Legislature(2023 - 2024)BARNES 124

04/24/2023 03:15 PM House LABOR & COMMERCE

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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+= HB 119 MARIJUANA TAX TELECONFERENCED
<Bill Hearing Rescheduled to 04/26/23>
+= HB 137 PHYSICAL THERAPY LICENSURE COMPACT TELECONFERENCED
Heard & Held
+= HB 138 AUD. & SPEECH-LANG INTERSTATE COMPACT TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= HB 21 SCHOOL/UNIVERSITY EMPLOYEE HEALTH INSUR TELECONFERENCED
Heard & Held
<Bill Hearing Rescheduled from 04/21/23>
+= HB 92 FISHERMEN'S FUND: VESSEL OWNER CLAIMS TELECONFERENCED
Moved CSHB 92(FSH) Out of Committee
                    ALASKA STATE LEGISLATURE                                                                                  
          HOUSE LABOR AND COMMERCE STANDING COMMITTEE                                                                         
                         April 24, 2023                                                                                         
                           3:19 p.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Justin Ruffridge, Vice Chair                                                                                     
Representative Mike Prax                                                                                                        
Representative Dan Saddler                                                                                                      
Representative Stanley Wright                                                                                                   
Representative Ashley Carrick                                                                                                   
Representative Zack Fields                                                                                                      
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Jesse Sumner, Chair                                                                                              
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
HOUSE BILL NO. 21                                                                                                               
"An Act  relating to group insurance  coverage and self-insurance                                                               
coverage  for   school  district  employees,  employees   of  the                                                               
University of  Alaska, and employees of  other governmental units                                                               
in the state; and providing for an effective date."                                                                             
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
HOUSE BILL NO. 92                                                                                                               
"An  Act  relating to  claims  against  protection and  indemnity                                                               
insurance policies of vessel owners."                                                                                           
                                                                                                                                
     - MOVED CSHB 92(FSH) OUT OF COMMITTEE                                                                                      
                                                                                                                                
HOUSE BILL NO. 137                                                                                                              
"An  Act relating  to an  interstate  physical therapy  licensure                                                               
compact;  relating  to  the  licensure  of  physical  therapists,                                                               
physical  therapist  assistants,   occupational  therapists,  and                                                               
occupational therapy  assistants; and providing for  an effective                                                               
date."                                                                                                                          
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
HOUSE BILL NO. 138                                                                                                              
"An Act  relating to an audiology  and speech-language interstate                                                               
compact; relating to  the practice of audiology  and the practice                                                               
of speech-language pathology; and providing for an effective                                                                    
date."                                                                                                                          
                                                                                                                                
     - HEARD & HELD                                                                                                             
                                                                                                                                
HOUSE BILL NO. 119                                                                                                              
"An Act relating to marijuana taxes; and providing for an                                                                       
effective date."                                                                                                                
                                                                                                                                
     - BILL HEARING RESCHEDULED TO 4/26/23                                                                                      
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
BILL: HB  21                                                                                                                  
SHORT TITLE: SCHOOL/UNIVERSITY EMPLOYEE HEALTH INSUR                                                                            
SPONSOR(s): REPRESENTATIVE(s) VANCE                                                                                             
                                                                                                                                
01/19/23       (H)       PREFILE RELEASED 1/9/23                                                                                

01/19/23 (H) READ THE FIRST TIME - REFERRALS

01/19/23 (H) CRA, EDC, L&C

01/27/23 (H) CRA REFERRAL REMOVED

01/27/23 (H) BILL REPRINTED 03/13/23 (H) EDC AT 8:00 AM DAVIS 106 03/13/23 (H) Heard & Held 03/13/23 (H) MINUTE(EDC) 03/27/23 (H) EDC AT 8:00 AM DAVIS 106 03/27/23 (H) Moved HB 21 Out of Committee 03/27/23 (H) MINUTE(EDC) 03/29/23 (H) EDC RPT 2DP 4NR 03/29/23 (H) DP: MCKAY, ALLARD 03/29/23 (H) NR: HIMSCHOOT, STORY, PRAX, RUFFRIDGE 04/03/23 (H) L&C AT 3:15 PM BARNES 124 04/03/23 (H) -- MEETING CANCELED -- 04/05/23 (H) L&C AT 3:15 PM BARNES 124 04/05/23 (H) -- MEETING CANCELED -- 04/12/23 (H) L&C AT 3:15 PM BARNES 124 04/12/23 (H) Heard & Held 04/12/23 (H) MINUTE(L&C) 04/14/23 (H) L&C AT 3:15 PM BARNES 124 04/14/23 (H) Heard & Held 04/14/23 (H) MINUTE(L&C) 04/17/23 (H) L&C AT 3:15 PM BARNES 124 04/17/23 (H) Heard & Held 04/17/23 (H) MINUTE(L&C) 04/19/23 (H) L&C AT 3:15 PM BARNES 124 04/19/23 (H) -- MEETING CANCELED -- 04/21/23 (H) L&C AT 3:15 PM BARNES 124 04/21/23 (H) <Bill Hearing Rescheduled to 04/24/23> 04/24/23 (H) L&C AT 3:15 PM BARNES 124 BILL: HB 92 SHORT TITLE: FISHERMEN'S FUND: VESSEL OWNER CLAIMS SPONSOR(s): FISHERIES 03/01/23 (H) READ THE FIRST TIME - REFERRALS 03/01/23 (H) FSH, L&C 03/07/23 (H) FSH AT 10:00 AM GRUENBERG 120 03/07/23 (H) Heard & Held 03/07/23 (H) MINUTE(FSH) 03/14/23 (H) FSH AT 10:00 AM GRUENBERG 120 03/14/23 (H) Moved CSHB 92(FSH) Out of Committee 03/14/23 (H) MINUTE(FSH) 03/15/23 (H) FSH RPT CS(FSH) NEW TITLE 6DP 1NR 03/15/23 (H) DP: HIMSCHOOT, MCCORMICK, CARPENTER, STUTES, MCCABE, VANCE 03/15/23 (H) NR: C.JOHNSON 03/31/23 (H) L&C AT 3:15 PM BARNES 124 03/31/23 (H) Heard & Held 03/31/23 (H) MINUTE(L&C) 04/24/23 (H) L&C AT 3:15 PM BARNES 124 BILL: HB 137 SHORT TITLE: PHYSICAL THERAPY LICENSURE COMPACT SPONSOR(s): WRIGHT 03/27/23 (H) READ THE FIRST TIME - REFERRALS 03/27/23 (H) L&C, FIN 04/21/23 (H) L&C AT 3:15 PM BARNES 124 04/21/23 (H) <Bill Hearing Canceled> 04/24/23 (H) L&C AT 3:15 PM BARNES 124 BILL: HB 138 SHORT TITLE: AUD. & SPEECH-LANG INTERSTATE COMPACT SPONSOR(s): WRIGHT 03/27/23 (H) READ THE FIRST TIME - REFERRALS 03/27/23 (H) L&C, FIN 04/21/23 (H) L&C AT 3:15 PM BARNES 124 04/21/23 (H) <Bill Hearing Canceled> 04/24/23 (H) L&C AT 3:15 PM BARNES 124 WITNESS REGISTER REPRESENTATIVE SARAH VANCE Alaska State Legislature Juneau, Alaska POSITION STATEMENT: As prime sponsor, gave a brief overview of HB 21. KEN TRUITT, Legislative Liaison Department of Administration Juneau, Alaska POSITION STATEMENT: Answered questions during the hearing on HB 21. RACHAEL GUNN, Staff Representative Stanley Wright Alaska State Legislature Juneau, Alaska POSITION STATEMENT: Introduced HB 137 and HB 138 on behalf of Representative Stanely Wright, prime sponsor. JEFF ROSA, Compact Administrator Physical Therapist Licensure Compact Commission Washington, D.C. POSITION STATEMENT: Gave invited testimony during the hearing on HB 137 and HB 138. SYLVAN ROBB, Director Division of Corporations, Business, and Professional Licensing Department of Commerce, Community, and Economic Development Juneau, Alaska POSITION STATEMENT: Answered questions during the hearing on HB 137 and HB 138. LEEANNE CARROTHERS, PT, PhD, Federal Affairs Liaison American Physical Therapy Association Alaska Chapter Anchorage, Alaska POSITION STATEMENT: Gave invited testimony during the hearing on HB 137. REBECCA BYERLEY, PT, DPT, Chief Delegate American Physical Therapy Association Alaska Chapter Soldotna, Alaska POSITION STATEMENT: Gave invited testimony during the hearing on HB 137. NAHALE KALFAS, Legal Counsel Council of State Governments National Center for State Compacts Raleigh, North Carolina POSITION STATEMENT: Gave invited testimony during the hearing on HB 137 and HB 138. NANCY LOVERING, MS, CCC-SLP Alaska Speech and Hearing Association Anchorage, Alaska POSITION STATEMENT: Gave invited testimony during the hearing on HB 138. ACTION NARRATIVE 3:19:11 PM VICE CHAIR JUSTIN RUFFRIDGE called the House Labor and Commerce Standing Committee meeting to order at 3:19 p.m. Representatives Prax, Saddler, Wright, Carrick, Fields, and Ruffridge were present at the call to order. HB 21-SCHOOL/UNIVERSITY EMPLOYEE HEALTH INSUR 3:20:08 PM VICE CHAIR RUFFRIDGE announced that the first order of business would be HOUSE BILL NO. 21, "An Act relating to group insurance coverage and self-insurance coverage for school district employees, employees of the University of Alaska, and employees of other governmental units in the state; and providing for an effective date." 3:20:32 PM REPRESENTATIVE SARAH VANCE, Alaska State Legislature, stated that HB 21 would allow school districts and the University of Alaska to join group health insurance plans, and this could potentially save these systems millions of dollars in health care costs. 3:21:35 PM REPRESENTATIVE FIELDS moved to adopt Amendment 1 to HB 21, labeled, 33-LS0254\A.1, Klein, 4/18/23, which read as follows: Page 9, following line 6: Insert a new bill section to read: "* Sec. 9. AS 39.30.090 is amended by adding a new subsection to read: (c) When the Department of Administration receives a resolution from a governmental unit authorizing participation under a state group insurance policy, before the commissioner of administration approves the participation, the department shall investigate the potential cost of admitting the unit, including whether as a result of admitting the unit the rates of eligible employees will increase or decrease, and provide actuarial analysis to the legislature." Renumber the following bill sections accordingly. Page 9, line 23: Delete "1 - 10" Insert "1 - 11" Page 9, lines 24 - 25: Delete "1 - 10" Insert "1 - 11" Page 10, line 10: Delete "12 and 13" Insert "13 and 14" Page 10, line 11: Delete "sec. 14" Insert "sec. 15" 3:21:40 PM REPRESENTATIVE SADDLER objected for the purpose of discussion. REPRESENTATIVE FIELDS explained that Amendment 1 would require the Department of Administration (DOA) to conduct a review of the effects of HB 21. 3:22:37 PM REPRESENTATIVE SADDLER asked whether there is an estimated cost for such a review. REPRESENTATIVE FIELDS answered that an estimate would be done automatically. 3:23:38 PM The committee took an at-ease from 3:23 p.m. to 3:26 p.m. 3:26:02 PM REPRESENTATIVE FIELDS commented that he worked with DOA to write the amendment. 3:26:25 PM REPRESENTATIVE VANCE expressed concern that the wording of the amendment could delay the process of school districts joining Alaska Care. 3:27:20 PM REPRESENTATIVE SADDLER expressed the understanding that each school district joining the group insurance coverage would be conducting its own actuarial analysis; therefore, DOA conducting this analysis would be unnecessary. REPRESENTATIVE FIELDS responded that the analysis would be to determine the cost to the state, not each district which joins. 3:29:12 PM REPRESENTATIVE PRAX asked whether the results of the analysis would give the state the ability to reject a school district, or whether this would be simply to inform the legislature. REPRESENTATIVE FIELDS answered that the language change from "shall" to "may" would give the state the ability to reject a school district. 3:30:23 PM REPRESENTATIVE CARRICK expressed concern that the bill could potentially increase costs for employees covered by Alaska Care; therefore, she expressed support for the amendment because it will analyze these costs. 3:31:12 PM REPRESENTATIVE SADDLER commented that the legislature has the responsibility to view costs as a whole, and insurance costs are a significant source of spending on education. REPRESENTATIVE FIELDS responded that the intent of the amendment is to lower health insurance costs for those covered by Alaska Care. 3:32:22 PM REPRESENTATIVE PRAX asked whether it is worth the cost to conduct an additional actuarial analysis. REPRESENTATIVE FIELDS answered that the amendment would require DOA to share an actuarial analysis which would have already been conducted. 3:33:59 PM The committee took an at-ease from 3:33 p.m. to 3:36 p.m. 3:36:20 PM A roll call vote was taken. Representatives Prax, Carrick, Fields, and Ruffridge voted in favor of Amendment 1 to HB 21. Representatives Saddler and Wright voted against it. Therefore, Amendment 1 was adopted by a vote of 4-2. 3:37:16 PM REPRESENTATIVE FIELDS moved to adopt Amendment 2 to HB 21, as amended, labeled 33-LS0254\A.2, Klein, 4/17/23, which read as follows: Page 4, lines 14 - 27: Delete all material. Renumber the following bill sections accordingly. Page 9, line 23: Delete "Sections 1 - 10" Insert "Sections 1 - 9" Page 9, lines 24 - 25: Delete "secs. 1 - 10" Insert "secs. 1 - 9" Page 10, line 3: Delete "sec. 4" Insert "sec. 3" Page 10, line 10: Delete "Sections 12 and 13" Insert "Sections 11 and 12" Page 10, line 11: Delete "sec. 14" Insert "sec. 13" REPRESENTATIVE SADDLER objected for the purpose of discussion. 3:37:28 PM REPRESENTATIVE FIELDS explained that Amendment 2 would remove the ability to use the public education fund to onboard groups joining Alaska Care. REPRESENTATIVE VANCE expressed the opinion that the amendment would be detrimental to the accounting mechanisms present in the bill. 3:38:48 PM REPRESENTATIVE PRAX asked for further explanation of the accounting mechanisms. REPRESENTATIVE VANCE answered that it is unknown whether each school district has reserve funds for the purpose of starting a new health care program, and the proposed legislation would allow a school district to take a short-term loan from the education fund. 3:40:33 PM REPRESENTATIVE SADDLER asked what the process would be if a school district needed the loan. REPRESENTATIVE VANCE answered that the intent of Section 3 of the bill would be to transfer any leftover self-funded insurance reserve to the group fund. She advised that this would help DOA continue the health care program as seamlessly as possible. The proposed legislation would also provide funds to those districts without leftover funds, which the school districts would have to repay. She reiterated that this would not draw upon the public education fund for any other purpose than to keep the cashflow benefits during the transition period. In response to a follow- up question, she said that the public education fund must be reimbursed, and it only covers the first four months of the transition. 3:43:49 PM KEN TRUITT, Legislative Liaison, Department of Administration, continuing the response to the previous question, added that DOA is content to allow the legislature to create a funding mechanism for transitioning school districts, although the amendment could present challenges for cashflow. He stated that the Alaska Care program acts as a non-profit health insurance company, which is financed by employee premiums and contributions. The reserves are managed to fit the needs of its members. 3:48:04 PM REPRESENTATIVE SADDLER expressed the understanding that the bill, as written, would provide a solid backstop to cover the addition of new members in the short term. 3:49:14 PM REPRESENTATIVE FIELDS asked whether there are cases in which expanding the pool would increase costs. MR. TRUITT expressed uncertainty. He added that the actuarial analysis would provide a more definitive answer. REPRESENTATIVE FIELDS commented that there are groups with high- cost individuals which could increase costs for all individuals covered by Alaska Care. REPRESENTATIVE VANCE responded that only a small number of individuals would qualify for the education fund loan. 3:52:39 PM REPRESENTATIVE PRAX asked whether the actuarial analysis would be based on the number of school districts that join. MR. TRUITT answered that, because of the difficulty in predicting which school districts may join, the analysis would cover three different scenarios - whether costs to Alaska Care increase, decrease, or remain the same. 3:55:31 PM REPRESENTATIVE FIELDS asked when the analysis would become available. MR. TRUITT answered approximately three weeks after work begins, which usually occurs when a bill reaches the finance committee. 3:56:20 PM VICE CHAIR RUFFRIDGE questioned what the sources of funding for new groups to join would be without Section 3. MR. TRUITT answered that this could potentially create a cashflow issue for Alaska Care. In response to a follow-up question, he expressed uncertainty whether the amount of $100 million is too much. REPRESENTATIVE VANCE added that the public education fund is the most appropriate fund to use for the purpose of school districts joining Alaska Care. She added that the ultimate intent of the bill is to bolster education funding by reducing health care costs for school districts. 4:01:49 PM VICE CHAIR RUFFRIDGE asked whether the bill would allow the commissioner of DOA to expend public education funding for the first time. MR. TRUITT expressed uncertainty. He referenced Vice Chair Ruffridge's previous question, remarking that $100 million is not a large number in terms of the Alaska Care plan. 4:03:42 PM REPRESENTATIVE PRAX asked whether Amendment 2 would eliminate the ability for some school districts to join the Alaska Care plan. MR. TRUITT expressed uncertainty. 4:05:24 PM REPRESENTATIVE SADDLER commented that, under statute, the fund for health insurance and benefits is under the general fund, and in previous years the education fund has been used to cover expenses which fell under the general fund. REPRESENTATIVE FIELDS responded that the proposed bill would apply to other governmental institutions which are not school districts. In other words, the bill could potentially allow the education fund to be used for the benefit of other institutions. 4:06:35 PM The committee took an at-ease from 4:06 p.m. to 4:10 p.m. 4:10:59 PM VICE CHAIR RUFFRIDGE announced that HB 21, as amended, was held over. [The motion to adopt Amendment 2, with objection, was left pending.] HB 92-FISHERMEN'S FUND: VESSEL OWNER CLAIMS 4:11:11 PM VICE CHAIR RUFFRIDGE announced that the next order of business would be HOUSE BILL NO. 92, "An Act relating to claims against protection and indemnity insurance policies of vessel owners." [Before the committee, adopted as a working document on 3/14/23, was the proposed committee substitute (CS) for HB 92, Version 33-LS0520\B, Marx, 3/9/23 ("Version B").] 4:11:43 PM REPRESENTATIVE VANCE stated that Version B would increase the cap for vessel reimbursement claims to $15,000 for crewmembers and vessel owners. She noted that the change is supported by the industry and would not cause long-term issues for the fund. 4:12:58 PM REPRESENTATIVE FIELDS asked whether coverage for treatment for COVID-19 was covered by Version B. REPRESENTATIVE VANCE responded that this had been discussed but was not recommended by the Fisherman's Fund Council. 4:13:39 PM REPRESENTATIVE CARRICK asked why COVID-19 is not included. REPRESENTATIVE VANCE answered that no federal funding is available to cover these expenses, and the Fishermen's Fund is a pre-statehood account, and the council has sought to keep with its original intent. She stated that illnesses contracted while at sea are covered under maritime law; however, adding COVID-19 to the list of conditions covered by the fund would discourage stronger insurance coverage. 4:15:48 PM REPRESENTATIVE PRAX asked whether any money from the state goes to the fund. REPRESENTATIVE VANCE answered no. In response to a follow-up question, she agreed that the proposed bill would allow the fund's council to do as it wishes. 4:17:05 PM REPRESENTATIVE SADDLER moved to report CSHB 92, Version 33- LS0520\B, Marx, 3/9/23, out of committee with individual recommendations and the accompanying fiscal notes. There being no objection, CSHB 92(FSH) was reported from the House Labor and Commerce Standing Committee. 4:17:29 PM The committee took an at-ease from 4:17 p.m. to 4:22 p.m. HB 137-PHYSICAL THERAPY LICENSURE COMPACT HB 138-AUD. & SPEECH-LANG INTERSTATE COMPACT 4:22:33 PM VICE CHAIR RUFFRIDGE announced that the next order of business would be HOUSE BILL NO. 137, "An Act relating to an interstate physical therapy licensure compact; relating to the licensure of physical therapists, physical therapist assistants, occupational therapists, and occupational therapy assistants; and providing for an effective date." and HOUSE BILL NO. 138, "An Act relating to an audiology and speech-language interstate compact; relating to the practice of audiology and the practice of speech-language pathology; and providing for an effective date." 4:23:07 PM REPRESENTATIVE WRIGHT stated that HB 137 would allow Alaska to join the Physical Therapy Licensure Compact, and HB 138 [which is the final order of business before the committee] would allow the state to join the Audiologist and Speech Language Therapist Compact. 4:24:06 PM RACHAEL GUNN, Staff, Representative Stanley Wright, Alaska State Legislature, stated that licensure compacts allow states to cooperate in policy areas relating to the licensure fields, resulting in the increase access to quality care. She stated that individuals seeking licensure in the two fields covered by HB 137 and HB 138 would still receive a license in their home state, unlike the Nurse Licensure Compact. 4:28:19 PM JEFF ROSA, Compact Administrator, Physical Therapist Licensure Compact Commission, stated that the goal of the Physical Therapist Licensure Compact is to increase public protections and access to physical therapy. He added that a physical therapist wishing to practice in another state would still need to seek permission to work in that state. He explained that the compact preserves the state licensure system while creating an easier and more efficient route to practice in another state. 4:31:08 PM REPRESENTATIVE SADDLER asked how many physical therapists are in the state. He questioned the number of these who are military spouses. MR. ROSA deferred to the bill sponsor. 4:32:04 PM SYLVAN ROBB, Director, Division of Corporations, Business, and Professional Licensing, Department of Commerce, Community and Economic Development, answered that there are 1,314 licensed physical therapists and 202 physical therapist assistants in the state. 4:32:34 PM REPRESENTATIVE PRAX questioned the fee when another state license is added. MR. ROSA answered that a license covering every state would be more expensive, and some licensees may not wish to take advantage of the ability to practice in another state. He continued that the fee would cover an individual's ability to practice in another state. He added that the fees have allowed the commission to avoid charging an assessment fee to member states. In response to a follow-up question, he said that each state sets their own licensure fee. REPRESENTATIVE PRAX asked how the state would know it is making the best use of the fee in future years. MR. ROSA answered that each fee is set up by an administrative rules process. 4:38:10 PM REPRESENTATIVE CARRICK asked whether there is a shortage of physical therapists or audiologists in Alaska. She also questioned the wait time for physical therapists or audiologists to receive a license. MR. ROSA answered that he would defer to subsequent invited testimony to answer these questions. 4:39:57 PM LEEANNE CARROTHERS, PT, PhD, Federal Affairs Liaison, American Physical Therapy Association, Alaska Chapter, stated that she is unsure of the exact number of physical therapists currently needed in the state, but there is a shortage of health care workers across all fields in Alaska. She said that the wait for a physical therapist license is several months, which negatively impacts the care of Alaskans. 4:42:54 PM REBECCA BYERLEY, PT, DPT, Chief Delegate, American Physical Therapy Association, Alaska Chapter, stated that there are openings for physical therapist jobs in all aspects of physical therapy on the Kenai Peninsula. She suggested that the openings are a sign of a shortage. She observed that there are patients who have no care once they leave the hospital, which could eventually lead to more health issues in the future. 4:45:53 PM NAHALE KALFAS, Legal Counsel, Council of State Governments, National Center for State Compacts, stated that the Audiologist and Speech Language Therapist Licensure Compact works similarly to the Physical Therapist Licensure Compact. This compact is newer than the physical therapist compact, with operations still being set up, and it has 26 member states. She said that the compact has a provision to allow the spouse of an active-duty member of the military to set a home state, and it is the first compact to have such a provision. She added that the compact would increase public protections and access to care. 4:50:04 PM MS. KALFAS, in response to a question from Representative Saddler, stated that the compact has an active commission with funding sources, and the data system required to begin issuing licenses is still being set up. In response to a follow-up question, she reiterated that the commission has not begun issuing licenses. She added that other compacts have gone through the same process. In response to a follow-up question, she stated that the compact is only for fully licensed professionals, not students. 4:54:40 PM NANCY LOVERING, MS, CCC-SLP, Alaska Speech and Hearing Association, stated that HB 138 would increase access to audiology and speech therapy care and reduce burdens on military families. She stated that because of the lack of a state board for audiology and speech therapy, consumer protections would be increased and joining the compact would provide a level of oversite not currently present. 4:56:53 PM REPRESENTATIVE SADDLER asked whether joining the compact would affect a speech therapist's ability to bill insurance. MS. LOVERING answered no. 4:57:44 PM REPRESENTATIVE CARRICK asked whether there are significant shortages or licensure wait times for any professions covered by HB 137 or HB 138. REPRESENTATIVE WRIGHT answered that he is unsure but would provide any available numbers at a future time. 4:58:27 PM VICE CHAIR RUFFRIDGE asked whether fingerprinting would be a requirement for an individual wishing to take advantage of the compact. REPRESENTATIVE WRIGHT answered that fingerprinting is an additional security measure which would increase state cooperation. MS. GUNN added that many other states already require fingerprinting. In response to a follow-up question, she said that it is a requirement of both compacts. 5:00:14 PM REPRESENTATIVE PRAX asked whether the process of fingerprinting would necessitate repetition for an individual moving to Alaska. MS. GUNN answered that previous information, including disciplinary action, would be available to the state. 5:01:39 PM VICE CHAIR RUFFRIDGE announced that HB 137 and HB 138 were held over. 5:01:50 PM ADJOURNMENT There being no further business before the committee, the House Labor and Commerce Standing Committee meeting was adjourned at [5:02] p.m.

Document Name Date/Time Subjects
A.1.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.2.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.3 - Scanned.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.4 - Scanned.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.5.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.6.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.7.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.8.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
A.9.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
HB 137 PTC Eligibility 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC Guidance for Military 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC Map 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC Fees by State 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC FAQ 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC How-To 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 Compact Benefits.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 PTC Responsibilty of Privledge Holders 2.27.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB0137A.PDF HL&C 4/24/2023 3:15:00 PM
HB 137
HB 138 Sectional Analysis ver A 4.4.23.docx HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Fact Sheet 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Overview Guide 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Overview Guide 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Talking Points 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-CSG Compacts in Action 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-CSG Multistate Problem Solving 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-What is a Compact 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Sponsor Statement ver A 4.4.23.docx HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Map 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-ASLP-IC Summary Infograph 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-CSG Alaska Compacts 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-CSG Interstate Licensure Fact Sheet 6.22.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 Supporting Documents-DOD Talking Points 4.4.23.pdf HL&C 4/24/2023 3:15:00 PM
HB 138
HB 138 ver A.PDF HL&C 4/24/2023 3:15:00 PM
HB 138
HB 137 SPONSOR STATEMENT.docx HL&C 4/24/2023 3:15:00 PM
HB 137
HB 137 Sectional Analysis.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
HB 138 Sectional Analysis ver A 4.4.23 (1).pdf HL&C 4/24/2023 3:15:00 PM
HB 138
A.11.pdf HL&C 4/24/2023 3:15:00 PM
HB 21
Fiscal Note HB137.pdf HL&C 4/24/2023 3:15:00 PM
HB 137
Fiscal Note HB138.pdf HL&C 4/24/2023 3:15:00 PM
HB 138