Legislature(2025 - 2026)DAVIS 106

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

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* 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 195-PHARMACIST PRESCRIPTION AUTHORITY                                                                        
                                                                                                                                
3:49:27 PM                                                                                                                    
                                                                                                                                
CHAIR MINA  announced that  the next order  of business  would be                                                               
HOUSE  BILL NO.  195, "An  Act relating  to the  prescription and                                                               
administration of  drugs and devices by  pharmacists; relating to                                                               
reciprocity  for  pharmacists;  and providing  for  an  effective                                                               
date."                                                                                                                          
                                                                                                                                
CHAIR MINA noted those available for questions.                                                                                 
                                                                                                                                
3:50:18 PM                                                                                                                    
                                                                                                                                
CHAIR MINA opened public testimony on HB 195.                                                                                   
                                                                                                                                
3:50:42 PM                                                                                                                    
                                                                                                                                
KARA GAGNON, Director of Pharmacy,  North Star Behavioral Health,                                                               
described her experience working  in the behavioral health system                                                               
in Anchorage,  Alaska, emphasizing a lack  of available providers                                                               
and resources.   She testified in support of  HB 195, emphasizing                                                               
that  it  would help  meet  the  needs of  Anchorage's  community                                                               
members.                                                                                                                        
                                                                                                                                
3:52:19 PM                                                                                                                    
                                                                                                                                
AIMEE  YOUNG, Pharm.D.,  Commissioned  Corps of  the U.S.  Public                                                               
Health Service,  testified in support of  HB 195.  She  said that                                                               
working  for  the  Indian  Health  Service  has  allowed  her  to                                                               
practice  at  the  top  of  her abilities.    She  described  her                                                               
experience of providing vaccines  and pain management treatments.                                                               
She  said  that her  medication-related  expertise  has made  her                                                               
skills highly  valuable and emphasized  that pharmacists  are the                                                               
most accessible  healthcare providers out  there.  She  urged the                                                               
committee to support HB 195  to allow pharmacists to better serve                                                               
their communities.                                                                                                              
                                                                                                                                
3:53:57 PM                                                                                                                    
                                                                                                                                
DAN  HARTMAN, M.D.,  Medical  Director, Southcentral  Foundation,                                                               
testified in support of HB 195.   He said that HB 195 would allow                                                               
pharmacists  to  practice  at  the   scope  and  level  of  their                                                               
training.     He  described  the  training   and  education  that                                                               
pharmacists  are   required  to  undergo.     He  emphasized  the                                                               
important   roles   that   pharmacists  play   in   administering                                                               
healthcare at Southcentral Foundation.   He said the HB 195 would                                                               
increase access  to care for  patients and expand  the healthcare                                                               
workforce.  He asked the committee to support HB 195.                                                                           
                                                                                                                                
3:56:26 PM                                                                                                                    
                                                                                                                                
STEVEN  PEARCE, Director,  Citizens Commission  on Human  Rights,                                                               
expressed  concern  regarding  the  over-prescription  of  "mind-                                                               
altering drugs"  to patients  experiencing mental  health issues.                                                               
He said  that it is very  easy to prescribe psychiatric  drugs to                                                               
kids and  that HB  195 would  make it  easier for  pharmacists to                                                               
also administer  these drugs.   He  said that  psychiatric issues                                                               
should be  treated in  other ways that  medication and  should be                                                               
limited to psychiatrists and other mental health experts.                                                                       
                                                                                                                                
3:58:42 PM                                                                                                                    
                                                                                                                                
MR. PEARCE, in  response to a question  from Representative Prax,                                                               
said that  medical doctors defer  too much to psychiatrists.   He                                                               
said that he would not  advocate for medical doctors to prescribe                                                               
psychiatric drugs  when there are other  treatments available for                                                               
behavioral health issues.                                                                                                       
                                                                                                                                
4:00:30 PM                                                                                                                    
                                                                                                                                
PAM   VENTGEN,   Executive   Director,   Alaska   State   Medical                                                               
Association, testified  in opposition to  HB 195.  She  said that                                                               
HB 195  would allow  pharmacists to  practice medicine  without a                                                               
medical  license.    She  said   that  pharmacists  already  have                                                               
provisions for collaborative practice  authority and HB 195 would                                                               
eliminate  the  need  for collaboration.    She  emphasized  that                                                               
pharmacists are currently over-worked in Alaska.                                                                                
                                                                                                                                
4:02:58 PM                                                                                                                    
                                                                                                                                
BRITTANY  KARNS,  Pharm.D.,  Chief Andrew  Isaac  Health  Center,                                                               
described her education and training  in pharmacy.  She said that                                                               
every profession has  a scope of practice.  She  said that she is                                                               
asking for  prescriptive authority within her  scope of practice,                                                               
as a pharmacist.   She said that pharmacists are  often asked for                                                               
their advice  on prescription  dosages by  medical doctors.   She                                                               
emphasized that  providers are being over-worked  and pharmacists                                                               
could help fill the gaps in care that providers cannot.                                                                         
                                                                                                                                
4:05:27 PM                                                                                                                    
                                                                                                                                
ERIC HOLLAND, Student, Doctor of  Pharmacy Program, University of                                                               
Alaska Anchorage, testified  in support of HB 195.   He described                                                               
his training in Idaho, where  pharmacists enjoy full prescriptive                                                               
authority.   He said that  HB 195 would modernize  Alaska's laws,                                                               
allowing  pharmacists to  treat illnesses  within their  scope of                                                               
training and  expertise.  He emphasized  that pharmacist students                                                               
in his  program want  to stay  in Alaska, but  they also  want to                                                               
practice within  their full scope of  practice.  He said  that HB
195 would help keep pharmacists practicing in Alaska.                                                                           
                                                                                                                                
4:07:07 PM                                                                                                                    
                                                                                                                                
PAUL ZANTO,  Pharmacy Manager, Fred  Meyer, testified  in support                                                               
of HB 195.   He described the services Fred  Meyer stores provide                                                               
to the communities  they operate in and stated that  HB 195 would                                                               
help  expand those  services.   He  said  Fred Meyer  pharmacists                                                               
would welcome  this ability to  further care for  their patients.                                                               
He  described  the  extent  of   training  that  is  required  by                                                               
pharmacists, preparing them for  more prescriptive authority.  He                                                               
said that Fred Meyer strongly supports HB 195.                                                                                  
                                                                                                                                
4:09:22 PM                                                                                                                    
                                                                                                                                
MARY KLIX, M.D., Board Member,  Alaska State Medical Association,                                                               
said that  pharmacists do not  attend medical school and  are not                                                               
trained as  physicians.  She  described the extent  and intensity                                                               
required of  physicians.  She  said that pharmacists do  not have                                                               
diagnostic training and giving  them prescriptive authority could                                                               
be  dangerous.    She  said that  pharmacists  should  engage  in                                                               
collaborative practice agreements if they  want to test and treat                                                               
patients.                                                                                                                       
                                                                                                                                
4:11:45 PM                                                                                                                    
                                                                                                                                
KAREN  MILLER, Pharm.D.,  Foundation  Health Partners,  described                                                               
her  experience working  as a  pharmacist  in Fairbanks,  Alaska.                                                               
She  emphasized  the long  wait  times  for patients  looking  to                                                               
receive   primary  healthcare,   forcing   many  into   emergency                                                               
departments.   She said that  under HB 195, pharmacists  would be                                                               
able  to  help  prevent  patients  from  seeking  emergency  room                                                               
services.  She urged the committee to support HB 195.                                                                           
                                                                                                                                
4:13:37 PM                                                                                                                    
                                                                                                                                
DR.  KLIX, in  response  to questions  from Representative  Prax,                                                               
said that  there are many  medications that both  oncologists and                                                               
family medicine doctors  prescribe.  She said  that the knowledge                                                               
to prescribe  anti-cancer treatments  requires an  additional two                                                               
to three years  of training, but that training is  not a licensed                                                               
requirement.                                                                                                                    
                                                                                                                                
4:15:33 PM                                                                                                                    
                                                                                                                                
CHAIR MINA,  after ascertaining  there was no  one who  wished to                                                               
testify, closed public testimony on HB 195.                                                                                     
                                                                                                                                
4:16:12 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  GRAY thanked  Chair Mina  for sponsoring  HB 195.                                                               
He expressed strong support for HB 195.                                                                                         
                                                                                                                                
4:17:32 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE PRAX  said that he  does not believe HB  195 would                                                               
allow pharmacists to prescribe medication  outside of their scope                                                               
of practice                                                                                                                     
                                                                                                                                
4:18:59 PM                                                                                                                    
                                                                                                                                
BRANDY   SEIGNEMARTIN,  Pharm.D.,   Executive  Director,   Alaska                                                               
Pharmacy Association, at the invitation  of Chair Mina to express                                                               
concerns regarding  scope of practice,  stated that HB  195 would                                                               
require  pharmacists  to  either  collaborate with  or  refer  to                                                               
another  physician  when faced  with  concerns  outside of  their                                                               
scope  of practice.   She  added that  pharmacists often  receive                                                               
certifications to further their  scope of practice in psychiatry,                                                               
oncology, and other specialties.                                                                                                
                                                                                                                                
4:21:09 PM                                                                                                                    
                                                                                                                                
BRITTANY  KEENER, President,  Alaska  Pharmacy Association,  said                                                               
that pharmacists receive trainings  in diagnostics and medication                                                               
management,  and they  receive  specific trainings  based on  the                                                               
specialty areas they may practice within.                                                                                       
                                                                                                                                
4:22:28 PM                                                                                                                    
                                                                                                                                
ASHLEY SCHABER, Pharm.D., Director,  Alaska Board of Pharmacy, in                                                               
response to  a question from Representative  Schwanke, said Idaho                                                               
and  Montana have  similar provisions  in place  and neither  has                                                               
experienced   safety  issues   related   to  pharmacists   having                                                               
prescriptive authorities.                                                                                                       
                                                                                                                                
4:23:20 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  GRAY provided  an anecdote  regarding a  pharmacy                                                               
student that studied medicine alongside  him.  He emphasized that                                                               
pharmacists  do  have  the  training  required  for  prescriptive                                                               
authority.                                                                                                                      
                                                                                                                                
4:24:36 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MEARS moved  to report  HB 195  out of  committee                                                               
with  individual  recommendations  and  the  accompanying  fiscal                                                               
notes.  There being no objection,  HB 195 was reported out of the                                                               
House Health and Social Services Standing Committee.                                                                            

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