Legislature(2023 - 2024)BARNES 124
03/08/2024 03:15 PM House LABOR & COMMERCE
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| Audio | Topic |
|---|---|
| Start | |
| HB175 | |
| SSCR4 | |
| SSCR6 | |
| SSCR7 | |
| Adjourn |
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ teleconferenced
= bill was previously heard/scheduled
| *+ | HB 271 | TELECONFERENCED | |
| *+ | HB 175 | TELECONFERENCED | |
| *+ | HB 327 | TELECONFERENCED | |
| + | SSCR 4 | TELECONFERENCED | |
| + | SSCR 6 | TELECONFERENCED | |
| + | SSCR 7 | TELECONFERENCED | |
| + | TELECONFERENCED | ||
| *+ | HB 189 | TELECONFERENCED | |
ALASKA STATE LEGISLATURE
HOUSE LABOR AND COMMERCE STANDING COMMITTEE
March 8, 2024
3:20 p.m.
MEMBERS PRESENT
Representative Jesse Sumner, Chair
Representative Mike Prax
Representative Dan Saddler
Representative Zack Fields
MEMBERS ABSENT
Representative Justin Ruffridge, Vice Chair
Representative Stanley Wright
Representative Ashley Carrick
COMMITTEE CALENDAR
SPONSOR SUBSTITUTE FOR HOUSE BILL NO. 175
"An Act relating to midwives and the practice of midwifery;
relating to apprentice midwives; renaming the Board of Certified
Direct-Entry Midwives as the Board of Licensed Midwives;
relating to the Board of Licensed Midwives; extending the
termination date of the Board of Licensed Midwives; relating to
insurance; and providing for an effective date."
- HEARD & HELD
SENATE SPECIAL CONCURRENT RESOLUTION NO. 4
Disapproving Executive Order No. 127.
- CONSIDERED
SENATE SPECIAL CONCURRENT RESOLUTION NO. 6
Disapproving Executive Order No. 129.
- CONSIDERED
SENATE SPECIAL CONCURRENT RESOLUTION NO. 7
Disapproving Executive Order No. 130.
- CONSIDERED
HOUSE BILL NO. 271
"An Act relating to social media and minors; and providing for
an effective date."
- BILL HEARING RESCHEDULED TO 3/11/24
HOUSE BILL NO. 327
"An Act relating to the Board of Massage Therapists; and
providing for an effective date."
- BILL HEARING RESCHEDULED TO 3/11/24
HOUSE BILL NO. 189
"An Act relating to the sale of alcohol; and providing for an
effective date."
- SCHEDULED BUT NOT HEARD
PREVIOUS COMMITTEE ACTION
BILL: HB 175
SHORT TITLE: BOARD OF LICENSED MIDWIVES
SPONSOR(s): REPRESENTATIVE(s) ALLARD
04/24/23 (H) READ THE FIRST TIME - REFERRALS
04/24/23 (H) L&C, FIN
04/26/23 (H) SPONSOR SUBSTITUTE INTRODUCED
04/26/23 (H) READ THE FIRST TIME - REFERRALS
04/26/23 (H) L&C, FIN
02/21/24 (H) L&C AT 3:15 PM BARNES 124
02/21/24 (H) -- MEETING CANCELED --
02/23/24 (H) L&C AT 3:15 PM BARNES 124
02/23/24 (H) Scheduled but Not Heard
03/08/24 (H) L&C AT 3:15 PM BARNES 124
BILL: SSCR 4
SHORT TITLE: DISAPPROVE EO 127
SPONSOR(s): RULES
02/12/24 (S) READ THE FIRST TIME - REFERRALS
02/12/24 (S) L&C
02/12/24 (S) L&C AT 1:30 PM BELTZ 105 (TSBldg)
02/12/24 (S) Moved SSCR 4 Out of Committee
02/12/24 (S) MINUTE(L&C)
02/14/24 (S) L&C RPT 4DP 1NR
02/14/24 (S) DP: BJORKMAN, DUNBAR, BISHOP, GRAY-
JACKSON
02/14/24 (S) NR: MERRICK
02/14/24 (S) TRANSMITTED TO (H)
02/14/24 (S) VERSION: SSCR 4
02/19/24 (H) READ THE FIRST TIME - REFERRALS
02/19/24 (H) L&C
03/08/24 (H) L&C AT 3:15 PM BARNES 124
BILL: SSCR 6
SHORT TITLE: DISAPPROVE EO 129
SPONSOR(s): RULES
02/12/24 (S) READ THE FIRST TIME - REFERRALS
02/12/24 (S) L&C
02/12/24 (S) L&C AT 1:30 PM BELTZ 105 (TSBldg)
02/12/24 (S) Moved SSCR 6 Out of Committee
02/12/24 (S) MINUTE(L&C)
02/14/24 (S) L&C RPT 2DP 1DNP 2NR
02/14/24 (S) DP: BJORKMAN, BISHOP
02/14/24 (S) DNP: GRAY-JACKSON
02/14/24 (S) NR: MERRICK, DUNBAR
02/14/24 (S) TRANSMITTED TO (H)
02/14/24 (S) VERSION: SSCR 6
02/19/24 (H) READ THE FIRST TIME - REFERRALS
02/19/24 (H) L&C
03/08/24 (H) L&C AT 3:15 PM BARNES 124
BILL: SSCR 7
SHORT TITLE: DISAPPROVE EO 130
SPONSOR(s): RULES
02/12/24 (S) READ THE FIRST TIME - REFERRALS
02/12/24 (S) L&C
02/12/24 (S) L&C AT 1:30 PM BELTZ 105 (TSBldg)
02/12/24 (S) Moved SSCR 7 Out of Committee
02/12/24 (S) MINUTE(L&C)
02/14/24 (S) L&C RPT 5DP
02/14/24 (S) DP: BJORKMAN, MERRICK, DUNBAR, BISHOP,
GRAY-JACKSON
02/14/24 (S) TRANSMITTED TO (H)
02/14/24 (S) VERSION: SSCR 7
02/19/24 (H) READ THE FIRST TIME - REFERRALS
02/19/24 (H) L&C
03/08/24 (H) L&C AT 3:15 PM BARNES 124
WITNESS REGISTER
REPRESENTATIVE JAMIE ALLARD
Alaska State Legislature
Juneau, Alaska
POSITION STATEMENT: As prime sponsor, presented SSHB 175.
MARY YANAGAWA, representing self
Wasilla, Alaska
POSITION STATEMENT: Gave invited testimony in support of SSHB
175 and presented a PowerPoint on the bill.
RACHEL PUGH, Member
Board of Certified Direct-Entry Midwives
Eagle River, Alaska
POSITION STATEMENT: Gave invited testimony in support of SSHB
175.
IDA DARRAUGH, Executive Director
North American Registry of Midwives
Little Rock, Arkansas
POSITION STATEMENT: Gave invited testimony in support of SSHB
175.
ALYSSA DECONTO, Certified Nurse Midwife
Kodiak, Alaska
POSITION STATEMENT: Gave invited testimony in support of SSHB
175.
ANNETTA ATWELL, Chair
Board of Massage Therapists
Fairbanks, Alaska
POSITION STATEMENT: Testified in opposition to SSCR 4.
JILL MOTZ, representing self
Homer, Alaska
POSITION STATEMENT: Answered questions during the hearing on
SSCR 4.
ACTION NARRATIVE
3:20:35 PM
CHAIR JESSE SUMNER called the House Labor and Commerce Standing
Committee meeting to order at 3:20 p.m. Representatives Prax,
Saddler, Fields, and Sumner were present at the call to order.
HB 175-BOARD OF LICENSED MIDWIVES
3:21:18 PM
CHAIR SUMNER announced that the first order of business would be
SPONSOR SUBSTITUTE FOR HOUSE BILL NO. 175, "An Act relating to
midwives and the practice of midwifery; relating to apprentice
midwives; renaming the Board of Certified Direct-Entry Midwives
as the Board of Licensed Midwives; relating to the Board of
Licensed Midwives; extending the termination date of the Board
of Licensed Midwives; relating to insurance; and providing for
an effective date."
3:21:33 PM
REPRESENTATIVE JAMIE ALLARD, Alaska State Legislature, as prime
sponsor, presented SSHB 175. She shared the sponsor statement
[included in committee packet], which read as follows [original
punctuation provided]:
House Bill 175 aims to enhance access to midwifery
care in Alaska by alleviating unnecessary restrictions
on licensed midwives. Midwives deliver crucial
healthcare services to women throughout pregnancy,
childbirth, and the postpartum period. Yet, certified
midwives in Alaska face practice limitations that this
bill proposes to eliminate.
HB175 intends to retitle the Board of Certified
Direct-Entry Midwives to the Board of Licensed
Midwives and extend its termination date to 2027. It
seeks to align licensing with national certification
standards, removing the need for separate state
certification and examination.
The bill aims to prevent the Board of Licensed
Midwives from enforcing regulations that would curtail
midwifery practice. Under this bill, midwives would
not require physician supervision or written
collaborative agreements to practice, could attend
home births, and provide care for six weeks postpartum
extending from the current four weeks.
Additionally, HB175 mandates health insurance plans to
cover services provided by licensed midwives, ensuring
care is both accessible and affordable for Alaska
families, significantly reducing healthcare barriers.
In conclusion, HB175 is designed to remove hurdles
faced by midwives and the soon to-be mothers depending
on them. It seeks a balance between public safety and
the preservation of birth choices and woman-centric
care.
3:24:46 PM
MARY YANAGAWA, representing self, gave invited testimony in
support of HB 175. She informed the committee that she is the
former president of the Midwives Association of Alaska (MAA) and
summarized her professional experience as a midwife. She said
HB 175 started because a 2020 legislative audit recommended
reforms to the state's midwife board, including updated
regulations and statutes to match national standards, a
streamlined licensure process, accountability for peer review,
and adequate continuing education requirements. She said if
passed, SSHB 175 would meet those requirements. She explained
that the bill would retitle the Board of Certified Direct-Entry
Midwives (CDM) to the Board of Licensed Midwives; implement up-
to-date education and licensing requirements; enable midwives to
practice to the full scope of their training, certification, and
experience, and remove the archaic restriction of "trade;"
require insurance companies to cover licensed midwives; and
require all preceptors to be nationally vetted and certified.
She said SSHB 175 would ensure that the midwife profession
flourishes, and that the legacy of Alaskan midwives continues
for generations to come.
3:27:50 PM
MS. YANAGAWA directed attention to a PowerPoint presentation
entitled, "HB 175 midwifery" [hardcopy included in committee
packet], which provided an overview of the presentation on slide
2.
3:28:23 PM
MS. YANAGAWA moved to slide 3, "Midwifery Care Demonstrates
Several Benefits to Alaskan Women," which read as follows
[original punctuation provided]:
• Significantly lower cesarean section rates with the
care of CDM/CPMs. (6% vs 23% in hospital)
• CDM/CPMs have had 0 Maternal Deaths vs the Hospital
rates of 6-20 per year. (see Pregnancy Associated
Mortality in Alaska pdf)
• Significantly fewer low birth weight babies and babies
born prematurely with the care of CDM/CPMs, all
indicators for improved outcomes, especially for
vulnerable populations
• Significantly higher breastfeeding rates (99% at birth
and 99% at 6 weeks postpartum) with the care of
CDM/CPMs, with the accompanying demonstrated health
benefits for mother and infants extending throughout
lifetimes.
• Higher rates of intact perineum (without a tear or
episiotomy); Lower rates of episiotomy.
• Lower unneeded medical interventions such as induced
labor, continuous electronic fetal monitoring, and
cesarean birth.
• Beter experiences with community birth with CDM/CPMs.
Lower postpartum depression rates due to being more
satisfied with the personalization of their care,
their care environment, quality of their relationship
with their midwife, their ability to have a
physiologic birth.
3:31:10 PM
MS. YANAGAWA continued to slide 4, "2023 Facts and Statistics,"
which read as follows [original punctuation provided]:
• The current statues for midwifery are 30+ years old,
need to be updated to meet national midwifery
standards.
• 33 Alaskan CDM/CPMs attended 6% of the births in the
State. The average in the Lower 48 is less than 1%.
• 94% of Alaskan women who begin care with CDM/CPMs have
a vaginal birth.
• 3% Postpartum Maternal Transfer Rate
• 0% Maternal Mortality Rate
• Alaskan CDM/CPMs have a 6% cesarean section rate vs
23% in hospitals.
• 2% Neonatal Transfer Rate
• 0.02% Neonatal Mortality Rate
MS. YANAGAWA proceeded to slide 5, "Name Change of the
Regulatory Board," which read as follows [original punctuation
provided]:
APRN Advanced Practice Registered Nurse
CNM Certified Nurse Midwives
• Majority work in the hospital system.
• They are Registered Nurses who enter the midwifery
profession through their nursing degree with
additional training in Midwifery.
Licensed Midwives
CDMCertified Direct Entry Midwives (Alaska)
CPM Certified Professional Midwives (National
Certification)
• They are licensed midwives specifically trained in
out-of-hospital births. At the request of the 2020
legislative audit the Board of Certified Direct Entry
Midwives made a regulation change requiring all CDMs
to also be CPMs to begin the process of meeting all
national credentialing standards.
3:34:17 PM
MS. YANAGAWA concluded on slide 6, "What Does This Bill Do?"
Slide 6 read as follows [original punctuation provided]:
• Protects families from the medicalization of
childbirth and disempowerment of women.
• Increases access and utilization of out of hospital
midwifery care services.
• Enables CDM/CPMs to practice to their full scope of
training and certifications.
• The first major update to midwifery statues in over 30
years.
• Updates title from CDM to LM (Licensed Midwives), so
they are recognized by all major insurance plans,
which will make birthing out of the hospital more
affordable and available for more Alaskans.
• Updates licensure requirements and standards to
National standards.
• Requires additional training and CEU for midwives.
• Requires preceptors to be Nationally certified.
• Ensures autonomy for CDM/CPMs.
• Makes home births more affordable and available to
Alaskan families.
• Restructures state midwifery board by removing its
direct competitors.
3:36:02 PM
REPRESENTATIVE PRAX asked whether delivery with a midwife is
covered by insurance in Alaska.
MS. YANAGAWA answered yes, most insurance policies; however,
some policies restrict midwifery. She said the bill would
statutorily require Alaskan insurance plans to cover midwives.
REPRESENTATIVE PRAX asked whether midwives carry malpractice
insurance.
MS. YANAGAWA said some midwives choose to; however, it's not a
requirement.
REPRESENTATIVE PRAX referred to the deleted language on page 10,
line 7, and asked what conditions were being eliminated.
MS. YANAGAWA did not know the answer.
3:38:12 PM
REPRESENTATIVE ALLARD offered to follow up with the requested
information.
REPRESENTATIVE PRAX surmised that the scope of practice would
come into the national accredited training programs.
MS. YANAGAWA stated that the scope of practice would fall under
Certified Professional Midwife (CPM), which is the national
credentialing.
3:38:57 PM
REPRESENTATIVE SADDLER asked who issues the CPM credential.
MS. YANAGAWA said the North American Registry of Midwives.
REPRESENTATIVE SADDLER asked how the CPM standard would change
existing midwifery practices in Alaska.
MS. YANAGAWA explained that the CDM's current restriction of
trade prevents midwives from delivering twins outside a
hospital, as well as breaches and vagina birth after cesarean
(VBAC).
REPRESENTATIVE SADDLER asked whether there are other
differences.
MS. YANAGAWA said most states are using the CPM standard across
the board, which allows the training and certification to
perform those types of deliveries.
REPRESENTATIVE SADDLER said he had received a number of emails
citing a petition that asserts that women are being "forced to
do things" and asked what mechanism of force was being referred
to.
3:44:27 PM
MS. YANAGAWA acknowledged that the verbiage in the petition may
have come across very strong. She perceived the petition to
imply that without access to good midwifery care, women are left
with limited options. She explained that if the only option is
to go to a hospital where a person may have experienced prior
birthing trauma, she may feel like she's being forced into that
situation. She added that midwifery care advocates for patient
autonomy and informed consent, and much less pressure than a
hospital model.
REPRESENTATIVE SADDLER reiterated that women are not being
forced to go to hospitals, and if the Executive Orders (EO) were
to take effect, women would still not be forced to go to the
hospital.
3:45:53 PM
REPRESENTATIVE ALLARD clarified that the petition came from one
individual and questioned the document's accusations.
Nonetheless, she emphasized that sometimes, women want to give
birth at home in a loving environment. She shared a personal
anecdote about giving birth and contrasted the care she received
in a private hospital with that of an army facility. She
pointed out that some women live an hour and half away from a
hospital, and if this bill were to pass, those women would be
able to give birth at home.
REPRESENTATIVE SADDLER stipulated that midwifery is good and
that families should be able to engage in it if they so choose.
Nonetheless, he indicated that his queries revolve around the
technical and legal side of the practice.
3:49:56 PM
RACHEL PUGH, Member, Board of Certified Direct-Entry Midwives,
gave invited testimony in support of SSHB 175. She recounted
how the idea for the bill was formed, beginning with
recommendations from the 2020 legislative audit. She said the
bill would complete those recommendations and help move Alaska
midwifery into the twenty first century by updating statutes to
the national standard, which benefits the public. She
questioned why the committee would choose not to pass the bill.
3:51:51 PM
IDA DARRAUGH, Executive Director, North American Registry of
Midwives, gave invited testimony in support of SSHB 175. She
said NARM issues the CPM credential, which is the standard of
licensure being proposed in the bill. She explained that the
state licensure exam would stay the same, but eligibility
requirements would become standardized. One of the biggest
advantages, she said, is that evaluation process would be
reviewed by a professional at NARM. The CPM certification also
requires re-certification every three years with specific
continuing education and peer review processes. In addition,
the title of "licensed midwife," as opposed to "certified
direct-entry midwife," is better recognized by most insurance
companies.
3:55:01 PM
REPRESENTATIVE PRAX asked whether NARM handles disciplinary
measures for other states.
MS. DARRAUGH answered yes, there is a disciplinary process;
however, if the complaint relates to state regulations, NARM
encourages the issue to be settled in state.
REPRESENTATIVE PRAX asked whether skill requirements are
included in NARM's certification.
MS. DARRAUGH responded yes, a supervised clinical period of at
least two years is required under a registered preceptor who
verifies the demonstration of each skill.
3:58:24 PM
ALYSSA DECONTO, Certified Nurse Midwife, gave invited testimony
in support of SSHB 175. She said CPMs inspired her to get into
birth work, as they are experts in normal birth, normal
pregnancy, trauma informed care, and community health. She said
the bill would standardize midwifery in Alaska and allow greater
access to competent care.
4:00:46 PM
REPRESENTATIVE SADDLER questioned the qualitative difference in
services provided under the current regulatory regime in Alaska
versus the CPM standard.
MS. DECONTO said the national standard allows midwives to be
protected from "[falling] victim to disillusion."
REPRESENTATIVE SADDLER questioned the use of the term
"disillusion" and asked Ms. Deconto to expand on that.
MS. DECONTO opined that midwives are vulnerable to having
limited practice or not being reimbursed by insurance.
REPRESENTATIVE SADDLER sought to confirm that the licensure
would provide protection for the profession.
REPRESENTATIVE ALLARD clarified that the bill would not change
the scope of practice, it would change the responsibilities.
4:03:17 PM
CHAIR SUMNER announced that SSHB 175 would be held over.
4:03:35 PM
The committee took an at-ease from 4:04 p.m. to 4:07 p.m.
SSCR 4-DISAPPROVE EO 127
4:07:56 PM
CHAIR SUMNER announced that the next order of business would be
SENATE SPECIAL CONCURRENT RESOLUTION NO. 4, Disapproving
Executive Order No. 127.
4:08:03 PM
CHAIR SUMNER opened public testimony on SSCR 4.
4:08:26 PM
ANNETTA ATWELL, Chair, Board of Massage Therapists, testified in
opposition to SSCR 4 and urged members to veto EO 127. She said
the sunset audit's evaluation debunked the notion of eliminating
the board for efficiency. She said the most notable audit
recommendation was an increase in licensure fees, which would be
accomplished through the Department of Commerce, Community &
Economic Development (DCCED). She explained that the board had
consistently focused on efforts to keep safety, professionalism,
and the best interests of massage therapists and the public at
the forefront. The goal is to continue the training of board
members on safety protocols concerning human trafficking and
prostitution rings. She stated that the board hosts its
colleagues in a town hall meeting each year where much is
learned about how to keep the community safe from unsafe
practices. She added that licensees can bill insurance
companies if they are credentialed with the insurance company.
4:14:25 PM
REPRESENTATIVE PRAX asked whether insurance companies base their
underwriting material on a national standard.
MS. ATWELL did not know the answer.
REPRESENTATIVE PRAX asked whether the national certification
board engages in disciplinary action in other states.
MS. ATWELL deferred the question to Ms. Motz.
4:16:23 PM
JILL MOTZ, representing self, informed the committee that she is
the former chair of the state Board of Massage Therapists. She
said there are no national organizations that participate in
oversight or disciplinary action of message therapists.
4:17:08 PM
CHAIR SUMNER closed public testimony and announced that SSCR 4
would be held over.
SSCR 6-DISAPPROVE EO 129
4:17:19 PM
CHAIR SUMNER announced that the next order of business would be
SENATE SPECIAL CONCURRENT RESOLUTION NO. 6, Disapproving
Executive Order No. 129.
4:17:30 PM
CHAIR SUMNER opened public testimony on SSCR 6. After
ascertaining that no one wished to testify, he closed public
testimony and announced that SSCR 6 would be held over.
SSCR 7-DISAPPROVE EO 130
4:17:56 PM
CHAIR SUMNER announced that the final order of business would be
SENATE SPECIAL CONCURRENT RESOLUTION NO. 7, Disapproving
Executive Order No. 130.
4:18:04 PM
CHAIR SUMNER opened public testimony on SSCR 7. After
ascertaining that no one wished to testify, he closed public
testimony and announced that SSCR 7 would be held over.
4:18:28 PM
ADJOURNMENT
There being no further business before the committee, the House
Labor and Commerce Standing Committee meeting was adjourned at
4:18 p.m.
| Document Name | Date/Time | Subjects |
|---|---|---|
| HB271 Sponsor Statement.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 271 |
| HB271 Sectional Analysis Version A.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 271 |
| HB327 Support Letters.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 327 |
| HB175 Support Letters.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| HB327 Written Testimony 03 05 24.docx |
HL&C 3/8/2024 3:15:00 PM |
HB 327 |
| HB327.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 327 |
| HB327 letter.docx |
HL&C 3/8/2024 3:15:00 PM |
HB 327 |
| HB 175 & EO130 Petitions 20240308.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| HB 175 & EO130 Petitions 20240308.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 SSCR 7 |
| HB175 - Sectional Analysis 2.14.24.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| HB175 - Sponsor Statement 2.14.24.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| Midwife Powerpoint presentation.pptx |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| MaternalMortality_2022.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| Letter from Board of Certified Direct Entry Midwives.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| Maternity-Care-Report-Alaska.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| Medicaid Cost Savings in 2022 for Midwives.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| NACPM Ltr to Alaska Senate Labor and Commerce Committee_2_1_2024.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| NARM Letter to Gov.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| VitalStatistics_Annualreport_2022.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| improving-our-maternity-care-now.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |
| FSC re HB 254 3-11-24.docx |
HL&C 3/8/2024 3:15:00 PM |
HB 254 |
| ESPLERP opposition to Alaska HB254.docx |
HL&C 3/8/2024 3:15:00 PM |
HB 254 |
| Woodhull HB 254 Letter of Opposition.docx |
HL&C 3/8/2024 3:15:00 PM |
HB 254 |
| HB175 Amendment Packet.pdf |
HL&C 3/8/2024 3:15:00 PM |
HB 175 |