Legislature(2023 - 2024)BUTROVICH 205

03/19/2024 03:30 PM Senate HEALTH & SOCIAL SERVICES

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 233 CHILD CARE PROVIDER EDUCATION REQUIREMENT TELECONFERENCED
Heard & Held
+= SB 241 MEDICAL ASSIST. DEMONSTRATION PROJECTS TELECONFERENCED
Heard & Held
*+ HB 344 MEDICAL ASSIST. DEMONSTRATION PROJECTS TELECONFERENCED
<Pending Referral>
Scheduled but Not Heard
+ Bills Previously Heard/Scheduled TELECONFERENCED
        SB 233-CHILD CARE PROVIDER EDUCATION REQUIREMENT                                                                    
                                                                                                                                
3:32:08 PM                                                                                                                    
CHAIR WILSON announced the consideration of SENATE BILL NO. 233                                                                 
"An Act relating to the day care assistance program."                                                                           
                                                                                                                                
3:32:36 PM                                                                                                                    
SENATOR FORREST  DUNBAR, District J,  speaking as the  sponsor of                                                               
SB  233 stated  there  is a  childcare  affordability and  access                                                               
crisis in  Alaska, which  is harming  the state  in a  variety of                                                               
ways.  He  noted  that  if the  department  addresses  the  issue                                                               
through regulatory  change, SB  233 will not  need to  go through                                                               
the  legislative process.  He paraphrased  the following  sponsor                                                               
statement:                                                                                                                      
                                                                                                                                
[Original punctuation provided.]                                                                                                
                                                                                                                                
                       SPONSOR STATEMENT                                                                                      
       SB 233: CHILD CARE PROVIDER EDUCATION REQUIREMENT                                                                        
                                                                                                                                
     Senate Bill 233 will  allow childcare workers to become                                                                    
     licensed providers  in the day care  assistance program                                                                    
     without   being  required   to  pass   a  high   school                                                                    
     equivalency test  or gain a  high school  diploma. This                                                                    
     will  increase  childcare  availability in  Alaska  and                                                                    
     provide  employment   opportunities,  particularly  for                                                                    
     otherwise qualified  refugee and  immigrant communities                                                                    
      who are  ready to  work and  contribute  in this  vital                                                                   
      industry.                                                                                                                 
                                                                                                                                
      Alaska has a  lack of  childcare services and  workers,                                                                   
      which has  a profound  effect on  the state's  economy.                                                                   
      New  arrivals   come   to   the   U.S.   with   varying                                                                   
      backgrounds. Some must  flee at  a moment's notice  and                                                                   
      don't have time  to grab documents,  such as  diplomas.                                                                   
      New arrivals may have  spent decades in a refugee  camp                                                                   
      where education  is not readily  available; others  may                                                                   
      be coming from countries that lack educational  systems                                                                   
      due to  political arrest.  Many of  these new  arrivals                                                                   
      have  children.  While  they  may  not   have  formally                                                                   
      participated in the field  of childcare, they have  the                                                                   
      experience needed to thrive in this profession.                                                                           
                                                                                                                                
      Currently, the  Childcare Assistance  regulation 7  AAC                                                                   
      41.200 requires  that  Approved Relative  Providers  or                                                                   
      Approved In-Home Providers  must be  at least 18  years                                                                   
      old, have  a high school  diploma, general  educational                                                                   
      development  (GED)  diploma,  or  an  equivalent.  This                                                                   
      provides  a  barrier  to   some  individuals  who   are                                                                   
      attempting to  become licensed  childcare providers  in                                                                   
      Alaska.                                                                                                                   
                                                                                                                                
      SB 233 would allow  more people to enter the  childcare                                                                   
      workforce who  would  still  be subject  to  all  other                                                                   
      regulations and  requirements of  the profession.  This                                                                   
      would not  only benefit  immigrants and  refugees,  but                                                                   
      also longtime residents  who have childcare  experience                                                                   
      and  do  not  have  a  high  school  diploma   or  GED.                                                                   
      Increasing childcare in Alaska will allow more  parents                                                                   
      to return  to the  workforce, earn  income and  support                                                                   
      the state economy. I urge you to support SB 233.                                                                          
                                                                                                                                
 3:34:38 PM                                                                                                                   
 RIA SMYKE, Staff, Senator Forrest Dunbar, Alaska State                                                                         
 Legislature, Juneau, Alaska, provided the sectional analysis for                                                               
 SB 233:                                                                                                                        
                                                                                                                                
 [Original punctuation provided.]                                                                                               
                                                                                                                                
                       Sectional Analysis                                                                                     
       SB 233: CHILD CARE PROVIDER EDUCATION REQUIREMENT                                                                        
     "An Act relating to the day care assistance program."                                                                    
                                                                                                                                
      Section 1: Amends AS 47.25.001: Powers and duties.                                                                      
                                                                                                                                
        Allows a person to provide childcare in the day                                                                         
     care assistance program without passing a high school                                                                      
     equivalency test or having a high school diploma.                                                                          
                                                                                                                                
3:35:05 PM                                                                                                                    
SENATOR  GIESSEL  mentioned  hearing frequently  that  wages  for                                                               
child care workers  are very low, and there is  a desire to raise                                                               
the status  of child  care staff.  She expressed  discomfort with                                                               
lowering  qualifications in  response  to this  issue. She  asked                                                               
whether it would be appropriate  to create a structure similar to                                                               
teachers and  teaching assistants, where  there could be  a child                                                               
care provider  and a  child care  assistant category,  the latter                                                               
not requiring a high school diploma or equivalent.                                                                              
                                                                                                                                
3:36:02 PM                                                                                                                    
SENATOR  DUNBAR  expressed agreement  with  the  desire to  raise                                                               
wages for child care professionals  but noted that the wage issue                                                               
is somewhat  distinct from the  current discussion.  He mentioned                                                               
that  testimony will  be heard  from  representatives of  Refugee                                                               
Assistance Services  (RAIS) ran and the  Alaska Literacy Program.                                                               
He emphasized that many individuals  are qualified and trained to                                                               
be excellent child care  providers but lack government-recognized                                                               
credentials.  He   compared  this  to  last   year's  changes  to                                                               
commercial  driver's license  (CDL)  requirements, where  certain                                                               
qualifications were  waived to  include capable  individuals from                                                               
Ukraine.   He  suggested   exploring  alternative   qualification                                                               
standards  to  allow   more  people  to  enter   the  child  care                                                               
profession  while maintaining  quality  through other  regulatory                                                               
requirements.                                                                                                                   
                                                                                                                                
3:37:46 PM                                                                                                                    
SENATOR  TOBIN acknowledged  that this  issue has  been discussed                                                               
extensively in the  Child Care Task Force, where  she serves. She                                                               
highlighted  the  challenges  immigrant and  refugee  populations                                                               
face in  providing in-home  care and  the concerns  some families                                                               
have about  caregivers from  different cultural  backgrounds. She                                                               
requested  input  from the  department,  noting  it would  likely                                                               
create regulations to  address the issues that SB  233 also seeks                                                               
to  resolve. She  specifically  inquired  whether the  department                                                               
would have someone on staff and  what safety nets it would put in                                                               
place.                                                                                                                          
                                                                                                                                
3:38:59 PM                                                                                                                    
SENATOR DUNBAR  agreed and stated  that in-home child care  is an                                                               
important  aspect   of  the  conversation.  He   highlighted  the                                                               
imbalance    between    provider    compensation    and    family                                                               
 affordability.  He noted  that,  like  other  states,  Alaska  is                                                              
 realizing that direct financial support is necessary  because the                                                              
 free market  does not function  effectively in  this economy.  He                                                              
 emphasized that child care is essentially infrastructure.                                                                      
                                                                                                                                
 3:40:10 PM                                                                                                                   
 ROBIN DEMPSEY, CEO, Catholic Social Services, Anchorage, Alaska,                                                               
 said that as  an agency focused on  promoting stable incomes  and                                                              
 permanent stability,  CSS  works  closely with  individuals  from                                                              
 diverse  backgrounds,   particularly   women   in   the   Refugee                                                              
 Assistance  and   Immigration   Service   (RAIS)   program.   She                                                              
 highlighted two main  concerns from  mothers seeking  employment:                                                              
 the  difficulty  in  finding  childcare  in  Anchorage   and  the                                                              
 struggle of  leaving their  children with  someone  who does  not                                                              
 understand their culture or speak their language.  She emphasized                                                              
 the  need  for  more  culturally  appropriate  and   multilingual                                                              
 childcare providers.                                                                                                           
                                                                                                                                
 MS. DEMPSEY  noted  that  CSS  works with  many  women  who  have                                                              
 childcare experience but  are unable to  apply for positions  due                                                              
 to  the GED  requirement,  which  she  argued  does  not  measure                                                              
 competency  or experience  in  childcare.  The  removal  of  this                                                              
 requirement,  she  stated,   will  help  qualified   individuals,                                                              
 including RAIS clients, gain employment and expand the  number of                                                              
 childcare providers  in  the  state.  She also  shared  that  the                                                              
 number of new arrivals in  the RAIS program has increased by  250                                                              
 percent, growing  from 21  in  2021 to  582 in  2023,  resettling                                                              
 across  the   state.  She   concluded  that   removing  the   GED                                                              
 requirement will create new employment opportunities  and improve                                                              
 Alaska's childcare system.                                                                                                     
                                                                                                                                
 3:42:56 PM                                                                                                                   
 BRIGET  REYNOLDS,  Program   Director,  Refugee  Assistance   and                                                              
 Immigration  Services,  Catholic   Social  Services,   Anchorage,                                                              
 Alaska, strongly  expressed  that  the  GED  requirement  creates                                                              
 unnecessary obstacles  for  individuals with  valuable  childcare                                                              
 experience. In her  role working with  refugees and new  arrivals                                                              
 in Alaska,  she has  witnessed hundreds  of people,  particularly                                                              
 from Ukraine,  Afghanistan, and  the Democratic  Republic of  the                                                              
 Congo, arriving  in recent  years. RAIS  (Refugee Assistance  and                                                              
 Immigration Services) provides these  individuals with tools  for                                                              
 self-sufficiency, including employment services aimed at  helping                                                              
 them  support  their  families  while  contributing  to  Alaska's                                                              
 economy.                                                                                                                       
                                                                                                                                
 3:43:52 PM                                                                                                                   
MS.  REYNOLDS noted  that many  of these  individuals, especially                                                               
mothers, have  significant childcare  experience but  struggle to                                                               
enter  the  workforce due  to  childcare  responsibilities and  a                                                               
shortage of  culturally appropriate daycare options.  Parents are                                                               
concerned about leaving their children  with providers who do not                                                               
speak  their  language  or understand  their  culture.  Anchorage                                                               
urgently  needs  more  childcare  providers  who  are  culturally                                                               
sensitive and multilingual,  as over 100 languages  are spoken by                                                               
students in the  local school district. She  emphasized that many                                                               
RAIS clients,  who are  skilled, compassionate,  and multilingual                                                               
caregivers,  face   barriers  to   employment  due  to   the  GED                                                               
requirement.   Removing  this   requirement  would   allow  these                                                               
qualified  individuals to  enter  the  workforce, increasing  the                                                               
availability of  childcare and meeting  the community's  need for                                                               
culturally competent providers.                                                                                                 
                                                                                                                                
3:45:27 PM                                                                                                                    
ASIA  AMINI, Specialist,  Refugee Education  and Employment  Food                                                               
Services, Refugee  Assistance and Immigration  Services, Catholic                                                               
Social Services,  Anchorage, Alaska, from Afghanistan  and a peer                                                               
leader with the Alaska Literacy  Program, testified in support of                                                               
SB 233, which seeks to remove  the GED requirement for child care                                                               
providers.  She   shared  that  many  women   in  her  community,                                                               
including  herself,   face  challenges  entering   the  workforce                                                               
because  they are  at home  with  small children.  Some day  care                                                               
waitlists in  Alaska are one to  two years long. She  recounted a                                                               
friend's experience,  where the lack of  English proficiency made                                                               
it difficult to secure daycare for her child.                                                                                   
                                                                                                                                
3:46:30 PM                                                                                                                    
MS. AMINI emphasized the need  for more daycare workers who speak                                                               
the languages of  Afghanistan but noted that  the GED requirement                                                               
is  a  significant barrier.  Many  Afghan  women, despite  having                                                               
experience in raising their own  children, cannot work in daycare                                                               
due  to  the  time-consuming  process of  obtaining  a  GED.  She                                                               
highlighted  that  removing  this requirement  would  allow  more                                                               
women to  work in daycare, which  would also free other  women to                                                               
pursue  employment.  She  concluded   that  eliminating  the  GED                                                               
requirement  would  help Afghan  women  and  others from  various                                                               
countries overcome this barrier.                                                                                                
                                                                                                                                
3:47:43 PM                                                                                                                    
LORI  PICKETT,  Executive   Director,  Alaska  Literacy  Program,                                                               
Anchorage,  Alaska, described  SB 233  as a  crucial step  toward                                                               
removing the barrier  that requires child care  providers to have                                                               
a  GED or  high school  diploma in  order to  participate in  the                                                               
child  care assistance  program.  She explained  that the  Alaska                                                               
 Literacy Program  provides education  and job  training to  adult                                                              
 learners, helping them  acquire a GED,  assist their children  in                                                              
 school, access health care, and navigate their new  country. Last                                                              
 year, the  program  served 892  students  from 72  countries  who                                                              
 spoke  56 languages,  with  a  projection  to  serve  over  1,000                                                              
 students this  year. Many  of these  students have  fled war  and                                                              
 unrest,  which  has   prevented  them   from  completing   formal                                                              
 education or accessing high school records.                                                                                    
                                                                                                                                
 3:48:45 PM                                                                                                                   
 MS. PICKETT emphasized  the statewide workforce  gap caused by  a                                                              
 lack of childcare  and stressed that  removing barriers for  both                                                              
 workers and providers is in  the public's best interest. The  GED                                                              
 requirement, she argued, does  not reflect a person's ability  to                                                              
 provide child  care  and  hinders  immigrants  from  contributing                                                              
 fully to society.  Many immigrants, who  come from cultures  that                                                              
 value  family  and  community,  bring  strong  work   ethics  and                                                              
 nurturing instincts, making them  ideal candidates for the  child                                                              
 care  workforce. She  urged  support  for  SB  233,  noting  that                                                              
 removing unnecessary  barriers  will  allow  immigrants  to  fill                                                              
 workforce gaps and contribute to Alaska's economic growth.                                                                     
                                                                                                                                
 3:50:31 PM                                                                                                                   
 CHAIR WILSON opened public testimony on SB 233; finding  none, he                                                              
 closed public testimony.                                                                                                       
                                                                                                                                
 3:51:32 PM                                                                                                                   
 HILARY PORTER,  Deputy Director, Division  of Public  Assistance,                                                              
 Department of  Health,  Juneau,  Alaska, introduced  herself  and                                                              
 offered to answer questions.                                                                                                   
                                                                                                                                
 3:51:42 PM                                                                                                                   
 SENATOR  DUNBAR  stated   that  he   had  discussions  with   the                                                              
 department and noted that  a regulatory change is planned,  which                                                              
 will  hopefully  resolve  the   issue.  He  asked  for  a   brief                                                              
 description of the planned change.                                                                                             
                                                                                                                                
 MS. PORTER confirmed that  the department is moving forward  with                                                              
 a drafted regulation  change to remove  the GED requirement.  She                                                              
 stated that the draft has  been submitted and is currently  under                                                              
 review. This barrier was identified through the work of  the Task                                                              
 Force.                                                                                                                         
 3:52:23 PM                                                                                                                   
 CHAIR WILSON asked what task force.                                                                                            
                                                                                                                                
 MS. PORTER replied that she was referring to the  Governor's Task                                                              
 Force on Child Care.                                                                                                           
                                                                                                                                
SENATOR  DUNBAR  expressed  satisfaction   with  the  answer  and                                                               
inquired about the department's efforts  to improve the status of                                                               
child  care and  maintain  its quality  while removing  barriers,                                                               
such as the GED requirement.                                                                                                    
                                                                                                                                
3:53:01 PM                                                                                                                    
MS.  PORTER acknowledged  that there  have been  many discussions                                                               
about wages  for child care  workers through the  Governor's Task                                                               
Force on Child  Care. She noted that the  department is reviewing                                                               
those  comments and  considering  options but  could not  provide                                                               
further  details at  this  time. However,  she  assured that  the                                                               
department  is  aware of  the  issue  and  is exploring  ways  to                                                               
improve it.                                                                                                                     
                                                                                                                                
3:53:31 PM                                                                                                                    
SENATOR  TOBIN asked  what additional  safeguards and  components                                                               
the department  is putting in  place to reassure the  public that                                                               
the  child  care  system will  remain  safe  and  well-regulated,                                                               
ensuring  providers continue  to protect  vulnerable Alaskans  as                                                               
the GED requirement is removed.                                                                                                 
                                                                                                                                
MS.  PORTER emphasized  that  quality remains  a  major focus  in                                                               
child  care,   including  the  qualifications  of   workers.  She                                                               
mentioned that there is  training available through organizations                                                               
like  Thread,  a  statewide  child  care  resource  and  referral                                                               
network. Programs  such as  Seed and  Roots recognize  child care                                                               
workers  for their  training  achievements,  whether through  the                                                               
university,  Thread, or  Learn  and  Grow, another  organization.                                                               
Although she  did not  recall all  the specific  training levels,                                                               
she  noted  that there  are  approximately  13, and  workers  can                                                               
progress through  these levels to  become highly  qualified, even                                                               
without  a  GED  or  high   school  diploma.  She  stressed  that                                                               
maintaining quality remains a requirement  for both providers and                                                               
workers.                                                                                                                        
                                                                                                                                
SENATOR  TOBIN  asked  for examples  of  other  qualifications  a                                                               
provider might need.                                                                                                            
                                                                                                                                
3:55:24 PM                                                                                                                    
MS. PORTER  explained that  health and  safety are  key concerns,                                                               
and background  checks are a  mandatory part of  the department's                                                               
quality  initiatives. She  added  that child  care providers  are                                                               
still required to obtain a business  license and must be at least                                                               
18 years old  to work in child care, ensuring  that all providers                                                               
are adults.                                                                                                                     
                                                                                                                                
 3:56:05 PM                                                                                                                   
 SENATOR GIESSEL  found it helpful  to learn  about the  available                                                              
 training programs and asked  whether individuals are required  to                                                              
 complete a training program.                                                                                                   
                                                                                                                                
 MS. PORTER  replied  that  individuals are  both  encouraged  and                                                              
 required to take training. Providers can complete  basic training                                                              
 or pursue  advanced  levels to  earn  a certificate.  While  this                                                              
 certificate  is  not   equivalent  to  a   diploma  or  GED,   it                                                              
 acknowledges the training and  qualifications of the provider  or                                                              
 worker.                                                                                                                        
                                                                                                                                
 SENATOR GIESSEL asked  if individuals, despite  not having a  GED                                                              
 or equivalent, will still be required to understand  child safety                                                              
 laws, such as mandatory reporting in cases of suspected abuse.                                                                 
                                                                                                                                
 MS. PORTER  confirmed  that  compliance  is a  key  part  of  the                                                              
 process.  Even  after  someone   is  licensed,  inspections   are                                                              
 conducted twice a  yearone  planned  and one unplannedto   ensure                                                              
 providers maintain quality and  employ qualified individuals.  If                                                              
 any issues  arise, the department  has measures  to address  them                                                              
 and work with the provider to achieve compliance.                                                                              
                                                                                                                                
 3:57:40 PM                                                                                                                   
 SENATOR GIESSEL clarified that  her question referred to  in-home                                                              
 child care  providers  rather  than child  care  facilities.  She                                                              
 asked what in-home child care providers will be required  to know                                                              
 and understand about laws, such as mandatory reporting  and child                                                              
 safety regulations.                                                                                                            
                                                                                                                                
 MS. PORTER  replied  the  requirements for  licensing,  mandatory                                                              
 reporting and safety regulations are essentially the same.                                                                     
                                                                                                                                
 3:58:25 PM                                                                                                                   
 CHAIR WILSON asked if there  are other regulations that the  task                                                              
 force identified as a hindrance,  such as outdoor play space  and                                                              
 infants.                                                                                                                       
                                                                                                                                
 3:58:58 PM                                                                                                                   
 MS. PORTER  replied that  although there  was conversation  about                                                              
 that specific issue, no action was taken.                                                                                      
                                                                                                                                
 3:59:15 PM                                                                                                                   
 CHAIR WILSON asked if  the only regulatory change the  department                                                              
 is currently considering for child care providers is  the removal                                                              
 of the high school diploma or GED requirement                                                                                  
                                                                                                                                
3:59:39 PM                                                                                                                    
MS. PORTER replied other changes are being worked on.                                                                           
                                                                                                                                
CHAIR WILSON asked for a list to be provided to the committee.                                                                  
                                                                                                                                
MS.  PORTER   confirmed  that  the   department  is   working  on                                                               
additional  changes to  their licensing  regulations beyond  just                                                               
the high school diploma or GED requirement.                                                                                     
                                                                                                                                
CHAIR WILSON  asked that she provide  the list of changes  to the                                                               
committee.                                                                                                                      
                                                                                                                                
MS.  PORTER  said  she  would   provide  more  information  about                                                               
licensing regulation changes to the committee.                                                                                  
                                                                                                                                
4:00:15 PM                                                                                                                    
SENATOR GIESSEL stated that a  regulatory package typically takes                                                               
about a year to complete. She  then asked about the current stage                                                               
of  the department's  progress  on GED  and  high school  diploma                                                               
regulatory change.                                                                                                              
                                                                                                                                
MS. PORTER stated  that the regulatory package  is currently with                                                               
the  Department of  Law. The  department has  requested a  July 1                                                               
effective date and is hopeful it will meet that timeline.                                                                       
                                                                                                                                
SENATOR GIESSEL  asked if the  public comment period  has already                                                               
taken place.                                                                                                                    
                                                                                                                                
MS.  PORTER  replied no,  the  department  had not  reached  that                                                               
phase.                                                                                                                          
                                                                                                                                
SENATOR GIESSEL asked when the  public hearing and feedback stage                                                               
will occur.                                                                                                                     
                                                                                                                                
4:01:18 PM                                                                                                                    
EMILY  RICCI, Deputy  Commissioner, Department  of Health  (DOH),                                                               
Juneau, Alaska, explained that the  time required to complete the                                                               
regulatory process can  vary, depending on the  extent of changes                                                               
and the  volume of public  comments. She noted that  the Division                                                               
of Public  Assistance and the  Commissioner's Office  are working                                                               
closely  with the  Child  Care Task  Force,  specifically on  the                                                               
regulations  related to  the GED  requirement, which  are already                                                               
underway. The duration of the  process depends on several factors                                                               
discussed, but  the department  may implement  additional changes                                                               
aligned  with  the  Task  Force's   work.  She  anticipated  that                                                               
regulatory changes  will be approved  and rolled out  on multiple                                                               
dates, depending on the progress of the Task Force.                                                                             
                                                                                                                                
 4:02:25 PM                                                                                                                   
 SENATOR GIESSEL pointed out that the department has not  yet held                                                              
 a public comment period, which will take time and  require proper                                                              
 notice. She  questioned  whether the  proposed July  1  effective                                                              
 date is realistic.                                                                                                             
                                                                                                                                
 MS. RICCI acknowledged that July  1 is the department's goal  for                                                              
 the effective date.                                                                                                            
                                                                                                                                
 4:03:16 PM                                                                                                                   
 SENATOR TOBIN commented  that there was  a great presentation  in                                                              
 the Senate Education Committee on the progress of the  Child Care                                                              
 Task Force.  She  suggested that  it  would  be helpful  for  the                                                              
 current committee to hear how  the Task Force's work aligns  with                                                              
 programs  like  Parents  as  Teachers,  which  is  part   of  the                                                              
 Department of Health.                                                                                                          
                                                                                                                                
 CHAIR  WILSON replied  that  he  would  look  into  scheduling  a                                                              
 presentation.                                                                                                                  
                                                                                                                                
 4:03:54 PM                                                                                                                   
 SENATOR DUNBAR  thanked the  committee for  hearing  SB 233,  the                                                              
 Department for working  with his office  and presenting, and  the                                                              
 testifiers for their support.  He emphasized that while the  bill                                                              
 is important, the real focus is on the change, which  he believes                                                              
 can and will  be achieved through  regulation. He reiterated  his                                                              
 gratitude to  the  department  and  clarified that  he  does  not                                                              
 intend to move SB 233 forward unless the regulatory  changes fall                                                              
 through, in which case he would bring it back next year.                                                                       
                                                                                                                                
 4:04:31 PM                                                                                                                   
 CHAIR WILSON held SB 233 in committee.                                                                                         

Document Name Date/Time Subjects
SB 233 Version A.pdf SHSS 3/19/2024 3:30:00 PM
SB 233
SB 233 Sponsor Statement 2.22.2024.pdf SHSS 3/19/2024 3:30:00 PM
SB 233
SB 233 Sectional Analysis Version A 2.22.2024.pdf SHSS 3/19/2024 3:30:00 PM
SB 233
SB 233 FN DOH.pdf SHSS 3/19/2024 3:30:00 PM
SB 233
SB 233 Testimony.pdf SHSS 3/19/2024 3:30:00 PM
SB 233
SB 241 Version A.pdf SHSS 3/19/2024 3:30:00 PM
SB 241
SB 241 Sponsor Statement Version A.pdf SHSS 3/19/2024 3:30:00 PM
SB 241
SB241 Sectional Analysis.pdf SHSS 3/19/2024 3:30:00 PM
SB 241
SB 241 FN DOH Medicaid.pdf SHSS 3/19/2024 3:30:00 PM
SB 241
SB 241 DOH Presentation.pdf SHSS 3/19/2024 3:30:00 PM
SB 241
SB241 LOS 3.18.24.pdf SHSS 3/19/2024 3:30:00 PM
SB 241
SB 241 Support SFC.pdf SHSS 3/19/2024 3:30:00 PM
SB 241