Legislature(2023 - 2024)BELTZ 105 (TSBldg)
04/19/2023 01:30 PM Senate LABOR & COMMERCE
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| Audio | Topic |
|---|---|
| Start | |
| SB45 | |
| SB85 | |
| SB126 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| += | SB 45 | TELECONFERENCED | |
| += | SB 85 | TELECONFERENCED | |
| += | SB 126 | TELECONFERENCED | |
| + | TELECONFERENCED | ||
SB 45-DIRECT HEALTH AGREEMENT: NOT INSURANCE
1:36:06 PM
CHAIR BJORKMAN announced the consideration of SENATE BILL NO. 45
"An Act relating to insurance; relating to direct health care
agreements; and relating to unfair trade practices."
He stated that this is the third hearing of this bill and
Jasmine Martin would give a recap.
1:36:36 PM
JASMINE MARTIN, Staff, Senator David Wilson, Alaska State
Legislature, Juneau, Alaska, gave a recap of SB 45. She stated
that this bill would allow healthcare providers and their
patients to enter into direct healthcare agreements and clarify
that these do not lie within the state insurance bounds.
CHAIR BJORKMAN solicited a motion to adopt the proposed
committee substitute for SB 45.
1:37:17 PM
SENATOR GRAY-JACKSON moved to adopt the committee substitute
(CS) for SB 45, work order 33-LS0211\R, as the working document.
CHAIR BJORKMAN objected for the purpose of discussion.
1:37:47 PM
KONRAD JACKSON, Staff, Senator Jesse Bjorkman, Alaska State
Legislature, Juneau, Alaska, presented an explanation of changes
from version U to version R of SB 45. He stated that the first
change is in the title, relating to the duties of the director
of the Division of Insurance in the Department of Commerce,
Community and Economic Development (DCCED). An addition on line
4 provides for an effective date. Another addition regarding
healthcare services provided under a direct healthcare agreement
reads as, "care provided by a primary care provider to that
patient", along with additional language in the bill that
specifies the definition relating to the primary care physician.
The next change on page 4, is the deletion of a section from
line 19 to line 22, removing the portion of the bill that would
exempt this by regulation of the Division of Insurance. An
insertion puts this clearly under the direction of the Division
of Insurance and includes language that provides for penalties.
Language has been added that requires physicians licensed under
AS 08.64 who established residency in the state. Language
defining a primary care provider has been added to paragraph 10.
On the last page there are three new sections. One section is
transition language to allow the director of the Division of
Insurance to begin drafting regulations. The remaining sections
are effective date clauses.
CHAIR BJORKMAN removed his objection. Finding no further
objections, CSSB 45, work order 33-LS0211\R, was adopted as the
working document.
CHAIR BJORKMAN said the committee received three amendments for
consideration. The amendments were drafted to the previous
version U of the bill, CSSB 45(HSS), rather than CSSB 45, work
order 33-LS0211/R. The committee will consider the amendments as
conceptual amendments, and grants Legislative Legal the
authority to make conforming changes to the bill for any
conceptual amendment the committee adopts.
1:42:21 PM
SENATOR DUNBAR moved to conceptually adopt Amendment 1, work
order 33-LS0211\U.1, for SB 45.
33-LS0211\U.1
Marx
3/28/23
AMENDMENT 1
OFFERED IN THE SENATE BY SENATOR DUNBAR
TO: CSSB 45(HSS)
Page 3, line 29:
Delete "or (g)"
CHAIR BJORKMAN objected for the purpose of discussion.
SENATOR DUNBAR explained that Amendment 1 deletes subsection
(g).
1:43:51 PM
CHAIR BJORKMAN removed his objection; he found no further
objection and Amendment 1 was adopted.
1:44:08 PM
SENATOR DUNBAR did not offer Amendment 2.
SENATOR DUNBAR moved to conceptually adopt Amendment 3, work
order 33-LS0211\U.6, for CSSB 45.
33-LS0211\U.6
Wallace
4/6/23
AMENDMENT 3
OFFERED IN THE SENATE BY SENATOR DUNBAR
TO: CSSB 45(HSS)
Page 2, following line 24:
Insert a new subsection to read:
"(c) The amount of the periodic fee may not
be based solely on the patient's health status or
sex."
Reletter the following subsections accordingly.
Page 3, line 29:
Delete "(c) or (g)"
Insert "(d) or (h)"
Page 3, line 31:
Delete "(f) or (g)"
Insert "(g) or (h)"
Page 6, line 24:
Delete "AS 21.03.025(n)"
Insert "AS 21.03.025(o)"
Page 6, line 25:
Delete "AS 21.03.025(n)"
Insert "AS 21.03.025(o)"
Page 6, line 27:
Delete "AS 21.03.025(n)"
Insert "AS 21.03.025(o)"
CHAIR BJORKMAN objected for purposes of discussion.
SENATOR DUNBAR explained that Amendment 3 inserts a new
subsection that reads "The amount of the periodic fee may not be
based solely on the patient's health status or sex." This
subsection is intended to prevent gender discrimination in fees.
The remaining amendment contains conforming changes.
1:45:00 PM
CHAIR BJORKMAN removed his objection.
1:45:07 PM
SENATOR GRAY-JACKSON sought clarification that Amendment 3
pertains to health status as well as sex.
SENATOR DUNBAR answered yes. He clarified that the page and line
numbers in Amendment 3 do not match version \R of the bill,
noting that Legislative Legal will make conforming changes in
the final version of the bill.
1:46:03 PM
CHAIR BJORKMAN removed his objection; he found no further
objection and Amendment 3 was adopted.
CHAIR BJORKMAN sought the will of the committee.
1:46:30 PM
SENATOR GRAY-JACKSON moved to report CSSB 45, work order 33-
LS0211\R, as amended, from committee with individual
recommendations and attached fiscal note(s). She further moved
that the committee grant Legislative Legal authorization to make
conforming changes.
1:46:57 PM
CHAIR BJORKMAN found no objection and CSSB 45(L&C) was reported
from the Senate Labor and Commerce Standing Committee.
| Document Name | Date/Time | Subjects |
|---|---|---|
| SB 85 Draft Proposed Amendment A.1.pdf |
SL&C 4/19/2023 1:30:00 PM |
SB 85 |
| SB 126 Fiscal Note-DCCED-CBPL-04.15.23.pdf |
SL&C 4/19/2023 1:30:00 PM |
SB 126 |
| SB 45 Draft Proposed Amendment U.6.pdf |
SL&C 4/19/2023 1:30:00 PM |
SB 45 |
| SB 45 Draft Proposed Amendment U.5.pdf |
SL&C 4/19/2023 1:30:00 PM |
SB 45 |
| SB 45 Draft Proposed Amendment U.1.pdf |
SL&C 4/19/2023 1:30:00 PM |
SB 45 |
| SB 45 Draft Proposed CS ver R.pdf |
SL&C 4/19/2023 1:30:00 PM |
SB 45 |