous work with a
company involved in risk management and asked her to expand on
how this experience would apply to her work with the board.
MS. HALTERMAN replied that she has worked for two risk
management firms, the first of which was an insurance company
that provided supplemental plans to employees. She reported
that many of the employers she worked for had employees who were
Medicaid beneficiaries and working there gave her better insight
into private sector health care needs. She stated that the
other risk management company she worked for provided
information technology solutions for businesses to improve their
cyber security, which she described as an "eye opening"
experience.
3:57:33 PM
CHAIR PRAX opened public testimony for the appointment of Anita
Halterman to the AMTHA Board of Trustees. After ascertaining
that there was no one who wished to testify, he closed public
testimony.
3:58:23 PM
CHAIR PRAX opened public testimony for the appointment of David
Barnes to the State Medical Board. After ascertaining that
there was no one who wished to testify, he closed public
testimony.
3:59:01 PM
CHAIR PRAX announced that the last confirmation hearing would be
for John Morris, an appointee to the AMHTA Board of Trustees.
3:59:25 PM
JOHN MORRIS, MD, Appointee, Alaska Mental Health Trust Authority
Board of Trustees, testified as appointee to the Alaska Mental
Health Trust Authority Board of Trustees. He shared the belief
that in order to be successful, a trustee of AMHTA needs to be
skilled in financial investment, land management, or have worked
extensively in the service of trust beneficiaries. He stated
that he has experience in all three areas. He spoke about his
childhood exposure to serving others as an emergency responder
through his parents' careers as a firefighter and a nurse. He
said that accompanying his father to calls inspired him to get
involved in service. He shared his early career in the medical
field, where he has worked as an anesthesiologist, studied
psychiatry, and worked with children in need of major surgery.
During a year off from his full-time medical practice, he
reported that he studied financial management and sat for the
Chartered Financial Analyst One exam. He shared that this
experience gave him a nuanced understanding of active trading
and portfolio management, as well as the responsibility that
comes with making prudent investment decisions on the behalf of
others.
DR. MORRIS stated that when he returned to practicing as an
anesthesiologist in West Virginia, he bought a 64-acre farm with
mineral rights and quickly learned about the many aspects of
land management, including property rights, environmental
impacts, and issues with corporations who have differing land
use desires. He detailed various experiences he has had while
working with state departments, consulting with environmental
agencies, and navigating litigation against a utility company.
He spoke to his professional experience with trust beneficiaries
during his early career. He stated that he worked with
individuals with traumatic brain injuries and other mental
health issues, and he shared how mental health has impacted his
personal life. He emphasized that his motivation to care for
beneficiaries came from his ability to relate to their
experiences and described AMHTA as one of the most unique ways
for Alaskans to care for each other.
4:04:10 PM
REPRESENTATIVE FIELDS asked what lessons Dr. Morris learned from
his work with homeless services and how these lessons could be
related to the legislature to insure better services for those
experiencing homelessness in the state.
DR. MORRIS replied that there are many things the legislature
could do to help the homelessness issue, and a crucial missing
piece is good data. He posited that many decisions about
homeless populations are based on anecdote or local sentiment
rather than scientific data. He stated homelessness is only one
of the many issues that AMHTA deals with and reinforced earlier
testimony that the legislature needs to work in concert with the
trust, the state departments, and other organizations to "move
the needle" on all of the mental health issues facing the state.
He opined that no single entity could accomplish this on its
own.
4:06:06 PM
REPRESENTATIVE RUFFRIDGE asked how the trust prioritizes funding
for the various mental health issues. He questioned whether
there are any specific programs that need more support.
DR. MORRIS agreed with Ms. Halterman's testimony on what the
trust can do broadly; however, he expressed hesitation on
weighing in on the details of its operation before taking his
seat on the trust. He emphasized the importance of having time
to digest the vast amount of information about the trust before
making any high stakes decisions. He pointed out that "what
gets measured gets done," and he suggested that the main focus
of trustees should be pursuing an integrative and comprehensive
mental health system that prioritizes people at the risk of
hospitalization, as mandated in statute.
4:08:10 PM
REPRESENTATIVE RUFFRIDGE acknowledged the difficult role AMTHA
has in deciding its funding priorities and asked whether there
would be better ways to prioritize things in Alaska to see
better mental health results.
DR. MORRIS opined that broadly speaking the state could always
do better, but he reiterated his reluctance to take a stance on
specific policy changes at this point. He said that he has read
extensively about AMTHA on its website, and he has kept up with
"frankly depressing" state statistics on mental health issues,
such as the rising suicide rate. He expressed motivation to
work with the other trustees and AMTHA staff to "move the
needle" on these issues.
4:10:23 PM
CHAIR PRAX questioned whether Dr. Morris has had the opportunity
to look at the trust's investment portfolio.
DR. MORRIS expressed uncertainty concerning the portfolio, but
he noted the management of extensive holdings and the
partnership with the Permanent Fund Division. In response to a
follow-up question, he acknowledged the history between the
trust and the legislature, which includes an audit from previous
years. He echoed Ms. Halterman's testimony in that the
portfolio is doing remarkably well. He opined that it would be
incumbent on the trustees to remain solvent amid the pressures
of high inflation.
DR. MORRIS thanked the committee for the opportunity to speak
and expressed his excitement to work on behalf of AMTHA's
beneficiaries.
4:13:01 PM
CHAIR PRAX opened public testimony on the appointment of John
Morris to the AMTHA Board of Trustees. After ascertaining that
there was no one who wished to testify, he closed public
testimony.
4:13:52 PM
The committee took an at-ease from 4:13 p.m. to 4:16 p.m.
4:16:49 PM
CHAIR PRAX moved to advance the confirmations of Anita Halterman
and John Morris, appointees to the Alaska Mental Health Trust
Authority Board of Trustees, and David Barnes, appointee to the
State Medical Board, to the joint session of the House and
Senate for consideration. He reminded members that signing the
reports regarding appointment to the boards and commissions in
no way reflected individual members' approval or disapproval of
the appointees, and that the nominations were merely forwarded
to the full legislature for confirmation or rejection. There
being no objection, the confirmations were advanced.
4:18:30 PM
ADJOURNMENT
There being no further business before the committee, the House
Health and Social Services Standing Committee meeting was
adjourned at 4:18 p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| 3.1.23 Anita Halterman AMHTA resume_redacted.pdf |
HHSS 4/13/2023 3:00:00 PM |
Anita Halterman |
| 3.8.23 John Morris AMHTA Resume_Redacted.pdf |
HHSS 4/13/2023 3:00:00 PM |
John Morris |
| 3.8.23 John Morris AMHTA App_Redacted.pdf |
HHSS 4/13/2023 3:00:00 PM |
John Morris |
| 3.23.23 David Barnes Medical App_Redacted.pdf |
HHSS 4/13/2023 3:00:00 PM |
David Barnes |
| Dave Barnes Resume Redacted.pdf |
HHSS 4/13/2023 3:00:00 PM |
Dave Barnes |
| HB 115 HHSS CS.pdf |
HHSS 4/13/2023 3:00:00 PM |
HB 115 |
| HB 115 FNMRA - Support Letter.pdf |
HHSS 4/13/2023 3:00:00 PM |
HB 115 |