Legislature(2023 - 2024)DAVIS 106

05/04/2023 03:00 PM House HEALTH & SOCIAL SERVICES

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Audio Topic
03:03:02 PM Start
03:04:32 PM HB176
04:55:09 PM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ HB 176 AGE FOR TOBACCO/NICOTINE/E-CIG; TAX E-CIG TELECONFERENCED
Heard & Held
-- Testimony <Invitation Only> --
+ Bills Previously Heard/Scheduled TELECONFERENCED
**Streamed live on AKL.tv**
                    ALASKA STATE LEGISLATURE                                                                                  
      HOUSE HEALTH AND SOCIAL SERVICES STANDING COMMITTEE                                                                     
                          May 4, 2023                                                                                           
                           3:03 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Mike Prax, Chair                                                                                                 
Representative Justin Ruffridge, Vice Chair                                                                                     
Representative CJ McCormick                                                                                                     
Representative Jesse Sumner                                                                                                     
Representative Zack Fields                                                                                                      
Representative Genevieve Mina                                                                                                   
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Dan Saddler                                                                                                      
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
HOUSE BILL NO. 176                                                                                                              
"An  Act  relating  to   tobacco,  tobacco  products,  electronic                                                               
smoking  products, nicotine,  and  products containing  nicotine;                                                               
raising the minimum  age to purchase, sell,  exchange, or possess                                                               
tobacco, a product containing nicotine,  or an electronic smoking                                                               
product; relating to the taxation  of electronic smoking products                                                               
and vapor products; and providing for an effective date."                                                                       
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB 176                                                                                                                  
SHORT TITLE: AGE FOR TOBACCO/NICOTINE/E-CIG; TAX E-CIG                                                                          
SPONSOR(s): REPRESENTATIVE(s) HANNAN                                                                                            
                                                                                                                                
04/24/23       (H)       READ THE FIRST TIME - REFERRALS                                                                        
04/24/23       (H)       HSS, L&C, FIN                                                                                          
05/04/23       (H)       HSS AT 3:00 PM DAVIS 106                                                                               
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
REPRESENTATIVE SARA HANNAN                                                                                                      
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  As the prime sponsor, introduced HB 176.                                                                 
                                                                                                                                
TIMOTHY CLARK, Staff                                                                                                            
Representative Sara Hannan                                                                                                      
Alaska State Legislature                                                                                                        
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  On behalf of Representative Hannan, prime                                                                
sponsor, gave a PowerPoint presentation, titled "HB 176                                                                         
Restricting Youth Access to Tobacco and E-Cigarettes."                                                                          
                                                                                                                                
MEGAN BOELTER, Western Regional Director                                                                                        
Preventing Tobacco Addiction Foundation                                                                                         
Clovis, New Mexico                                                                                                              
POSITION STATEMENT:  Provided invited testimony on HB 176.                                                                    
                                                                                                                                
KATIE STEFFENS, Deputy Program Manager                                                                                          
Tobacco Prevention and Control Program                                                                                          
Division of Public Health                                                                                                       
Department of Health                                                                                                            
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Provided invited testimony on HB 176.                                                                    
                                                                                                                                
JOE DARNELL, Chief Investigator                                                                                                 
Tobacco Enforcement and Youth Education Program                                                                                 
Division of Behavioral Health                                                                                                   
Department of Health                                                                                                            
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Answered questions during the hearing on HB
176.                                                                                                                            
                                                                                                                                
SCHELL HAMMEL, Legislative Director                                                                                             
Smoke Free Alternatives Trade Association                                                                                       
Frisco, Texas                                                                                                                   
POSITION STATEMENT:  Provided testimony on HB 176.                                                                            
                                                                                                                                
DAVID PARROTT, Owner, Member                                                                                                    
5150 Vapes;                                                                                                                     
Smoke Free Alternatives Trade Association                                                                                       
Soldotna, Alaska                                                                                                                
POSITION STATEMENT:  Provided testimony on HB 176.                                                                            
                                                                                                                                
NANCY MEADE, General Counsel                                                                                                    
Alaska Court System                                                                                                             
Civil Division (Anchorage)                                                                                                      
Department of Law                                                                                                               
Anchorage, Alaska                                                                                                               
POSITION STATEMENT:  Answered questions during the hearing on HB
176.                                                                                                                            
                                                                                                                                
BRANDON SPANOS, Deputy Director                                                                                                 
Tax Division                                                                                                                    
Department of Revenue                                                                                                           
Juneau, Alaska                                                                                                                  
POSITION STATEMENT:  Answered questions  during the hearing on HB
176.                                                                                                                            
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
3:03:02 PM                                                                                                                    
                                                                                                                                
CHAIR  MIKE PRAX  called  the House  Health  and Social  Services                                                             
Standing   Committee    meeting   to    order   at    3:03   p.m.                                                               
Representatives  Ruffridge,  McCormick,  Sumner, Mina,  and  Prax                                                               
were  present  at  the  call to  order.    Representative  Fields                                                               
arrived as the meeting was in progress.                                                                                         
                                                                                                                                
        HB 176-AGE FOR TOBACCO/NICOTINE/E-CIG; TAX E-CIG                                                                    
                                                                                                                                
3:04:32 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  announced that  the only order  of business  would be                                                               
HOUSE  BILL  NO.  176,  "An  Act  relating  to  tobacco,  tobacco                                                               
products,  electronic smoking  products,  nicotine, and  products                                                               
containing nicotine;  raising the minimum age  to purchase, sell,                                                               
exchange, or  possess tobacco, a product  containing nicotine, or                                                               
an  electronic  smoking  product;  relating to  the  taxation  of                                                               
electronic  smoking products  and vapor  products; and  providing                                                               
for an effective date."                                                                                                         
                                                                                                                                
3:05:04 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SARA  HANNAN, Alaska  State Legislature,  as prime                                                               
sponsor,  introduced  HB  176.   She  stated  that  the  proposed                                                               
legislation would  protect children  from nicotine  addiction and                                                               
restrict  the sale  of nicotine  products to  young people.   She                                                               
reported   that  the   cigarette   and   nicotine  industry   has                                                               
acknowledged  the decline  in  usage  of traditional  cigarettes,                                                               
which resulted in the new  option of e-cigarettes.  She suggested                                                               
that  e-cigarettes are  marketed to  appeal  to a  wide range  of                                                               
consumers,  especially  young  consumers.    She  continued  that                                                               
nicotine companies have designed  most e-cigarettes to be colored                                                               
and flavored like  fruit or candy, which makes  it more appealing                                                               
to  young  consumers  and  for  easy  covert  consumption.    She                                                               
acknowledged that  adults use e-cigarettes  to reduce the  use of                                                               
nicotine;  however, the  Food and  Drug Administration  (FDA) has                                                               
not approved  e-cigarettes as  a smoking  cessation device.   She                                                               
argued that  instead e-cigarettes  act as  an attractive  form of                                                               
nicotine delivery.                                                                                                              
                                                                                                                                
REPRESENTATIVE HANNAN  stated that HB 176  would prevent nicotine                                                               
addiction from occurring in the  first place by raising the legal                                                               
age  for  the  purchase  and   possession  of  tobacco  products,                                                               
including  e-cigarettes, to  21.   She stated  that the  proposed                                                               
legislation would also introduce a  state sales tax of 25 percent                                                               
on electric  nicotine.   She reported  that e-cigarettes  are the                                                               
only  tobacco product  not currently  taxed  by the  state.   She                                                               
explained that  taxes have  been proven  to reduce  youth tobacco                                                               
use.   She expressed the hope  that the tax would  dissuade youth                                                               
from initial  use and inspire  them to quit if  already addicted.                                                               
She said that HB 176  would make Alaska's tobacco laws consistent                                                               
with  the state's  laws restricting  alcohol and  marijuana.   It                                                               
would  also  make  the  tobacco  laws  consistent  with  military                                                               
policies,  federal law,  K-12 school  policies,  and the  state's                                                               
public  health goal  of reducing  tobacco.   She emphasized  that                                                               
this  action  is  needed  to  protect  young  Alaskans  from  the                                                               
potential of a lifelong nicotine addiction.                                                                                     
                                                                                                                                
3:08:58 PM                                                                                                                    
                                                                                                                                
TIMOTHY CLARK,  Staff, Representative  Sara Hannan,  Alaska State                                                               
Legislature, on  behalf of Representative Hannan,  prime sponsor,                                                               
gave a PowerPoint presentation,  titled "HB 176 Restricting Youth                                                               
Access  to Tobacco  and E-Cigarettes."   Comparing  how cigarette                                                               
and vaping  products are marketed, he  showed marketing campaigns                                                               
for tobacco  products on slide 2.   He pointed out  that there is                                                               
an obvious focus on youthfulness in  both kinds of marketing.  He                                                               
continued to  slide 3  to discuss how  vaping culture  has become                                                               
normalized  across  social media,  and  he  showed examples  from                                                               
Instagram and  YouTube, which he described  as encouraging vaping                                                               
among young people.                                                                                                             
                                                                                                                                
MR. CLARK showed images on slide  4 of the many devices collected                                                               
from recent  school confiscations  and emphasized  their toy-like                                                               
and colorful appearance.  He  stated that these devices are being                                                               
cleverly  designed  to  avoid  detection, and  he  pointed  to  a                                                               
picture of a vaping device disguised as  a watch.  On a series of                                                               
images on  slide 5, he  compared the cost  and number of  hits of                                                               
various e-cigarettes.   He reported  that even devices  that cost                                                               
less  would  deliver  a  substantial  amount  of  nicotine.    He                                                               
explained a graphic on slide  6, which showed that each milligram                                                               
of nicotine in  a vaping device is equivalent  to one traditional                                                               
cigarette.                                                                                                                      
                                                                                                                                
3:15:00 PM                                                                                                                    
                                                                                                                                
MEGAN  BOELTER,  Western  Regional Director,  Preventing  Tobacco                                                               
Addiction Foundation, provided invited testimony  on HB 176.  She                                                               
explained  that over  the  past two  decades  the foundation  has                                                               
worked with many health and  state agencies across the country to                                                               
develop  similar  policies as  HB  176,  such as  tobacco  retail                                                               
licensure and point  of sale requirements.  She  pointed out that                                                               
similar bills  have been  implemented in  Alaska before,  but the                                                               
state is  still 1 of  11 states that do  not have a  "Tobacco 21"                                                               
law, which federally  restricts tobacco usage for  those under 21                                                               
years old.   She  explained that HB  176 would  hold noncompliant                                                               
retailers accountable for illegal  tobacco sales, rather than the                                                               
youth.   She  reported that  many state  and local  school boards                                                               
have lawsuits against  the leading vape company,  Juul, and these                                                               
are associated with youth tobacco  use.  She explained that these                                                               
lawsuits  have revealed  that predatory  and deceptive  marketing                                                               
practices are used to target young people.                                                                                      
                                                                                                                                
MS.  BOELTER reiterated  that HB  176 would  align with  existing                                                               
federal law  by raising the legal  age of sale from  19 years old                                                               
to 21  years old.  She  explained that the law  also ties federal                                                               
substance  abuse   treatment  funds   to  meeting   a  compliance                                                               
threshold.   She  warned that  Alaska  would have  a high  retail                                                               
compliance rate to insure the  continued receipt of these grants.                                                               
She continued  that the  proposed bill  would also  be consistent                                                               
with the  Department of Defense's  policy on military  base sales                                                               
of  tobacco,  and the  state's  policy,  which prohibits  selling                                                               
tobacco and e-cigarettes  to anyone under 21.   She reported that                                                               
studies have  linked tobacco use to  scholastic under performance                                                               
and mental health issues, including  depression.  She stated that                                                               
it  has been  repeatedly shown  that  if someone  has not  become                                                               
addicted  to nicotine  before the  age of  21, it  would be  very                                                               
unlikely in the future.                                                                                                         
                                                                                                                                
MS. BOELTER argued  that point of sale restrictions  would be the                                                               
most effective way to decrease tobacco  use in youth, as a recent                                                               
study has  shown this  reduces the use  of vaping  devices across                                                               
all  grade  levels by  almost  50  percent.   She  reported  that                                                               
surveys  show Alaskan  teenagers  have increased  vaping from  18                                                               
percent  in  2016  to  26  percent in  2019,  with  the  COVID-19                                                               
pandemic exacerbating  the issue.   She  explained that  a recent                                                               
study shows  that over 40  percent of youth  procure e-cigarettes                                                               
from retail stores,  despite opponents to the  bill claiming that                                                               
the retail sources are not  significant.  She argued that because                                                               
Alaska law  still permits 18-year-olds to  purchase e-cigarettes,                                                               
it can  be classified as  a retail  source when someone  under 18                                                               
gets a  vaping device from  an of-age  friend or colleague.   She                                                               
reiterated  that FDA  has never  approved any  electronic smoking                                                               
device as a cessation method, as  there is not enough evidence to                                                               
support any  industry claims  that e-cigarettes  help individuals                                                               
to quit smoking;  however, there is a growing  amount of evidence                                                               
to  support  the contrary.    She  reported  that the  Air  Force                                                               
Surgeon  General has  said that  tobacco use  degrades air  force                                                               
readiness and health and leads  to preventable health care costs.                                                               
She  asserted  that a  license  to  sell  harmful products  is  a                                                               
privilege, not a  right, and it comes with  the responsibility to                                                               
act in accordance with protections,  including the restriction of                                                               
sales to those under 21 years old.                                                                                              
                                                                                                                                
3:20:16 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   SUMNER   questioned   why   the   proposed   age                                                               
restriction is 21 years old.                                                                                                    
                                                                                                                                
MS. BOELTER responded  that the brain continues to  develop up to                                                               
the age  of 25 and  is particularly vulnerable to  nicotine while                                                               
in development.  She agreed that  it would be beneficial to raise                                                               
the legal age  to 25; however, it is unlikely  to happen since in                                                               
significant  portions  of  state  and  federal  law,  minors  are                                                               
defined as people under 21 years old.                                                                                           
                                                                                                                                
3:21:15 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SUMNER,  other  than   the  age  restrictions  on                                                               
alcohol and nicotine, asked which  sections of federal law define                                                               
a minor as under 21 years old.                                                                                                  
                                                                                                                                
MS. BOELTER  stated that  HB 176 would  be dealing  directly with                                                               
the  definition  of  a  minor   in  respect  to  regulations  for                                                               
nicotine,  and under  federal nicotine  restrictions, a  minor is                                                               
defined as someone younger than 21  years old.  She noted this is                                                               
true for alcohol as well.                                                                                                       
                                                                                                                                
3:22:19 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MCCORMICK  asked when  and why  the legal  age for                                                               
purchasing tobacco products became 21 years old.                                                                                
                                                                                                                                
REPRESENTATIVE  HANNAN reported  that  in 2019  [Tobacco 21]  was                                                               
signed into federal law to increase the age restriction.                                                                        
                                                                                                                                
3:23:08 PM                                                                                                                    
                                                                                                                                
KATIE STEFFENS,  Deputy Program  Manager, Tobacco  Prevention and                                                               
Control Program, Division of Public  Health, Department of Health                                                               
(DOH), provided  invited testimony  on HB 176.   She  warned that                                                               
the  progress made  to  reduce  tobacco use  in  Alaska has  been                                                               
threatened  by the  rising use  of  e-cigarettes by  youth.   She                                                               
reported that one out of four  high school students in Alaska use                                                               
e-cigarettes,  and this  is in  comparison to  one out  of twenty                                                               
adults.  She stated that while  the national surveys have shown a                                                               
decline  in tobacco  use in  recent years,  there are  no current                                                               
estimates for  Alaska.  She  referenced that data  shows students                                                               
are being suspended from schools  in Alaska for use or possession                                                               
of tobacco or e-cigarettes while  on campus, with 964 suspensions                                                               
during  the 2021-22  school year.   She  stated that  this is  an                                                               
increase of 232 percent since the 2015-16 school year.                                                                          
                                                                                                                                
MS.   STEFFENS  asserted   that   implementing  a   comprehensive                                                               
prevention  plan  has  been proven  to  reduce  consumption,  and                                                               
raising the cost of tobacco products  has proven to be the single                                                               
most effective  strategy, as  youth are two  to three  times more                                                               
likely [than adults]  to respond to price increases.   She stated                                                               
that the  effectiveness of raising costs  increases when combined                                                               
with other  strategies, such  as raising  the minimum  legal age.                                                               
She reported  that raising the age  to 21 years old  is estimated                                                               
to reduce  youth smoking  rates by  12 percent.   She  noted that                                                               
most  youth access  tobacco through  social  sources and  posited                                                               
that  increasing the  legal age  of possession  would weaken  the                                                               
opportunities for access.  She  explained that HB 176 would apply                                                               
these  proven strategies,  as  well as  a  restriction on  online                                                               
sales and  a requirement for  age verification when  shipping and                                                               
transporting  tobacco.   She stated  that  HB 176  would lead  to                                                               
better health outcomes for Alaskans.                                                                                            
                                                                                                                                
3:26:29 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER shared that  statistics from the Center for                                                               
Disease Control (CDC)  indicate those who live  under the poverty                                                               
line with  higher rates of  smoking have an overall  reduction in                                                               
life  expectancy.    He  inquired  about  the  possible  economic                                                               
implications  of  the  proposed   bill,  pointing  out  that  the                                                               
increase  in  cost  could  be a  regressive  tax,  burdening  the                                                               
poorest in  our society.   He noted that the  contributing factor                                                               
with   the  strongest   correlation   for   life  expectancy   is                                                               
socioeconomic  class.   He  posited  that  instituting a  tax  on                                                               
cigarettes could  cause those below  the poverty level  to become                                                               
even poorer,  which could in  turn decrease life  expectancy even                                                               
more.   He asked whether any  economic analysis has been  done on                                                               
this impact.                                                                                                                    
                                                                                                                                
MS.  STEFFENS  spoke   to  the  issue  from   the  public  health                                                               
perspective.   She stated  that tobacco  use is  regressive, with                                                               
those  most affected  by the  consequences of  tobacco use  being                                                               
people in lower income categories.   She reiterated that evidence                                                               
has  shown that  higher costs  of  tobacco would  lead to  better                                                               
health  outcomes overall.    She deferred  to  the Department  of                                                               
Revenue, Tax Division for an economic evaluation.                                                                               
                                                                                                                                
3:28:42 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER  questioned the direct  correlation between                                                               
past tax increases on tobacco and increased life expectancy.                                                                    
                                                                                                                                
MS.  STEFFENS referred  to DOH's  website  about the  correlation                                                               
between the history of tax  and price increases and the reduction                                                               
in tobacco  use in the state.   She stated that  she would report                                                               
back to the committee with this information.                                                                                    
                                                                                                                                
3:29:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   MINA,  concerning   price   increases  being   a                                                               
deterrent to youth tobacco use,  noted that the bill would create                                                               
a fine for  youth possession.  She questioned  any evidence which                                                               
shows this would be successful at motivating tobacco cessation.                                                                 
                                                                                                                                
MS.  STEFFENS  reported  that  there is  no  strong  evidence  in                                                               
research which shows  this.  She pointed out  that another option                                                               
could  be having  those  caught with  tobacco  participate in  an                                                               
educational program.   She explained that there  are already many                                                               
organizations in Alaska providing  education and resources, which                                                               
could include cessation programs to these students.                                                                             
                                                                                                                                
3:30:59 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA asked how much  the current fine for underage                                                               
smoking is and how frequently the fine is enforced.                                                                             
                                                                                                                                
REPRESENTATIVE HANNAN  deferred the question  to the head  of the                                                               
Tobacco Enforcement and Education Program.                                                                                      
                                                                                                                                
3:31:58 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX asked whether the  sale of vaping products to children                                                               
under 18 is currently prohibited.                                                                                               
                                                                                                                                
MS. STEFFENS  replied that the  sale of e-cigarettes to  those 19                                                               
years old and younger is prohibited under current state law.                                                                    
                                                                                                                                
CHAIR  PRAX  asked whether  the  health  effects associated  with                                                               
vaping are  correlated at  the same  rate as  tobacco, especially                                                               
concerning the reduction in deaths seen from reduced use.                                                                       
                                                                                                                                
MS. STEFFENS  replied that research  is still being  conducted on                                                               
the health effects  of vaping.  She added that  the high nicotine                                                               
content in e-cigarettes is the  main concern, and this is because                                                               
of  the physiology  of nicotine  use.   She  explained that  when                                                               
nicotine  molecules enter  the brain  they  connect to  receptors                                                               
[for creating  neurotransmitters like  serotonin].   She reported                                                               
that  as   a  person's   nicotine  usage   increases,  additional                                                               
receptors  are created,  especially in  still developing  brains,                                                               
and this makes the addiction stronger.   She stated that the main                                                               
health concern specific to vaping for  youth is the amount of new                                                               
neural pathways  being developed by  the nicotine, which  sets up                                                               
youth for long-term nicotine addiction.                                                                                         
                                                                                                                                
3:34:49 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX asked whether there  is any conclusive evidence on the                                                               
health risks associated with vaping.                                                                                            
                                                                                                                                
MS. STEFFENS  offered to prepare  a more in-depth report  for the                                                               
committee.    She  stated  that there  is  evidence  that  vaping                                                               
effects  the   cardiovascular  system  and   mental  capabilities                                                               
associated   with  learning,   like  concentration   and  impulse                                                               
control.   She  mentioned  that data  from  the [Poison  Hotline]                                                               
indicates most calls received for  nicotine poisoning are related                                                               
to youth consumption.   In response to a  follow-up question, she                                                               
confirmed that  the calls were  about nicotine poisoning  from e-                                                               
cigarettes.                                                                                                                     
                                                                                                                                
CHAIR PRAX shared  his concern about the health  effects from the                                                               
overuse  of cell  phones.   He  opined that  this  would be  more                                                               
negative than vaping.  He argued  that society may be focusing on                                                               
the  wrong  thing.   He  inquired  about  any research  into  the                                                               
negative health effects of cell phone usage.                                                                                    
                                                                                                                                
MS. STEFFENS  responded that there  are many addictive  things in                                                               
our society; however, this focus is  on nicotine.  She offered to                                                               
investigate the issue with DOH.                                                                                                 
                                                                                                                                
3:37:24 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS  asked whether  there was a  distinction in                                                               
nicotine addiction rates between rural and urban areas.                                                                         
                                                                                                                                
MS. STEFFENS replied that the  data is broken down regionally and                                                               
e-cigarette usage is fairly similar  across the state.  She noted                                                               
that  some  tobacco products  have  a  concentrated use  in  some                                                               
regions.                                                                                                                        
                                                                                                                                
REPRESENTATIVE  FIELDS  referenced  Alaska Native  Tribal  Health                                                               
Consortium's  (ANTHC)  robust  tobacco  cessation  efforts.    He                                                               
questioned what  could be taken  from this effort about  using e-                                                               
cigarettes to reduce nicotine consumption.                                                                                      
                                                                                                                                
MS.  STEFFENS  stated that  the  Tobacco  Prevention and  Control                                                               
Program (TPCP) works  closely with ANTHC, as it is  one of TPCP's                                                               
grantees.    It also  works  with  ANTHC's epidemiology  team  to                                                               
review and compare  data, which allows TPCP to  make decisions on                                                               
how  to move  forward  on  tobacco cessation  issues  for all  of                                                               
Alaska.   She shared that TPCP  has learned a great  deal through                                                               
its partnership with ANTHC.                                                                                                     
                                                                                                                                
REPRESENTATIVE FIELDS  requested a follow-up to  the committee on                                                               
what exactly TPCP has learned from ANTHC's programing and data.                                                                 
                                                                                                                                
3:39:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE  noted that the devices  used to deliver                                                               
nicotine can also be used  to deliver tetrahydrocannabinol (THC),                                                               
which is derived  from cannabis.  He questioned  whether there is                                                               
the same concern for controlling youth access to cannabis.                                                                      
                                                                                                                                
REPRESENTATIVE   HANNAN  responded   that  cannabis   is  already                                                               
restricted to  those who are  21 years old  and under, and  it is                                                               
taxed.  She  explained that HB 176 would  bring Alaska's nicotine                                                               
laws into compliance with federal  age restrictions and add a tax                                                               
to  vaping   products,  which  are  the   only  tobacco  products                                                               
currently not  taxed.   She stated  that because  vaping products                                                               
are  relatively new,  they  were  not included  in  tax laws  for                                                               
nicotine.   She  explained that  when cannabis  was legalized  in                                                               
Alaska,  all forms  were  put into  tax code  at  the same  time,                                                               
including  vaping; therefore,  the preventative  measures of  age                                                               
restriction and taxation already apply to cannabis.                                                                             
                                                                                                                                
REPRESENTATIVE  RUFFRIDGE  expressed  the opinion  that  the  age                                                               
restriction and  taxation do  not appear  to be  preventing youth                                                               
from using vaping  devices for cannabis.  He  questioned any data                                                               
showing the  correlation between these preventative  measures and                                                               
youth cannabis use.                                                                                                             
                                                                                                                                
REPRESENTATIVE  HANNAN replied  that she  does not  have data  on                                                               
youth  cannabis use,  as her  focus of  the proposed  bill is  to                                                               
institute a  tax on the  area of tobacco  not taxed.   She stated                                                               
that this  would bring  Alaska into  compliance with  federal age                                                               
restrictions.  She  shared the belief that passing  the law would                                                               
not  stop the  behavior  completely.   She  gave  the example  of                                                               
alcohol, which  has been illegal for  youth for a long  period of                                                               
time, yet  there is  still underage  consumption.   She expressed                                                               
confidence  in the  evidence that  taxation would  help deter  or                                                               
delay nicotine because of price sensitivity.                                                                                    
                                                                                                                                
3:43:21 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER  pointed out  that one of  the goals  of HB
176 is  to achieve taxing  parity between e-cigarettes  and other                                                               
forms   of   tobacco.     He   questioned   whether  this   could                                                               
unintentionally influence product preference  and cause people to                                                               
choose  conventional  cigarettes,   which  are  potentially  more                                                               
harmful than e-cigarettes.                                                                                                      
                                                                                                                                
REPRESENTATIVE  HANNAN, based  on a  30-year history  of teaching                                                               
teenagers,  expressed   the  belief   that  making   vaping  more                                                               
expensive would not cause youth  to choose combustible cigarettes                                                               
instead.    She  explained  that the  social  perception  of  the                                                               
dangers   of  smoking   [combustible   cigarettes]  has   changed                                                               
overtime, as the correlation between  cigarettes and health risks                                                               
and disease  have become more  documented and  widely publicized.                                                               
She  shared  her  belief  that   for  most  teenagers  the  risks                                                               
associated with tobacco use are  linked to combustible cigarettes                                                               
rather than nicotine addiction.   She contended that the nicotine                                                               
industry  shifted its  marketing to  take advantage  of the  fact                                                               
vaping  does  not  have  the  same  stigma  of  association  with                                                               
disease.   She argued that  taxing e-cigarettes at the  same rate                                                               
as other tobacco products is  not unreasonable and would not lead                                                               
to youth choosing other forms of tobacco over vaping.                                                                           
                                                                                                                                
3:45:55 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SUMNER asked  which would  be more  effective for                                                               
cessation  efforts -  the  social  stigmatization of  combustible                                                               
cigarettes or taxation.                                                                                                         
                                                                                                                                
REPRESENTATIVE  HANNAN  shared her  belief  that  it would  be  a                                                               
combination  of the  two.   She continued  that the  50 years  of                                                               
advocacy to  counteract marketing campaigns, in  combination with                                                               
nationwide  policies, have  produced  the steady  decline in  the                                                               
consumption  of traditional  cigarettes.   She  posited that  the                                                               
increase in youth  vaping rates is because it does  not share the                                                               
same stigma.   She  reiterated the  belief that  this is  in part                                                               
because  how  vaping  is  marketed.    She  emphasized  that  the                                                               
government's  response  to  the  health  risks  from  combustible                                                               
cigarettes  has included  extensive  education, campaigning,  and                                                               
increased taxation.                                                                                                             
                                                                                                                                
3:48:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE SUMNER  referenced the  elevated rates  of teenage                                                               
binge drinking  in the United  States in comparison  with Europe,                                                               
even though Europe has a less  restrictive age limit.  He posited                                                               
that  age  restriction  and  taxation may  be  taking  the  wrong                                                               
approach.   He suggested  that with  substances like  alcohol and                                                               
nicotine a sociological approach would be more effective.                                                                       
                                                                                                                                
REPRESENTATIVE  HANNAN opined  that  this idea  is  looking at  a                                                               
broader issue,  and she reiterated that  the proposed legislation                                                               
would only  address a tobacco  tax parity issue.   She reiterated                                                               
that e-cigarettes  are the  only form of  tobacco not  taxed, and                                                               
Alaska is 1 of 11 states that  has yet to comply with the federal                                                               
Tobacco 21 law.   She posited that the  underlying question being                                                               
asked is  whether prohibition works.   She expressed  the opinion                                                               
that  it does  not,  but  limiting access  may  reduce or  change                                                               
consumption habits.   She  emphasized that she  is not  trying to                                                               
address  all vices,  and the  focus  is on  e-cigarettes and  the                                                               
marketing.  She  posited that although the dangers  of vaping are                                                               
probably  different   than  those  associated   with  traditional                                                               
cigarettes, e-cigarettes  are not necessarily any  safer, as they                                                               
are fundamentally a tobacco product  and should be taxed like all                                                               
other tobacco products.                                                                                                         
                                                                                                                                
3:50:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  RUFFRIDGE shared  his reticence  about using  the                                                               
tax  structure as  an  incentive  to stop  smoking,  and this  is                                                               
because data  shows that 26  percent of high school  students use                                                               
tobacco  products and  23  percent use  marijuana  products.   He                                                               
argued that  whether taxed  or not, youth  will continue  to gain                                                               
access to prohibited  substances.  He opined that  the bill would                                                               
bring e-cigarettes in parity with  other taxed products; however,                                                               
it would most likely not reduce the usage rates.                                                                                
                                                                                                                                
REPRESENTATIVE HANNAN  reported that there are  repeated findings                                                               
that  show  early  consumers   are  price  sensitive;  therefore,                                                               
increasing the cost of e-cigarettes  by adding a tax would reduce                                                               
attractiveness  to   children  who   have  never  smoked.     She                                                               
acknowledged that it  is unclear if a price increase  would be as                                                               
effective to  a person  who is already  addicted.   She clarified                                                               
that  the intent  of  the  bill concerns  the  parity with  other                                                               
tobacco products, not with alcohol or cannabis.                                                                                 
                                                                                                                                
3:52:56 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX questioned whether federal  law prohibits the taxation                                                               
of any goods on military bases.                                                                                                 
                                                                                                                                
REPRESENTATIVE HANNAN  confirmed that  the state cannot  impose a                                                               
tax on  military bases, so the  tax proposed in HB  176 would not                                                               
be in place at military installations.                                                                                          
                                                                                                                                
CHAIR PRAX  shared that when he  was in high school,  there was a                                                               
more  prominent  youth smoking  culture,  and  he witnessed  many                                                               
students procuring cigarettes through  sources on military bases.                                                               
He questioned  whether the  addition of a  tax would  encourage a                                                               
"black market" procurement in Alaska.                                                                                           
                                                                                                                                
REPRESENTATIVE HANNAN deferred the question to Joe Darnell.                                                                     
                                                                                                                                
3:55:40 PM                                                                                                                    
                                                                                                                                
JOE DARNELL,  Chief Investigator for the  Tobacco Enforcement and                                                               
Youth   Education  Program,   Division   of  Behavioral   Health,                                                               
Department of Health, deferred the  question to the Department of                                                               
Revenue (DOR), as  it would be better suited  to answer questions                                                               
about the effectiveness  of tax increases.  He  reported that for                                                               
tobacco retailers,  the federal  age limit is  21 years  old, and                                                               
FDA does  compliance checks on  this; however, in Alaska  the age                                                               
limit  is  19  years  old,  so  state  enforcement  agencies  and                                                               
retailers are  responsible for checking licenses  for those under                                                               
this age.  He  explained that when a retailer is  found by FDA to                                                               
be in  violation, a warning  letter is  issued.  In  contrast, he                                                               
explained when  a retailer is  in violation  of the state  law, a                                                               
citation  is issued,  which then  goes to  court.   If the  court                                                               
finds  the   retailer  guilty,  the  Division   of  Corporations,                                                               
Business and  Professional Licensing could revoke  the retailer's                                                               
endorsement to  sell nicotine for  up to  20 days.   He suggested                                                               
that  while  most retailers  are  ensuring  compliance with  both                                                               
federal and state  laws, there are some who choose  not to comply                                                               
with federal law in  order to "pick up" the market  of 19- to 20-                                                               
year-olds.   This is  because if  they are  caught by  FDA, there                                                               
would be no  additional consequences after the  warning letter is                                                               
issued.   He expressed  the belief that  raising the  state's age                                                               
limit to  be federally  compliant would  level the  playing field                                                               
for retailers.   This would  make checking  identifications (IDs)                                                               
easier  since  the age  limit  would  be  the  same for  all  age                                                               
restricted substances.   He added  that Alaska IDs  are formatted                                                               
to have  a visual distinction  between those above and  below the                                                               
age of 21 years old.                                                                                                            
                                                                                                                                
MR.  DARNELL,   in  regard  to  Representative   Mina's  previous                                                               
question,  stated  that  the  current   fine  for  youth  tobacco                                                               
possession is  set at $500.   He expressed the opinion  that this                                                               
is  too high.   He  explained  that HB  176 would  clean up  this                                                               
section of law by lowering the  fine and allowing the offender to                                                               
complete an educational  program in lieu of the fine.   He stated                                                               
that there  are many opinions  about the effectiveness  of fines,                                                               
but he opined that even if  the fine does not directly change the                                                               
behavior, it  could cause the parent  of the offender to  be more                                                               
involved and  motivated to  help the child.   He  reiterated that                                                               
the bill is  intended to protect Alaskan youth.   He acknowledged                                                               
that the  data on the long-term  side effects of vaping  is still                                                               
being researched  and definitive  answers are slow  to come.   He                                                               
posited that  if the data  in 20 years  shows there are  no long-                                                               
term  side  effects,  the  state will  not  have  lost  anything;                                                               
however,  if future  data shows  the effects  of vaping  are even                                                               
worse than traditional smoking, and  no protections were put into                                                               
place, this would be a big loss.                                                                                                
                                                                                                                                
4:00:40 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS asked  what the  average price  that youth                                                               
are paying for e-cigarettes.                                                                                                    
                                                                                                                                
MR. DARNELL  responded that the  average price is between  $10 to                                                               
$15 for  disposable vaping  units.  He  reported that  buying "e-                                                               
liquid"  [for  a  reusable  unit]  can be  between  $5  and  $40,                                                               
depending  on the  size of  the cartridge  and the  percentage of                                                               
nicotine.                                                                                                                       
                                                                                                                                
REPRESENTATIVE FIELDS questioned how  underage people are getting                                                               
products and what the market for youth consumption looks like.                                                                  
                                                                                                                                
MR.  DARNELL  reported that  the  COVID-19  pandemic stopped  his                                                               
department's  ability to  conduct  compliance checks;  therefore,                                                               
there is  a two  year "black  hole" of data.   He  explained that                                                               
prior  to the  pandemic, in  2019,  there was  talk about  adding                                                               
vaping  products  to  the  same  restriction  schedule  as  other                                                               
nicotine forms.  At that time,  he conducted an informal study in                                                               
Anchorage  to see  how easy  it was  for underage  people to  buy                                                               
vapes, and  if it was an  issue.  He  stated that he had  16- and                                                               
17-year-olds go into  shops and attempt to buy  a vaping product,                                                               
and it was  reported that 50 percent of retailers  made the sale.                                                               
He  reported  that after  the  initial  study in  Anchorage,  the                                                               
department  implemented  statewide level  study  and  found a  35                                                               
percent sell rate for vape shops.   He reiterated that this study                                                               
was conducted  prior to COVID-19 but  it is the most  recent data                                                               
available.                                                                                                                      
                                                                                                                                
4:03:21 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  SUMNER asked  how many  19- and  20-year-olds may                                                               
lose  their jobs  if the  age limit  is raised  because they  are                                                               
currently working in businesses selling tobacco.                                                                                
                                                                                                                                
REPRESENTATIVE HANNAN expressed uncertainty.   She explained that                                                               
the bill  has a  mechanism to  raise the  age of  legal employees                                                               
over time,  and this  is so  current employees  are grandfathered                                                               
in, and no one would lose their job.                                                                                            
                                                                                                                                
REPRESENTATIVE SUMNER restated the question.                                                                                    
                                                                                                                                
REPRESENTATIVE  HANNAN reiterated  that  she does  not have  this                                                               
data.   She  explained that  vendors who  have a  federal tobacco                                                               
endorsement  to sell  products, such  as combustible  cigarettes,                                                               
are  already  required  to employ  21-year-olds  to  comply  with                                                               
federal law.   She posited  that there  are vape shops  that only                                                               
sell  vape  products   and  do  not  have   the  federal  tobacco                                                               
endorsement;   therefore,   these   shops  do   not   have   this                                                               
requirement.                                                                                                                    
                                                                                                                                
4:05:28 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  RUFFRIDGE asked  how  many  tobacco retailers  in                                                               
Alaska transitioned  quickly to  the new age  limit when  the law                                                               
changed  in 2019,  and he  asked how  many are  still selling  to                                                               
those [below the age of 21].                                                                                                    
                                                                                                                                
MR.  DARNELL   reported  that   most  major   national  retailers                                                               
immediately  switched policies  to  reflect the  new federal  age                                                               
limit.   He  added  that it  has  taken about  a  year for  local                                                               
retailers to fully comply.  He  stated that he works closely with                                                               
retailers to implement site inspections  and ID training for both                                                               
owners and employees.  He  expressed the understanding that there                                                               
are  only 10  to 15  retailers  statewide that  continue to  sell                                                               
tobacco to  people under 21.   He  reiterated that the  stores in                                                               
violation of the  federal law will only receive  a warning letter                                                               
from the  FDA and  are not in  danger of being  shut down  by the                                                               
state unless they sell to someone under 19 years old.                                                                           
                                                                                                                                
4:07:33 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE  expressed the opinion that  there seems                                                               
to  be a  "rush" for  the state  to comply  with the  federal age                                                               
limit   for  tobacco;   however,  marijuana   is  still   illegal                                                               
federally, and  the state has  chosen to  follow its own  laws in                                                               
the  sale  of  cannabis.     He  questioned  what  makes  tobacco                                                               
different from marijuana in this respect.                                                                                       
                                                                                                                                
MR. DARNELL stated that marijuana  was legalized through a public                                                               
vote.    This is  different  than  tobacco; therefore,  they  are                                                               
regulated differently.   He emphasized  that the focus  should be                                                               
on  the intent  of  HB 176,  which is  to  protect children  from                                                               
nicotine addiction.   He  added that  other state  agencies would                                                               
address the separate issue of marijuana use in youth.                                                                           
                                                                                                                                
4:09:11 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  referred to  testimony on  another bill  where people                                                               
from the  marijuana industry had  expressed the believe  that the                                                               
high  tax  rate  for  marijuana renewed  the  demand  for  "black                                                               
market" marijuana.   He posited  that increasing taxes  on vaping                                                               
products would  encourage an increase in  "black market" nicotine                                                               
sales.  He asked whether Mr.  Darnell had any experience with the                                                               
marijuana tax conversation.                                                                                                     
                                                                                                                                
MR.  DARNELL  replied that  his  only  experience with  marijuana                                                               
regulations is when  vaporizers are used for cannabis.   He added                                                               
that  in   a  prior  version   of  this  vaping   bill  marijuana                                                               
dispensaries  would   have  required  to  also   have  a  tobacco                                                               
endorsement  and be  inspected by  the state.   He  asserted that                                                               
because HB 176 would omit this  requirement, he no longer has had                                                               
any interaction with marijuana regulations.                                                                                     
                                                                                                                                
CHAIR PRAX restated  his question about the possibility  of a tax                                                               
on vaping resulting  in a demand for products to  be sourced from                                                               
military bases.   He expressed  the concern that taxing  vapes at                                                               
the retail level would almost double the tobacco tax.                                                                           
                                                                                                                                
MR.  DARNELL posited  that most  teenagers could  find out  which                                                               
stores would  sell them  age prohibited  items, like  alcohol and                                                               
tobacco, without  going to military  bases.  He shared  that when                                                               
he  was Air  Force  Security  there were  not  many instances  of                                                               
tobacco or  alcohol being  bought on  base and  then resold.   He                                                               
added that there were higher rates  of this outside of the United                                                               
States.                                                                                                                         
                                                                                                                                
4:13:14 PM                                                                                                                    
                                                                                                                                
SCHELL  HAMMEL,  Legislative  Director, Smoke  Free  Alternatives                                                               
Trade Association, provided  invited testimony on HB  176.  [This                                                               
testifier was  not invited by  the bill sponsor.]   She testified                                                               
in opposition  to HB 176.   She  shared her appreciation  for the                                                               
advocacy for  the prevention of  youth addiction, but  she opined                                                               
that the  bill's parameters  would do little  to meet  this goal.                                                               
Instead,  she  expressed  the  opinion   that  smokers  would  be                                                               
punished  for using  a  less harmful  smoking  alternative.   She                                                               
reported  that CDC  has found  that  18 percent  of Alaskans,  or                                                               
almost 132,000 people, use combustible  cigarettes, and the Royal                                                               
Council of Physicians has found  that e-cigarettes are 98 percent                                                               
less harmful than  combustible cigarettes.  She  posited that the                                                               
tax on  vaping products  would directly  impact Alaskans  who are                                                               
attempting to  use a less harmful  form of nicotine.   She stated                                                               
that there  is evidence that  80 percent  of teens in  the United                                                               
States procured vaping  products from friends or  family, and she                                                               
hypothesized that adding a tax  to these products would not lower                                                               
the  percentage,  but  it  would  negatively  affect  adults  who                                                               
purchase e-cigarettes.                                                                                                          
                                                                                                                                
MS.  HAMMEL shared  that  according  to FDA  there  have been  no                                                               
inspections  of vapor  retailers  for youth  purchases in  Alaska                                                               
since 2020.   She argued that if there is  an issue with underage                                                               
access to nicotine, then the state  should use the $10 million it                                                               
receives  for   education  and  prevention  to   carry  out  more                                                               
inspections.   In further reference to  FDA's inspection reports,                                                               
she  stated that  95 percent  of vape  sales to  minors occur  in                                                               
convenience stores.  She suggested  that another alternative to a                                                               
sales tax  would be requiring  vape products  to be sold  only in                                                               
age  restricted  stores.    She posited  that  this  would  lower                                                               
enforcement  costs, as  there would  be less  stores to  inspect.                                                               
She brought  forth several of  her concerns with language  in the                                                               
bill, opining  that the ID  requirements for delivery  would open                                                               
communities  up  to  identity  fraud.   She  continued  that  the                                                               
restrictions on  how to market  e-cigarettes would be  too broad,                                                               
as  it is  unclear who  would  be in  charge.   She compared  the                                                               
psychology of  a smoker to  that of  a person who  struggles with                                                               
weight loss.   She asked  the committee to think  of e-cigarettes                                                               
like  diet food.   She  posited that  people who  choose to  vape                                                               
rather than use other forms  of nicotine should be encouraged, as                                                               
it could have a positive  change to a person's overall wellbeing.                                                               
She emphasized  that an alternative  method for  preventing youth                                                               
use  should  be found  instead  of  a  tax on  "well  intentioned                                                               
people."                                                                                                                        
                                                                                                                                
4:18:27 PM                                                                                                                    
                                                                                                                                
DAVID  PARROTT,  Owner, 5150  Vapes;  member  of the  Smoke  Free                                                               
Alternatives Trade Association, provided  invited testimony on HB
176.  [This  testifier was not invited by the  bill sponsor.]  He                                                               
expressed  agreement with  the  intent of  HB  176 but  testified                                                               
against the bill.  He  expressed the belief that protecting youth                                                               
from addiction  is important;  however, it would  not be  fair to                                                               
punish others for  a crime committed by youth.   He expressed the                                                               
understanding  that vaping  has been  proven to  be less  harmful                                                               
than  combustible cigarettes,  so increasing  the cost  through a                                                               
tax would  be a disservice  to the  community.  He  reported that                                                               
some vapes are being sold for  $40 because of the municipal taxes                                                               
already in  place.   He pointed  out that  vape shops  across the                                                               
state  have  had  to  shut  down because  of  the  high  cost  to                                                               
customers.  He stated that  the national average for a disposable                                                               
vape  is $23,  but if  HB 176  were to  pass, these  prices could                                                               
increase to $50 in Alaska.   He reported that most people who are                                                               
choosing to  vape as  an alternative to  cigarettes have  a tight                                                               
budget, as  23 percent of  nicotine users live under  the poverty                                                               
level.    He argued  that  this  makes  the proposed  tax  highly                                                               
regressive, dissuading  people from  making a  safer choice.   He                                                               
asserted that  the amount of  nicotine in the  typical disposable                                                               
vape  is  equivalent  to  a  pack of  cigarettes,  but  with  the                                                               
proposed tax, it  would be three times the cost.   He shared that                                                               
many of  his customers  and friends have  confided that  they are                                                               
already  struggling  with  being  able to  afford  vaping  as  an                                                               
alternative  to  smoking.    He  posited  that  if  there  is  an                                                               
additional  tax, many  of these  people would  return to  smoking                                                               
traditional cigarettes.                                                                                                         
                                                                                                                                
MR. PARROTT argued that moving  all nicotine substances to an age                                                               
prohibited  location  would   help  prevent  underage  purchases,                                                               
rather than  a tax.  He  explained that a clerk  in a convenience                                                               
store would be ill equipped to  properly insure a customer is not                                                               
purchasing  nicotine  for a  younger  person.   In  contrast,  he                                                               
reported that as  the owner of a vape-only  establishment, he can                                                               
give  more attention  to observing  behavior and  turning suspect                                                               
people  away.     He  spoke  about  a  previous   bill  that  had                                                               
successfully  passed  the  legislature  [but was  vetoed  by  the                                                               
governor] with  a 35 percent wholesale  tax.  He argued  that the                                                               
proposed  legislation is  different  because all  the tax  burden                                                               
would be put on the consumer.   He posited that the likelihood of                                                               
a bill with a higher tax  getting signed by the governor would be                                                               
low, as  the previous  bill with  less of  a consumer  burden was                                                               
vetoed.   He stated  that pursuing  other options,  like limiting                                                               
nicotine to age restricted shops,  would help lower smoking rates                                                               
by offering  current smokers less  harmful products.   This would                                                               
also ensure that the products are  only sold to legal adults.  He                                                               
shared his belief that the  legislature and e-cigarette retailers                                                               
could work together to help  fight smoking related illnesses.  He                                                               
stated that he has personally seen  the benefits of vaping in his                                                               
own life  and asked the  committee not to discourage  more adults                                                               
from switching to a safer option.                                                                                               
                                                                                                                                
4:23:02 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MCCORMICK noted  that  the  committee is  hearing                                                               
invited testimony and questioned  whether the last two testifiers                                                               
had been invited by the bill sponsor.                                                                                           
                                                                                                                                
REPRESENTATIVE HANNAN replied  that she had not  invited the last                                                               
two speakers.                                                                                                                   
                                                                                                                                
4:23:35 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS questioned why  these products are marketed                                                               
to  children if  the  intent of  the product  is  to help  adults                                                               
switch from traditional cigarettes.                                                                                             
                                                                                                                                
MR.  PARROTT stated  that he  personally does  not sell  products                                                               
that are targeted towards youth.   He stated that he has made the                                                               
point to not  carry large brands like Juul, as  they are owned by                                                               
"big tobacco."                                                                                                                  
                                                                                                                                
4:25:11 PM                                                                                                                    
                                                                                                                                
The committee took a brief at-ease.                                                                                             
                                                                                                                                
4:26:17 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  sought clarification  on the statement  that nicotine                                                               
can  cause  depression.   He  opined  that other  life  stressors                                                               
linked to depression could push a person to want to smoke.                                                                      
                                                                                                                                
REPRESENTATIVE  RUFFRIDGE replied  that  there  is long  existing                                                               
evidence within  the medical  field that  nicotine use  over time                                                               
can  cause  the  further  decline of  preexisting  mental  health                                                               
issues; however,  why this happens  is not fully understood.   He                                                               
expressed the understanding that one  of the primary concerns for                                                               
medical professionals  when helping patients to  stop smoking, is                                                               
the depression  that can accompany the  withdrawal from nicotine.                                                               
He  pointed out  the twofold  occurrence of  depression involving                                                               
the use  of nicotine and  getting off  nicotine.  He  stated that                                                               
this has been well established in medical literature.                                                                           
                                                                                                                                
4:28:19 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA questioned  how often  the current  fines on                                                               
youth are enforced.                                                                                                             
                                                                                                                                
MR. DARNELL responded  that youth possession and  use of nicotine                                                               
is  primarily  enforced  by  school  resource  officers,  at  the                                                               
request  of  the  school.    He  explained  that  when  a  school                                                               
administrator has an issue with  underage nicotine possession, it                                                               
is  reported to  a  resource  officer who  would  then write  the                                                               
ticket.  He  expressed the understanding that  there are multiple                                                               
vice  principals from  across the  state who  would speak  to the                                                               
committee  during the  upcoming public  testimony.   He suggested                                                               
that these  testifiers would have  more information on  the exact                                                               
process and its frequency.                                                                                                      
                                                                                                                                
4:29:45 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA noted  that HB  176 includes  an option  for                                                               
enforcement between the  fine or sending the  defendant to court.                                                               
She asked how tobacco offences  are currently enforced.  She also                                                               
questioned  how often  youth  would be  referred  to the  tobacco                                                               
education program instead of being issued a fine.                                                                               
                                                                                                                                
MR. DARNELL replied  that the only enforcement  tool currently in                                                               
law  is a  fine of  $500; he  reiterated this  is higher  than it                                                               
needs to be.   He shared his belief that  the proposed bill could                                                               
do  a  good job  of  bringing  down  the  fine and  providing  an                                                               
alternative  to  the  fine.   He  reiterated  that  referrals  to                                                               
education as an enforcement tool do not currently exist.                                                                        
                                                                                                                                
4:31:00 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA redirected  her questions  about enforcement                                                               
to Nancy Meade of the Alaska Court System.                                                                                      
                                                                                                                                
4:31:24 PM                                                                                                                    
                                                                                                                                
NANCY  MEADE,  General  Counsel,  Civil  Division,  Alaska  Court                                                               
System, Department  of Law, replied  that she does not  have data                                                               
on how  many underage  tobacco charges  are filed  and convicted.                                                               
She reported that the conviction  rate for youth possession cases                                                               
has hovered between 30 to 60  per year, and she described this as                                                               
an  uncommon conviction.   She  stated  that underage  possession                                                               
cases are enforced  by state troopers and  local law enforcement,                                                               
while DOH officers  would enforce cases on  negligent selling and                                                               
vending  of  nicotine  to  youth,  as  these  officers  have  the                                                               
authority to  issue citations  directly to  offending businesses.                                                               
She  explained that  the underage  minor citations  filed by  law                                                               
enforcement currently include a  mandatory court appearance.  She                                                               
stated that  HB 176  would change these  citations to  be mail-in                                                               
tickets, similar to a parking ticket.                                                                                           
                                                                                                                                
4:33:02 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  RUFFRIDGE  inquired  whether  these  charges  are                                                               
typically  singular  charges  or  add-ons  to  a  larger  set  of                                                               
charges.                                                                                                                        
                                                                                                                                
MS. MEADE replied that the  charges are generally standalone from                                                               
other  charges, but  they  will  often happen  in  batches.   For                                                               
example,  she  explained  that   a  principal  will  contact  law                                                               
enforcement to do a "sting"  for instances of underage smoking or                                                               
possession  at the  school,  and the  officers  will charge  many                                                               
students at one time.  She  reported that the 47 convictions last                                                               
year happened on  one of three different  days, exemplifying that                                                               
the  data shows  these charges  are not  enforced in  the typical                                                               
fashion.                                                                                                                        
                                                                                                                                
4:34:20 PM                                                                                                                    
                                                                                                                                
MS. MEADE  clarified that in  current statute the  possession [by                                                               
youth]  of nicotine  products is  a violation  punishable with  a                                                               
fine of  up to  $500; however,  this would not  mean the  fine is                                                               
always  $500.    She  explained that  the  violations  require  a                                                               
mandatory  court  appearance,  during  which the  judge  can  use                                                               
discretion in assigning a lesser fine.   She stated that she does                                                               
not have  the exact  data on  the average  fine, but  she posited                                                               
that  when  discretion  is  available  to  judges,  it  is  often                                                               
exercised.                                                                                                                      
                                                                                                                                
4:35:09 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA asked whether  the committee could access the                                                               
data on what the actual fine amounts end up being.                                                                              
                                                                                                                                
MS.  MEADE  replied that  the  data  on  fines is  not  currently                                                               
compiled in  any way and going  through every court case  to make                                                               
this data accessible would be difficult.                                                                                        
                                                                                                                                
4:35:37 PM                                                                                                                    
                                                                                                                                
CHAIR  PRAX ask  for clarification  on  the 20  to 40  individual                                                               
convictions  a year  on  minor possession  of  tobacco or  vaping                                                               
products.                                                                                                                       
                                                                                                                                
MS. MEADE mentioned  that current law refers to  the violation as                                                               
the sale of  any nicotine products, including  e-cigarettes, to a                                                               
minor.  She stated that the  language in HB 176 would only change                                                               
this  to those  under  21 years  old.   She  reiterated that  the                                                               
convictions  have ranged  from 10  in 2018  to 60  in 2019.   She                                                               
expressed the belief that the  numbers fluctuate depending on the                                                               
year  and  how often  law  enforcement  is  asked to  respond  to                                                               
instances of minor possessions in schools.                                                                                      
                                                                                                                                
CHAIR  PRAX inquired  about the  statistics  for illegal  selling                                                               
violations.                                                                                                                     
                                                                                                                                
MS. MEADE  explained that there  are very few cases  of negligent                                                               
vending, and the  citations are given by DOH  officers instead of                                                               
law enforcement.   She  reported that over  the last  seven years                                                               
there  have been  between  2 and  31 cases  a  year of  negligent                                                               
selling of  nicotine to a minor.   She explained that  when these                                                               
cases are convicted, the offenders  are referred to the licensing                                                               
board  through   the  Department  of  Commerce,   Community,  and                                                               
Economic  Development,  and it  would  then  take further  action                                                               
either on the license itself or through civil penalties.                                                                        
                                                                                                                                
CHAIR PRAX  referred to previous  testimony that stated  over 900                                                               
students had been suspended from  school for smoking [in a single                                                               
year] and  questioned whether  any further  action was  taken for                                                               
these students.                                                                                                                 
                                                                                                                                
MS. MEADE  stated that the data  shows that 900 charges  were not                                                               
filed, as  the total number  of charges  filed for a  year ranged                                                               
between 15  and 80.  She  explained that there were  more charges                                                               
filed  than convictions  because  some charges  get dismissed  or                                                               
dropped.                                                                                                                        
                                                                                                                                
4:39:03 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX asked  Mr. Darnell to address  the discrepancy between                                                               
the  number  of  school  suspensions  and  the  number  of  legal                                                               
citations for possession of nicotine by a minor.                                                                                
                                                                                                                                
MR.  DARNELL responded  that the  discrepancy  exists because  of                                                               
each   school's  individual   policies   for  handling   nicotine                                                               
possession.  He reported that schools  do not always bring in law                                                               
enforcement,  as  this  would result  in  more  suspensions  than                                                               
written citations.  He deferred  the question to Ms. Steffens for                                                               
more  detailed  data and  to  the  vice  principals who  will  be                                                               
providing public  testimony.  He  offered the  understanding that                                                               
the  vice principals  would be  able  to highlight  the issue  of                                                               
protecting youth.                                                                                                               
                                                                                                                                
4:40:44 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE  noted that the committee  has seen data                                                               
on consumer  habits that show  as the price of  tobacco increase,                                                               
sales decrease.   However, he pointed  out that the data  is only                                                               
collected  on  persons  who can  legally  access  age  prohibited                                                               
products.  He speculated whether  the price curve is as effective                                                               
on youth.   He expressed the assumption that  being more fiscally                                                               
responsible and  concerned about spending habits  would come with                                                               
age, and a  16-year-old may not care as much  about the high cost                                                               
of nicotine  as an adult does.   He inquired about  the existence                                                               
of any consumer data collected from youth rather than adults.                                                                   
                                                                                                                                
4:42:26 PM                                                                                                                    
                                                                                                                                
BRANDON  SPANOS, Deputy  Director,  Tax  Division, Department  of                                                               
Revenue,  responded that  in developing  the fiscal  note for  HB
176,  the  Tax  Division  looked  at  the  price  elasticity  for                                                               
nicotine.   After consulting  with an expert,  it was  found that                                                               
price  elasticity  was  greater  for youth  than  adults  in  the                                                               
nicotine market.   In response to a  question from Representative                                                               
Ruffridge on the  meaning of "price elasticity,"  he deferred the                                                               
question to Ms. Steffens.                                                                                                       
                                                                                                                                
4:44:40 PM                                                                                                                    
                                                                                                                                
MS. STEFFENS stated that TPCP has  tracked data on the effects of                                                               
price on the  rates of nicotine usage in minors  since the 1990s.                                                               
She  reported that  around  1994  to 1995,  37  percent of  youth                                                               
smoked tobacco,  and it was not  until 1997 that single  packs of                                                               
cigarettes  were included  in tax  law.   She  reiterated that  a                                                               
combination  of  national   anti-smoking  campaigns,  along  with                                                               
addition of  taxes, have  caused the youth  smoking rate  to drop                                                               
from 37 percent to 8 percent.                                                                                                   
                                                                                                                                
4:45:39 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  MINA pointed  out the  distinction between  youth                                                               
that give  someone of  legal age  their own  money to  purchase a                                                               
vape for  them and those who  have access to a  vape by borrowing                                                               
or  using  products a  family  member  purchased.   She  inquired                                                               
whether this data has been tracked.                                                                                             
                                                                                                                                
MS. STEFFENS reported  that statewide data shows  the majority of                                                               
Alaska  youth   get  vaping  products  through   social  sources.                                                               
Although  the state  data  is  not broken  down  to the  specific                                                               
sources, she stated  that the National Youth  Tobacco Survey from                                                               
2021  found that  33 percent  of students  receive their  product                                                               
from  a friend,  31  percent bought  the  product themselves,  29                                                               
percent had someone buy the product  for them, and 26 percent had                                                               
someone  offer the  product to  them for  free.   She noted  that                                                               
students receive their product in  multiple ways and were able to                                                               
denote all these ways in the survey.                                                                                            
                                                                                                                                
4:47:14 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FIELDS noted that in  2009 there was a substantial                                                               
federal tax hike on nicotine  products which allowed academics to                                                               
extensively study youth and adult  behavior in regard to nicotine                                                               
usage.    He reported  that  a  significant price  elasticity  of                                                               
demand for nicotine  was found for youth, meaning  that the rates                                                               
of youth who smoked decreased,  while those who smoked before the                                                               
tax  smoked less.   He  shared that  the studies  also showed  an                                                               
increase in  cessation efforts.   He offered to  circulate copies                                                               
of these studies to the committee members.                                                                                      
                                                                                                                                
4:48:02 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE RUFFRIDGE  expressed the  opinion that  looking at                                                               
the national  tax implementation makes  it easy to see  how youth                                                               
have behaved  on a larger scale.   He asked whether  there is any                                                               
data that  tracks Alaskan youth  behavior since  the Municipality                                                               
of Anchorage started taxing e-cigarettes several years ago.                                                                     
                                                                                                                                
REPRESENTATIVE  HANNAN  responded that  she  does  not have  this                                                               
data, but she would work to obtain this.                                                                                        
                                                                                                                                
4:49:29 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  FIELDS shared  his  interest in  seeing any  data                                                               
that  compares youth  nicotine usage  between neighboring  states                                                               
that are  similar in socioeconomic  factors, with  the difference                                                               
being one has  a high tax rate on nicotine,  while the other does                                                               
not.                                                                                                                            
                                                                                                                                
4:49:58 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE MINA  shared her  understanding that HB  176 would                                                               
bring  tax   parity  between   e-cigarettes  and   other  tobacco                                                               
products.   She  questioned whether  there are  any other  states                                                               
that do not tax e-cigarettes.                                                                                                   
                                                                                                                                
REPRESENTATIVE HANNAN replied that  she would investigate whether                                                               
any  other states  specifically  do not  tax  e-cigarettes.   She                                                               
expressed the  understanding that Alaska's tax  code is different                                                               
than  other  states.   She  explained  that all  states  regulate                                                               
cigarettes  separately because  of federal  guidelines, but  most                                                               
states  use the  category  of "tobacco"  to  include all  tobacco                                                               
products, so any  nicotine product would fall under  the same tax                                                               
rate and citation.   She suggested that this  allows other states                                                               
to  include  e-cigarettes as  a  type  of  tobacco and  tax  them                                                               
accordingly.    In  comparison,  she  reported  that  Alaska  has                                                               
specified  each type  of  product in  the state  tax  code.   She                                                               
explained  that when  e-cigarettes  were  invented, because  they                                                               
were  not on  the list,  the industry  claimed that  e-cigarettes                                                               
could  not be  automatically  taxed  at the  same  rate as  other                                                               
products.                                                                                                                       
                                                                                                                                
4:51:35 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX  questioned Mr. Spanos  whether raising the tax  on e-                                                               
cigarettes could  create an underground market  and whether there                                                               
is a tax  threshold that would cause a rise  in underground sales                                                               
of e-cigarettes.                                                                                                                
                                                                                                                                
MR. SPANOS reported  that the tax division has  not done research                                                               
on  the black-market  possibilities of  the proposed  e-cigarette                                                               
tax;  however,  it is  aware  of  an  existing black  market  for                                                               
tobacco  products.   He explained  that when  the division  finds                                                               
products being  sold "on the street"  the tax still applies.   He                                                               
anecdotally stated that it makes sense  that when tax goes up the                                                               
demand for black  market product increases, and  the division had                                                               
similar  conversations about  how a  tax would  affect the  black                                                               
market when marijuana was being legalized.                                                                                      
                                                                                                                                
4:53:09 PM                                                                                                                    
                                                                                                                                
CHAIR  PRAX  questioned  whether   DOR  could  research  how  the                                                               
proposed  tax  rate   would  affect  the  black   market  for  e-                                                               
cigarettes.                                                                                                                     
                                                                                                                                
MR. SPANOS responded  that it would need to hire  a contractor to                                                               
do this type of research.                                                                                                       
                                                                                                                                
4:54:06 PM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   HANNAN   thanked   the   committee   for   their                                                               
consideration of  HB 176  and reiterated that  the goal  would be                                                               
protecting  youth   from  developing   unhealthy  habits.     She                                                               
expressed  the belief  that an  e-cigarette tax,  along with  the                                                               
Tobacco 21 law, would accomplish the goal.                                                                                      
                                                                                                                                
4:54:44 PM                                                                                                                    
                                                                                                                                
CHAIR PRAX announced that HB 176 was held over.                                                                                 
                                                                                                                                
4:55:09 PM                                                                                                                    
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no  further business before the  committee, the House                                                               
Health  and  Social  Services   Standing  Committee  meeting  was                                                               
adjourned at 4:55 p.m.                                                                                                          

Document Name Date/Time Subjects
HB 176 Fiscal Note DCCED-CBPL.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Fiscal Note DOA-PDA.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Fiscal Note DOH-DPH.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Fiscal Note DOR-TAX.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Fiscal Note DPS-AST.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Fiscal Note JUD-ACS.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Fiscal Note LAW-CJL.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Research Dec. 2022 Tobacconomics Exec-Summary 4.24.2023.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Research Oct. 2022 CDC 2.5 Million Youths Oct 4.24.2023.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Research--April 2023 Alaska Beacon--AK Youth Triple E-Cig Use 4.24.2023.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Research--Aug. 2020 AK Dept of Health Factsheet--AKTeen E-Cig Use 4.24.2023.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Research--March 2022 Case Study Anchorage 4.24.2023.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Sectional Summary 4.24.2023.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 Sponsor Statement 4.24.2023.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 DOA-PDA-2.pdf HHSS 5/4/2023 3:00:00 PM
HB 176
HB 176 E-Cigs Presentation 05.03.2023.pdf HHSS 5/4/2023 3:00:00 PM
HB 176