Legislature(2025 - 2026)DAVIS 106

05/01/2025 03:15 PM House HEALTH & SOCIAL SERVICES

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

Download Mp3. <- Right click and save file as

* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 138 BEH. HEALTH CRISIS SURCHARGE & FUND TELECONFERENCED
Moved HB 138 Out of Committee
-- Invited & Public Testimony --
+= HB 195 PHARMACIST PRESCRIPTION AUTHORITY TELECONFERENCED
Moved HB 195 Out of Committee
-- Public Testimony --
*+ HB 141 PUBLIC BUILDINGS: CHANGING FACILITIES TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 64 SURRENDER OF INFANTS; INF. SAFETY DEVICE TELECONFERENCED
Moved HB 64 Out of Committee
          HB 141-PUBLIC BUILDINGS: CHANGING FACILITIES                                                                      
                                                                                                                                
4:33:38 PM                                                                                                                    
                                                                                                                                
CHAIR MINA  announced that the  final order of business  would be                                                               
HOUSE  BILL  NO. 141,  "An  Act  relating to  universal  changing                                                               
facilities in public buildings."                                                                                                
                                                                                                                                
4:34:08 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  ASHLEY  CARRICK,  Alaska  State  Legislature,  as                                                               
prime sponsor,  briefly presented HB 141.   She said that  HB 141                                                               
would require the installation of  at least one changing facility                                                               
that is  universal in all  public buildings during  renovation or                                                               
construction  that  costs  over  $30,000.    She  said  that  the                                                               
addition of these changing tables  would foster inclusion for all                                                               
people,  regardless   of  age,  disability  status,   or  medical                                                               
condition.    She  added  that seven  states  have  passed  bills                                                               
similar to HB 141 into law.                                                                                                     
                                                                                                                                
4:35:29 PM                                                                                                                    
                                                                                                                                
GRIFFEN  SUKKAEW, Staff,  Representative  Ashley Carrick,  Alaska                                                               
State  Legislature, on  behalf of  Representative Carrick,  prime                                                               
sponsor  of  HB 141,  stated  that  there  are many  benefits  of                                                               
universal changing facilities, including  ensuring all people are                                                               
treated with  dignity, regardless  of age, disability  status, or                                                               
medical condition.   He said that these  facilities would require                                                               
private, safe, hygienic restroom spaces  for all individuals.  He                                                               
stated  that  they  would also  increase  public  involvement  by                                                               
increasing  inclusion and  decreasing  isolation of  individuals,                                                               
their families, and  their caretakers.  He  then displayed images                                                               
for the  committee to better understand  the installation process                                                               
and stated that they typically cost between $2,000 and $5,000.                                                                  
                                                                                                                                
4:37:05 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE CARRICK  said that she included  Alaska's deferred                                                               
maintenance listed  in her slideshow  to illustrate the  scope of                                                               
what would be fixed under HB 141.                                                                                               
                                                                                                                                
4:38:02 PM                                                                                                                    
                                                                                                                                
MR.  SUKKAEW   said  that  seven   states  have   already  passed                                                               
legislation   relating  to   the   use   of  universal   changing                                                               
facilities.   He listed those states  as well as the  four states                                                               
pending similar legislation.                                                                                                    
                                                                                                                                
4:38:51 PM                                                                                                                    
                                                                                                                                
CHAIR MINA, in response to  Representative Carrick, asked for the                                                               
presentation of the sectional analysis.                                                                                         
                                                                                                                                
4:39:07 PM                                                                                                                    
                                                                                                                                
MR. SUKKAEW gave  the sectional analysis for HB  141 [included in                                                               
the committee file], which read  as follows [original punctuation                                                               
provided]:                                                                                                                      
                                                                                                                                
     Section  1.  Amends  AS  18.35   by  adding  a  section                                                                  
     18.35.150   which   relates   to   universal   changing                                                                    
     facilities in public buildings.                                                                                            
     Subsection   a.   Establishes  requirements   for   the                                                                  
     instillation  of   at  least  one   universal  changing                                                                    
     facility  in  all  public   buildings  during  any  new                                                                    
     construction or remodel that  costs over $30,000. These                                                                    
     requirements include                                                                                                       
     -buildings having  at least one public  restroom with a                                                                    
     universal changing facility                                                                                                
     -buildings  having  at  least  one  universal  changing                                                                    
     facility in both the men's and women's                                                                                     
     restroom if  all restroom in  the building  are divided                                                                    
     by gender                                                                                                                  
     Subsection b.  Establishes exemptions to  subsection a.                                                                  
     These exemptions include                                                                                                   
     -if the  instillation of a universal  changing facility                                                                    
     is not practicable                                                                                                         
     -if the  instillation of a universal  changing facility                                                                    
     would cause  the restroom to no  longer meet accessible                                                                    
     building standards                                                                                                         
     Subsection c.  Establishes that  the owner  or building                                                                  
     tenant  must  report  the  location  of  the  universal                                                                    
     changing facility                                                                                                          
     Subsection  d.  Establishes  that the  department  must                                                                  
     include   the  location   of  the   universal  changing                                                                    
     facility   on  the   departments  publicly   accessible                                                                    
     website                                                                                                                    
     Subsection  e.  Requires   that  the  department  adopt                                                                  
     regulations which establish  the standards of universal                                                                    
     changing facilities                                                                                                        
     Subsection f.  Establishes that the violation  of these                                                                  
     requirements  results in  an individual  right to  sue,                                                                    
     with court  ordered awards that may  include prevailing                                                                    
     plaintiff  injunctive  and declaratory  relief,  actual                                                                    
     damages, and attorney fees and costs                                                                                       
     Subsection g. Definitions                                                                                                
     -establishes the  "department" to be the  Department of                                                                  
     Transportation and Public facilities                                                                                       
     - establishes  "public building" to be  a building that                                                                    
     is  owned,  controlled,  and  held   by  the  state  or                                                                    
     political subdivision  of the state for  public use, or                                                                    
     a public transportation facility  which is supported by                                                                    
     public finds                                                                                                               
     -establishes a  "universal changing  facility" to  be a                                                                    
     table  or   device  that  is  suitable   for  providing                                                                    
     personal care for both a child and an adult                                                                                
                                                                                                                                
4:41:55 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE GRAY, referring  to page 1, line 15,  in Section 1                                                               
of HB 141, expressed concern  that the "not practicable" language                                                               
would  provide   an  "easy  out"  to   avoid  universal  changing                                                               
facilities.   He asked if there  is a standard for  what would be                                                               
considered practicable or not.                                                                                                  
                                                                                                                                
4:42:21 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE CARRICK responded that this  is one issue with the                                                               
current language  of HB 141, stating  that it would be  up to the                                                               
committee  to define  what would  be  practicable and  not.   She                                                               
added that "practicable" is commonly used in statute.                                                                           
                                                                                                                                
4:43:17 PM                                                                                                                    
                                                                                                                                
MR. SUKKAEW,  in response to questions  from Representative Gray,                                                               
stated  that the  fourth floor  of the  Capitol does  not have  a                                                               
universal changing facility;  it is just a  larger youth changing                                                               
table.   He said that the  weight limit for a  universal changing                                                               
facility should  hold up to 400  pounds and measure 70  inches by                                                               
30 inches.                                                                                                                      
                                                                                                                                
4:44:37 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CARRICK,  in  response  to  Representative  Gray,                                                               
stated that the cost of  installing a universal changing facility                                                               
can  vary, depending  on the  different styles  of the  facility.                                                               
She added that the larger,  gender neutral bathroom on the ground                                                               
floor  of the  Capitol  would be  the  most effective  renovation                                                               
location.                                                                                                                       
                                                                                                                                
4:46:13 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CARRICK,  in  response  to  Representative  Prax,                                                               
stated that universal changing facilities  are not required under                                                               
the Americans  with Disabilities  Act (ADA),  but there  are many                                                               
state   facilities   that  do   not   currently   meet  all   ADA                                                               
requirements.                                                                                                                   
                                                                                                                                
4:46:38 PM                                                                                                                    
                                                                                                                                
CHAIR MINA announced invited testimony on HB 141.                                                                               
                                                                                                                                
4:46:54 PM                                                                                                                    
                                                                                                                                
CHELSEA  BURKE,  Health and  Social  Services  Planner, State  of                                                               
Alaska Governor's Council on  Disabilities and Special Education,                                                               
testified  in support  of HB  141.   She said  that HB  141 would                                                               
address the right  that all Alaskans have to  safe, sanitary, and                                                               
hygienic  restroom facilities.    She said  that currently,  many                                                               
individuals with  complex disabilities are required  to change in                                                               
unsafe,  unsanitary, and  undignified ways  in public  buildings,                                                               
including often on the floors  of restrooms.  She emphasized that                                                               
HB  141  would  ensure  privacy  and  dignity,  and  would  allow                                                               
individuals   with  disabilities,   their  families,   and  their                                                               
caregivers to  participate more fully in  community life, without                                                               
constantly   worrying   if   sanitary  accommodation   would   be                                                               
available.    She  referred  to  Judy  Edwards,  another  invited                                                               
testifier, and  her personal  story that  inspired change  in the                                                               
Anchorage community.   She said that HB 141 would  send the clear                                                               
message that  all Alaskans are  welcome, wanted, and  included in                                                               
public spaces.                                                                                                                  
                                                                                                                                
4:50:20 PM                                                                                                                    
                                                                                                                                
JUDY  EDWARDS,  Campaign  Advocate,   Changing  Spaces  -  Alaska                                                               
Chapter, testified in  support of HB 141.  She  shared a personal                                                               
anecdote  about a  medical trip  she  took with  her son,  during                                                               
which  she  had  to  change  him on  the  Ted  Stevens  Anchorage                                                               
International Airport bathroom floor in  the middle of the night.                                                               
She  described the  experience for  both herself  and her  son as                                                               
risky, difficult,  and demeaning.   She said that when  she knows                                                               
there  might not  be a  proper changing  facility available,  she                                                               
limits her son's  intakes to avoid the need for  a restroom while                                                               
traveling, which is  unsafe for him.  Ms. Edwards  added that her                                                               
other options include leaving her  son in spoiled clothing, which                                                               
is  extremely  unsanitary,  or   avoiding  social  situations  in                                                               
general.    She  emphasized  that   even  hospitals  lack  proper                                                               
changing  facilities for  people  with  complex disabilities  and                                                               
emphasized the committee to support HB 141.                                                                                     
                                                                                                                                
4:53:55 PM                                                                                                                    
                                                                                                                                
MS.  EDWARDS, in  response to  a question  from Chair  Mina, said                                                               
that she is only aware of  a few universal changing facilities in                                                               
Alaska, including at the Arts  Center in Anchorage and the Mat-Su                                                               
Health Foundation in Wasilla.                                                                                                   
                                                                                                                                
4:54:40 PM                                                                                                                    
                                                                                                                                
WENDY CLOYD, Board Member, Key  Coalition of Alaska, testified in                                                               
support of HB  141.  She described her  professional and personal                                                               
experience  advocating  for  individuals  with  intellectual  and                                                               
developmental   disabilities.      She  said   that   many   with                                                               
intellectual    and    developmental   disabilities    experience                                                               
incontinence  and  universal  changing  facilities  would  ensure                                                               
equity and inclusion  for all individuals in public  spaces.  She                                                               
shared a  story of changing her  son in a public  restroom tucked                                                               
in a tiny stall for privacy  and shared that many individuals and                                                               
caregivers  must leave  events when  they lack  sanitary changing                                                               
facilities.   She emphasized  that universal  changing facilities                                                               
provide  dignity, privacy,  and safety  for personal  care.   She                                                               
said that the Key Coalition of Alaska strongly supports HB 141.                                                                 
                                                                                                                                
4:57:20 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  PRAX requested  a call  to discuss  the practical                                                               
aspects of HB 141.                                                                                                              
                                                                                                                                
4:57:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CARRICK  noted that  there  is  a nationwide  map                                                               
online  that  shows only  two  universal  changing facilities  in                                                               
public facilities in Alaska.                                                                                                    
                                                                                                                                
4:58:57 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MEARS asked  how the renovation limit  on cost was                                                               
decided.                                                                                                                        
                                                                                                                                
REPRESENTATIVE   CARRICK  responded   that  that   threshold  was                                                               
suggested by the Governor's Council  on Disabilities and that she                                                               
supports the proposed limit.                                                                                                    
                                                                                                                                
REPRESENTATIVE MEARS asked if there  is an international building                                                               
code  or  other  standard  for   the  construction  of  universal                                                               
changing facilities.                                                                                                            
                                                                                                                                
CHAIR MINA noted  that there are individuals  online available to                                                               
answer questions.                                                                                                               
                                                                                                                                
5:00:53 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CARRICK  deferred  to someone  online  to  answer                                                               
Representative Mears' question.                                                                                                 
                                                                                                                                
5:01:11 PM                                                                                                                    
                                                                                                                                
CHRISTOPHER HODGIN,  Statewide Public Facilities  Chief, Division                                                               
of  Facility Services,  Department of  Transportation and  Public                                                               
Facilities  (DOT&PF),  responded  that  he  is  not  aware  of  a                                                               
standard   for   universal   changing   facilities   within   the                                                               
international building codes.                                                                                                   
                                                                                                                                
5:02:38 PM                                                                                                                    
                                                                                                                                
MR.  SUKKAEW  added  that  there   is  code  regarding  universal                                                               
changing  facilities in  the  2024  international building  code,                                                               
under Section 1110.4                                                                                                            
                                                                                                                                
5:03:29 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   CARRICK,  in   response  to   a  question   from                                                               
Representative  Prax,  said  that  $30,000   is  not  a  lot  for                                                               
construction or  renovation projects,  and the  intent of  HB 141                                                               
would indeed be to install  as many universal changing facilities                                                               
as possible.                                                                                                                    
                                                                                                                                
5:05:10 PM                                                                                                                    
                                                                                                                                
MR.  HODGIN  said that  the  majority  of DOT&PF's  remodels  and                                                               
renovations cost over $30,000.                                                                                                  
                                                                                                                                
REPRESENTATIVE PRAX asked  if there is a threshold  when a repair                                                               
would  exceed "normal  maintenance" covered  under the  operating                                                               
budget.                                                                                                                         
                                                                                                                                
MR. HODGIN  responded that he is  unaware of a threshold  of that                                                               
kind.                                                                                                                           
                                                                                                                                
5:06:26 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   CARRICK,  in   response  to   a  question   from                                                               
Representative  Gray, said  that questions  regarding the  fiscal                                                               
note  could be  directed  to  the department.    She agreed  that                                                               
having one free-standing changing  table in every public facility                                                               
in  Alaska  could  be  a  cost-effective  way  to  mitigate  this                                                               
problem.                                                                                                                        
                                                                                                                                
5:09:28 PM                                                                                                                    
                                                                                                                                
CHAIR  MINA asked  about  the cost  of  installing the  universal                                                               
changing   facility  at   Ted  Stevens   Anchorage  International                                                               
Airport.                                                                                                                        
                                                                                                                                
5:09:57 PM                                                                                                                    
                                                                                                                                
MR.  HODGIN responded  that the  installation cost  $70,000.   He                                                               
said  that   it  included  extending   the  restroom   space  and                                                               
electrical system.                                                                                                              
                                                                                                                                
5:10:55 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SCHWANKE said  that the  words "public  building"                                                               
are very broad  and that many public buildings in  the state have                                                               
no public restrooms.                                                                                                            
                                                                                                                                
REPRESENTATIVE CARRICK  responded that she shares  those concerns                                                               
and she supports the committee  working to clarify language in HB
141.                                                                                                                            
                                                                                                                                
CHAIR MINA thanked  DOT&PF for its work on the  fiscal note.  She                                                               
noted that  there are  706 public facilities  in Alaska,  and she                                                               
said that she  supports narrowing the language of the  bill.  She                                                               
asked Mr. Mills to provide clarity on the fiscal note.                                                                          
                                                                                                                                
5:13:56 PM                                                                                                                    
                                                                                                                                
ANDY  MILLS, Legislative  Liaison,  Office  of the  Commissioner,                                                               
Department  of Transportation  and  Public Facilities,  responded                                                               
that  the fiscal  note illustrates  the interagency  funding that                                                               
would be  required for the  installation of a  universal changing                                                               
facility.   He said he appreciates  Representative Gray's problem                                                               
solving.                                                                                                                        
                                                                                                                                
CHAIR  MINA asked  what the  funding mechanism  in the  budget is                                                               
that would enable the installation of these facilities.                                                                         
                                                                                                                                
MR. MILLS responded there would  be exemptions for the case where                                                               
the  installation  of  a  universal   changing  facility  is  not                                                               
practicable.  He said that he  would help analyze and define what                                                               
the threshold for what  "practicable" conditions for installation                                                               
would be.                                                                                                                       
                                                                                                                                
REPRESENTATIVE CARRICK, in response  to Representative Gray, said                                                               
that her intention,  as prime sponsor, would be to  have at least                                                               
one universal changing facility  in every public-school building,                                                               
and two  to three  facilities for each  university campus  in the                                                               
state.   She reiterated  that she is  very interested  in working                                                               
with  the committee  to  refine  the language  of  HB  141.   She                                                               
emphasized that  if cost were  not a  barrier, she would  like to                                                               
see  a  universal  changing  facility   in  every  single  public                                                               
building.                                                                                                                       
                                                                                                                                
REPRESENTATIVE PRAX  commented that  he thinks HB  141 is  a good                                                               
idea  but is  way too  broad of  an idea.   He  expressed concern                                                               
about laws being abused.                                                                                                        
                                                                                                                                
CHAIR MINA  clarified that someone's disability  cannot always be                                                               
identified  by  their  appearance   and  that  not  all  disabled                                                               
individuals use a wheelchair.                                                                                                   
                                                                                                                                
5:21:00 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  CARRICK emphasized,  "You can't  use what  is not                                                               
available for  you to use."   She said that  this is a  clear and                                                               
present need  and that the legislature  should do what it  can to                                                               
address this need.                                                                                                              
                                                                                                                                
REPRESENTATIVE  PRAX agreed  that this  is a  need and  expressed                                                               
hope  to accommodate  it.   He  emphasized  that the  legislature                                                               
cannot accommodate all needs.                                                                                                   
                                                                                                                                
5:22:37 PM                                                                                                                    
                                                                                                                                
CHAIR MINA announced HB 141 was held over.                                                                                      

Document Name Date/Time Subjects
HB141 Sectional Analysis version A.pdf HHSS 5/1/2025 3:15:00 PM
HB 141
HB141 Sponsor Statement version A.pdf HHSS 5/1/2025 3:15:00 PM
HB 141
HB141-DOT-DFS-04-12-2025.pdf HHSS 5/1/2025 3:15:00 PM
HB 141
HB 141 Combined Bill Packet 04.30.25.pdf HHSS 5/1/2025 3:15:00 PM
HB 141
HB 141 Letters of Support 04.14.25.pdf HHSS 5/1/2025 3:15:00 PM
HB 141
HB 141 Version A.pdf HHSS 5/1/2025 3:15:00 PM
HB 141
HB141 Presentation.pdf HHSS 5/1/2025 3:15:00 PM
HB 141
HB 195 Letters of Support 04.30.25.pdf HHSS 5/1/2025 3:15:00 PM
HB 195
HB 138 Letters of Support 04.30.25.pdf HHSS 5/1/2025 3:15:00 PM
HB 138