Legislature(1999 - 2000)

04/22/1999 03:05 PM House HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
txt
SB 56 - HOME HEALTH AGENCIES/HOSPITALS/HOSPICES                                                                                 
                                                                                                                                
Number 1906                                                                                                                     
                                                                                                                                
CO-CHAIRMAN COGHILL announced the next order of business as Senate                                                              
Bill No. 56, "An Act allowing the disclosure of reports with regard                                                             
to inspection and investigations of certain health care facilities,                                                             
home health agencies, hospice programs, and assisted living homes;                                                              
authorizing the Department of Health and Social Services to license                                                             
home health agencies; and providing for an effective date."  He                                                                 
announced the committee would be addressing CSSB 56 instead of the                                                              
companion bill HB 186.                                                                                                          
                                                                                                                                
Number 1919                                                                                                                     
                                                                                                                                
SENATOR GARY WILKEN, Alaska State Legislature, sponsor, presented                                                               
CSSB 56 saying that the bill comes out of the Long-Term Care Task                                                               
Force (LTCTF) Report and is the result of their recommendation                                                                  
number three.  Since the early 1980s, the Department of Health and                                                              
Social Services (DHSS) has annually inspected hospitals, nursing                                                                
homes, assisted living care facilities and passed a recommendation                                                              
as to their fitness to provide those services.   Under current law,                                                             
those inspection reports are not available to the public.  Simply,                                                              
SB 56 sets forth in law, that after the final report is finished                                                                
and sent to the facility, it will be made available to the public                                                               
within 14 days of that date.  This bill formalizes the authority of                                                             
the DHSS to license home health agencies.                                                                                       
                                                                                                                                
CO-CHAIRMAN DYSON asked Senator Wilken if there was any opposition                                                              
to this bill.                                                                                                                   
                                                                                                                                
Number 2030                                                                                                                     
                                                                                                                                
SENATOR WILKEN answered not that he was aware of.  They had some                                                                
input from different groups, and the amendments in the Senate took                                                              
care of that.                                                                                                                   
                                                                                                                                
REPRESENTATIVE GREEN asked what has changed in the Senate version                                                               
from the House version of the bill.                                                                                             
                                                                                                                                
SENATOR WILKEN answered that the major change had to do with                                                                    
defining what a final report was and allowing the caregiver to                                                                  
respond to that report before it was made public and a technical                                                                
change which the department can explain.                                                                                        
                                                                                                                                
Number 2116                                                                                                                     
                                                                                                                                
ELMER LINDSTROM, Special Assistant, Office of the Commissioner,                                                                 
Department of Health and Social Services, came forward to testify                                                               
in support of SB 56.  He informed them that the licensing report                                                                
element is the significant change.  The other technical amendment                                                               
only relates to the department's ability to license home health                                                                 
agencies.  They license and have statutory authority on a number of                                                             
things, but they did not have specific statutory authority for home                                                             
health agencies.  Senator Wilken correctly described the one                                                                    
substantive change in the Senate bill that resulted in the                                                                      
committee substitute (CS), and it was to clarify that the DHSS                                                                  
would release the final report 14 calendar days after it had been                                                               
made available to the facility.  He believes that allayed the                                                                   
concerns of the Alaska State Hospital and Nursing Home Association.                                                             
                                                                                                                                
Number 2180                                                                                                                     
                                                                                                                                
LINDA FINK, Assistant Director, Alaska State Hospital and Nursing                                                               
Home Association (ASHNHA), came forward to testify.  She                                                                        
acknowledged that they did have a concern about the final reports                                                               
being disclosed and that was addressed, and they do support the                                                                 
legislation as it is.                                                                                                           
                                                                                                                                
Number 2212                                                                                                                     
                                                                                                                                
SHELBY LARSEN, Administrator, Health Facilities Licensing and                                                                   
Certification, Division of Medical Assistance, DHSS, testified via                                                              
teleconference in support of SB 56.  He hopes the House version                                                                 
will reflect the changes in the Senate version.                                                                                 
                                                                                                                                
Number 2248                                                                                                                     
                                                                                                                                
CO-CHAIRMAN DYSON made a motion to move CSSB 56(L&C) from committee                                                             
with individual recommendations and zero fiscal note.  There being                                                              
no objection, CSSB 56(L&C) moved from the House Health, Education                                                               
and Social Services Standing Committee.                                                                                         
                                                                                                                                

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