Legislature(2023 - 2024)SENATE FINANCE 532

04/03/2023 09:00 AM Senate FINANCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
Bills Previously Heard/Scheduled
+= SB 55 EXTEND STATE MEDICAL BOARD TELECONFERENCED
Moved CSSB 55(FIN) Out of Committee
+= SB 12 ADDRESS CONFIDENTIALITY PROGRAM TELECONFERENCED
Moved CSSB 12(JUD) Out of Committee
+= HB 62 RENEWABLE ENERGY GRANT FUND TELECONFERENCED
Heard & Held
+= SB 58 MEDICAID ELIGIBILITY: POSTPARTUM MOTHERS TELECONFERENCED
Heard & Held
SENATE BILL NO. 55                                                                                                            
                                                                                                                                
     "An Act extending the termination date of the State                                                                        
     Medical Board; and providing for an effective date."                                                                       
                                                                                                                                
9:06:46 AM                                                                                                                    
                                                                                                                                
Co-Chair Olson  relayed that the  committee had heard  SB 55                                                                    
          th                                                                                                                    
on March 7. Public testimony had been taken.                                                                                    
                                                                                                                                
                                                                                                                                
Co-Chair   Stedman  MOVED   to   ADOPT  proposed   committee                                                                    
substitute  for SB  55,  Work  Draft 33-LS0347\B  (Bergerud,                                                                    
3/25/33).                                                                                                                       
                                                                                                                                
Co-Chair Stedman OBJECTED for discussion.                                                                                       
                                                                                                                                
9:07:22 AM                                                                                                                    
                                                                                                                                
KEN  ALPER,  STAFF,  SENATOR   DONNY  OLSON,  discussed  the                                                                    
proposed  changes  to  the bill.  He  highlighted  that  the                                                                    
original bill had proposed an  8-year extension of the State                                                                    
Medical Board, and  the current bill version  added a 4-year                                                                    
extension for the Board of Certified Direct-Entry Midwives.                                                                     
9:08:22 AM                                                                                                                    
                                                                                                                                
KRIS  CURTIS,   LEGISLATIVE  AUDITOR,  ALASKA   DIVISION  OF                                                                    
LEGISLATIVE  AUDIT,  referenced  the sunset  review  of  the                                                                    
Board of Certified Direct-Entry  Midwives (board) within the                                                                    
Department of  Commerce, Community and  Economic Development                                                                    
(copy on file):                                                                                                                 
                                                                                                                                
     Report Conclusions                                                                                                       
                                                                                                                                
     Overall, the  audit concludes  that the  board operated                                                                    
     in the publics  interest  by conducting its meetings in                                                                    
     an  effective manner,  by supporting  statutory changes                                                                    
     when  deemed   necessary,  and  by   actively  amending                                                                    
     regulations. The  audit also  concludes that  the board                                                                    
     and    Division   of    Corporations,   Business    and                                                                    
     Professional   Licensing   (DCBPL)    staff   did   not                                                                    
     consistently  certify   midwives  in   accordance  with                                                                    
     statutes  and  regulations. Further,  an  investigation                                                                    
     that  concerned  a  threat to  public  safety  was  not                                                                    
     addressed  by  DCBPL   investigators  in  an  efficient                                                                    
     manner.                                                                                                                    
                                                                                                                                
     We  recommend   the  legislature  extend   the  boards                                                                     
     termination date four years,  to June 30,2027, which is                                                                    
     half of the eight-year  maximum allowed in statute. The                                                                    
     reduced  extension reflects  the need  for more  timely                                                                    
     oversight in  recognition of the audit  findings and in                                                                    
     recognition  that  the  boards  draft  regulations  may                                                                    
     significantly change its licensing function.                                                                               
                                                                                                                                
Ms. Curtis  addressed licensing statistics  shown on  page 5                                                                    
of the  audit. She relayed that  as of June 2022,  the board                                                                    
had 47 certified midwives.   She referenced page 7 and noted                                                                    
the schedule  of revenues and expenditures.  She listed four                                                                    
recommendations beginning on page 9:                                                                                            
                                                                                                                                
     Recommendation 1:                                                                                                        
     DCCEDs  commissioner  should work with  policymakers to                                                                    
     improve    the    recruitment    and    retention    of                                                                    
     investigators.                                                                                                             
                                                                                                                                
     Recommendation 2:                                                                                                        
     DCCEDs  commissioner  should work with  policymakers to                                                                    
     improve  the  recruitment  and retention  of  licensing                                                                    
     staff,  and  board  members  should  adequately  review                                                                    
     applications prior to approval.                                                                                            
     Recommendation 3:                                                                                                        
     DCBPLs  director  should work with the  board to ensure                                                                    
     the  online  licensing  application  is  sufficient  to                                                                    
     monitor compliance with  continuing education hours and                                                                    
     that  accurate regulatory  references  are included  in                                                                    
     the application.                                                                                                           
                                                                                                                                
     Recommendation 4:                                                                                                        
     The  Office of  the  Governor,  Boards and  Commissions                                                                    
     director  should  work  with   the  board  to  identify                                                                    
     potential  applicants  to  fill board  vacancies  in  a                                                                    
     timely manner.                                                                                                             
                                                                                                                                
9:12:00 AM                                                                                                                    
                                                                                                                                
Co-Chair   Olson  asked   how   Ms.   Curtis  resolved   the                                                                    
recommendation  for  a  4-year   extension  over  an  8-year                                                                    
extension.                                                                                                                      
                                                                                                                                
Ms. Curtis  reiterated that the audit  recommendation was in                                                                    
light  of the  findings recorded  in the  audit. It  was her                                                                    
opinion that  the board needed  more routine  oversight. She                                                                    
explained  that  the  audit was  the  legislative  oversight                                                                    
mechanism for boards and commissions.                                                                                           
                                                                                                                                
Co-Chair Olson  agreed with the audits   recommendations. He                                                                    
asked whether there  was an explanation as to  why there was                                                                    
difficulty filling the board seats.                                                                                             
                                                                                                                                
Ms.  Curtis  replied  that,  due to  high  turnover  in  the                                                                    
governor's office,  she had  not received  any communication                                                                    
regarding filling the board positions.                                                                                          
                                                                                                                                
Co-Chair Stedman WITHDREW his objection.                                                                                        
                                                                                                                                
9:13:42 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:14:56 AM                                                                                                                    
RECONVENED                                                                                                                      
                                                                                                                                
Co-Chair  Olson  noted  that  the CS  would  be  before  the                                                                    
committee as a working document.                                                                                                
                                                                                                                                
9:15:28 AM                                                                                                                    
                                                                                                                                
KALI  SPENCER, STAFF,  SENATOR WIELECHOWSKI,  testified that                                                                    
that sponsor agreed  with the changes in the  CS. She agreed                                                                    
to answer any questions from the committee.                                                                                     
                                                                                                                                
Senator Olson asked whether the  sponsor had seen the change                                                                    
from the 8-year to the 4-year extension.                                                                                        
                                                                                                                                
Ms. Spencer  responded in the  affirmative. She  stated that                                                                    
the sponsor had no objection to the change.                                                                                     
                                                                                                                                
9:16:26 AM                                                                                                                    
                                                                                                                                
Co-Chair  Stedman  MOVED  to  report  CSSB  55(FIN)  out  of                                                                    
Committee   with   individual    recommendations   and   the                                                                    
accompanying fiscal note.  There  being NO OBJECTION, it was                                                                    
so ordered.                                                                                                                     
                                                                                                                                
CSSB 55(FIN)  was REPORTED out  of committee with  three "do                                                                    
pass"   recommendations   and   four   "no   recommendation"                                                                    
recommendations and  with a  forthcoming fiscal  impact note                                                                    
from  the Department  of  Commerce,  Community and  Economic                                                                    
Development.                                                                                                                    
                                                                                                                                
9:16:47 AM                                                                                                                    
AT EASE                                                                                                                         
                                                                                                                                
9:19:21 AM                                                                                                                    
                                                                                                                                
RECONVENED                                                                                                                      
                                                                                                                                

Document Name Date/Time Subjects
SB 55 work draft version B.pdf SFIN 4/3/2023 9:00:00 AM
SB 55
SB 55 20133-Midwives-Final.pdf SFIN 4/3/2023 9:00:00 AM
SB 55
SB 58 DOH - MS - 032923.pdf SFIN 4/3/2023 9:00:00 AM
SB 58