Legislature(2023 - 2024)BELTZ 105 (TSBldg)

03/14/2023 03:30 PM Senate STATE AFFAIRS

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 46 BRAIN INJURY AWARENESS MONTH TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
*+ SB 21 STRATEGIC PLANS FOR STATE AGENCIES TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
*+ SB 9 ALASKA SUNSET COMMISSION TELECONFERENCED
Heard & Held
-- Invited & Public Testimony --
+ Bills Previously Heard/Scheduled TELECONFERENCED
              SB  46-BRAIN INJURY AWARENESS MONTH                                                                           
                                                                                                                                
3:32:36 PM                                                                                                                    
CHAIR KAWASAKI announced the consideration  of SENATE BILL NO. 46                                                               
"An  Act  establishing  the  month   of  March  as  Brain  Injury                                                               
Awareness Month."                                                                                                               
                                                                                                                                
He stated  this was the  first hearing  and the intention  was to                                                               
hear  the introduction,  take invited  and public  testimony, and                                                               
hold the bill for future consideration.                                                                                         
                                                                                                                                
He invited  Senator Löki  Tobin and  Mackenzie Pope  to introduce                                                               
the bill.                                                                                                                       
                                                                                                                                
3:32:58 PM                                                                                                                    
SENATOR  LÖKI  TOBIN,  District   I,  Alaska  State  Legislature,                                                               
Juneau,  Alaska, sponsor  of SB  46,  introduced the  legislation                                                               
speaking to the sponsor statement.                                                                                              
                                                                                                                                
     Senate  Bill 46  would  designate each  March as  Brain                                                                    
     Injury Awareness Month in Alaska.  This will help focus                                                                    
     public attention  on the  prevalence of  brain injuries                                                                    
     and highlight ways to prevent these injuries.                                                                              
                                                                                                                                
     Both traumatic  and acquired brain injuries  can happen                                                                    
     to  anyone.  These injuries  can  bring  a lifetime  of                                                                    
     secondary   health  conditions,   including  persistent                                                                    
     concussion  symptoms,   post-traumatic  stress  injury,                                                                    
     physical impairment, and developmental delays.                                                                             
                                                                                                                                
     It's  estimated that  3.2 to  5 million  Americans live                                                                    
     with long-term disabilities due  to brain injuries, and                                                                    
     Alaska has one of the  highest rates of traumatic brain                                                                    
     injuries in  the nation.  The Brain  Injury Association                                                                    
     of  America reports  that every  9 seconds,  someone in                                                                    
     the  U.S. sustains  a brain  injury. The  Department of                                                                    
     Defense reports that over  430,000 service members have                                                                    
     sustained traumatic brain injuries since 2000.                                                                             
                                                                                                                                
     Thousands  of lives  are impacted  every  day by  brain                                                                    
     injuries even though most  traumatic brain injuries are                                                                    
     preventable, especially  by wearing a seatbelt  when in                                                                    
     a  vehicle and  wearing a  helmet when  skiing, biking,                                                                    
     and snow-machining.                                                                                                        
                                                                                                                                
     Permanently  designating  each  March as  Brain  Injury                                                                    
     Awareness   Month  in   Alaska  will   increase  public                                                                    
     awareness  about the  dangers  of  brain injuries  and,                                                                    
     potentially, help  prevent future brain  injuries among                                                                    
     Alaskans. We ask for your support.                                                                                         
                                                                                                                                
3:36:14 PM                                                                                                                    
MACKENZIE POPE, Staff, Senator Löki Tobin, Alaska State                                                                         
Legislature Juneau, Alaska, presented the sectional analysis for                                                                
SB 46.                                                                                                                          
                                                                                                                                
     Section 1    Amends the uncodified law of  the State of                                                                    
     Alaska to add a  new section recognizing the importance                                                                    
     of brain injury awareness in the State of Alaska.                                                                          
                                                                                                                                
     Section 2   Amends AS 44.12  by adding a new section to                                                                    
     article  2 establishing  the month  of  March as  Brain                                                                    
     Injury Awareness Month in  Alaska. This allows schools,                                                                    
     community   groups,  and   other  public   and  private                                                                    
     agencies  and  individuals   to  observe  Brain  Injury                                                                    
     Awareness  Month   with  appropriate   activities  that                                                                    
     increase the  public's awareness of the  prevention and                                                                    
     treatment of brain injuries.                                                                                               
                                                                                                                                
CHAIR KAWASAKI turned to invited testimony.                                                                                     
                                                                                                                                
3:37:28 PM                                                                                                                    
SENATOR WIELECHOWSKI joined the committee.                                                                                      
                                                                                                                                
3:37:32 PM                                                                                                                    
ANNA ZIERFUSS, Acting Chair, Brain Injury Council of Alaska,                                                                    
Anchorage, Alaska, provided invited testimony in support of SB
46. She paraphrased her prepared testimony.                                                                                     
                                                                                                                                
     I am  here to  testify in support  of this  bill, which                                                                    
     would primarily  make the month  of March  Brain Injury                                                                    
     Awareness  Month.  This  would lend  stability  to  the                                                                    
     outreach throughout  the state and further  the message                                                                    
     that this is important  in Alaska. The statistics about                                                                    
     brain injury in Alaska paint  a grim picture. From 2016                                                                    
     to  2018,  Alaska had  one  of  the highest  number  of                                                                    
     deaths  from  traumatic  brain   injury  (TBI)  in  the                                                                    
     nation.   The  Alaska   Native   and  American   Indian                                                                    
     populations  had  a  higher  proportion  of  the  brain                                                                    
     injuries   from   assault,   ATV,  and   snow   machine                                                                    
     accidents, and the lowest rate of access to care.                                                                          
                                                                                                                                
     Overall,   Alaska  has   one  of   the  highest   rates                                                                    
     nationwide for any  type of brain injury.  This is seen                                                                    
     in children whose learning  is permanently affected; in                                                                    
     teens who are injured in  sports and are never properly                                                                    
     diagnosed; in  adults who are affected  by homelessness                                                                    
     and  domestic   violence;  and   in  seniors   who  are                                                                    
     misdiagnosed because  of age-related  disabilities. All                                                                    
     segments of  the population are  touched, whether  as a                                                                    
     survivor, caregiver,  family, or friend.  An individual                                                                    
     who gets  a brain injury  is twice as likely  to suffer                                                                    
     another  TBI  or  get addicted  to  alcohol  or  drugs.                                                                    
     Eighty-seven percent  of adults  in the  justice system                                                                    
     have had a  TBI; 50 percent of the  homeless suffered a                                                                    
     TBI before becoming homeless; death  by suicide is four                                                                    
     times more likely in individuals who sustain a TBI.                                                                        
                                                                                                                                
MS. ZIERFUSS conveyed  her personal story of being  among the 20-                                                               
30 percent of individuals who  sustained a mild to moderate brain                                                               
injury from concussion  and did not fully recover.  Six years ago                                                               
she sustained a  moderate concussion after slipping  on black ice                                                               
and hitting  her head. She  lived in a haze  of pain and  fog for                                                               
two years before she found a  doctor at an urgent care center who                                                               
had experience  in brain  injuries from  his time  in Afghanistan                                                               
and  working  with  veterans.  She  gave  him  carte  blanche  to                                                               
experiment   on  her   with   medications,  nutraceuticals,   and                                                               
therapies. In  year five  her doctor tried  a new  medication. It                                                               
masked her pain  and haze and gave her more  mental energy to get                                                               
through the  day. She  still has severe  limitations and  the two                                                               
things that  were integral to  her soul -  time with her  son and                                                               
singing, were taken from her.                                                                                                   
                                                                                                                                
MS.  ZIERFUSS urged  the committee  to  pass SB  46, which  would                                                               
bring awareness to  this issue and be the first  step in bringing                                                               
more services to Alaska for survivors and their families.                                                                       
                                                                                                                                
3:43:52 PM                                                                                                                    
ANNETTE  ALFONSI,  community  activist on  brain  injury  issues,                                                               
Anchorage, Alaska,  provided invited  testimony in support  of SB
46. She  relayed her story about  persistent concussion symptoms.                                                               
She was looking  at graduate school before she was  in a rollover                                                               
accident  in 2012.  She sustained  a concussion  the symptoms  of                                                               
which  became  persistent.  She  was  given  medication  that  is                                                               
contraindicated for  brain injury recovery and  subsequently told                                                               
that she was not in a category that people care to help.                                                                        
                                                                                                                                
She described helping  to plan annual educational  events only to                                                               
be told that she could not  attend because she was a patient. She                                                               
said this  contributes to a  "don't ask don't tell"  mentality of                                                               
disability.   She  now   plans  events   with  people   who  want                                                               
multidisciplinary  standards  of excellence  around  neurological                                                               
wellness in Alaska,  and everybody is invited.  She described the                                                               
website she  launched this  year that  has on-demand  credits for                                                               
attorneys and  occupational therapists. She also  described being                                                               
the volunteer  Alaska partner for  the international  project for                                                               
unmasking brain  injury. Alaska stories and  associated art about                                                               
brain    injury     can    be     viewed    at     the    website                                                               
unmaskingbraininjury.org.  Alaskans  with  brain injury  are  not                                                               
alone.                                                                                                                          
                                                                                                                                
MS. ALFONSI  spoke about  inappropriate and  fiscally inefficient                                                               
training programs to become a  certified brain injury specialist,                                                               
the need  to offer  a shorter  work week to  people with  a brain                                                               
injury, and  the importance of  timely treatment.  She emphasized                                                               
that there is  a place for everyone in the  community, even those                                                               
with  brain injury  symptoms. She  expressed hope  that long-term                                                               
brain injury  symptoms will  become a  thing of  the past  in the                                                               
21st Century.                                                                                                                   
                                                                                                                                
MS. ALFONSI urged the committee to pass SB 46.                                                                                  
                                                                                                                                
3:48:57 PM                                                                                                                    
CHAIR KAWASAKI opened public testimony on SB 46.                                                                                
                                                                                                                                
3:49:18 PM                                                                                                                    
MARIE   WILSON,  affiliate,   Access  Alaska,   Wasilla,  Alaska,                                                               
testified in support  of SB 46. She relayed her  story of getting                                                               
a brain  injury nine years ago  after being hit from  behind by a                                                               
drunk  driver  who   was  speeding.  She  is   grateful  for  the                                                               
opportunity to share her story and know people are listening.                                                                   
                                                                                                                                
3:51:30 PM                                                                                                                    
LISA MALONEY, representing self,  Anchorage, Alaska, testified in                                                               
support of  SB 46. She is  looking at the benefits  that can come                                                               
from  greater  recognition and  awareness  of  brain injury.  She                                                               
realizes that she is surrounded  by people who have been affected                                                               
by traumatic brain injury and didn't get treatment timely.                                                                      
                                                                                                                                
3:54:45 PM                                                                                                                    
PAMELA  SAMASH, member  Right to  Life  Interior Alaska,  Nenana,                                                               
Alaska, testified in support of  SB 46. She initially thought the                                                               
bill included Alzheimer's  but now realizes that TBI  can lead to                                                               
that  disease.  She  hopes  this  awareness  will  lead  to  more                                                               
recognition of and help for special needs children in the state.                                                                
                                                                                                                                
CHAIR KAWASAKI asked the sponsor if she had any closing remarks.                                                                
                                                                                                                                
3:57:13 PM                                                                                                                    
SENATOR  TOBIN said  she'd like  Mr. Mason  to review  the fiscal                                                               
note.                                                                                                                           
                                                                                                                                
3:57:31 PM                                                                                                                    
MIKE MASON, Staff, Senator Löki  Tobin, Alaska State Legislature,                                                               
Juneau, Alaska,  read the following  fiscal note analysis  for SB
46 that was submitted by the Office of Management and Budget.                                                                   
                                                                                                                                
     This bill  establishes March as Brain  Injury Awareness                                                                    
     Month.  The  administration  does  not  anticipate  any                                                                    
     programmatic  effects to  departments  as  a result  of                                                                    
     this  legislation; therefore,  a zero  fiscal note  for                                                                    
     all agencies is submitted.                                                                                                 
                                                                                                                                
SENATOR MERRICK stated that she was  a proud co-sponsor of SB 46.                                                               
She asked if there was a  reason for selecting March and if other                                                               
issues were highlighted for awareness in March.                                                                                 
                                                                                                                                
SENATOR  TOBIN  answered that  the  Department  of Defense  (DoF)                                                               
recognizes  March  as  Brain  Injury  Awareness  Month,  so  this                                                               
ensures that  the awareness  is co-branded in  Alaska and  on the                                                               
military  bases in  the  state.  She noted  that  March also  has                                                               
noteworthy  birthdays,  the  start   of  the  Iditarod,  and  the                                                               
recognition of Women's History Month.                                                                                           
                                                                                                                                
MR.   MASON  reminded   the  committee   that  resolutions   were                                                               
introduced for  several years proclaiming  March as  Brain Injury                                                               
Awareness Month. But it's such  an important issue it was brought                                                               
forward as a bill, first  last year by former Representative Tuck                                                               
and Senator Tobin this year.                                                                                                    
                                                                                                                                
3:59:37 PM                                                                                                                    
CHAIR  KAWASAKI closed  public testimony  on SB  46 and  held the                                                               
bill in committee.                                                                                                              

Document Name Date/Time Subjects
SB 9 ver A.pdf SSTA 3/14/2023 3:30:00 PM
SB 9
SB 9 Supporting Document - LRS Report 19.010m 03.06.23.pdf SSTA 3/14/2023 3:30:00 PM
SB 9
SB 9 Sectional Analysis Ver A 03.06.23.pdf SSTA 3/14/2023 3:30:00 PM
SB 9
SB 21 Sponsor Statement Version A 1.25.23.pdf SFIN 3/12/2024 1:30:00 PM
SSTA 3/14/2023 3:30:00 PM
SB 21
SB 46 Version A 03.08.2023.pdf SSTA 3/14/2023 3:30:00 PM
SB 46
SB 46 Research BIAA 2022 Legislative Issue Briefs 3.1.2023.pdf SSTA 3/14/2023 3:30:00 PM
SB 46
SB 46 Research Unmasking Brain Injuries 3.1.2023.pdf SSTA 3/14/2023 3:30:00 PM
SB 46
SB0021A.PDF SSTA 3/14/2023 3:30:00 PM
SB 21
SB21 EBA Presentation.pdf SSTA 3/14/2023 3:30:00 PM
SB 21
SB 21 EBA One-pager handout.pdf SSTA 3/14/2023 3:30:00 PM
SB 21
SB 9 Sponsor Statement 03.06.23.pdf SSTA 3/14/2023 3:30:00 PM
SB 9
SB 21 Fiscal note.pdf SSTA 3/14/2023 3:30:00 PM
SB 21
SB 46 Fiscal Note VAR-EXE 03.10.2023.pdf SSTA 3/14/2023 3:30:00 PM
SB 46
SB 9 fiscal note.pdf SSTA 3/14/2023 3:30:00 PM
SB 9
SB 46 Sponsor Statement 3.1.2023.pdf SSTA 3/14/2023 3:30:00 PM
SB 46
SB 46 Sectional Analysis 3.1.2023.pdf SSTA 3/14/2023 3:30:00 PM
SB 46
SB 9 Presentation v1.3.pdf SSTA 3/14/2023 3:30:00 PM
SB 9