Legislature(2021 - 2022)SENATE FINANCE 532
05/12/2022 01:00 PM Senate FINANCE
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| Audio | Topic |
|---|---|
| Start | |
| HB265 | |
| SB124 || HB172 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| + | TELECONFERENCED | ||
| + | HB 265 | TELECONFERENCED | |
| + | SB 124 | TELECONFERENCED | |
| *+ | HB 172 | TELECONFERENCED | |
SENATE BILL NO. 124
"An Act relating to admission to and detention at a
subacute mental health facility; establishing a
definition for 'subacute mental health facility';
establishing a definition for 'crisis residential
center'; relating to the definitions for 'crisis
stabilization center'; relating to the administration
of psychotropic medication in a crisis situation;
relating to licensed facilities; and providing for an
effective date."
CS FOR HOUSE BILL NO. 172(FIN) am
"An Act relating to crisis stabilization centers,
crisis residential centers, and subacute mental health
facilities; relating to representation by an attorney;
relating to the administration of psychotropic
medication in a crisis situation; relating to
hospitalizations for mental health evaluation;
relating to licensed facilities; relating to a report
to the legislature on psychiatric patients and patient
rights; and providing for an effective date."
1:38:55 PM
Co-Chair Stedman relayed that it was the first hearing for
SB 124. It was the committees intention to hear a bill
introduction, consider a sectional analysis and comparison
of the House and Senate versions of the bill, take invited
and public testimony, and set the bill aside for further
review.
1:39:55 PM
HEATHER CARPENTER, HEALTH CARE POLICY ADVISOR, DEPARTMENT
OF HEALTH AND SOCIAL SERVICES, introduced herself.
STEVE WILLIAMS, CEO, ALASKA MENTAL HEALTH TRUST AUTHORITY,
showed a presentation entitled "TRANSFORMING A BEHAVIORAL
HEALTH CRISIS SYSTEM OF CARE," (copy on file). He turned to
slide 2, "Change is Needed":
Currently, Alaskans in crisis are primarily served by
law enforcement, emergency rooms, and other
restrictive environments
• Behavioral health crisis response is outside the
primary scope of training for law enforcement,
and reduces focus on crime prevention
• Limited Designated Evaluation & Treatment (DET)
capacity in four communities: Juneau (BRH),
Fairbanks (FMH), Mat-Su (MSRH), Anchorage (API)
• Emergency rooms are not designed for and can be
overstimulating to someone in an acute
psychiatric crisis
Mr. Williams showed slide 3, "HB172 is a Path Forward":
HB172 will:
1) Effectuate a "No Wrong Door" approach to
stabilization services
2) Enhance options for law enforcement and first
responders to efficiently connect Alaskans in crisis
to the appropriate level of crisis care
3) Support more services designed to stabilize
individuals who are experiencing a mental health
crisis
• 23-hour crisis stabilization centers
• Short-term crisis residential centers
4) Protect patient rights
Mr. Williams cited that the proposed protections for
patients' rights had come from advocates in the community.
He continued that the bill proposed a best-practice
framework that would transform Alaskas crisis care system
and had been developed in collaboration with over 300
individuals, 100 organizations statewide, the department,
and other key informants.
Ms. Carpenter showed slide 4, "Building Blocks of
Psychiatric Crisis System Reform":
1) SB74 Medicaid Reform (2016)
• Improve Access, quality, outcomes, and contain
costs
2) 1115 Behavioral Health Waiver
• Targets resources and services to "super
utilizers"
• Provides flexibility in community behavioral
health services and supports
• Creates new crisis service types that promote
interventions in the appropriate settings and at
the appropriate levels
3) System must be intentionally designed and promote a
"no wrong door" philosophy
Ms. Carpenter described the no wrong door philosophy as a
robust crisis response system for those experiencing a
mental health crisis and unable to seek care voluntarily.
1:44:05 PM
Mr. Williams referenced slide 5, "GOAL: Design and
implement a behavioral health crisis response system
analogous to the physical health system," which showed two
graphical flow charts. He described that the graphics [on
the first flow chart] were to illustrate what the current
medical/physical health system looked like. He asserted
that the same structure needed to be available for those in
a mental health crisis, to provide an appropriate response
and level of care or resolution. He noted that the model
[on the second flow chart] had been examined by the
department and the trust and was operated in other states
around the country. He mentioned Maricopa County in
Arizona, and visits to learn about its existing system that
was hoped to be modelled and implemented in Alaska.
Mr. Williams tuned to slide 6, "Stakeholder Engagement":
Healthcare Providers
State Agencies
Law Enforcement and First Responders
Beneficiary Advocates and Nonprofits
Local Governments
Ms. Carpenter addressed slide 7, "Enhanced Psychiatric
Crisis Continuum of Care," which showed a graphic depicting
where the proposed new services fit into the existing
continuum of care. She highlighted that under the 1115
Medicaid waiver, the mobile crisis teams, the 23-hour
stabilization, and the short-term stabilization were all
Medicaid billable services.
1:46:55 PM
Mr. Williams spoke to slide 8, "Crisis Stabilization Center
(23 hour)":
Provides prompt, medically monitored crisis
observation and psychiatric stabilization services
• No wrong door - walk-in, referral, and first
responder drop off
• Staffed 24/7, 365 with a multi-disciplinary team
• High engagement/Recovery oriented (Peer Support)
• Immediate assessment and stabilization to avoid
higher levels of care where possible
• Safe and secure
• Coordination with community-based services
Mr. Williams dicussed the scenario of law enforcement
interfacing with someone in a behavioral health crisis. In
such circumstances, if the individual was taken to an
emergency room, they would be taken in handcuffs.
Additionally, while waiting to be admitted, the individual
would wait in the squad car and it could take several hours
for the law enforcement to be able to return to duties.
Mr. Williams displayed slide 9, "Short-Term Crisis
Residential Stabilization Center":
A 24/7 medically monitored, short-term, crisis
residential program that provides psychiatric
stabilization
• Safe and secure serves voluntary and
involuntary placements
• High engagement/Recovery oriented (Peer Support)
• Multi-disciplinary treatment team
• Short-term with 16 or fewer beds
• Stabilize and restore avoid need for inpatient
hospitalization where possible
• Coordination with community-based services
Mr. Williams showed slide 10, "Enhanced crisis response
would reduce the number of people entering the most
restrictive levels of care," which showed a graphic
depicting a snapshot of ten years of data from Georgia, a
state which operated the full continuum of care. He
described that of 100 calls to the crisis care line, 90
were resolved over the phone. He reminded that the
individuals on the phone were licensed professionals. He
described mobile crisis teams, equipped with a mental
health professional and a peer. He noted that there were
mobile crisis teams operating in Fairbanks and Anchorage.
He discussed success of the mobile crisis team in Georgia.
He summarized that the robust continuum of care showed that
instead of using emergency services as the default
treatment, it was possible to triage the system and avoid
using higher levels of care.
1:51:04 PM
Ms. Carpenter spoke to slide 11, "Alaska Statute Title 47":
Collaborative Approach to Transforming our Response to
Alaskans in a Behavioral Health Crisis
HB172 Mental Health Facilities & Meds
Ms. Carpenter highlighted that in the fall of 2018 the
Alaska Psychiatric Institute (API) was in a crisis and the
census was greatly reduced. At the time, individuals having
a psychiatric crisis (but having committed no crime) were
being held at correctional facilities due to no capacity at
API or other hospitals, and the Disability Law Center and
the Public Defender Agency had then sued the department.
The judge had found against the state in 2019, and the
process of coming to a settlement was begun. Part of the
ruling and settlement was the need to seek alternatives in
places to provide 72-hour evaluations in less restrictive
settings such as crisis stabilization centers and crisis
residential centers that the Crisis Now model would allow.
Ms. Carpenter turned to slide 12, "Key Takeaways":
HB172 Does:
• Create a "no wrong door" approach to providing
medical care to a person in psychiatric crisis
• Provide law enforcement with additional tools to
protect public safety
• Expand the number of facilities that can conduct
a 72-hour evaluation
• Add a new, less restrictive level of care
• Facilitate a faster and more appropriate response
to a crisis, expand the types of first responders
that can transport an individual in crisis to an
appropriate crisis facility
HB172 Does Not:
• Interfere with an officer's authority or ability
to make an arrest
• Change who has the current statutory authority to
administer crisis medication
• Change current statutory authority for who can
order an involuntary commitment
• Reduce the individual rights of the adult or
juvenile in crisis; the parents' rights of care
for their child; or existing due process rights
of the individual in crisis
Ms. Carpenter listed Emergency Medical Technicians (EMTs),
paramedics, and firefighters as the types of first
responders that could transport an individual in crisis to
a crisis center. She noted that under the bill, crisis
medication could only be prescribed by a physician, an
advanced nurse practitioner, or a physicians assistant.
Mr. Williams addressed slide 13, "Current Flow for
Involuntary Commitment," which showed a flow chart that
illustrated the current system. He drew attention to the
bottom left corner, which showed that hospital emergency
rooms and jails were used, with law enforcement as the
primary response.
1:55:00 PM
Mr. Williams showed slide 14, "Flow for Involuntary
Commitment with Statutory Changes," which showed a flow
chart. He drew attention to the lower left of the slide,
which showed the addition of mobile crisis teams, crisis
stabilization centers, and additional crisis residential
centers.
Ms. Carpenter displayed slide 15, "HB 172 Committee
Substitute Highlights (ver. D.A)":
Key Improvements
1) Adds new language for a "health officer", newly
defined in Section 26
2) Changes length of stay from up to 5 days to up to 7
days at a Short-term Crisis Residential Center
3) Adds provisions for protecting patient rights
• 72 hrs. clock for an ex-parte hearing starts when
a person (respondent) is delivered to a Crisis
Stabilization or Crisis Residential Center;
• Attorney is appointed for the respondent;
• Court shall notify the respondent's guardian, if
any
• Computation for seven-days at a Short-term Crisis
Residential Center includes, time the respondent
was receiving care at a Crisis Stabilization
Center, if applicable
4) Adds a new section (Sec. 30) directing the
Department of Health, Department of Family and
Community Services, and the Alaska Mental Health Trust
Authority to submit a report and recommendations to
the Legislature regarding patient rights.
• Patient grievance and appeal policies
• Data collection on patient grievances, appeals
and the resolution
• Patient reports of harm, restraint and the
resolution
• Requirements that could improve patient outcomes
and enhance patient rights
Ms. Carpenter showed slide 16, "HB 172 Committee Substitute
Highlights (ver. D.A)":
Key Improvements Continued
5) Adds requirement that notifications in the
alternative to arrest statutes also go to the peace
officer's employing agency to ensure victim
notification will happen even if the arresting officer
is off duty. (Sections 4, 6, and 10)
6) Addresses statutes found unconstitutional by the
Alaska Court System to align with the court rulings.
• Amends the definition of "gravely disabled" in AS
47.30.915(9) (Section 24)
• Clarifies standards for court to order
administration of non-crisis medication (Sections
20 & 21)
7) New section that clarifies the Public Defender
statutes and their role as the attorneys the Court
will appoint in all proceedings under AS 47.30.
8) Amended the computation of time for both hospitals
and crisis residential centers to have the evaluation
period end at 5:00 pm the next business day after
Saturdays, Sundays and legal holidays if a patient
would be held longer than 72 consecutive hours
(Sections 14 & 18)
2:00:10 PM
JAMES COCKRELL, COMMISSIONER, DEPARTMENT OF PUBLIC SAFETY
(via teleconference), spoke in support of the bill. He
stated that the department was supportive of the bill, and
he was in support of the bill personally and
professionally. He thought the bill was a step forward and
would be long-lasting progress towards handling mental
health issues in the state. He described that often times
law enforcement officers were called upon to address mental
health crises and were ill equipped. He continued that many
times officers ended up putting individuals in patrol cars
and sometimes spent hours trying to find a place for an
individual to receive care. He emphasized that additional
resources were needed. He believed in the direction that
the department was taking with the bill.
2:02:08 PM
MARK REGAN, LEGAL DIRECTOR, DISABILITY LAW CENTER,
testified in support of the bill. He wanted to explain how
current law had worked and how it had broken down leading
to the bill proposal to improve things under the Crisis Now
system. He asserted that current law did not provide for
short-term mental health treatment. Instead, the law asked
people to be held and brought to a facility for a 72-hour
evaluation, after which a person could go in for a 30 day
or longer civil commitment. He thought the system had not
worked well because of the lack of facilities outside of
API and hospitals in Juneau and Fairbanks.
Mr. Regan continued his testimony. He discussed people in
crisis being brought to Anchorage from rural Alaska to find
API at capacity, necessitating a transfer to other cities.
He discussed difficulties that resulted in individuals
having to wait in custody in hospital emergency rooms or
correctional facilities. He described the inadequate
condition of the facilities as the reason the Disability
Law Center had sued the department. He asserted that the
Crisis Now system would provide places for short-term
facilities for those experiencing a mental health crisis
that was much better than what was previously available.
2:06:21 PM
Senator Wilson asked about the possibility of further
action by the Disability Law Center if the bill was not to
pass.
Mr. Regan noted that the settlement of the lawsuit was
based on existing law, and the law center would continue to
try and enforce the settlement and ensure that the 72-hour
evaluations could be done in other places. He emphasized
that the center would deeply regret if the bill were not to
pass and stressed the importance of having a place to be
for the 72-hour evaluation. He theorized that with an
appropriate place, individuals in hub communities could set
up short term treatment centers allowing for people to stay
in their home area.
2:08:07 PM
ANN RINGSTAD, EXECUTIVE DIRECTOR, NAMI ALASKA (via
teleconference), spoke in favor of the bill. She explained
that NAMI was part of the National Alliance on Mental
Illness, the nations largest grassroots mental health
organization. She cited that mental illness affected one in
five adults in the United States, which equated to over
108,000 individuals. She referenced the inadequate system
of care. She shared a story from the director of the
national NAMI, who spoke of her daughters long journey
with mental illness. The daughter had had a mental health
crisis and there had been a profound lack of resources that
had a dire outcome. She summarized that if a behavioral
health crisis response system was in place, the story would
have had a different outcome. She summarized that the No
Wrong Door approach to providing care would provide a
faster and more appropriate response to behavioral health
crises. She thought the legislation would ensure people got
appropriate care swiftly, keep people out of jail and
emergency rooms, and minimize the impact on first
responders. She stated that NAMI strongly supported the
bill.
2:11:20 PM
Co-Chair Stedman OPENED public testimony.
ALBERTA UNOK, PRESIDENT AND CEO, ALASKA NATIVE HEALTH BOARD
(via teleconference), testified in support of the bill. She
explained that the Alaska Native Health Board (ANHB) was
the statewide voice on the entire Alaska tribal health
system and worked with all tribal health organizations on
collective priorities. She asserted that the programs and
services needed to be stood up across Alaska as soon as
possible, especially considering the mental health impacts
of the pandemic. She contended that Alaskans in a
psychiatric emergency faced long waits in the emergency
department or jail when there was not room at API. She
thought the services proposed in the bill would address
major gaps in the continuum of care and give Alaskans the
care they need in a supportive environment.
Ms. Unok highlighted that ANHB supported HB 172s
definition of health officer to be updated to match the
definition found in the Senate version of the legislation,
which includes community health aide programs. She
explained that as a federally certified healthcare
provider, community health aides and behavioral health
aides were frequently first responders that encountered
crises in their communities and played an important role in
mental health care. She urged the passage of the
legislation in the current session.
2:14:05 PM
ARTHUR DELAUNE, SELF, FAIRBANKS (via teleconference), spoke
in support of the bill. He recounted the story of his son,
who experienced fetal alcohol spectrum disorder and co-
occurring mental health disorders. He discussed his sons
mental health struggles and reported a two-week wait for
services. He discussed a wait in a padded room before being
admitted to the behavioral health ward. He discussed his
sons release from treatment and subsequent attempts to
receive services. It had taken 41 days after being suicidal
to receive services. He emphasized the importance of the
passage of the bill in order to have the state be more
responsive to mental health crises.
2:16:52 PM
ROBYN BJORK, SELF, PALMER (via teleconference), testified
about her concerns with the bill. She was concerned that
the previous testimony had not accurately addressed
provisions in the bill. She referenced Section 14 under
Article 9 relating to involuntary admission for treatment.
She expressed concern that first responders be utilized for
taking people into custody for involuntary admission. She
agreed that crisis stabilization centers were needed.
Ms. Bjork expressed concern about the definition of "health
officer," which she thought was nebulous. She had concerns
that the bill poorly defined evaluation facility," and
that the bill could be weaponized against mentally well
Alaskans. She suggested that the committee engage an
outside legal expert to review the bill provisions.
2:20:34 PM
MICHELLE BAKER, EXECUTIVE VICE PRESIDENT, BEHAVIOR
SERVICES, SOUTHCENTRAL FOUNDATION (via teleconference),
spoke in favor of the bill. She explained that the
Southcentral Foundation, in partnership with the Alaska
Native Tribal Health Consortium (ANTHC), was planning on
opening an adult crisis stabilization center on the Alaska
Native Health Campus. There was space identified and the
agencies were ready to invest. She discussed the increase
in mental health needs across the state. She asserted that
using the Crisis Now model and the No Wrong Door approach
would provide less costly services in a more therapeutic
and appropriate environment.
Ms. Baker noted that it was important for people to receive
both voluntary and involuntary services in a crisis
stabilization center. She offered her support HB 172's
definition of health officer to be updated to match the
definition in the Senate version of the bill, to include
Community Health Aid Practitioner as a federally certified
healthcare provider. She reminded that many communities had
no Village Public Safety Officer (VPSO) or Alaska State
Trooper, and the only place to receive care was in the
health clinic.
Ms. Baker continued that the Crisis Now framework had
widespread support across stakeholders. She noted that the
legal framework was necessary to support the planned crisis
stabilization center. She asserted that if the bill did not
pass it would greatly affect how the foundation designed
the program and would result in increased stress and cost
on the health care system.
2:23:58 PM
SHAYNE LACROIX, POLICE OFFICER, PALMER POLICE DEPARTMENT
(via teleconference), testified in favor of the bill. He
expressed the Palmer Police Departments support for the
legislation. He mentioned how mental health crises affected
first responders. He emphasized that the biggest part of
the problem was that people in the community experiencing
behavioral health crises were not getting the help that was
needed. He discussed the lack of facilities and discussed
the advantages of the Crisis Now model.
2:25:22 PM
RENEE RAFFERTY, REGIONAL DIRECTOR OF BEHAVIORAL HEALTH,
PROVIDENCE ALASKA, ANCHORAGE (via teleconference), spoke in
support of the bill. She shared that Providence Health and
Services Alaska had one of the largest behavioral health
offerings in the state, and provided services in Anchorage,
Mat-Su, Kodiak, and Valdez. She noted that Providence had
been collaborating for the previous four years with many of
the stakeholders that had previously testified. The design
behind the collaboration was in aid of strategic planning.
Ms. Rafferty thought it was evident that the bill was well
thought out and presented needed changes. She cited that
Providence was ready to open a crisis stabilization center
in 2023, and the services would increase access to those
that were currently being directed to jails and emergency
services. She opined that additionally, the bill would
allow for collaboration, data gathering, and system change
that had never been seen before. She urged the bill be
passed during the current session to provide the regulatory
framework to build a system of care for vulnerable
Alaskans. She mentioned that the current system provided
costly and ineffective care.
2:27:12 PM
DAVID CAMPBELL, DEPUTY CHIEF, JUNEAU POLICE DEPARTMENT (via
teleconference), testified in support of the bill. He
relayed that police officers often encountered situations
with people in crisis that did not rise to the level that
warranted a Title 47 hold. He discussed a lack of options,
and the occasion when people were arrested for low-level
offenses. He described officers having to have repeat
contacts with individuals that were not able to receive
services or treatment. He relayed that the Juneau Police
Department was very supportive of HB 172, which he thought
would fill a services gap.
2:29:21 PM
VIKKI JO KENNEDY, SELF, JUNEAU (via teleconference), spoke
in support of the bill. She thought that some provisions
needed to be removed from the bill before it was passed.
She mentioned the testimony of Ms. Bjork. She thought the
bill was badly needed. She thought the legislature had been
working on the bill for four years. She thought the bill
needed to be amended. She discussed officers from the
Juneau Police Department diffusing a situation with an
individual. She thought the pandemic had added to the
problem. She mentioned her nephew had taken his own life.
She did not support the mention of federally recognized
providers. She thanked the committee for its work.
2:32:25 PM
Co-Chair Stedman CLOSED public testimony.
Senator Wilson asked if Mr. Gottstein could provide written
commentary as to if he supported the bill in its final
version after amended.
Senator Wilson asked Ms. Carpenter to comment on the
different versions of the bill. He understood the provision
related to the federal officer could reference those that
might be working on a military base or the Public Health
Service Corps, which often worked in tribal health
facilities.
Ms. Carpenter affirmed that the definition for health
officer differed in the two bills. She recounted that there
had been feedback in the Senate Judiciary Committee that
the definition should be cleaned up. Tribal partners had
recommended using the term federally certified provider,
because tribal health employees were considered federal
employees because of the Indian Health Service. The term
found in the Senate version would cover the community
health aides and behavioral health aids as mentioned in
testimony by the Southcentral Foundation and the Alaska
Native Health Board. She stated that the department would
support the Senate version of the definition.
Ms. Carpenter addressed the definition of evaluation
facility, that mentioned a facility operated by the
federal government. She explained that the term referred to
tribal-operated facilities by Indian Health Services.
Technically the term could also include military bases, but
she had never seen bases offer the evaluation services. The
definition clarified with new language that performs
evaluations referenced the evaluations found in the
section of statutes and would necessitate a facility that
could do the 72-hour evaluations.
Senator Wilson thanked Ms. Carpenter for the clarification.
Co-Chair Stedman asked if Ms. Carpenter wanted to make a
final statement.
Ms. Carpenter noted that she had shared a document that
provided a comparison of the two bills (copy on file).
Co-Chair Stedman set the bill aside for further review. He
asked members to provide suggested amendments by noon on
Friday, May 13.
SB 124 was HEARD and HELD in committee for further
consideration.
HB 172 was HEARD and HELD in committee for further
consideration.
Co-Chair Stedman discussed the agenda for the following
day.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HB 172 Transmittal Letter.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 Definitions in AS 47.30.915.pdf |
HHSS 3/8/2022 3:00:00 PM SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 - Supporting Document - Letters of Support.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 - SFIN Presenation 5.12.2022.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 - Sectional Anaylsis Ver. D.A.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 - Letter of Support - DPS.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 - Letter of Support - Alaska ACEP.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 - Infographics - Proposed Statutory Changes to Title 47 3.6.22.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 - Explanation of Changes Ver. D.A.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |
| HB 172 - Crosswalk with SB 124 (updated).pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 SB 124 |
| SB 124 Transmittal Letter.pdf |
SFIN 5/12/2022 1:00:00 PM SHSS 4/27/2021 1:30:00 PM SJUD 4/27/2022 1:30:00 PM |
SB 124 |
| HB 265 Sponsor Statement v. E.pdf |
SFIN 5/12/2022 1:00:00 PM SL&C 5/2/2022 1:30:00 PM |
HB 265 |
| HB 265 Sectional Analysis v. E.pdf |
SFIN 5/12/2022 1:00:00 PM SL&C 5/2/2022 1:30:00 PM |
HB 265 |
| HB 265 Explanation of Changes v. W to v. E.pdf |
SFIN 5/12/2022 1:00:00 PM SL&C 5/2/2022 1:30:00 PM |
HB 265 |
| HB 265 Supporting Document - New HFIN Testimony Received as of 04.13.22.pdf |
HFIN 4/14/2022 1:30:00 PM SFIN 5/12/2022 1:00:00 PM |
HB 265 |
| HB 265 Support.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 265 |
| HB 265 Support Kantiyavong.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 265 |
| HB 172 Opposition.pdf |
SFIN 5/12/2022 1:00:00 PM |
HB 172 |