Legislature(2017 - 2018)CAPITOL 106
03/09/2017 03:00 PM House HEALTH & SOCIAL SERVICES
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| Audio | Topic |
|---|---|
| Start | |
| HB25 | |
| HB123 | |
| HCR3 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| += | HB 25 | TELECONFERENCED | |
| += | HB 123 | TELECONFERENCED | |
| *+ | HCR 3 | TELECONFERENCED | |
| + | TELECONFERENCED |
HB 123-DISCLOSURE OF HEALTH CARE COSTS
3:46:26 PM
CHAIR SPOHNHOLZ announced that the next order of business would
be HOUSE BILL NO. 123, "An Act relating to disclosure of health
care services and price information; and providing for an
effective date."
3:46:48 PM
REPRESENTATIVE EDGMON moved to adopt the proposed committee
substitute (CS) for HB 123, labeled 30-LS0380\T, Glover, 3/9/17,
as the working draft.
CHAIR SPOHNHOLZ objected for discussion.
BERNICE NISBETT, Staff, Representative Ivy Spohnholz, Alaska
State Legislature, paraphrased the changes in the proposed
committee substitute [Included in members' packets], which read:
Section 2, subsections (a) and (b) states that health
care facilities and providers will compile a list by
procedure code.
We've also changed "including a brief and easily
understandable description," to "in plain language
that an individual with no medical training can
understand."
Line 23 we added "and" after "performed;"
Subsection (d) states that the health care provider or
facility may add a disclaimer explaining that what the
consumer pays may be higher or lower than the amount
listed.
Subsection (g) states that if the individual is fined
and wants to appeal, the individual is entitled to a
hearing conducted by the office of administrative
hearings.
In Subsection (h), the definition of health care
facility does not include federal health a facility
operated by an Alaska tribal health organization or a
hospital operated by the United States Department of
Veterans Affairs or the United States Department of
Defense, or any other federally operated hospital or
facility.
Subsection (h), number (7) undiscounted price is
defined.
3:49:22 PM
CHAIR SPOHNHOLZ opened public testimony.
3:49:43 PM
JENNIFER MEYHOFF, Senior Vice President, Marsh and McLennan
Agency, stated that the agency was a global consulting firm.
She added that she was the Legislative Chair for the Alaska
Association of Health Underwriters, and that she had 25 years of
employee benefits consulting experience and she worked with
employers statewide for selection of products to the employee
benefit packages. She offered a comparison for the purchase of
health care to the determinations for buying coffee or gas or an
airline ticket, and declared that a consumer can make a
reasonable decision. She declared her support for the proposed
bill, as it was time to offer this information to patient
consumers, in order to allow decisions prior to receiving care.
She suggested that this could contain or reduce the cost of
health care.
3:53:12 PM
CHAIR SPOHNHOLZ removed her objection. There being no further
objection, Version T was adopted as the working draft.
REPRESENTATIVE JOHNSTON stated that full disclosure offered
choice and the knowledge of cost. She asked for the reason for
the exemptions to publicly funded organizations named in the
proposed bill.
MS. MEYHOFF expressed her agreement that the charges at those
organizations would not affect her clients, although she offered
her belief that it was "a very valid question of the information
being available could be useful to the overall market."
3:55:13 PM
JOSH BIEGEL shared a saga of the medical costs after an accident
in which his wife broke her arm when she fell on the ice.
3:57:29 PM
TERRY ALLARD, Senior Benefits Advisor, Wilson Agency, said that
she was also a charter member of the Alaska Association of
Health Underwriters and a member of the Legislative committee.
She urged passage of the proposed bill. She reported that she
had been in the insurance and employee benefits field all across
Alaska for more than 30 years. She reported that she spent a
significant amount of time educating employees about their
benefits and how to best use them, which included conversations
for being a responsible consumer. She declared that it was
difficult for an individual to be a responsible consumer of
health care services in Alaska, as it was not always possible to
get the information necessary to make an informed decision. She
said that it was easier to determine the procedural options than
making an informed decision for the cost and the provider. She
stated that consumers could make informed decisions about almost
everything except medical services. She relayed that the
Municipality of Anchorage had recently passed an ordinance
requiring transparency from providers within the city. She
stated that this needed to be available all over the state. She
cited that almost 30 other states had passed transparency bills
similar to the proposed bill. She offered her belief that
health care needed to evolve and provide information to the
consumers in a more relevant and timely way. She stated her
support of HB 123.
REPRESENTATIVE SULLIVAN-LEONARD asked if her agency had a data
base available to the consumer for the cost of various
procedures.
MS. ALLARD said that her firm was an independent employee
benefits advisory company and did not have access to that data.
REPRESENTATIVE SULLIVAN-LEONARD asked if the proposed bill would
have helped Mr. Biegel with the challenges posed by his
insurance company.
MS. ALLARD opined that the proposed bill would help in some
ways, although the issue for in-network providers and the
charges was a separate issue. She said that the proposed bill
does get to the heart of the matter, as full understanding of
the insurance coverage would have allowed him to seek care from
another provider.
REPRESENTATIVE SULLIVAN-LEONARD offered her belief that the
variables could make it a different price for each patient.
MS. ALLARD acknowledged that the price could be different. She
offered her understanding that the proposed bill would ask the
providers to post the rack rate, and then the responsibility
would be for the consumer to speak with the insurance company to
understand the charges and how they would be covered.
REPRESENTATIVE JOHNSTON shared that this was an opportunity for
collusion by the insurance companies when publishing rack rates.
MS. ALLARD said that this would put prices on the open market
and allow the consumer to shop. She pointed out that there were
laws against collusion among medical providers.
REPRESENTATIVE JOHNSTON asked if a public clinic should be
excluded.
MS. ALLARD said that she did not know enough about the proposal
for public clinics, although in a setting for health care that
was being reimbursed, it would be logical to have that cost
information disclosed to the consumer.
CHAIR SPOHNHOLZ pointed out that the aforementioned disclaimer
information was included in Version T of the proposed bill, so
that consumers were not intimidated by pricing. A community
health center could mention its sliding fee schedule as well as
the providers insurance accepted, and a private office could
mention it was a preferred provider for certain organizations.
REPRESENTATIVE JOHNSTON asked if there was any use for an
additional disclaimer stating that rates were negotiable.
CHAIR SPOHNHOLZ acknowledged that it could be written into the
disclaimer as the language had intentionally been left fairly
broad.
REPRESENTATIVE EASTMAN asked if insurance providers usually
considered competition pricing.
MS. ALLARD said that frequently the insurance providers were
aware of other charges, although she did not know how that
knowledge was attained.
4:07:23 PM
BECKY HULTBERG, President/CEO, Alaska State Hospital and Nursing
Home Association, said that ASHNHA supported the concept of
price transparency and consumer engagement in health care
decision making. She stated that the third party payment to the
insurance mechanism made health care decisions much more
complicated. She reported that there were many differences
between typical commodities and complex health care payment and
delivery systems. She stated that, although there was not an
easy solution to the problem without dismantling and rebuilding
the health care system, the proposed bill was a good first step
toward more transparent pricing. She said that providers to the
state should aspire to transparent pricing in a way that did not
add additional cost to the system. She declared that cost in
the form of compliance should not outweigh the benefits, and the
proposed bill would not impose significant administrative
burdens that would be transferred as higher costs to the
consumer. She reported that ASHNHA hospitals provided
estimates, and she expressed her desire that consumers would
call and ask for price estimates, to either the insurer or the
hospital. She stated that the insurers had the best access to
the best data, and that insurers should be required to also make
transparency tools available to consumers. She declared that
health care price transparency was a complex topic.
REPRESENTATIVE TARR asked if the insurer was also making the
transparency tool available to allow the consumer to determine
what they would owe.
MS. HULTBERG explained that she was not recommending anything
directly related to the proposed bill but simply an additional
way for the consumer to gain access to price information. She
stated that many insurers and many self-insured employers had
price transparency tools. She shared that it was possible to
share information on the employee deductible and out of pocket
cost. She suggested that the proposed bill focused on patients
without insurance who would be paying a rate comparable to the
rack rate. She declared that improvement for the provision of
price information was a shared responsibility of providers and
insurers.
4:12:50 PM
GINA BOSNAKIS, Small Business Owner, stated that she had worked
in the insurance industry for about 30 years. She reported that
she worked daily with employees and families, in addition to her
employer clients, to find the best fit for health insurance.
She testified in support of the proposed bill. She reported
that, although coding issues or incorrect payments could be
quickly fixed, the most common reason for patient calls was for
procedures performed by a provider deemed as out-of-network.
She explained that acceptance of insurance by a provider, and
being an in-network and preferred provider were two very
different things and resulted in a very different charge to the
patient. She said this legislation would give patients the
power to better understand what to ask, prior to incurring
unexpected expenses. She offered her belief that the proposed
bill had the potential to affect the increasing cost of health
care in Alaska.
4:16:08 PM
T.J. ALINEN, Assistant Vice President, Human Resources, Denali
Federal Credit Union, reported that Denali Federal Credit Union
was the third largest credit union in the state, and had 325
employees residing in Alaska. He declared that Denali Federal
Credit Union supported the proposed bill. He stated that the
escalation in cost of health care was one of the greatest
challenges faced by many organizations in the state. He said
that, in a free market, buyers and sellers engaged in
communication in determining pricing for services and goods, yet
this did not occur in the health care industry. He emphasized
that market transparency and the availability of information
would assist all Alaskans for being better health care
consumers.
4:19:01 PM
KYLE MIRKA, Business Owner, reported that his business employed
50 people and provided an employer sponsored health care plan.
He pointed out that, as premiums had risen almost 40 percent, it
would have been cheaper to discontinue the plan and simply pay
the PPACA fine. However, his business wanted to provide health
care benefits to its employees, even though the business
"shouldered the remainder of the burden." He pointed out that
any additional increases would make it not affordable for an
employer sponsored plan. He declared that health care costs in
Alaska "are simply out of control." He opined that it was the
only industry where the costs for services were unknown before
the service was rendered. He shared that a standard answer from
health care professionals for the high cost of health care in
Alaska was that "it's expensive to practice in the state." He
reported that most of his business products could be purchased
in Anchorage for the same price as in Seattle, Pocatello, or
Portland. He acknowledged that, although there were added
freight costs to Alaska, as well as higher labor costs, it was
generally agreed that health care costs in Alaska were
disproportionately higher than anywhere else in the world. He
offered his belief that price transparency was the first step
toward solving the health care problems in Alaska. He declared
his support for the proposed bill.
4:21:17 PM
RHONDA KITTER, Chief Financial Officer, Public Education Health
Trust, reported that the Public Education Health Trust was a not
for profit health insurance provider for public education
employees in Alaska. She relayed that there were 17,000
Alaskans with health insurance through the trust. She added
that she was also the Co-Chair of the Alaskans for Sustainable
Health Costs, a group of employers working together to address
the rising costs of health insurance premiums in Alaska. She
pointed out that the question of how much does it cost was so
integrated into the act of buying that consumers did not have to
ask, as prices were printed, stamped, and posted. She
acknowledged that there were some practices, such as car repair
and home improvement, which did not usually publish prices,
although most professions could not feign a "hard to say"
attitude when questioned about costs. She declared support for
the proposed bill. She stated that the bill "correctly requires
the disclosure of fees at the provider and facility offices,
placing the requirement for public disclosure ... in the offices
of those organizations." She conceded that, while the proposed
bill was not the silver bullet solution for sustainability, it
was "one silver BB that is needed to address the rising cost."
4:23:47 PM
SHAWN PURVIANCE, Valley Block and Concrete, offered his belief
that health care costs had driven health insurance premiums so
high that it was difficult for his business to take care of its
40 employees. He opined that the free enterprise system
required competition, which could not exist unless people knew
the cost of goods, and that the health care needed "to be
brought into the fold of the free enterprise system, so the
consumer can decide what gets them the best value for the
services they require." He declared that he was not a "huge fan
of government regulation of any industries," but he felt this
was an important first step for something which would happen of
its own accord. He offered his belief that the cost of health
care was out of proportion in Alaska, although the insurance
companies did have some culpability. He offered an analogy for
the increased cost of health insurance compared to the cost of
concrete during the past 9 years, pointing out that that it was
not possible to raise concrete prices to stay in step. He asked
why health care was so expensive in Alaska, as it did not cost
that much more to do business in Alaska. He noted that his
business proudly posted its prices on handouts and on its
website. He offered his belief that the proposed bill was an
important first step to provide affordable health care in
Alaska. He declared his support for the proposed bill.
4:29:22 PM
DENISE DANIELLO, Executive Director, Alaska Commission on Aging,
Division of Senior and Disabilities Services, Department of
Health and Social Services (DHSS), expressed support by the
commission for the proposed bill. She offered a brief overview
of the commission. She referenced an earlier statewide meeting
with seniors discussing the proposed bill, and added that there
was an overwhelming positive response for the bill. She shared
that a priority strategy was to disclose health care pricing.
She acknowledged that this was a first step toward a solution
for a very complicated situation. She declared support for HB
123.
4:32:20 PM
CHAIR SPOHNHOLZ closed public testimony.
REPRESENTATIVE EASTMAN asked if a cost comparison with a
competitor had been considered as a means to accomplish price
transparency.
CHAIR SPOHNHOLZ, as the sponsor of the bill, said that this
comparison was usually required of insurance providers, and she
acknowledged that this was a potential option. She said that
the changes to health care costs and reform of the health care
system was a marathon and that the proposed bill was only a few
hundred yards into the first mile, although it was a very
important first step. She offered her belief that it was very
important for consumers to have the necessary information to
make an informed decision at the time of service. She opined
that this was a simple first movement.
REPRESENTATIVE EASTMAN said that he was in support of
transparency and that the proposed bill offered modest gains.
He opined that this information did not necessarily translate to
the transparency he would hope to achieve. He acknowledged that
he did not have an answer, but that he was not overoptimistic
for success.
CHAIR SPOHNHOLZ stated that the feedback was valid, and there
were more comprehensive ways to address the issue. She
suggested that an all payer claims database could be the gold
standard, as it would allow people to look at much more detailed
information which incorporated each individual's insurance
situation. She added that it would also require a significant
fiscal note, which was not feasible in the current financial
situation.
4:37:03 PM
REPRESENTATIVE EDGMON moved to report CSHB 123, Version 30-
LS0380\T, Glover, 3/9/17, out of committee with individual
recommendations and the forthcoming fiscal notes. There being
no objection, CSHB 123 (HSS) was moved from the House Health and
Social Services Standing Committee.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HCR003 ver A 2.23.16.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Sponsor Statement 2.23.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Fiscal Note - Prepared by House H&SS.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Letters of Support A 2.23.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Letters of Support B 2.23.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Supporting Document - Governor Parnell Proclamation HCR21 2014 2.23.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Supporting Document - Providence Hospital Facts About Child Sexual Abuse 2.23.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Supporting Document - Governor Walker Proclamation Child Abuse Prevention and Awareness Month March 2016 2.23.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Supporting Document - Governor Walker Proclamation Sexual Assault Awareness Month March 2016 2.23.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HCR003 Supporting Document - Office of Child Welfare Consequences of Child Abuse and Neglect 2.23.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 3/23/2017 3:00:00 PM |
HCR 3 |
| HB025 ver A 2.16.17.PDF |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Sponsor Statement 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Sectional Analysis ver A 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Fiscal Note DHSS-Medicaid Services 2.28.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Fiscal Note DHSS-DHCS 2.28.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Fiscal Note DCCED-DIO 2.28.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-ADN Commentary 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Cost Savings Study 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Guttmacher Alaska Statistics 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Guttmacher Public Costs from Unintended Pregnancies 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-HB025 Support Emails 2.27.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Letter Kachemak Bay Family Planning Clinic 2.23.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Letter League of Women Voters Alaska 2.24.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-UCSF Study Newspaper Article 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Unintended Pregnancies Study 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Letter Planned Parenthood Votes Northwest & Hawaii 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Letter Dr. Tina Tomsen 2.27.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Support Emails 2.27.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-HB025 Support Emails 3.7.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Letter Anne Green 3.3.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Letter Alaska Nurses Association 3.6.17.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM |
HB 25 |
| HB025 Supporting Document-Letters of Support 3.8.2017.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM |
HB 25 |
| HB025 Opposing Document-Letters of Opposition 3.8.2017.pdf |
HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Opposing Document-Letter NFIB 2.16.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB025 Opposing Document-America's Health Insurance Plans 2.27.17.pdf |
HHSS 2/28/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM HHSS 4/6/2017 3:00:00 PM HHSS 4/11/2017 3:00:00 PM |
HB 25 |
| HB0123 ver O 2.22.17.PDF |
HHSS 3/2/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB0123 Sponsor Statement 2.22.17.pdf |
HHSS 3/2/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB 123 Sectional Analysis 2.22.17.pdf |
HHSS 3/2/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB 123 Fiscal Note DHSS DPH 3.1.17.pdf |
HHSS 3/2/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB0123 Supporting Document-AAMC Price Transparency in the News 2.22.17.pdf |
HHSS 3/2/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB0123 Supporting Document-American's For Progress-Price Transparency 2.22.17.pdf |
HHSS 3/2/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB0123 Supporting Document-Article ADN-A Doctor's Quest to Remain Human Inside an Insane Medical System 2.22.17.pdf |
HHSS 3/2/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB0123 Supporting Document-Truven Health Analytics-Save $36 Billion in US Healthcare Spending Through Price Transparency 2.22.17.pdf |
HHSS 3/2/2017 3:00:00 PM HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB123 Draft Proposed Blank CS ver T 3.9.2017.pdf |
HHSS 3/9/2017 3:00:00 PM |
HB 123 |
| HB123 Explanation of Changes ver T 3.9.2017.pdf |
HHSS 3/9/2017 3:00:00 PM |
HB 123 |