Legislature(2013 - 2014)BELTZ 105 (TSBldg)

03/04/2014 01:30 PM Senate LABOR & COMMERCE


Download Mp3. <- Right click and save file as

* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 166 BOARD OF NURSING; NURSES TELECONFERENCED
Heard & Held
*+ SB 167 MULTIPLE VEHICLE INSURANCE POLICIES TELECONFERENCED
Heard & Held
+= SB 189 EXEMPTION: LICENSING OF CONTRACTORS TELECONFERENCED
Heard & Held
+= SB 193 CONTRACTORS: BONDS; LICENSING TELECONFERENCED
Scheduled But Not Heard
+ Bills Previously Heard/Scheduled TELECONFERENCED
                    ALASKA STATE LEGISLATURE                                                                                  
          SENATE LABOR AND COMMERCE STANDING COMMITTEE                                                                        
                         March 4, 2014                                                                                          
                           1:36 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Senator Mike Dunleavy, Chair                                                                                                    
Senator Peter Micciche, Vice Chair                                                                                              
Senator Donald Olson                                                                                                            
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Senator Bert Stedman                                                                                                            
Senator Johnny Ellis                                                                                                            
                                                                                                                              
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
SENATE BILL NO. 166                                                                                                             
"An Act relating to nursing and to the Board of Nursing."                                                                       
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
SENATE BILL NO. 167                                                                                                             
"An  Act  relating  to  the   maximum  amount  of  uninsured  and                                                               
underinsured  coverage  payable   under  multiple  motor  vehicle                                                               
insurance  policies  issued  by  the same  insurer  in  the  same                                                               
household."                                                                                                                     
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
SENATE BILL NO. 189                                                                                                             
"An Act relating to an exemption from the regulation of                                                                         
construction contractors."                                                                                                      
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
SENATE BILL NO. 193                                                                                                             
"An Act relating to bonds required for contractors."                                                                            
                                                                                                                                
     - SCHEDULED BUT NOT HEARD                                                                                                  
                                                                                                                              
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: SB 166                                                                                                                  
SHORT TITLE: BOARD OF NURSING; NURSES                                                                                           
SPONSOR(s): SENATOR(s) GIESSEL BY REQUEST                                                                                       
                                                                                                                                
02/07/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/07/14       (S)       L&C                                                                                                    
03/04/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 167                                                                                                                  
SHORT TITLE: MULTIPLE VEHICLE INSURANCE POLICIES                                                                                
SPONSOR(s): SENATOR(s) HUGGINS BY REQUEST                                                                                       
                                                                                                                                
02/10/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/10/14       (S)       L&C                                                                                                    
03/04/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
BILL: SB 189                                                                                                                  
SHORT TITLE: EXEMPTION: LICENSING OF CONTRACTORS                                                                                
SPONSOR(s): LABOR & COMMERCE                                                                                                    
                                                                                                                                
02/21/14       (S)       READ THE FIRST TIME - REFERRALS                                                                        
02/21/14       (S)       L&C                                                                                                    
02/25/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
02/25/14       (S)       -- MEETING CANCELED --                                                                                 
03/04/14       (S)       L&C AT 1:30 PM BELTZ 105 (TSBldg)                                                                      
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
SENATOR CATHY GIESSEL                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Sponsor of SB 166.                                                                                        
                                                                                                                                
JANE CONWAY, Staff                                                                                                              
Senator Cathy Giessel                                                                                                           
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Introduced the CS for SB 166 on behalf of                                                                 
the sponsor.                                                                                                                    
                                                                                                                                
NANCY SANDERS, PhD, Executive Administrator                                                                                     
Alaska State Board of Nursing                                                                                                   
Division of Corporations, Business, and Professional Licensing                                                                  
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Answered questions related to SB 166.                                                                     
                                                                                                                                
LAURA SARCONE, Certified Nurse Midwife                                                                                          
Alaska Advanced Practiced Registered Nurse Alliance                                                                             
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 166.                                                                           
                                                                                                                                
JANA SHOCKMAN, President                                                                                                        
Alaska State Nurses Association                                                                                                 
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 166.                                                                           
                                                                                                                                
%(7+)$5167520, Chair                                                                                                           
Alaska State Board of Nursing                                                                                                   
Division of Corporations, Business, and Professional Licensing                                                                  
Department of Commerce, Community and Economic Development                                                                      
Anchorage, Alaska                                                                                                               
POSITION STATEMENT: Testified in support of SB 166.                                                                           
                                                                                                                                
DON HABEGER, Director                                                                                                           
Division of Corporations, Business & Professional Licensing                                                                     
Department of Commerce, Community and Economic Development                                                                      
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Voiced concern with a provision in Section 3                                                              
of SB 166.                                                                                                                      
                                                                                                                                
GREY MITCHELL, Assistant Commissioner                                                                                           
Department of Labor and Workforce Development (DOLWD)                                                                           
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Voiced concern with certain aspects of SB
166 and answered questions related to SB 189.                                                                                   
                                                                                                                                
ASHTON COMPTON, Staff                                                                                                           
Senator Charlie Huggins                                                                                                         
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Introduced SB 167 on behalf of the sponsor.                                                               
                                                                                                                                
SHELDON WINTERS, Lobbyist                                                                                                       
State Farm Insurance                                                                                                            
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Testified in support of SB 167.                                                                           
                                                                                                                                
KENTON BRINE                                                                                                                    
Property Casualty Insurance Association                                                                                         
Olympia, Washington                                                                                                             
POSITION STATEMENT: Testified in support of SB 167.                                                                           
                                                                                                                                
STEVE RICCI, Aide                                                                                                               
Senate Labor and Commerce Standing Committee                                                                                    
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT: Introduced SB 189.                                                                                        
                                                                                                                                
AL NAGEL, Mechanical Inspection Manager                                                                                         
Department of Labor and Workforce Development                                                                                   
Anchorage, Alaska,                                                                                                              
POSITION STATEMENT:  Answered questions and  provided information                                                             
related to SB 189.                                                                                                              
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
1:36:16 PM                                                                                                                    
CHAIR  MIKE  DUNLEAVY  called  the   Senate  Labor  and  Commerce                                                             
Standing Committee meeting  to order at 1:36 p.m.  Present at the                                                               
call to order were Senators Micciche, Olson, and Chair Dunleavy.                                                                
                                                                                                                                
                SB 166-BOARD OF NURSING; NURSES                                                                             
                                                                                                                                
1:37:02 PM                                                                                                                    
CHAIR DUNLEAVY  announced the  consideration of  SB 166.  "An Act                                                               
relating to nursing  and to the Board of Nursing."  He noted this                                                               
was the first hearing and  there was a draft committee substitute                                                               
(CS) that incorporates changes requested by the sponsor.                                                                        
                                                                                                                                
1:37:24 PM                                                                                                                    
SENATOR CATHY  GIESSEL, Alaska State  Legislature, sponsor  of SB
166,  stated that  the bill  is  analogous to  a revisor's  bill,                                                               
because  it eliminates  and updates  obsolete  statutes from  the                                                               
Board of Nursing.  These changes have been on the  docket for the                                                               
Board of Nursing for at least  10 years and the board finally has                                                               
asked that they  be brought forward for  correction. She deferred                                                               
to her staff to discuss the proposed CS.                                                                                        
                                                                                                                                
CHAIR DUNLEAVY asked for a motion to adopt the CS.                                                                              
                                                                                                                                
1:38:49 PM                                                                                                                    
SENATOR MICCICHE  moved to adopt the  CS for SB 166,  labeled 28-                                                               
LS1010\Y, as the working document.                                                                                              
                                                                                                                                
CHAIR DUNLEAVY objected for discussion purposes.                                                                                
                                                                                                                                
1:39:10 PM                                                                                                                    
JANE CONWAY, Staff, Senator Cathy  Giessel, stated that Version Y                                                               
incorporates two  changes. First,  it rewrites  the whistleblower                                                               
protection to  include both  the nurse that  delegates a  task to                                                               
another who  is not educated  to perform  the task and  the nurse                                                               
asked to perform the task that  they are not educated to perform.                                                               
This is found on page 7,  beginning on line 28. The second change                                                               
corrects a reference  to the department of labor  in the original                                                               
bill and writes out the full  name of the Department of Labor and                                                               
Workforce Development. This is found on page 8, line 19.                                                                        
                                                                                                                                
SENATOR OLSON asked for an  example of the obsolete statutes that                                                               
were deleted or rewritten.                                                                                                      
                                                                                                                                
SENATOR  GIESSEL  said the  term  vocational  practical nurse  is                                                               
obsolete and  has been changed  to licensed practical  nurse. The                                                               
statute referring  to a written  examination is  obsolete because                                                               
the  examination  is  now   computer-based.  Recognition  of  the                                                               
Canadian licensing  examination is obsolete because  that exam is                                                               
no  longer accepted  by the  board. Most  of the  changes to  the                                                               
statutes are  updates other than the  whistleblower protection in                                                               
Section  15  and  the  qualifications  for  board  membership  in                                                               
Section  5. The  latter was  updated to  add the  practical nurse                                                               
identification and  to identify the  length of practice  to serve                                                               
on the board. It also creates  a designated seat for the advanced                                                               
nurse practitioner.                                                                                                             
                                                                                                                                
SENATOR  OLSON asked  if  a  person who  has  a Canadian  nursing                                                               
license is able to continue to work under that license.                                                                         
                                                                                                                                
MS.  CONWAY said  the  bill repeals  the  endorsement for  nurses                                                               
completing the Canadian Nursing Association test.                                                                               
                                                                                                                                
SENATOR  OLSON asked  if this  applies only  to new  licensees or                                                               
also to  those who are  already working under a  Canadian nursing                                                               
license.                                                                                                                        
                                                                                                                                
SENATOR GIESSEL deferred  to the executive director  of the Board                                                               
of Nursing.                                                                                                                     
                                                                                                                                
1:43:48 PM                                                                                                                    
CHAIR  DUNLEAVY  asked  if  the bill  does  anything  that  would                                                               
prevent that from happening.                                                                                                    
                                                                                                                                
SENATOR  GIESSEL  said  yes.  The bill  removes  a  provision  in                                                               
statute  that allows  licensed practical  nurses who  are foreign                                                               
graduates to  get a temporary  six-month license prior  to taking                                                               
the National  Council Licensure  Examination (NCLEX).  The reason                                                               
is that about 42 percent of  the foreign licensed nurses who take                                                               
the NCLEX don't pass it.                                                                                                        
                                                                                                                                
SENATOR MICCICHE asked if she  had any comment on the requirement                                                               
for  two  separate  criminal  record   checks  to  qualify  as  a                                                               
certified  nursing assistant  (CNA).  It's necessary  to get  the                                                               
results from the  first test before the second  can be submitted,                                                               
which is  very time-consuming.  A constituent  brought it  to his                                                               
attention  that medical  facilities are  finding it  difficult to                                                               
fill CNA positions because of this requirement.                                                                                 
                                                                                                                                
SENATOR GIESSEL  explained that both  the federal  government and                                                               
the Board of  Nursing require FBI background  checks. The federal                                                               
government requires  the check for  anyone working in  a Medicaid                                                               
facility  and the  board requires  the check  for licensure.  The                                                               
results  can't  be  shared.  The  federal  law  also  established                                                               
barrier crimes  that limit  employment opportunities  for certain                                                               
felonies,  but the  Board  of Nursing  doesn't  have any  barrier                                                               
crimes to  practice at any level  of nursing. The board  looks at                                                               
each case  individually. She deferred further  explanation to the                                                               
executive administrator of the Board of Nursing.                                                                                
                                                                                                                                
1:47:57 PM                                                                                                                    
CHAIR  DUNLEAVY   removed  his  objection.  Finding   no  further                                                               
objection, Version Y was adopted.                                                                                               
                                                                                                                                
1:48:37 PM                                                                                                                    
NANCY SANDERS,  PhD, Executive Administrator, Alaska  State Board                                                               
of Nursing, Division of  Corporations, Business, and Professional                                                               
Licensing,  Department   of  Commerce,  Community   and  Economic                                                               
Development (DCCED), Anchorage, Alaska, introduced herself.                                                                     
                                                                                                                                
SENATOR  MICCICHE asked  what  could be  done  to streamline  the                                                               
second background check.                                                                                                        
                                                                                                                                
DR. SANDERS  replied there isn't  a positive answer,  because the                                                               
Board of Nursing  can only share the results  of their background                                                               
check  with other  facilities that  are using  it as  a licensing                                                               
requirement.                                                                                                                    
                                                                                                                                
SENATOR MICCICHE  asked if she  could conceive of  separating the                                                               
CNA  requirements from  the  general  nursing requirements  since                                                               
CNAs  have   a  lower  level   of  responsibility   and  training                                                               
requirements. He  offered his understanding that  those positions                                                               
were the most difficult to retain.                                                                                              
                                                                                                                                
DR.  SANDERS replied  that has  not  been the  experience of  the                                                               
Board of  Nursing. CNAs are  intimately involved with  the people                                                               
they  care  for, including  those  who  are  in their  homes.  In                                                               
keeping with the  mission of the Board of Nursing  to protect the                                                               
public, this is an important  licensing category that should have                                                               
oversight. She  also clarified  that someone  who has  passed the                                                               
CNA  certification examination  may  practice  under a  six-month                                                               
temporary permit  while they wait  for the results of  the second                                                               
background check.                                                                                                               
                                                                                                                                
LAURA SARCONE,  Certified Nurse  Midwife representing  the Alaska                                                               
Advanced Practiced Registered  Nurse Alliance, Anchorage, Alaska,                                                               
stated  support for  SB 166.  She voiced  particular support  for                                                               
paragraph (3) in Section 1 that  designates one seat on the Board                                                               
of  Nursing  to  an  advanced   nurse  practitioner  (ANP).  That                                                               
designation contributes  positively to the  ongoing communication                                                               
and cooperation  between the Board  of Nursing and  the regulated                                                               
community of advanced practice nurses, she said.                                                                                
                                                                                                                                
SENATOR OLSON asked where she practices midwifery.                                                                              
                                                                                                                                
MS.  SARCONE  replied   she  is  a  fulltime   nurse  midwife  at                                                               
Southcentral Foundation in Anchorage.                                                                                           
                                                                                                                                
SENATOR OLSON asked if she had ever practiced in rural Alaska.                                                                  
                                                                                                                                
MS. SARCONE said no.                                                                                                            
                                                                                                                                
1:54:54 PM                                                                                                                    
JANA  SHOCKMAN,  President,   Alaska  Nurses  Association  (ANA),                                                               
Anchorage, Alaska,  stated support  for SB 166,  particularly the                                                               
formal designation  of a seat  for an advanced practice  nurse on                                                               
the board.  The nurses association  recognizes that the  Board of                                                               
Nursing has needed these updates for awhile, she said.                                                                          
                                                                                                                                
1:55:36 PM                                                                                                                    
BETH FARNSTROM,  Chair, Alaska State  Board of  Nursing, Division                                                               
of   Corporations,   Business,    and   Professional   Licensing,                                                               
Department  of  Commerce,   Community  and  Economic  Development                                                               
(DCCED), Anchorage, Alaska,  testified in support of  SB 166. She                                                               
said the board has discussed these  changes for a number of years                                                               
and at  its January 2014  meeting voted unanimously to  work with                                                               
the legislature on this issue.                                                                                                  
                                                                                                                                
1:56:42 PM                                                                                                                    
DON  HABEGER,  Director,  Division of  Corporations,  Business  &                                                               
Professional  Licensing, Department  of  Commerce, Community  and                                                               
Economic Development  (DCCED), raised concern with  the provision                                                               
in Section  3, page 3,  lines 14-15, that requires  the executive                                                               
administrator of the board to  hold a master's degree in nursing.                                                               
The most  highly qualified RN  applicant would be hired,  just as                                                               
when Dr.  Nancy Sanders  was selected, but  it would  provide the                                                               
division more flexibility if the requirement wasn't in statute.                                                                 
                                                                                                                                
SENATOR  OLSON asked  how  many people  in  Alaska hold  master's                                                               
degrees in nursing.                                                                                                             
                                                                                                                                
MR. HABEGER said he didn't know, but 15,000 nurses are licensed.                                                                
                                                                                                                                
SENATOR OLSON asked  how many doctor of nursing  degrees are held                                                               
in Alaska.                                                                                                                      
                                                                                                                                
MR. HABEGER replied he only knew of Dr. Nancy Sanders.                                                                          
                                                                                                                                
SENATOR MICCICHE  commented that  the bill has  clearly increased                                                               
the competency of  the board and he believes that's  a good idea.                                                               
He said he'd like to hear  why the sponsor believes that level of                                                               
competence is important for the administrative position.                                                                        
                                                                                                                                
2:01:08 PM                                                                                                                    
GREY MITCHELL,  Assistant Commissioner,  Department of  Labor and                                                               
Workforce   Development  (DOLWD),   discussed  the   department's                                                               
perspective of  SB 166. He said  Sections [15 and 16]  on pages 7                                                               
and  8 would  affect the  department. The  new subsection  (d) in                                                               
Section 16 assigns DOLWD the  authority to impose a civil penalty                                                               
of  up  to  $10,000  on   a  person  who  knowingly  violates  AS                                                               
08.68.279(a). DOLWD  has a program to  pursue similar protections                                                               
for workers  who bring forward  occupational, safety,  and health                                                               
complaints, but the concern is that  they wouldn't be able to use                                                               
their  existing investigator  because the  position is  partially                                                               
funded through  the U.S. Department of  Labor Occupational Safety                                                               
and Health  Administration (OSHA).  However, if  these complaints                                                               
are minimal,  as indicated  through preliminary  discussions with                                                               
the  sponsor, DOLWD  may be  able to  accommodate the  costs with                                                               
existing staff and additional training, he said.                                                                                
                                                                                                                                
SENATOR   OLSON  questioned   the  advantage   of  having   DOLWD                                                               
investigate   these  complaints   as  opposed   to  the   current                                                               
investigative process.                                                                                                          
                                                                                                                                
MR.  MITCHELL  said  he didn't  know  the  current  investigation                                                               
process.                                                                                                                        
                                                                                                                                
SENATOR  OLSON  asked  if  DOLWD   views  this  amendment  as  an                                                               
advantage.                                                                                                                      
                                                                                                                                
MR.  MITCHELL opined  that it  was an  issue for  the sponsor  to                                                               
address.                                                                                                                        
                                                                                                                                
SENATOR OLSON asked why he was opposing the amendment.                                                                          
                                                                                                                                
MR. MITCHELL clarified that he was merely voicing a concern.                                                                    
                                                                                                                                
CHAIR DUNLEAVY asked if this was  an issue that would prevent the                                                               
bill from moving forward.                                                                                                       
                                                                                                                                
MR. MITCHELL said no.                                                                                                           
                                                                                                                                
2:05:23 PM                                                                                                                    
CHAIR DUNLEAVY asked  the sponsor to address the  two issues that                                                               
were raised.                                                                                                                    
                                                                                                                                
SENATOR GIESSEL addressed  the question from Section  3 about the                                                               
minimum requirement for the executive  administrator of the Board                                                               
of Nursing  to hold a  master's degree in nursing.  She explained                                                               
that the Board of Nursing  regulates about 17,000 licensees or 25                                                               
percent of  the professional  licenses in  the state.  Because of                                                               
that  large   volume,  the  board  delegates   to  the  executive                                                               
administrator the  authority to  review license  applications and                                                               
initial complaints  to determine whether  they rise to  the level                                                               
of  an investigation.  The  executive director  has  to be  fully                                                               
versed  in the  practice of  nursing  at all  levels because  the                                                               
Board  of Nursing  regulates  from  a high  school  diploma to  a                                                               
doctoral level.                                                                                                                 
                                                                                                                                
Addressing the  question about the potential  pool of applicants,                                                               
she explained  that an advanced  nurse practitioner has  to have,                                                               
at minimum,  a master's  degree in nursing.  In this  state there                                                               
are  about 500  nurses who  hold  master's degrees  and a  rising                                                               
number are doctorially prepared, so  there is an adequate pool of                                                               
applicants, she said.                                                                                                           
                                                                                                                                
SENATOR MICCICHE  asked if  an RN program  was typically  four or                                                               
five years.                                                                                                                     
                                                                                                                                
SENATOR GIESSEL replied  there is encouragement to go  to a four-                                                               
year baccalaureate degree,  but currently it can be  either a two                                                               
or four year degree.                                                                                                            
                                                                                                                                
SENATOR MICCICHE asked  if it's a one-year  program to transition                                                               
from an RN four-year degree to a master's degree in nursing.                                                                    
                                                                                                                                
SENATOR GIESSEL  confirmed there  are bridge programs  like that;                                                               
the  University  of  Alaska, Anchorage  program  is  a  four-year                                                               
baccalaureate and a two-year master's degree.                                                                                   
                                                                                                                                
CHAIR   DUNLEAVY  summarized   that   the   bill  increases   the                                                               
qualifications for  the executive administrator position  and the                                                               
sponsor doesn't  believe it will  be difficult to  find qualified                                                               
candidates.                                                                                                                     
                                                                                                                                
SENATOR GIESSEL  said that  having been  in an  interview process                                                               
twice, she didn't believe there would be a problem.                                                                             
                                                                                                                                
SENATOR  MICCICHE  stated support  for  the  requirement for  the                                                               
executive administrator to have a master's degree at a minimum.                                                                 
                                                                                                                                
CHAIR DUNLEAVY asked  the sponsor to comment on  the second issue                                                               
that was raised.                                                                                                                
                                                                                                                                
SENATOR  GIESSEL deferred  to  the  executive administrator.  She                                                               
worked with the  Department of Law to write the  section and they                                                               
encouraged  assigning the  authority to  the Department  of Labor                                                               
and Workforce  Development (DOLWD).  She suggested  the committee                                                               
also  hear   from  Ms.  Shockman   because  the   Alaska  Nurse's                                                               
Association strongly endorsed this provision.                                                                                   
                                                                                                                                
CHAIR DUNLEAVY asked Ms. Shockman  to comment on the provision on                                                               
page 8, lines 19-21, related to DOLWD.                                                                                          
                                                                                                                                
MS.  SHOCKMAN said  the ANA  strongly supports  the whistleblower                                                               
protection  language in  the  bill. She  provided  an example  to                                                               
illustrate why  this is  important. She explained  that she  is a                                                               
very   experienced   intensive    care   nurse   with   specialty                                                               
certifications  in  critical care  and  cardiac  surgery. If  her                                                               
employer  were to  decide, because  of  short-staffing, that  she                                                               
should work  a shift in  obstetrics, it  might be dangerous  to a                                                               
patient.  Her  only training  in  obstetrics  was generalized  in                                                               
nursing school 17  years ago. The language in  this section would                                                               
protect her from punitive or  retaliatory actions by the employer                                                               
if she  declined the assignment  due to safety concerns.  The ANA                                                               
believes  there should  be a  penalty in  a civil  action if  the                                                               
employer knowingly  violates this and  attempts to force  a nurse                                                               
to take an assignment for which they are not trained.                                                                           
                                                                                                                                
SENATOR OLSON  questioned how this will  affect nurses' attitudes                                                               
in smaller  hospitals. There may be  only one trained RN  on duty                                                               
with licensed practical nurses (LPNs).                                                                                          
                                                                                                                                
MS. SHOCKMAN directed  attention to page 8, line 13.  It says the                                                               
nurse must report to the board  the improper attempt to assign or                                                               
delegate the  task, and the  board will determine whether  or not                                                               
the assignment  was improper. It's  not a  matter of a  nurse not                                                               
wanting to perform; it's a matter of public safety, she said.                                                                   
                                                                                                                                
SENATOR  OLSON  questioned  what  happens if  there's  nobody  to                                                               
respond.                                                                                                                        
                                                                                                                                
MS. SHOCKMAN  said nursing occurs  in a variety  of environments,                                                               
and in smaller hospitals nurses tend to be less specialized.                                                                    
                                                                                                                                
SENATOR OLSON  said his concern  relates to 10-12  bed facilities                                                               
in rural  Alaska that have  nursing shortages. It's  a disservice                                                               
to the nursing  administration if a nurse  declines an assignment                                                               
because he/she didn't feel like doing it, he said.                                                                              
                                                                                                                                
2:16:09 PM                                                                                                                    
SENATOR GIESSEL  acknowledged that  he made  a strong  point then                                                               
directed  attention to  paragraph (1)(A),  (B), (C),  and (D)  in                                                               
Section 15. These four sidebars make  it clear that a nurse isn't                                                               
declining an assignment because they didn't feel like doing it.                                                                 
                                                                                                                                
SENATOR OLSON said  his issue is that the director  of nursing in                                                               
a rural  facility may  be hesitant  to assign  a task  if they're                                                               
worried  about  a  whistleblower   complaint  and  potentially  a                                                               
$10,000 civil penalty.                                                                                                          
                                                                                                                                
SENATOR GIESSEL  said it's a  valid concern, but nurses  in small                                                               
hospitals are  more generalists  and the board  will look  at the                                                               
complaint before it goes forward to a penalty.                                                                                  
                                                                                                                                
SENATOR OLSON voiced  concern that the board might  not know much                                                               
about practicing in rural Alaska.                                                                                               
                                                                                                                                
SENATOR GIESSEL reviewed  the membership of the  Board of Nursing                                                               
in Section 1  to allay his concerns. She stressed  that the board                                                               
is very diverse and would  look at a whistleblower complaint from                                                               
a  rural community  with an  understanding of  what it's  like to                                                               
practice there.                                                                                                                 
                                                                                                                                
2:25:09 PM                                                                                                                    
SENATOR MICCICHE  pointed out that the  whistleblower section was                                                               
repealed and reenacted to give it more teeth.                                                                                   
                                                                                                                                
SENATOR GIESSEL agreed.                                                                                                         
                                                                                                                                
SENATOR OLSON  asked the sponsor  to list the  various categories                                                               
of licenses.                                                                                                                    
                                                                                                                                
SENATOR GIESSEL explained that there  are certified nursing aides                                                               
(CNA), licensed  practical nurses (LPN), registered  nurses (RN),                                                               
and advanced nurse practitioners (ANP).                                                                                         
                                                                                                                                
CHAIR   DUNLEAVY   held  SB   166   in   committee  for   further                                                               
consideration. Public testimony was open.                                                                                       
                                                                                                                                
2:27:35 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
           SB 167-MULTIPLE VEHICLE INSURANCE POLICIES                                                                       
                                                                                                                                
2:29:43 PM                                                                                                                    
CHAIR  DUNLEAVY   reconvened  the   meeting  and   announced  the                                                               
consideration of SB  167. "An Act relating to  the maximum amount                                                               
of  uninsured and  underinsured coverage  payable under  multiple                                                               
motor vehicle  insurance policies issued  by the same  insurer in                                                               
the same household."                                                                                                            
                                                                                                                                
ASHTON  COMPTON, Staff,  Senator Charlie  Huggins, introduced  SB
167   reading   the   following  sponsor   statement:   [Original                                                               
punctuation provided.]                                                                                                          
                                                                                                                                
     SB  167  corrects  an  unintended  loophole  in  Alaska                                                                    
     statutes    that   is    harmful   to    consumers   of                                                                    
     Uninsured/Underinsured Motorist ("U/UIM") insurance.                                                                       
                                                                                                                                
     Alaska, like  most states,  restricts the  combining or                                                                    
     "stacking"   of  multiple   U/UIM  coverages.   When  a                                                                    
     consumer insures  more than one  vehicle with  the same                                                                    
     insurer,  the  U/UIM  coverages  are  not  combined  or                                                                    
     "stacked."  Instead   the  coverage  available   in  an                                                                    
     accident  is the  highest coverage  on any  one of  the                                                                    
     vehicles.  That  limitation  makes  the  coverage  more                                                                    
     affordable,  allows more  consumer choice  and enhances                                                                    
     predictability.                                                                                                            
                                                                                                                                
     Our  Legislature  repeatedly  made it  clear  that  the                                                                    
     limitation  on stacking  applies regardless  of whether                                                                    
     the vehicles  are insured under one  policy, or through                                                                    
     separate policies from  the same insurer. Unfortunately                                                                    
     language adopted  in 1990 as  later applied  created an                                                                    
     unintended   loophole   that  does   not   consistently                                                                    
     accomplish the  stated purpose. Under the  language, if                                                                    
     the  consumer  insures   the  vehicles  under  separate                                                                    
     policies from  the same insurer, stacking  is precluded                                                                    
     only for the "named  insured" - ironically allowing all                                                                    
     the  other  coverages  to  be  stacked  for  all  other                                                                    
     persons.   There  is   no  logical   reason  for   this                                                                    
     discrepancy. It  needlessly forces the consumer  to pay                                                                    
     for "stackable" coverage that is not desired.                                                                              
                                                                                                                                
     With a simple  change in the statutory  language SB 167                                                                    
     corrects  this   inconsistency  and   accomplishes  the                                                                    
     following:                                                                                                                 
                                                                                                                                
     •  Consumers will  not be  forced to  pay for  coverage                                                                    
     they  do not  want or  need. Insurance  rates for  many                                                                    
     consumers will be positively influenced.                                                                                   
     • Consumer  choice and predictability will  be improved                                                                    
     because  consumers can  choose a  predictable level  of                                                                    
     coverage they deem appropriate.                                                                                            
     •  Consumers who  choose to  insure  their vehicles  in                                                                    
     separate policies  will have  the same options  as, and                                                                    
     be  treated the  same  as, consumers  who insure  their                                                                    
     vehicles under  a single policy,  which was  the stated                                                                    
     legislative intent in 1984 and 1990.                                                                                       
                                                                                                                                
2:32:07 PM                                                                                                                    
SHELDON WINTERS, Lobbyist, State  Farm Insurance, Juneau, Alaska,                                                               
stated that SB  167 is about enforcing  and consistently applying                                                               
the public policy  prohibiting stacking that was  adopted in 1984                                                               
and amended in 1990. He  explained that an unintended loophole in                                                               
the  1990 legislation  was that  it  provided protection  against                                                               
stacking for  multicar policies but  only partial  protection for                                                               
single car policies.  SB 167 corrects the  discrepancy that makes                                                               
consumers pay  more and  the Division  of Insurance  approved the                                                               
language.                                                                                                                       
                                                                                                                                
2:40:34 PM                                                                                                                    
KENTON BRINE,  Property Casualty Insurance  Association, Olympia,                                                               
Washington, voiced support  for the SB 167 and  offered to answer                                                               
questions.                                                                                                                      
                                                                                                                                
2:41:13 PM                                                                                                                    
CYNTHIA  LAMAR,  Horace  Mann Insurance,  Springfield,  Illinois,                                                               
voiced support for SB 167 and offered to answer questions.                                                                      
                                                                                                                                
SENATOR MICCICHE  thanked Ms.  Lamar for  her letter  and helping                                                               
the committee understand the bill.                                                                                              
                                                                                                                                
SENATOR OLSON asked if there was  a problem in Alaska that caused                                                               
this to come to the forefront.                                                                                                  
                                                                                                                                
MS. COMPTON replied both consumers and insurers were concerned.                                                                 
                                                                                                                                
2:42:55 PM                                                                                                                    
CHAIR DUNLEAVY  announced he would  hold SB 167 in  committee for                                                               
further consideration. Public testimony was open.                                                                               
                                                                                                                                
           SB 189-EXEMPTION: LICENSING OF CONTRACTORS                                                                       
                                                                                                                                
2:43:01 PM                                                                                                                    
CHAIR DUNLEAVY  announced the  consideration of  SB 189.  "An Act                                                               
relating  to an  exemption  from the  regulation of  construction                                                               
contractors." This was the first hearing.                                                                                       
                                                                                                                                
2:43:33 PM                                                                                                                    
STEVE RICCI, Aide, Senate Labor  and Commerce Standing Committee,                                                               
stated  that SB  189 resolves  an  issue with  AS 08.18.161  that                                                               
defines  the  qualifications  for an  exemption  from  contractor                                                               
licensing. He explained  that the issue is that  a growing number                                                               
of  people  are abusing  the  "owner-builder"  exemption that  is                                                               
designed  to  allow  people  to build  their  own  home,  duplex,                                                               
triplex, or four-plex or a  commercial building without obtaining                                                               
a contractor's license. These owner-builders  are in the building                                                               
business without the benefit of  licensure, insurance, or bonding                                                               
so   consumers  have   little   protection  against   potentially                                                               
substandard work.                                                                                                               
                                                                                                                                
Section 1, paragraph  (12), on page 2, adds  language that limits                                                               
the use of the exemption when  the homes are intended to be sold.                                                               
This will  prevent the current  situation where someone  can post                                                               
For Sale signs on a row  of homes they're building while claiming                                                               
the exemption. He said this  will protect consumers because their                                                               
recourse is limited  if the builder isn't  a licensed contractor.                                                               
He  noted that  the  bill is  the priority  of  the Alaska  State                                                               
Homebuilders Association.                                                                                                       
                                                                                                                                
2:45:57 PM                                                                                                                    
SENATOR OLSON asked if there was opposition to the bill.                                                                        
                                                                                                                                
MR. RICCI said the packet  contains one letter of opposition from                                                               
a  masonry  company  in  Fairbanks; it  makes  reference  to  the                                                               
monopolistic nature of contractors.                                                                                             
                                                                                                                                
SENATOR OLSON  asked if the  intent of the  bill was to  help the                                                               
Alaska Homebuilders Association become a monopoly.                                                                              
                                                                                                                                
MR. RICCI clarified that the bill  tries to close the loophole to                                                               
ensure that the intent of the current statute is followed.                                                                      
                                                                                                                                
SENATOR OLSON  asked how  often a  builder has  built a  home for                                                               
multiple family members.                                                                                                        
                                                                                                                                
MR. RICCI  suggested that the  Department of Labor  and Workforce                                                               
Development  (DOLWD) could  speak  to the  statistics and  abuses                                                               
that have occurred.                                                                                                             
                                                                                                                                
2:47:56 PM                                                                                                                    
AL NAGEL, Mechanical Inspection  Manager, Department of Labor and                                                               
Workforce  Development  (DOLWD),  Anchorage, Alaska,  offered  to                                                               
answer questions.                                                                                                               
                                                                                                                                
SENATOR OLSON said that he and  four others built a hanger at the                                                               
Barrow  airport and  he finds  it reprehensible  that the  Alaska                                                               
Homebuilders Association is  trying to get a law  passed that may                                                               
adversely affect  him as an  owner-builder. He questioned  how he                                                               
might  allay   the  concerns  of   people  who  see  this   as  a                                                               
monopolistic move by protected membership organizations.                                                                        
                                                                                                                                
MR.  NAGEL replied  that example  would  not be  affected by  the                                                               
bill. His  reading of  the bill  was that it's  more a  matter of                                                               
preventing someone from doing that on a regular basis.                                                                          
                                                                                                                                
SENATOR  OLSON asked  if  that means  he  couldn't build  another                                                               
hanger for himself  on a regular basis or add  on to the existing                                                               
hanger in Barrow.                                                                                                               
                                                                                                                                
MR.  NAGEL  clarified  that the  department  didn't  propose  the                                                               
language. He said his reading  was that the first hanger wouldn't                                                               
be  a problem,  but an  owner-builder  would be  limited for  two                                                               
years to building just that  one structure. Remodeling the hanger                                                               
wouldn't be affected by the bill.                                                                                               
                                                                                                                                
SENATOR OLSON asked where the language came from.                                                                               
                                                                                                                                
MR.  RICCI   said  the  sponsor  worked   with  the  homebuilders                                                               
association  to  develop  language  that  would  allow  DOLWD  to                                                               
decipher intent. He reiterated that  the focus of the legislation                                                               
was to  allow reasonable exemptions for  owner-builders but close                                                               
the unintended loophole.                                                                                                        
                                                                                                                                
SENATOR OLSON  commented that deciphering intent  reminded him of                                                               
the  thought police,  so he  had reservations  about some  of the                                                               
language in the bill.                                                                                                           
                                                                                                                                
2:52:39 PM                                                                                                                    
GREY MITCHELL,  Assistant Commissioner,  Department of  Labor and                                                               
Workforce Development (DOLWD), Juneau,  Alaska, offered to answer                                                               
questions related to SB 189.                                                                                                    
                                                                                                                                
SENATOR OLSON asked if the department was in favor of the bill.                                                                 
                                                                                                                                
MR. MITCHELL replied DOLWD was neutral on the bill.                                                                             
                                                                                                                                
SENATOR OLSON asked  why they hadn't taken a position  one way or                                                               
the other.                                                                                                                      
                                                                                                                                
MR.  MITCHELL replied  they may  develop a  position as  comments                                                               
come in and the bill proceeds.                                                                                                  
                                                                                                                                
SENATOR OLSON asked  if he understood the concern  he was raising                                                               
that  some large  membership organizations  could push  statutory                                                               
requirements and  regulations that would  hamstring independently                                                               
minded  people who  don't have  access to  a contractor  in rural                                                               
Alaska.                                                                                                                         
                                                                                                                                
MR. MITCHELL said  he didn't believe the intent  was to hamstring                                                               
a true owner-builder.  It's intended to separate  the true owner-                                                               
builder from the  people that are trying to use  the exemption of                                                               
an owner-builder  when they're actually  acting as  a contractor,                                                               
he said.                                                                                                                        
                                                                                                                                
SENATOR  OLSON  asked  how  often  he's  seen  examples  of  this                                                               
problem.                                                                                                                        
                                                                                                                                
MR. MITCHELL  deferred to Mr.  Nagel who deals  specifically with                                                               
enforcement, but anecdotally he knows that it happens regularly.                                                                
                                                                                                                                
SENATOR OLSON  commented on the cost  to a private person  who is                                                               
acting legitimately but has to defend himself.                                                                                  
                                                                                                                                
2:56:33 PM                                                                                                                    
CHAIR DUNLEAVY offered his understanding  that the purpose of the                                                               
bill is  to limit the  shadow type  business whose purpose  is to                                                               
churn  out  homes without  having  to  adhere to  the  licensing,                                                               
bonding,  and   insurance  requirements  imposed   on  legitimate                                                               
contractors.  The  bill is  not  intended  to prevent  a  private                                                               
person from building their own  home, duplex, triplex, four-plex,                                                               
or commercial building. He asked Mr.  Nagel if he had anything to                                                               
add.                                                                                                                            
                                                                                                                                
MR.  NAGEL reiterated  that the  existing  language protects  the                                                               
rights of  a person to build  his/her own home. The  intent is to                                                               
protect against people  acting as a general  contractor when they                                                               
haven't  assumed the  responsibility of  insurance, bonding,  and                                                               
licensure. Responding to Senator  Olson's question about numbers,                                                               
he said he  didn't have that information, but  the department has                                                               
found  that  in  certain  areas   of  the  state  individuals  do                                                               
routinely build primarily  residential structures without holding                                                               
licensure  or  insurance. "They  hold  themselves  out to  be  an                                                               
owner-builder when the  For Sale sign oftentimes  beats the paint                                                               
drying," he said.  Responding to a further  question from Senator                                                               
Olson, he offered to follow  up with information about the number                                                               
of  unlicensed  contractors  that  DOLWD  has  taken  enforcement                                                               
action against.  He warned that owner-builders  aren't tracked in                                                               
a separate category.                                                                                                            
                                                                                                                                
SENATOR OLSON asked  how many times the state  has prevailed when                                                               
it has taken enforcement action.                                                                                                
                                                                                                                                
MR.  NAGEL  explained that  on  a  first  or second  offense  the                                                               
department generally  issues an  administrative fine and  a civil                                                               
cease-and-desist  order. The  criminal penalties  of the  current                                                               
statute are considered on a third or subsequent offense.                                                                        
                                                                                                                                
SENATOR  OLSON  commented  that defending  oneself  from  a  fine                                                               
oftentimes is more expensive than paying the fine.                                                                              
                                                                                                                                
3:02:00 PM                                                                                                                    
At ease                                                                                                                         
                                                                                                                                
3:02:18 PM                                                                                                                    
CHAIR DUNLEAVY reconvened the meeting.                                                                                          
                                                                                                                                
SENATOR MICCICHE summarized that the  essence of the bill is that                                                               
somebody  who  is  in  the  building  business  should  become  a                                                               
building contractor.  It doesn't  change a  thing for  the people                                                               
who want to build their own home.                                                                                               
                                                                                                                                
CHAIR DUNLEAVY held SB 189 for further consideration.                                                                           
                                                                                                                                
3:02:59 PM                                                                                                                    
There being no further business to come before the committee,                                                                   
Chair Dunleavy adjourned the Senate Labor and Commerce Standing                                                                 
Committee meeting at 3:02 p.m.                                                                                                  
                                                                                                                                

Document Name Date/Time Subjects
SB 166 vsO.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB 166_version Y_CS.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB166 Sponsor Statement.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB 166 Sectional Analysis.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB 166_Sectional Analysis_VersionY.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB167 ver A.pdf SL&C 3/4/2014 1:30:00 PM
SB 167
SB 167 Sponsor Statement.pdf SL&C 3/4/2014 1:30:00 PM
SB 167
SB193_FullText_VersionN.pdf SL&C 3/4/2014 1:30:00 PM
SB 193
SB 193 Sponsor Statement.pdf SL&C 3/4/2014 1:30:00 PM
SB 193
SB 193 Fiscal Note DCCED.pdf SL&C 3/4/2014 1:30:00 PM
SB 193
SB 193 Support - Brice.pdf SL&C 3/4/2014 1:30:00 PM
SB 193
SB 193 Support - Craig Taylor Equipment.pdf SL&C 3/4/2014 1:30:00 PM
SB 193
SB 193 Support - Rain Proof.pdf SL&C 3/4/2014 1:30:00 PM
SB 193
SB 193 Support - Roger Hickel Contracting.pdf SL&C 3/4/2014 1:30:00 PM
SB 193
SB 193 SupportLetter_Marsh McLennan.pdf SL&C 3/4/2014 1:30:00 PM
SB 193
SB189_FullText_VersionC.PDF SL&C 3/4/2014 1:30:00 PM
SB 189
SB189_Sponsor_Statement.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB189-DCCED-CBPL-02-21-14.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB189_OppositionLetter_IABA.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB189_SupportLetter_BuildersInc.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB189_SupportLetter_FirstNational.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB189_SupportLetter_KitchenBathDesign.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB189_SupportLetter_RichardCarr.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB166_FiscalNote_DCCED.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB166_SupportLetter_ Evans.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB166_FiscalNote_DOLWD.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB166_SupportLetter_ Gillette.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB166_SupportLetter_ Sanders.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB166_SupportLetter_Farnstrom.pdf SL&C 3/4/2014 1:30:00 PM
SB 166
SB167_FiscalNote_DCCED.pdf SL&C 3/4/2014 1:30:00 PM
SB 167
SB167_SupportLetter_NAMIC.pdf SL&C 3/4/2014 1:30:00 PM
SB 167
SB167_SupportLetter_Horace Mann.pdf SL&C 3/4/2014 1:30:00 PM
SB 167
SB167_SupportLetter_StateFarm.pdf SL&C 3/4/2014 1:30:00 PM
SB 167
SB189_SupportLetter_ChuckHoman.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB167_SupportLetter_PCI.pdf SL&C 3/4/2014 1:30:00 PM
SB 167
SB189_OppositionLetter_Dalton.pdf SL&C 3/4/2014 1:30:00 PM
SB 189
SB167_InfoGraphUpdated.pdf SL&C 3/4/2014 1:30:00 PM
SB 167
SB189_OppositionLetter_ Nenana and Goode.pdf SL&C 3/4/2014 1:30:00 PM
SB 189